Molecular Basis of Heart Failure

Jan 2, 2020 by in CARDIOLOGY Comments Off on Molecular Basis of Heart Failure

Outline Types of Heart Failure, 1 HFrEF Versus HFpEF: Ramifications for Understanding the Underlying Biology, 1 Investigative Techniques and Molecular Modeling, 2 Molecular Determinants of Physiologic Cardiac Growth, Hypertrophy, and…

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Cellular Basis for Heart Failure

Jan 2, 2020 by in CARDIOLOGY Comments Off on Cellular Basis for Heart Failure

Outline Contractile Dysfunction, 30 Normal Excitation-Contraction Coupling, 31 Impaired Ca 2+ Handling in Failing Cardiac Myocytes, 31 Reduced SR Ca 2+ Reuptake in Heart Failure, 32 Increased NCX Activity in…

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Transcatheter valve therapies

Jan 2, 2020 by in CARDIOLOGY Comments Off on Transcatheter valve therapies

Transcatheter aortic valve replacement Since the first transcatheter bioprosthetic aortic valve was implanted, changes have included smaller and more flexible delivery systems for use in smaller vessels; lower frame height…

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Diseases of the great vessels

Jan 2, 2020 by in CARDIOLOGY Comments Off on Diseases of the great vessels

Pseudoaneurysms CASE 10-1 Aortic pseudoaneurysm after avr with anterior extension This 41-year-old man with Reiter’s syndrome underwent mechanical aortic valve replacement 9 years ago for aortic regurgitation. Four months ago…

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Adult congenital heart disease

Jan 2, 2020 by in CARDIOLOGY Comments Off on Adult congenital heart disease

Atrial septal defects CASE 7-1 Anatomy and imaging of the atrial septum The atrial septum is close to the TEE transducer position and is well visualized, as the normal orientation…

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Transcatheter closure devices

Jan 2, 2020 by in CARDIOLOGY Comments Off on Transcatheter closure devices

Atrial septum CASE 14-1 Anatomy and imaging of atrial septum See Case 7-1 in Chapter 7 , Adult Congenital Heart Disease. CASE 14-2 PFO device closure for recurrent transient neurological…

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Surgical prosthetic valves

Jan 2, 2020 by in CARDIOLOGY Comments Off on Surgical prosthetic valves

Prosthetic valves Fig 5.1 Flow chart of perioperative assessment of prosthetic valves. CFD, color flow Doppler; PWD, pulsed wave Doppler. (From Oxorn D, Intraoperative Echocardiography, Elsevier, 2012; p. 97, fig….

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Masses

Jan 2, 2020 by in CARDIOLOGY Comments Off on Masses

Normal variants CASE 11-1 Left atrial appendage TEE is often requested before electrical cardioversion or catheter ablation for atrial fibrillation to evaluate the left atrial appendage for the presence of…

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Mechanical circulatory support

Jan 2, 2020 by in CARDIOLOGY Comments Off on Mechanical circulatory support

In addition to standard cardiopulmonary bypass during cardiac surgery, there now are several options for longer-term mechanical circulatory support ranging from a simple intraaortic balloon pump to a total artificial…

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Aortic valve disease

Jan 2, 2020 by in CARDIOLOGY Comments Off on Aortic valve disease

Aortic valve anatomy CASE 3-1a Normal trileaflet aortic valve Fig 3.1 Intraoperative TEE in a short-axis view (left) shows the closed aortic valve and the orientation of the three cusps:…

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