Presentation
Presents the most recent genetic information and clinical trials related to interventional cardiology. Highlights the latest treatment advances, procedures, devices, and techniques, including transcatheter aortic valve implantation (TAVI). [books.google.com]
Snapshot A 60-year-old man presents to the emergency department due to substernal chest pain. He describes the pain as "crushing" and it radiates down the left arm. Medical history is significant for hypertension and hypercholesterolemia. [medbullets.com]
[…] as a result of medial hypertrophy and thickening of arteriolar walls, associated with luminal narrowing Mitral regurgitation may be present due to distortion of the mitral valve apparatus from the SAM; intrinsic valvular abnormalities may also be present [pathologyoutlines.com]
Case presentation We reported a symptomatic, 83-year-old woman who presented with dynamic, high resting left ventricle (LV) mid-wall gradient without obvious septal hypertrophy or systolic anterior motion (SAM). [bmccardiovascdisord.biomedcentral.com]
Entire Body System
- Congestive Heart Failure
Systolic heart failure: The left ventricular systolic dysfunction can results after STEMI can cause chronic systolic congestive heart failure (see review on Congestive Heart Failure - Systolic). [healio.com]
Anomalous papillary muscle in hypertrophic cardiomyopathy Statistics from Altmetric.com Hypertrophic cardiomyopathy may cause congestive heart failure. Failure to recognise its predominant pathophysiologic mechanism may have adverse consequences. [heart.bmj.com]
Congestive heart failure with acute aneurysms is managed with intravenous vasodilators and with ACE inhibitors. [patient.info]
[…] disease (CHD) 先天性心疾患 congestive heart failure (CHF)うっ血性心不全 constrictive pericarditis 収縮性心膜炎 continuous murmur連続[性]雑音 contractility収縮性、収縮能 contrast medium造影剤 cor心 cor pulmonale肺性心 coronary angiography (CAG) 冠[状]動脈造影[法] coronary angioplasty冠[状]動脈形成術 coronary [tokyo-med.ac.jp]
- Weakness
Over time, valve disease may progress to a point that symptoms begin to appear: Increasing shortness of breath Palpitations (skipped beats or flip-flop feeling in the chest) Edema (swelling of the ankles, feet or abdomen) Weakness or dizziness Quick weight [my.clevelandclinic.org]
Cardiovascular
- Heart Disease
429.9 Heart disease, unspecified This page was last updated on: 10/1/2014 [healthprovidersdata.com]
( I13.- ) heart disease specified as rheumatic ( I00 - I09 ) Complications and ill-defined descriptions of heart disease Approximate Synonyms Abscess of heart Heart disease due to ionizing radiation Papillary muscle disorder Radiation heart disease due [icd10data.com]
ICD 10 Codes >> Diseases of the circulatory system (I00-I99) I00-I99 >>Other forms of heart disease (I30-I52) I30-I52 >> Complications and ill-defined descriptions of heart disease I51.- Code Info Category Info Clinical Information Publications/Journals [medicbind.com]
Convert to ICD-10-CM : 429.81 converts approximately to: 2015/16 ICD-10-CM I51.89 Other ill-defined heart diseases Approximate Synonyms Acute mitral regurgitation from papillary muscle dysfunction Congenital absence of papillary muscle Dysfunction of [icd9data.com]
Rheumatic heart disease is damage to heart muscle and heart valves caused by acute rheumatic fever, an inflammatory disease that may occur as a delayed reaction to infection with streptococcal bacteria (i.e., group A beta-hemolytic streptococci). [rarediseases.org]
- Systolic Murmur
MV Opens Atrial Contraction Begins MV Closes Passive Filling Active Filling S3 S4 20 Physical Examination The Murmur –A systolic murmur that is usually long and loud and heard best at the apex throughout systole. Known as a holosystolic murmur. [slideplayer.com]
Functional papillary muscle insufficiency is characterized by an apical late systolic murmur and typically resolves without treatment. [msdmanuals.com]
[心]収縮[期] systolic function収縮機能 systolic murmur (SM)収縮期雑音 t tachycardia 頻拍(脈) tachypnea呼吸頻数、頻呼吸 technetium (Tc)テクネシ(チ)ウム temporal resolution時間分解能 terminal portion終末部 tetralogy of Fallot (T/F, TOF) ファロー四徴[症] thallium (Tl)タリウム thoracic aorta 胸[部]大動脈 thoractomy [tokyo-med.ac.jp]
- Heart Murmur
Diagnosis Using a stethoscope, a physician often diagnoses mitral regurgitation by a characteristic “whooshing” sound (heart murmur) in the chest.Heart murmur is caused by the turbulent flow of blood from the left ventricle across the mitral valve and [chd-uk.co.uk]
- Late Systolic Murmur
Functional papillary muscle insufficiency is characterized by an apical late systolic murmur and typically resolves without treatment. [msdmanuals.com]
- Pansystolic Murmur
Present with a new systolic ejection murmur heard best at the left upper sternal border, with radiation to the neck and a new pansystolic murmur at the apex, with radiation to the axilla. Echocardiography is the diagnostic test of choice. [patient.info]
Workup
X-Ray
- Pericardial Effusion
CXR may show globular cardiac enlargement and a small pericardial effusion may be detected using echocardiography. [patient.info]
Normally, the pericardium can expand as the heart fills, however with cardiac tamponade from a large pericardial effusion or constrictive pericarditis, this is not able to occur. [healio.com]
Occasionally, small pericardial effusions and even unsuspected tamponade are detected. Aspirin or another NSAID usually relieves symptoms. [msdmanuals.com]
effusion心膜液 pericarditis 心膜炎 pericardium 心膜 peripheral 末梢[性] 【形】 permeability透過性、浸透性 phonocardiogram (PCG)心音図 plateau phaceプラトー相 positron emission tomography (PET)ポジトロン放射計断層撮影[法] potential(1)潜在性 【形】 (2)電位 precordial pain前胸[部]痛 preload前負荷 premature beat [tokyo-med.ac.jp]
