Presentation
Key points Presents 50 real clinical cardiology cases Covers numerous disorders of the cardiac system Authored by recognised cardiologist Includes more than 217 images, illustrations and tables [books.google.com]
In the present case, we describe a 61-year-old female with restrictive cardiomyopathy who presented with a large left atrial ball valve thrombus, which subsequently embolized to right carotid artery and was treated with intravenous thrombolysis. [ncbi.nlm.nih.gov]
The clinical presentation mainly depends on size and consistency of thrombus and associated valvular involvement. Here, we present two varied clinical presentations of LA thrombus with different sizes and consistency. [heartindia.net]
Abstract A 20-year-old woman with complex cyanotic congenital heart disease, including severe congenital mitral stenosis and intact atrial septum, who developed a left atrial ball thrombus and an embolic phenomenon, is presented. [wwww.unboundmedicine.com]
When rheumatic involvement of the mitral valve is concomitantly present with an ASD, ______________ syndrome is said to be present. [quizlet.com]
Entire Body System
- Swelling
A 27-year-old Arab woman with history of seronegative rheumatoid arthritis for four years presented with a three-day history of multiple joint pains and swelling, along with fever. [bjcardio.co.uk]
Bandages or support stockings may help the symptoms of pain or swelling. Removal (by surgery) of the veins or sealing them off. There are plenty of other smaller veins that can take on the return of the blood. [cirse.org]
- Unconsciousness
A 52-year-old woman with chronic mitral stenosis was admitted to the hospital for progressive dyspnea, palpitation and unconsciousness. Electrocardiography showed atrial fibrillation (AF). [link.springer.com]
A, as If the patient with MS suddenly becomes unconscious, what is the likely cause? A, as What may be the cause of CVD in this case? A, as A 35–year–old female presents with right-sided hemiplegia. [med.rimikri.com]
Gastrointestinal
- Vomiting
A 62-year-old female patient presented with the history of pain in the abdomen and vomiting for 2 days. Seven weeks back patient had presented with hemiparesis and was diagnosed to have cerebral embolism with rheumatic severe mitral stenosis. [annals.in]
[…] radiate to the buttocks, groin or legs • the feeling of a "heartbeat" or pulse in the abdomen Once the aneurysm bursts, symptoms include: • severe back or abdominal pain that begins suddenly • paleness • dry mouth/skin, excessive thirst • nausea and vomiting [cirse.org]
- Nausea
[…] back that may radiate to the buttocks, groin or legs • the feeling of a "heartbeat" or pulse in the abdomen Once the aneurysm bursts, symptoms include: • severe back or abdominal pain that begins suddenly • paleness • dry mouth/skin, excessive thirst • nausea [cirse.org]
Cardiovascular
- Thrombosis
[…] with rhupus and secondary antiphospholipid syndrome Discussion Antiphospholipid syndrome (APS) is an autoimmune disease characterised by antiphospholipid (aPL) antibodies and at least one clinical manifestation, the most common being venous or arterial thrombosis [bjcardio.co.uk]
Source MeSH Adult Female Heart Atria Heart Defects, Congenital Heart Septum Hemodynamics Humans Mitral Valve Stenosis Thrombosis Ultrasonography Pub Type(s) Case Reports Journal Article Language eng PubMed ID 1603718 Citation Salim, M, and B W. [wwww.unboundmedicine.com]
[…] below: Duration of therapy: Long-term Mitral annular calcification See the list below: INR target (range) Recurrent systemic embolism, ischemic stroke, or TIA, without AF: 2.5 (2.0-3.0) AF: 2.5 (2.0-3.0) Duration of therapy: long-term Acute deep venous thrombosis [emedicine.medscape.com]
Jordan RA, Schei'ey CH, Edwards JE (1951) Mural thrombosis and arterial embolism in mitral stenosis. A clinicopathological study of 51 cases. Circulation 3:363–367. Google Scholar 2. [link.springer.com]
Neurologic
- Loss of Speech
