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Chordae Tendinae Rupture

Chordae Tendinae Cordis Rupture


Presentation

  • Metz, MD, FACP Patients with ITP continue to present difficulties in diagnosis and management. Two experts discuss the current approach to ITP.[books.google.com]
  • Clinical Presentation and Diagnosis Most cardiac injuries caused by stab wounds are logically based on the trajectory of the insult.[thoracickey.com]
  • A patient with myxoma of the left atrium presented with… (More) Is this relevant? 1983 1983 The prevalence of ruptured chordae tendineae in the mitral valve prolapse syndrome.[semanticscholar.org]
  • A fourth heart sound is also present. There are bilateral crackles in both lungs. Jugular venous distention and hepatojugular reflux are present. The abdomen is soft, non-tender and non-distended. The neurologic examination reveals no abnormalities.[usmleforum.com]
  • Occasionally, patients present with mitral regurgitation. Rarely, patients present with endocarditis (eg, fever, weight loss, thromboembolic phenomena) or stroke.[merckmanuals.com]
Congestive Heart Failure
  • By permission from Knottenbelt DC, Pascoe RR, Diseases and Disorders of the Horse, Saunders, 2003 chorda tendineae rupture causes acute, massive, cardiac insufficiency leading to congestive heart failure and an early death; called also detachment. chorda[medical-dictionary.thefreedictionary.com]
  • Acute congestive heart failure due to ruptured mitral chordate tendineae in late pregnancy. J. Obstetric Gynaecology. Res 2013; 39(3):724-726. 4. Olivera DB, Dawkins KD, Kay PH, Paneth M. Chordal rupture. I: Aetiology and natural history.[jmscr.igmpublication.org]
  • An inadequately repaired valve, if left untreated, results in continued myocardial dysfunction resulting in pulmonary edema, congestive heart failure, and systemic thromboemboli generation.[surgeryencyclopedia.com]
  • In severe cases of classic MVP, complications include mitral regurgitation, infective endocarditis, congestive heart failure, and, in rare circumstances, cardiac arrest.[en.wikipedia.org]
  • .- ) following cardiac surgery or due to presence of cardiac prosthesis ( I97.1 ) neonatal cardiac failure ( P29.0 ) I50.0 Congestive heart failure Latin: Insufficientia cordis congestiva Congestive heart disease Right ventricular failure (secondary to[mkb-dijagnoza.blogspot.com]
Ecchymosis
  • A history or findings of pain and tenderness over the anterior chest wall (which may be indistinguishable from a classic myocardial infarction), evidence of chest wall contusion, ecchymosis, anterior rib fractures, and flail chest are all associated with[thoracickey.com]
Dyspnea
  • The patients who had primary CTR were older (59.9 /- 1.6 v 52.1 /- 3.1 years, P .029), had a higher prevalence of hypertension (56% v 30%, P .018) and complained more often of dyspnea (82% v 53%, P .003) than the patients in the secondary group.[ncbi.nlm.nih.gov]
  • ., palpitations, fatigue, dyspnea ) may arise, especially if associated with MR. A mitral prolapse click is a classic auscultatory finding MVP and diagnosis is made with echocardiography.[amboss.com]
  • MVP is usually asymptomatic in the absence of significant regurgitation, although there are reports that some patients experience chest pain, dyspnea, dizziness, and palpitations.[merckmanuals.com]
  • Pulmonary edema will impair normal gas diffusion, and cause dyspnea and -if severe - may lead to death. The consequences of papillary muscle paralysis are quite similar.[hmphysiology.blogspot.com]
  • Valvular stenosis and insufficiency can have serious cardiac consequences, and produce the following clinical symptoms: Shortness of breath ( dyspnea ) Fatigue Reduced exercise capacity Light headedness or fainting (syncope) Heart failure Pulmonary hypertension[cvphysiology.com]
Vomiting
  • FINNELL thickened thoracic tion tissue trachea tumor Vice-President vomiting walls York معلومات المراجع العنوان Transactions - New York Pathological Society, المجلد 1 الناشر William Wood & Company, 1876 أصلي من جامعة ولاية أوهايو الكتب ذات التنسيق الرقمي[books.google.com]
Heart Disease
  • The known predisposing factors in secondary group include mitral valve prolapse, infective endocarditis, and rheumatic heart disease.[ncbi.nlm.nih.gov]
  • Sub-acute endocarditis (SBE) and rheumatic heart disease (RHD) were the most frequent causes before 1985 (54.4% and 42.1%, respectively); since 1985 SBE and RHD have dropped sharply to 37.4% and 24.8%, respectively.[ncbi.nlm.nih.gov]
  • Some people are born with heart disease.[icdlist.com]
  • Multiple logistic regression analysis showed four independent risk factors: TIMP2 [odds ratio (OR) 1.82, 95% confidence interval (CI) 1.18-2.81, P 0.007], hypertension (OR 2.40, CI 1.08-5.34, P 0.032), rheumatic heart disease (OR 0.18, CI 0.05-0.70, P[ncbi.nlm.nih.gov]
