Presentation
Cardiomyopathy can also be a presenting feature of other inherited disorders, such as Danon disease, Fabry disease, mitochondrial myopathy, or muscular dystrophy. [centogene.com]
However, in reality, although more than half of the patients included were over 50 years old, they probably presented low risk of embolism. [revespcardiol.org]
The pseudo-ECG presented in Fig. 5 B shows the spontaneous initiation of arrhythmia at 2,600 ms. [pnas.org]
[…] by, last update September 28, 2018 aka ECG Exigency 009 An 18-year old female presents to ED with sudden onset of rapid, irregular palpitations and is found to be in fast atrial fibrillation. [lifeinthefastlane.com]
Patients may present initially with a transient ischemic attack (TIA) or ischemic stroke. Most patients experience asymptomatic episodes of arrhythmias before being diagnosed. [physio-pedia.com]
Respiratoric
- Anosmia
615048 615903 Autosomal dominant CHD2 15q26.1 Epileptic encephalopathy, childhood-onset 615369 602119 Autosomal dominant CHD4 12p13.31 Sifrim-Hitz-Weiss syndrome 617159 603277 Autosomal dominant CHD7 8q12.2 Hypogonadotropic hypogonadism 5 with or without anosmia [mnglabs.com]
Workup
The diagnostic workup should include a history and physical examination with specific attention to cardiac, cancer, pulmonary, surgical, endocrine, gastrointestinal, neurologic, and renal histories ( Table 1 ). 11 – 13 Diuretics, carbamazepine (Tegretol [aafp.org]
Treatment
Enlarge Print Treatment of Severe Symptomatic Hyponatremia Figure 2. Algorithm for the treatment of severe symptomatic hyponatremia. Information from references 13, 14, and 20 through 23. Treatment of Severe Symptomatic Hyponatremia Figure 2. [aafp.org]
See Treatments/Cox Maze and Mini-Maze operations. Typical Mini-Maze incisions for surgical ablation of Atrial Fibrillation For a more thorough discussion of the various treatments for A-Fib, see Treatments. [a-fib.com]
The final section exclusively addresses the management of cardiovascular genetic disorders, specifically considering stem cell therapy, genetic counseling, pharmacogenomics and the social and ethical issues surrounding disease treatment. [books.google.com]
Clinical Management 293 Cellular Pharmacology of Cardiac Automaticity and Conduction Implications in Antiarrhythmic Drug Assessment 305 Biophysical and Molecular Targets 334 Proarrhythmia Secondary 345 Connexin43 Expression A Therapeutic Target for the Treatment [books.google.de]
Prognosis
Abstract Atrial fibrillation (AF) is the most common sustained arrhythmia with poor prognosis, reaching epidemic proportions in the ageing population. [els.net]
An earlier onset and longer duration of AF might also promote a so‐called cardiomyopathy in some patients, which may worsen prognosis. [jaha.ahajournals.org]
Incidence, clinical implications and prognosis of atrial arrhythmias in Brugada syndrome. Eur Heart J. 2004;25:879-84. 11. Olson TM et al. [ipej.org]
Prevalence, incidence, prognosis, and predisposing conditions for atrial fibrillation: population-based estimates. Am J Cardiol. 1998;82(8A):2N–9N. pmid:9809895. View Article PubMed/NCBI Google Scholar 4. [journals.plos.org]
Wiesfeld sabelle C. van Gelder Abstract Atrial fibrillation (AF), the most common arrhythmia, is associated with an unfavorable prognosis. 1, 2 The majority of patients have AF in association with underlying (cardiac) diseases. 3 In 15–30% of the patients [link.springer.com]
Etiology
Enormous progress has been made in the identification of genes involved in the etiology of inherited cardiovascular diseases. [centogene.com]
See all Hide authors and affiliations Science 10 Jan 2003: Vol. 299, Issue 5604, pp. 251-254 DOI: 10.1126/science.1077771 Abstract Atrial fibrillation (AF) is a common cardiac arrhythmia whose molecular etiology is poorly understood. [science.sciencemag.org]
Planas et al 1 define primary atrial fibrillation as that produced in the absence of structural or functional heart disease or any other known etiological factor. [revespcardiol.org]
However, familial AF may help to identify the etiology for strokes, more likely to be caused by thromboembolism from AF. [jaha.ahajournals.org]
Potential etiologies also include restrictive cardiomyopathies (e.g., amyloidosis, hemochromatosis, and endomyocardial fibrosis), cardiac tumours, and constrictive pericarditis. [physio-pedia.com]
Epidemiology
Epidemiology and Demographics Atrial fibrillation is the most common type of sustained abnormal heart rhythm ( arrhythmia ), affecting more than 3 million people in the United States. [wikidoc.org]
Large epidemiological studies have demonstrated a significant heritable component in atrial fibrillation (AF), especially the Lone forms, suggesting a monogenic ... (Show More) [ega.crg.eu]
Further Reading Chugh SS, Blackshear JL, Shen WK et al. (2001) Epidemiology and natural history of atrial fibrillation: clinical implications. Journal of the American College of Cardiology 37: 371–378. [els.net]
Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) Consortium: Design of prospective meta-analyses of genome-wide association studies from 5 cohorts. [journals.plos.org]
Until recently, in epidemiological and even pharmacological studies, patients with atrial flutter and fibrillation were grouped under a single umbrella. Fortunately, we now know that it is necessary to separate the two. [revespcardiol.org]
Pathophysiology
Acceptance of permanent AF represents a therapeutic attitude on the part of the patient and clinician rather than an inherent pathophysiological attribute of AF. [physio-pedia.com]
Despite the correlation between these pathophysiological mechanisms and functional alterations, many questions remain unanswered; for example, why mutations that appear to be associated with gain of function at the atrial level leave ventricular repolarization [jci.org]
Plasma osmolality plays a critical role in the pathophysiology and treatment of sodium disorders. Hyponatremia and hypernatremia are classified based on volume status (hypovolemia, euvolemia, and hypervolemia). [aafp.org]
Mahida S, Lubitz SA, Rienstra M et al. (2011) Monogenic atrial fibrillation as pathophysiological paradigms. Cardiovascular Research 89: 692–700. McNair WP, Ku L, Taylor MR et al. (2004) Familial Cardiomyopathy Registry Research Group. [els.net]
Prevention
Researchers hope this discovery will lead to better understanding of the disease and, eventually, better ways to predict, prevent and treat the heart rhythm problem. [sciencedaily.com]
These data may help researchers understand the causes of disease, contributing to better ways to prevent, diagnose, and treat diseases, as well as determine whether to tailor prevention and treatments to specific populations. [ega.crg.eu]
Measures to prevent inappropriate ICD shocks due to AF are dual chamber ICDs and rate lowering drugs [9]. [ipej.org]
Preventing Atrial Fibrillation Knowing your own personal atrial fibrillation risk factors — and changing those that are within your control — can help keep your heart beating strong, regardless of your family history. [everydayhealth.com]
Early diagnosis is relevant for timely treatment and prevention of fatal complications such as arterial dissection/rupture. Congenital heart diseases (CHD) account for ~1% of all live births per year and the prevalence is increasing. [centogene.com]