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Aneurysms, a vascular anomaly, can be classified based on their location and shape. Shear stresses, oscillatory shear index, gradient oscillatory number, and residence time serve as parameters to characterize the hemodynamics associated with the development and advancement of aneurysms.
Introduction:Sinus of Valsalva aneurysm (SVA) accounts for 3.5% Postoperatively, she developed complete heart block requiring a permanent pacemaker. Aneurysm rupture typically forms a fistula into the right ventricle (60%), right atrium (29%), left atrium (6%), or left ventricle (4%), and rarely into the pericardial cavity (1%).
She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. Seeing as the patient has a single chamber ICD/pacemaker, pacing the ventricle will also lead to AV dyssynchrony that will compromise ventricular filling, further impairing hemodynamics. small squares in width (260ms).
He had previously undergone non‐contrasted head computed tomography (NCHCT) (magnetic resonance imaging (MRI) was unable to be performed secondary to pacemaker), which did not reveal strokes. Episodes always occurred after activity and only upon sitting. His initial computed tomography angiogram (CTA) of the head and neck was unremarkable.
Also a h/o LV aneurysm with thrombus, on anticoagulation, as well as a dual chamber pacemaker. Aneurysm of the mid-portion of the lateral and inferolateral wall. She had a history of PCI to the circumflex and also of severe mitral regurgitation, status post bioprosthetic valve replacement. On arrival, the BP was 60/30.
Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Negative predictors included dementia, pacemaker, coronary revascularization, and cerebrovascular disease. Syncope with Exertion (EGSYS) 7.
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