The Global Perspective of Ischemic Heart Disease

Jun 17, 2019 by in CARDIOLOGY Comments Off on The Global Perspective of Ischemic Heart Disease

Introduction Cardiovascular disease (CVD) and specifically ischemic heart disease (IHD) have long been the leading cause of death in high-income countries (HICs); indeed, “disease of the heart,” in all its…

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Basic Mechanisms of Atherosclerosis

Jun 17, 2019 by in CARDIOLOGY Comments Off on Basic Mechanisms of Atherosclerosis

Introduction Atherosclerosis is a chronic inflammatory process triggered by accumulation of cholesterol-containing low-density lipoprotein (LDL) particles in the arterial wall. Major etiologic factors include hyperlipidemia, hypertension, diabetes, and cigarette smoking,…

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Genetics of Coronary Atherosclerosis

Jun 17, 2019 by in CARDIOLOGY Comments Off on Genetics of Coronary Atherosclerosis

Introduction This chapter reviews current understanding of the genetic architecture of coronary atherosclerosis as gleaned from Mendelian and common, complex forms of the disease. Newly identified pathways and biologic mechanisms…

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Heart and Lung Transplantation

Jun 15, 2019 by in CARDIOLOGY Comments Off on Heart and Lung Transplantation

Abstract Heart and lung transplantation in pediatric patients generally arise as treatment options of last resort, that is, the indication is for patients with heart and/or respiratory failure from various…

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Hypoplastic Left Heart Syndrome

Jun 15, 2019 by in CARDIOLOGY Comments Off on Hypoplastic Left Heart Syndrome

Abstract Hypoplastic left heart syndrome constitutes a spectrum of morphologic abnormalities characterized by underdevelopment of left-sided cardiac structures. A comprehensive understanding of their unique anatomy and single-ventricle physiology is essential…

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Tricuspid Atresia

Jun 15, 2019 by in CARDIOLOGY Comments Off on Tricuspid Atresia

Abstract Tricuspid atresia (TA) is a type of cyanotic congenital heart defect (CCHD) characterized by complete obstruction of the atrioventricular valve associated with the morphologic right ventricle. It is an…

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Left Ventricular Outflow Tract Obstruction

Jun 15, 2019 by in CARDIOLOGY Comments Off on Left Ventricular Outflow Tract Obstruction

Abstract Left ventricular outflow tract obstruction (LVOTO) is a complex congenital cardiac defect that interferes with the ejection of blood from the left ventricle into the ascending aorta. LVOTO is…

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Congenitally Corrected Transposition

Jun 15, 2019 by in CARDIOLOGY Comments Off on Congenitally Corrected Transposition

Abstract Congenitally corrected transposition is a rare condition characterized by atrioventricular and ventriculoarterial discordance. This creates a physiologically “corrected” circulation but leaves the morphologic right ventricle (mRV) in the systemic…

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Arrhythmia Surgery

Jun 15, 2019 by in CARDIOLOGY Comments Off on Arrhythmia Surgery

Abstract Arrhythmias remain one of the leading causes of death for adults with congenital heart disease. Although catheter ablation is often successful in this population, patients with complex arrhythmia mechanisms…

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Ebstein Anomaly

Jun 15, 2019 by in CARDIOLOGY Comments Off on Ebstein Anomaly

Abstract Ebstein anomaly is a rare congenital disorder of the tricuspid valve and right ventricular myocardium. The presentation depends on the severity of the disorder and can range from severe…

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