More than one million American stroke survivors struggle with serious disabilities, including loss of speech and/or language problems, weakness or paralysis, loss of balance or coordination, and confusion and memory loss. [cirse.org]
- Foot Drop
When the obstruction of a large artery occurs suddenly or several segments of lower limb arteries are blocked, the blood pressure in the foot drops, and the lack of oxygen threatens the musculature and tissue. [cirse.org]
Workup
In contrast, the workup of most elderly patients with a stroke should start with an imaging modality of the internal carotid arteries. peripheral, visceral, cerebrovascular, neurological Class I (definitely proven to be of benefit) American College of [quizlet.com]
P Wave
- P Mitrale
As follows: Low-volume pulse Palpable P 2 Prominent ‘a’ wave in JVP Left parasternal heave (indicates RVH) Epigastric pulsation (indicates RVH) Loud P 2 on auscultation Early diastolic murmur (Graham-Steell murmur due to pulmonary regurgitation). * Short [med.rimikri.com]
Treatment
Beginning with a brief history and findings based on physical examination, each case then includes analytical discussion on bedside investigations and proposals for treatment. [books.google.com]
Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]
This report highlights a challenging clinical scenario and treatment dilemma. [jtd.amegroups.com]
Prognosis
Prognosis and Clinical Implications The importance of an LA thrombus depends on the clinical setting. - Left atrial ball valve thrombus should be suspected if the patient with severe mitral valve stenosis and atrial fibrillation have intermittent or changing [afghan-heart.blogspot.com]
Etiology
Echocardiography is also very useful to define etiology which causes HF such as myocardial infarction, valvular heart disease and congenital heart disease. [jaypeedigital.com]
Etiology MS is rheumatic in 99% cases. Rheumatic heart disease- Mitral – 65% Aortic- 35% Tricuspid- 6% Pulmonary- rare RHD is multivalvular in 38% cases. Rheumatic mitral valve disease- MS- 25% MS + MR- 40% Aschoff nodules are present in myocardium. [heartpearls.com]
A ____________ embolus is the result of a deep venous thrombosis, which has broken free and traveled to the lung bed. thrombus, vegetations, myxoma, fibroelastoma, thromboemboli Potential cardiovascular etiologies of stroke A. [quizlet.com]
Future Perspective The exact etiology of myxomas was unknown. Analysis of the causes of myxoma is important to formulate therapy to inhibit its growth. [file.scirp.org]
Epidemiology
Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]
The epidemiology of cardiogenic emboli in younger patients is different from that of older subjects. [quizlet.com]
This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/ Received 22 March 2016; accepted 23 April 2016; published 26 April 2016 ABSTRACT From an epidemiologic perspective, [file.scirp.org]
Pathophysiology
Similar pathophysiologic process occurs in mitral stenosis resulting in subsequent left atrial enlargement. [wikidoc.org]
Malignant carcinoid Amyloidosis Methysergide Hurler-Hunter Fabry disease Whipple disease Mitral annular calcification Infective endocarditis (large vegetations causing obstruction) Conditions mimicking MS- LA myxoma Ball valve thrombus Cor triatriatum Pathophysiology [heartpearls.com]
When _____ involvement of the mitral valve is present with an ASD, ______ syndrome is said to be present. diastolic, right, pulmonary, paradoxical The pathophysiology of ASD, is a left to right shunt resulting in _____ overloading of the _____ ventricle [quizlet.com]
Prevention
The operation was done with careful, gentle manipulation and with transesopha- geal echocardiography (TEE) to prevent intraoperative thromboembolism. The LA was approached through a left atriotomy from the right side. [docslide.com.br]
The ball valve thrombus (thin arrow) was prevented from sitting on to the mitral valve orifice by a hockey-shaped anterior mitral leaflet (thick arrow), which pushed it back into the LA repeatedly ( B, Online Videos 1 and 2 ). [onlinejacc.org]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]