  • I51 Complications and ill-defined descriptions of heart disease Excludes1 any condition in I51.4 - I51.9 due to hypertension ( I11 .-) any condition in I51.4 - I51.9 due to hypertension and chronic kidney disease ( I13 .-) heart disease specified as rheumatic[icd10coded.com]
Tachycardia
  • […] paroxysmalis I47.1 Supraventricular tachycardia Latin: Tachycardia supraventricularis Paroxysmal tachycardia: · atrial · atrioventricular [AV] · junctional · nodal I47.2 Ventricular tachycardia Latin: Tachycardia ventricularis paroxysmalis I47.9 Paroxysmal[mkb-dijagnoza.blogspot.com]
  • The initial EKG shows sinus tachycardia with occasional premature ventricular complexes. The chest x-ray reveals no cardiomegaly, but bilateral alveolar infiltrates and hilar prominence are present.[usmleforum.com]
  • Department of Cardiovascular Surgery, Keio University School of Medicine Electrophysiological Characteristics of Localized Reentrant Atrial Tachycardia Occuring After Catheter Ablation of Long-Lasting Persistent Atrial Fibrillation Yoshihide Takahashi[j-circ.or.jp]
  • , the most common, to supraventricular arrhythmias such as atrial flutter and atrial fibrillation, ventricular tachycardia, premature ventricular contractions, ventricular fibrillation, right bundle branch block with first-degree heart block or hemiblock[thoracickey.com]
  • People with rhythm disturbances may need to be treated with beta blockers or other medications to control tachycardias (fast heart rhythms).[hopkinsmedicine.org]
Systolic Murmur
  • A systolic murmur is sometimes heard for the first time after an episode of myocardial ischemia or the occurrence of a myocardial infarction.[jamanetwork.com]
  • murmur that is best heard at the mitral region and may radiate to the axilla.[amboss.com]
  • On auscultation of the heart, an early, decrescendo, systolic murmur at the cardiac apex is heard; the murmur decreases with Valsalva maneuver, and increases with the grip maneuver, radiating to the axilla.[usmleforum.com]
  • Signs include a crisp mid-systolic click, followed by a late systolic murmur if regurgitation is present. Diagnosis is by physical examination and echocardiography.[merckmanuals.com]
  • A murmur that lasts throughout the whole of systole is known as a holo-systolic murmur.[en.wikipedia.org]
Late Systolic Murmur
  • systolic murmur that is best heard at the mitral region and may radiate to the axilla.[amboss.com]
  • Signs include a crisp mid-systolic click, followed by a late systolic murmur if regurgitation is present. Diagnosis is by physical examination and echocardiography.[merckmanuals.com]
  • Michael Criley. [3] Signs and symptoms [ edit ] Murmur [ edit ] Upon auscultation of an individual with mitral valve prolapse, a mid-systolic click, followed by a late systolic murmur heard best at the apex, is common.[en.wikipedia.org]
Heart Murmur
  • Overview In most cases MVP is completely asymptomatic and is discovered incidentally due to auscultation of a characteristic "Mid-systolic Click" followed by a late systolic heart murmur.[pathwaymedicine.org]
  • The only other heart murmur that follows this pattern is the murmur of hypertrophic cardiomyopathy.[en.wikipedia.org]
Contusion
  • Historical Perspective Cardiac chamber rupture and myocardial contusion were first reported after autopsy findings as early as 1679 by Borch 1 and in 1764 by Akenside. 2 In 1868, 76 cases reported by Fischer 3 described 7 myocardial contusions and 69[thoracickey.com]
  • ICD9 Codes MCP sprain ICD codes; contusion; sprain; Misc joint problems. and More: Dr.[xovykemuryzyxy.cba.pl]
Suggestibility
  • The chordae tendineae , as their Latin name suggests, are tendinous cords found in the right and left ventricles of the heart. These chordae tendineae connect the papillary muscles to the leaflets of the atrioventricular (AV) valves.[clinanat.com]
  • The histopathologic examinations of the mitral valves and chordae (n 28) revealed inflammatory reactions with predominant mononuclear cell infiltration in 18 cases (64{\%}) and increased fibrous and myxoid tissue in 11 cases (39{\%}), suggesting that[keio.pure.elsevier.com]
  • Ajluni 5 doctors agreed: 9 9 Abnormal shunt left to right atrium suggestive small atrial septal defect can this make the shunt also go right to left if so is it dangerous? Dr. Steven Ajluni Dr.[healthtap.com]
  • This case demonstrates an unusual but dangerous natural course of aortic coarctation and suggests an additional basis of urgent repair of aortic coarctation.[link.springer.com]
  • Diagnosis of mitral valve prolapse is suggested clinically and confirmed by echocardiography.[merckmanuals.com]

