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Papillary Muscle Dysfunction
Dysfunction Papillary Muscle

Presentation

Physical Examination Acute onset of hypotension is present. [wikidoc.org]

Presents comprehensive coverage of valvular heart disease to provide you with a complete reference and one-stop shop for this specialty in cardiac medicine. [books.google.com]

No evidence of atherosclerosis or previous coronary arteritis was present. [ncbi.nlm.nih.gov]

Entire Body System

  • Congestive Heart Failure

    A history of cardiogenic shock, acute congestive heart failure with cyanosis and atrioventricular murmur, or persistent fetal circulation in a newborn without congenital heart disease should alert the pathologist to the possibility of ischemic myocardial [ncbi.nlm.nih.gov]

    Pagina 172 - Australia/New Zealand Heart Failure Research Collaborative Group. Randomised, placebo-controlled trial of carvedilol in patients with congestive heart failure due to ischaemic heart disease. Lancet 1997; 349: 375-80. ‎ [books.google.it]

    The reduced left ventricular ejection fraction may lead to congestive heart failure and predispose to ventricular arrhythmias. [brown.edu]

    Complications congestive heart failure pulmonary hypertension mass-effect from left atrial enlargement (e.g. [radiopaedia.org]

    Tricuspid regurgitation (A) is another cause of a holosystolic murmur, however does not result from inferior infarction and does not commonly cause congestive heart failure. [healio.com]

Respiratoric

  • Exertional Dyspnea

    […] end-systolic volume収縮終(末)期容積、期末容積 end-to-end anastomosis端々吻合 end-to-side anastomosis端側吻合 epicardial心外膜 【形】 epicardium心外膜 ergometer exerciseエルゴメータ運動負荷 escaped beat補充収縮 escaped rhythm補充調律 evoked potential誘発電位 excitation-contraction (E-C) coupling興奮収縮連関 exertional [tokyo-med.ac.jp]

Gastrointestinal

  • Regurgitation

    Surgical correction of mitral regurgitation should be considered without delay if angioplasty is not feasible or if the regurgitation is permanent or severe. [ncbi.nlm.nih.gov]

    Keywords Mitral Valve Mitral Regurgitation Papillary Muscle Cardiogenic Shock Pulmonary Artery Pressure These keywords were added by machine and not by the authors. [link.springer.com]

Cardiovascular

  • Heart Disease

    Elsevier Health Sciences, ١٨‏/٠٩‏/٢٠٠٩ - 468 من الصفحات Valvular Heart Disease is now an even better source for all your questions on dysfunctions or abnormalities of the heart’s four valves. [books.google.com]

    A history of cardiogenic shock, acute congestive heart failure with cyanosis and atrioventricular murmur, or persistent fetal circulation in a newborn without congenital heart disease should alert the pathologist to the possibility of ischemic myocardial [ncbi.nlm.nih.gov]

    Heart Diseases Also called: Cardiac diseases If you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the U.S. It is also a major cause of disability. [icdlist.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]

  • Systolic Murmur

    Patients with systolic murmur had higher hospital and 1-year mortalities than those without systolic murmurs (p less than 0.01). [ncbi.nlm.nih.gov]

    Papillary muscle dysfunction results in mitral regurgitation and an apical systolic murmur. The characteristics of the murmur vary depending upon the etiology of the papillary muscle dysfunction. In the case of FULL TEXT [annals.org]

    (and systolic karaoke) degree, the nature of volatile, and may have S3 gallop and the fourth heart sound. the use of isoamyl nitrite, systolic murmur can be weakened; squat test systolic murmur can be enhanced. left ventricular angiography the most diagnostic [healthfrom.com]

  • Hypotension

    Physical Examination Acute onset of hypotension is present. [wikidoc.org]

    Hypotension : Hypotension may occur in various settings following acute MI. [brown.edu]

    The patient sustained severe hypotension with a systolic blood pressure of 60, tachycardia, chest pain and severe hypoxia. Multiple doses of 40 mcg of intracoronary adenosine were given with little success. [cathlabdigest.com]

    M.I, it may be caused by other post-infarction causes as anxiety, persistant pain, LV dysfunction, fever, hypotension, hypovolaemia, pericarditis, pulmonary embolism, etc ….. 2. [slideshare.net]

