CARDIOLOGY

Heart as a Generator of Pressure

May 1, 2020 by in CARDIOLOGY Comments Off on Heart as a Generator of Pressure

(1) Professor of Anesthesiology, Albany Medical College, Albany, NY, USA   KeywordsRhythmic generation of pressureConstriction of conotruncusVitelline artery ligationSpongy myocardiumEmbryo arterial pressure We have seen that while traversing the heart…

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Effects of Aortic Occlusion

May 1, 2020 by in CARDIOLOGY Comments Off on Effects of Aortic Occlusion

(1) Professor of Anesthesiology, Albany Medical College, Albany, NY, USA   KeywordsAortic occlusionCardiac output during aortic occlusionThe role of venous reservoir and of peripheral circulationHemodynamics of aortic occlusionCardiac effects of…

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Integrative Model of Circulation: A Synthesis

May 1, 2020 by in CARDIOLOGY Comments Off on Integrative Model of Circulation: A Synthesis

(1) Professor of Anesthesiology, Albany Medical College, Albany, NY, USA   The great tragedy of science—the slaying of a beautiful hypothesis by an ugly fact. Thomas Huxley (1870) It is…

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Embryo Heart is Not a Peristaltic Pump

May 1, 2020 by in CARDIOLOGY Comments Off on Embryo Heart is Not a Peristaltic Pump

(1) Professor of Anesthesiology, Albany Medical College, Albany, NY, USA   KeywordsPeristaltic pumpValveless embryo heartCardiac jellyLiebau pump principleDynamic suction pumpContraction waveBlood flow reversalEjection fraction Rhythmical contractions of the embryonic heart…

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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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