CARDIOLOGY

Perturbation Experiments

May 1, 2020 by in CARDIOLOGY Comments Off on Perturbation Experiments

(1) Professor of Anesthesiology, Albany Medical College, Albany, NY, USA   KeywordsEmbryo heartFlow perturbationMicrospheresVitelline vein ligationCardiac morphogenesisPeripheral circulation On account of relative ease of accessibility, the early embryo circulation is…

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Rate Perturbations

May 1, 2020 by in CARDIOLOGY Comments Off on Rate Perturbations

(1) Professor of Anesthesiology, Albany Medical College, Albany, NY, USA   KeywordsEmbryo heart rate perturbationsBlood’s motive energyHeart pacingSinus node cooling and heatingIntrinsic heart rateMatching of heart rate and output To…

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Interaction

May 1, 2020 by in CARDIOLOGY Comments Off on Interaction

(1) Professor of Anesthesiology, Albany Medical College, Albany, NY, USA   KeywordsPressure–volume loopsEnd-systolic pressure–volume relationshipExternal myocardial workInternal myocardial workPreloadAfterloadVentricular oxygen consumptionOptimal working volume The complex equilibrium existing between the pressure…

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There a Circulation Without a Heart?

May 1, 2020 by in CARDIOLOGY Comments Off on There a Circulation Without a Heart?

(1) Professor of Anesthesiology, Albany Medical College, Albany, NY, USA   We see, then, that there may be a circulation without a heart, or contractile propulsive power; and as to…

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Approach to Aortic Valve Disease

Apr 23, 2020 by in CARDIOLOGY Comments Off on Approach to Aortic Valve Disease

Fig. 5.1 A cartoon of the histology of the initial plaque of aortic stenosis is demonstrated. There is a remarkable similarity to the atherosclerotic plaque of coronary artery disease with…

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Assessment of Primary Mitral Valve Disease: Clinical Presentation, Diagnosis, Medical and Surgical Therapy

Apr 23, 2020 by in CARDIOLOGY Comments Off on Assessment of Primary Mitral Valve Disease: Clinical Presentation, Diagnosis, Medical and Surgical Therapy

Grade Definition Valve anatomy Valve hemodynamicsa Hemodynamic consequences Symptoms A At risk of MR • Mild mitral valve prolapse with normal coaptation • Mild valve thickening and leaflet restriction • No MR jet…

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Approaches to Mitral Valve Repair and Replacement

Apr 23, 2020 by in CARDIOLOGY Comments Off on Approaches to Mitral Valve Repair and Replacement

Mechanism of MR and type of dysfunction Cause of mitral regurgitation (e.g., of lesion) Ischemic Nonischemic Organic/primary Type I  • Infectious/endocarditis (perforation) • Degenerative (annular calcification) • Congenital (cleft leaflet) Type II Ruptured…

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Aortic Valve Replacement

Apr 23, 2020 by in CARDIOLOGY Comments Off on Aortic Valve Replacement

Absolute and relative contraindications for transcatheter aortic valve replacement Absolute contraindications Absence of a “heart team” and no cardiac surgery on the site Appropriateness of TAVI as an alternative to…

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Pulmonic, and Mixed Valve Disease

Apr 23, 2020 by in CARDIOLOGY Comments Off on Pulmonic, and Mixed Valve Disease

Fig. 9.1 3 D TEE of a patient demonstrating impingement of the anterior leaflet of the tricuspid valve (TV) by a defibrillator lead (arrow) as viewed from the atrial aspect…

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