    AMI in the event of hypotension and shock, to strictly control the concentration of boost drugs and drip rate, so that blood pressure rose to a reasonable level, avoid sudden and large fluctuations in blood pressure. [healthfrom.com]

  • Tachycardia

    tachycardia (VT), and ventricular fibrillation (VF). [msdmanuals.com]

    Tachycardia ( overdrive pacing ) 13. Mechanical complications 1. [slideshare.net]

    […] branch block ( Left, Right ) - Bifascicular block - Trifascicular block Pre-excitation syndrome ( Wolff-Parkinson-White, Lown-Ganong-Levine ) - Long QT syndrome - Adams-Stokes syndrome - Cardiac arrest - Sudden cardiac death Arrhythmia : Paroxysmal tachycardia [wikidoc.org]

    (PSVT)発作性上室性頻拍 paroxysmal ventricular tachycardia (PVT)発作性心室頻拍 patent ductus arteriosus (PDA) 動脈管開存[症] percardial friction rub心膜摩擦音 percussion 打診[法]、叩打法〈マッサージの一法〉 percutaneous transluminal coronaryangioplasty (PTCA)経皮的冠[状][動脈]形成[術] percutaneous transluminal [tokyo-med.ac.jp]

    […] chronotropic I45.89 ICD-10-CM Diagnosis Code I45.89 Other specified conduction disorders 2016 2017 2018 2019 Billable/Specific Code Applicable To Atrioventricular [AV] dissociation Interference dissociation Isorhythmic dissociation Nonparoxysmal AV nodal tachycardia [icd10data.com]

  • Left Ventricular Dysfunction

    Effect of captopril on mortality and morbidity in patients with left ventricular dysfunction after myocardial infarction: results of the survival and ventricular enlargement trial. ‎ [books.google.it]

    Effect of captopril on mortality and morbidity in patients with left ventricular dysfunction after myocardial infarction: results of the survival and ventricular enlargement trial. ‎ Página 913 - DeWood MA, Spores J, Notske R, et al. [books.google.es]

    Papillary muscle sling: a new functional approach to mitral repair in patients with ischemic left ventricular dysfunction and functional mitral regurgitation. [jtd.amegroups.com]

    ventricular dysfunction I51.89 Pancarditis (acute) (chronic) I51.89 ICD-10-CM Codes Adjacent To I51.89 I51 Complications and ill-defined descriptions of heart disease I51.0 Cardiac septal defect, acquired I51.1 Rupture of chordae tendineae, not elsewhere [icd10data.com]

    Impact of mitral regurgitation on exercise capacity and clinical outcomes in patients with ischemic left ventricular dysfunction. Am J Cardiol. 2011;108:1714-1720. Vahanian A, Alfieri O, Andreotti F, et al. [read.nxtbook.com]

Neurologic

  • Akinesia

    Anterior and inferior akinesia/dyskinesia was observed in all patients during left anterior descending and right coronary artery occlusion, respectively. [cathlabdigest.com]

    […] infarction 急性心筋梗塞 Adams-Stokes syndromeアダムス・ストークス症候群(=ストークス・アダムス症候群) adenosine triphosphate (ATP)アデノシン三リン酸 adrenal hormone副腎ホルモン adrenaline (= epinephrine)アドレナリン(=エピネフリン) adverse effect副作用、有害効果、逆効果 aerobic metabolism好気性(的)代謝 afterload後負荷 air embolism空気塞栓[症] akinesia [tokyo-med.ac.jp]

Treatment

Treatment Treatment of papillary muscle dysfunction Department of Cardiology: Department of Cardiology, Department of Cardiology, Department of Cardiovascular Surgery Treatment: Drug treatment Surgical treatment Rehabilitation treatment Supportive treatment [healthfrom.com]

Appropriate treatment is valve replacement rather than attempting conservative management. [ncbi.nlm.nih.gov]

while in severe cases it requires treatment like that of papiilary ms rupture. [slideshare.net]

Specific Treatment When patients fulfill the criteria for surgical treatment, the next key decision is whether to repair or replace the valve. [clinicaladvisor.com]