Treatment
Highlights the latest treatment advances, procedures, devices, and techniques, including transcatheter aortic valve implantation (TAVI). [books.google.com]
Garrod has in this edition incorporated the results of his increased experience of the nature and treatment of gout ; and has added a chapter on the diseases to which gouty persons are peculiarly liable. [books.google.de]
Treatment is withheld when ventricular rate decreases satisfactorily or systolic BP is 100 mm Hg. [msdmanuals.com]
This is a benign, hemodynamically stable rhythm and no treatment is necessary. [healio.com]
Prognosis
Mitral regurgitation following myocardial infarction predicts a poor prognosis but is often transient and asymptomatic. [patient.info]
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 overall prognosis of HCM in the pediatric population has been shown to be less favorable than for adults ( 22, 23 ). [annalscts.com]
Management College, Taipei, Taiwan (4) Cardiovascular Medicine, Mackay Memorial Hospital, No. 92, Section 2, Chung Shan North Road, Taipei, Taiwan References Williams LK, Frenneaux MP, Steeds RP: Echocardiography in hypertrophic cardiomyopathy diagnosis, prognosis [bmccardiovascdisord.biomedcentral.com]
Long-term prognosis in these cases is unfavorable with a perioperative mortality among elderly patients and patients with severe left ventricular dysfunction of about 30% ( 3 - 6 ). [jtd.amegroups.com]
Etiology
[…] biomarkers of myocardial necrosis Epidemiology incidence increases with age risk factors hypertension cigarette smoking hyperlipidemia hypercholesterolemia male postmenopause genetic and behavioral predispositions to arteriosclerosis e.g., high-fat diet Etiology [medbullets.com]
[…] general adult population Prevalence of HCM in children is unknown, but population based studies report an annual incidence of 0.3 to 0.5 per 100,000 Occurs in all ethnic groups and equally in both sexes Most affected individuals remain unidentified Etiology [pathologyoutlines.com]
Atherosclerotic plaque rupture in those with typical risk factors is the most common etiology. Spontaneous coronary dissection risk is increased during pregnancy as well. [healio.com]
Fibroelastic deficiency, Barlow’s disease, D) Functional etiologies Myocardial ischemia/infarction, ASD, DCM, HOCM E) Iatrogenic etiologies Medication (Cabergoline/Pergolide/Bromocriptine/Fenfluramine/Dexfenfluramine/etc.) [jpccs.jp]
Introduction Hypertrophic cardiomyopathy (HCM) is a primary myocardial disease characterized by left ventricular hypertrophy in the absence of other etiologies such as aortic valve stenosis or systemic arterial hypertension. [annalscts.com]
Epidemiology
[…] necrosis are present Non-STEMI (NSTEMI) an ACS without ST-segment elevations found on ECG biomarkers of myocardial necrosis are present unstable angina an ACS without ST-segment elevations found on ECG and no elevation biomarkers of myocardial necrosis Epidemiology [medbullets.com]
[…] stenosis (IHSS) or hypertrophic obstructive cardiomyopathy (HOCM) are not preferred terms, as obstruction to left ventricular outflow is not invariably present in HCM One third of patients have no obstruction either at rest or with physiologic provocation Epidemiology [pathologyoutlines.com]
Pathophysiology
[…] into the the LA depends on a number of factors –impedence of LV emptying into the systemic circulation –LV size itself, a larger LV will stretch the mitral annulus and cause further regurgitation 14 Pathophysiology The amount of blood ejected into the [slideplayer.com]
SUMMARY: Mitral valve abnormalities are common in hypertrophic obstructive cardiomyopathy and play an important role in the pathophysiology of dynamic left ventricular outflow tract obstruction. [ncbi.nlm.nih.gov]
Failure to recognise its predominant pathophysiologic mechanism may have adverse consequences. A 75 year old women was admitted for progressive dyspnoea and new onset atrial fibrillation. Propafenone was unsuccessful in restoring sinus rhythm. [heart.bmj.com]
[…] subsequent thrombi expansion vasospasm emboli, which can be secondary to atrial fibrillation, sending an embolus from the left atrium to the coronary arteries vegetations from infective endocarditis material from an intracardiac prosthetic paradoxical emboli Pathophysiology [medbullets.com]
[…] disease expression Sporadic HCM can reflect an inaccurate family history, incomplete penetrance or a de novo mutation which may be heritable Patients who are genotype positive may be phenotypically negative without overt hypertrophy (subclinical HCM) Pathophysiology [pathologyoutlines.com]
Prevention
Timeous surgery will prevent heart failure. Sudden death is rare. Prevention The degeneration of the valves is thought to be of genetic origin, which means that little can be done to prevent it. [health24.com]
[…] classified 2017 Billable/Specific Code This is a rupture of the muscles located in the ventricles of the heart, that attach to the cusps of the atrioventricular valves (a.k.a. the mitral and tricuspid valves) via the chordae tendinae and contract to prevent [medicbind.com]
When these muscles work properly, they help to prevent blood flow from being forced back into the atrium through the atrioventricular valves known as valve regurgitation. [study.com]
The AV valves prevent regurgitation by covering the openings to the atria and forcing blood to exit the heart. [innerbody.com]
They attach to the cusps of the atrioventricular valves (also known as the mitral and tricuspid valves) via the chordae tendineae and contract to prevent inversion or prolapse of these valves on systole (or ventricular contraction). [1] The papillary [en.wikipedia.org]