Workup

  • Chest radiography is performed on hemodynamically stable patients, and a widened mediastinum signifies the need for further workup.[thoracickey.com]
P Mitrale
  • View Article PubMed Google Scholar Kouris N, Ikonomidis I, Kontogianni D, Smith P, Nihoyannopoulos P: Mitral valve repair versus replacement for isolated non-ischemic mitral regurgitation in patients with preoperative left ventricular dysfunction.[cardiothoracicsurgery.biomedcentral.com]
Ischemic Changes
  • ECG analysis highlighted an increase in the diameter of the left atria (LA) at two weeks post-operation as well as ischemic changes in the left ventricle (LV) and LA wall at four weeks post-operation.[ncbi.nlm.nih.gov]

Treatment

  • No specific treatment is needed unless severe, symptomatic MR is present, in which case mitral valve repair or replacement is required. Epidemiology References: [1] Epidemiological data refers to the US, unless otherwise specified.[amboss.com]
  • Covers the hottest topics shaping today's practice, including the latest theory and surgical techniques for mitral valve disease, advances in the treatment of congenital heart disease, minimally invasive surgical approaches to the treatment of adult and[books.google.ro]
  • Usually none Sometimes beta-blockers Mitral valve prolapse does not usually require treatment.[merckmanuals.com]
  • Treatment If you have a really mild case, you might need no treatments at all. Your doctor will still want to keep a watchful eye on you with regular checkups.[webmd.com]
  • […] for the course of the disease Your opinion or preference Treatment is not usually necessary as Mitral Valve Prolapse is rarely a serious condition.[hopkinsmedicine.org]

Prognosis

  • The clinical manifestations, management strategies, and prognosis were investigated. Eighty-one (85%) patients were between 4 and 6 months (median, 5 months) of age. In 63 (66%) patients, rupture occurred during the spring or summer.[keio.pure.elsevier.com]
  • Prognosis is excellent in the absence of significant regurgitation, but chordal rupture and endocarditis may occur. No specific treatment is necessary unless significant mitral regurgitation is present.[merckmanuals.com]
  • What is the prognosis for Mitral Valve Prolapse? This condition is usually harmless and does not shorten life expectancy. Healthy lifestyle behaviors and regular exercise are encouraged.[hopkinsmedicine.org]
  • The prognosis for restenosis (re-narrowing) is 30% at five years and 60% at nine years; additional surgery is required in 4–7% of patients at five years.[surgeryencyclopedia.com]
  • Prognosis [ edit ] Generally, MVP is benign.[en.wikipedia.org]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Pathogenesis Etiology Inflammatory and degenerative changes in the chordae.[vetstream.com]
  • Abstract To determine the causes of ruptured chordae tendineae and a suspected etiologic role for mitral valve prolapse (MVP), the mitral valve in 25 consecutive and surgically proved cases of chordal rupture were examined.[14a.corrode.us]
  • English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology[decs.bvs.br]

Epidemiology

  • Epidemiology References: [1] Epidemiological data refers to the US, unless otherwise specified. Etiology Pathophysiology The most common underlying pathology in the case of mitral valve prolapse is myxomatous degeneration.[amboss.com]
  • : 78 Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology[decs.bvs.br]
  • "Pectus Excavatum: Epidemiology". Medscape. Retrieved 14 April 2016. a b c d e f g h Playford, David; Weyman, Arthur (2001). "Mitral valve prolapse: time for a fresh look". Reviews in Cardiovascular Medicine. 2 (2): 73–81.[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • We remain committed to the case method of instruction, and believe that there is no better method to learn medicine than to have an individual patient problem as the basis for study of pathophysiology, natural history, diagnosis and management.[books.google.com]
  • Etiology Pathophysiology The most common underlying pathology in the case of mitral valve prolapse is myxomatous degeneration. Mitral valve prolapse sets into motion a vicious cycle of events.[amboss.com]
  • Although often asymptomatic, MVP can lead to the development of the general pathophysiological phenomenon of mitral regurgitation (Do not confuse these two terms).[pathwaymedicine.org]
  • […] of Cardiac Tamponade Clinical Signs Associated with Pericardial Effusion Diagnosis of Pericardial Effusion Pericardiocentesis Postpericardiocentesis Monitoring Complications of Pericardiocentesis Summary Pathophysiology of Microcirculatory Dysfunction[books.google.com]
  • Pathophysiology Chordae anchor valve cusps to papillary muscles. Degenerative change rupture valvular incompetence clinical signs of heart failure. Spontaneous rupture often occurs in horses with no obvious predisposing cause.[vetstream.com]

Prevention

  • The tendinous chords pull the flaps or cusps of the valves and prevent them from swinging back into the upper chamber of the heart.[knowyourbody.net]
  • The chordae tendineae prevent the eversion, prolapse , by becoming tense thus pulling the flaps, holding them in closed position. [1] Additional images [ edit ] Papillary muscles and chordae tendineae Ultrasound showing redundant chordae tendineae [2][en.wikipedia.org]
  • The AV valves prevent regurgitation by covering the openings to the atria and forcing blood to exit the heart.[innerbody.com]
  • The chordae tendineae prevent the eversion, prolapse, by becoming tense thus pulling the flaps, holding them in closed position.[eng.ichacha.net]
  • Mitral chordal rupture Mitral valve normally remains closed during systole to prevent retrograde flow into atrium. Blood from left ventricle aorta.[vetstream.com]

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