Prognosis

Widening the indications of surgery or angioplasty should result in an improvement of the prognosis of these high-risk patients. [ncbi.nlm.nih.gov]

Prognosis [ 1 ] The best short-term and long-term results are obtained in asymptomatic patients operated on in specialist centres with low operative mortality (≤1%) and high repair rates (≥80-90%). [ 12 ] Acute MR is poorly tolerated and has a poor prognosis [patient.info]

The prognosis is believed to be good. Received November 29, 1967. Accepted January 24, 1968. [pediatrics.aappublications.org]

By definition, patients in quadrant 4 are in "cardiogenic shock" and have a poor prognosis, unless they have a correctable mechanical complication, or unless they are early into the course of their MI, and some of the ischemic myocardium is recovered [brown.edu]

Restrictive mitral annuloplasty is the current treatment of choice, but it is associated with a 15% to 30% incidence of late recurrent mitral regurgitation, which confers a poor prognosis. [read.nxtbook.com]

Etiology

In type C (4 cases), pathological examinations disclosed various degrees of myocardial fibrosis, in which clinical diagnosis was MR of unknown etiology. [ncbi.nlm.nih.gov]

The characteristics of the murmur vary depending upon the etiology of the papillary muscle dysfunction. In the case of FULL TEXT [annals.org]

We believe that this syndrome is caused by posterior papillary muscle dysfunction, though the etiology, including the reason why only girls should be affected, is not known. The prognosis is believed to be good. Received November 29, 1967. [pediatrics.aappublications.org]

Introduction Etiology Prevention Complication Symptom Examine Diagnosis Treatment Basic Nursing Introduction Introduction to papillary muscle dysfunction Papillary muscle dysfunction refers to the atrioventricular valve tendon cord attached to the papillary [healthfrom.com]

Mitral regurgitation can be divided into acute and chronic forms, which have differing etiologies and imaging features 1,2. [radiopaedia.org]

Epidemiology

Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2] Overview Related Key Words and Synonyms: Epidemiology and Demographics Pathophysiology & Etiology Left ventricular papillary muscles are perfused by the terminal portion [wikidoc.org]

Epidemiology Trivial MR is frequent in healthy subjects. [patient.info]

[…] s syndrome, rheumatoid arthritis Congenital heart disease – Atrioventricular canal defect Acute MR Myocardial Infarction (usually inferior) – rupture or dysfunction of papillary muscle Infective endocarditis Spontaneous rupture of a myxomatous chord Epidemiology [clinicaladvisor.com]

Pathophysiology

Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2] Overview Related Key Words and Synonyms: Epidemiology and Demographics Pathophysiology & Etiology Left ventricular papillary muscles are perfused by the terminal portion [wikidoc.org]

The severity of complications depends on the larger involvement of the chordae. ( More ruptured chordae causes more severe complications ) To explain the pathophysiological mechanism, lets consider that the ruptured chordae are those of the mitral valve [hmphysiology.blogspot.com]

A pathophysiology-guided approach to surgical repair is preferable, with a goal of alleviating leaflet tethering and restoring proper subvalvular mechanics. [read.nxtbook.com]

Study limitations Ischemic MR includes a wide spectrum of underlying pathophysiologies, such as acute or chronic and global or segmental LV remodeling ( 6–21,35 ). [onlinejacc.org]

Pathophysiology Mitral incompetence is due to dysfunction of any one of the mitral annulus, mitral leaflets, chordae tendinae, or papillary muscles (see below). Chronic MR LV dilates with eccentric hypertrophy. [clinicaladvisor.com]

Prevention

[…] objective evidence that de novo mitral regurgitation in patients with prior myocardial infarction is due to dyskinesis involving the left ventricular myocardium beneath one of the papillary muscles, producing increased tension on the mitral leaflets and preventing [ncbi.nlm.nih.gov]

Prevention Prevention of papillary muscle insufficiency (1) active use of various methods such as thrombolysis, emergency coronary angioplasty, bypass grafting, so that the occlusion of the coronary artery as soon as possible to save the dying heart, [healthfrom.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]

Heart valve disease refers to any of several conditions that prevent one or more of the valves in the heart from functioning adequately to assure proper circulation. [my.clevelandclinic.org]

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2.1
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