Circulation: Cardiovascular Interventions

APRIL 17, 2024

Circulation: Cardiovascular Interventions, Ahead of Print.

Physiology 40

Physiology Cardiovascular Interventions Stenosis Aortic 40

Dr. S. Venkatesan MD

FEBRUARY 9, 2024

No doubt ,the Aortic interventional world is applauding and everyone is joining the party. Apart from valve size aortic annular enlargement before SAVR was not done in majority, there by enhancing the gradient and valve mis-match.(Note Flow is physiology. Now, some academic queries ? Because it was done in 2010-2013.

Aortic valve 52

Aortic valve Aortic Academic Physiology 52

DAIC

JULY 29, 2024

The pump is delivered into the heart fully sheathed, over a guidewire, through the aorta, and across the aortic valve. It further notes the following on the technology: The Elevate pump is first folded and then inserted percutaneously through a small puncture in the groin to accommodate a commercially available 10 Fr introducer sheath.

Cardiogenic Shock 105

Cardiogenic Shock Blood Pressure Technology Aortic valve 105

All About Cardiovascular System and Disorders

MAY 26, 2024

Microvascular resistance evaluated whether the vasodilatory reserve capacity of coronary microcirculation was restored in the infarcted territory, regardless of concomitant epicardial coronary artery disease and aortic pressure. Immediate Microvascular Physiology After Mechanical Coronary Reperfusion of STEMI. J Am Coll Cardiol.

STEMI 52

STEMI Outcomes Coronary Artery Disease Myocardial Infarction 52

Dr. Smith's ECG Blog

AUGUST 4, 2024

Two weeks ago he had a significant MVC with many severe injuries, including aortic injury s/p endovascular repair. Serial echo monitoring showed increasing pericardial pressures without overt tamponade physiology. CT angiogram showed stable TEVAR without complications. ESR and CRP were both highly elevated.

Pericarditis 115

Pericarditis Chest Pain Blog Aortic 115

Dr. S. Venkatesan MD

JULY 1, 2024

An Aortic Impella device, that is distal to the aortic valve and devoid of LV-related issues. The hemodynamic of the Giraffe’s vascular system is a good physiologic model of circulation, that defy gravity. Shall we think about,axial pumps in ascending Aorta in series with LV.

Cardiomyopathy 52

Cardiomyopathy Aortic valve Aortic Blood Pressure 52

Circulation: Heart Failure

JANUARY 20, 2025

The integrative physiology of the left ventricle and systemic circulation is fundamental to our understanding of advanced heart failure and cardiogenic shock. In simplest terms, any increase in aortic stiffness increases the vascular afterload presented to the failing left ventricle. Circulation: Heart Failure, Ahead of Print.

Cardiogenic Shock 40

Cardiogenic Shock Heart Failure Circulation Physiology 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Look at the aortic outflow tract. The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. In fact, bedside ultrasound might even find severe aortic stenosis. What do you see?

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. S. Venkatesan MD

DECEMBER 2, 2023

Spontaneous coronary dissection vs Iatrogenic dissection SCAD is a rare , different entity , enjoys a popular space in the patho-physiology of CAD. This has important clinical significance , as many successfully lysed STEMI patient might have minimal segments of dissection/deep plaque fissures. , may be misdiagnosed as post infarct angina.

SCAD 52

SCAD Plaque Angina STEMI 52

Circulation

NOVEMBER 11, 2024

While each device has a different physiological impact on the heart, limited studies compare genetic changes in the heart t-MCS. Background:Various temporary mechanical circulatory support device (t-MCS) options are available for supporting patients in cardiogenic shock. and 4 bridged with IABP.

Cardiogenic Shock 40

Cardiogenic Shock Cancer Heart Failure Physiology 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The phantom includes the aortic arch, all supraoptic cervical arteries and a complete circle of Willis up to the M2‐MCA, A2‐ACA and P2‐PCA segments. mL/min.ConclusionThe developed ICAD model is anatomically accurate and offers realistic physiological and procedural features.

Stenosis 40

Stenosis Angioplasty Anatomy Plaque 40

Society of Thoracic Surgeons - Technology

JANUARY 19, 2022

Dr. Folesani, who is accomplished in performing aortic and mitral valve surgery and myocardial revascularization procedures, intends to use his fellowship to learn minimally invasive techniques on aortic and mitral valves. “I For more information, visit eacts.org.

Cardiothoracic 52

Cardiothoracic Heart Transplant Allied Health Education 52

All About Cardiovascular System and Disorders

APRIL 1, 2024

There could be enlargement of aorta, neoaorta, producing annuloaortic ectasia and aortic regurgitation, another long term sequelae of arterial switch operation. This is diagrammatic representation of another of the complications, delayed sequelae of arterial switch. Long term results are much better than atrial switch operations.

Pulmonary 52

Pulmonary Stenosis Anatomy Physiology 52

Dr. Smith's ECG Blog

SEPTEMBER 27, 2019

The first troponin returned at 0.099 ng/mL (elevated, consistent with Non-Occlusion MI) Providers were concerned with aortic dissection, so they order a chest aorta CT. It just doesn’t make good physiologic sense for there to be an rSr’ only in lead V2, and not in V1. It is essentially normal.

Chest Pain 52

Chest Pain Blog Ischemia Article 52

DAIC

JUNE 7, 2024

Getty Images milla1cf Fri, 06/07/2024 - 15:10 June 7, 2024 — Calcific aortic valve disease (CAVD) is the major heart valve disease that afflicts nearly 10 million patients globally with an annual mortality exceeding 100,000, and the numbers continue to rise. These findings appear online in the journal Trends in Molecular Medicine.

Aortic valve 105

Aortic valve Aortic Heart Valves Pharmacology 105

Frontiers in Cardiovascular Medicine

MARCH 3, 2024

Methods Here, a mathematical and physiological framework to define the patient-specific tipping point of myocardial energetics is defined. A novel hemodynamic parameter known as the myocardial performance score (MPS), a marker of power and efficiency, is introduced that allows for the objective assessment of the physiological tipping point.

Heart Failure 85

Heart Failure Cardiogenic Shock Physiology Transplant 85

Dr. Smith's ECG Blog

DECEMBER 24, 2023

Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with palpitations. Further history revealed she had new onset atrial flutter soon after her aortic surgery, and was put on flecainide approximately 1 month ago. Here is her triage ECG: What do you think?

Atrial Flutter 125

Atrial Flutter Blog Aortic Aortic valve 125

All About Cardiovascular System and Disorders

APRIL 21, 2024

But it need not imply the actual functional significance of the stenosis in terms of flow physiology. FFR is obtained by dividing the pressure distal to the stenosis by the central aortic pressure, which is usually equal to the pressure proximal to the stenosis if there is no additional stenosis in between. Normal FFR is 1.0

Myocardial Infarction 52

Myocardial Infarction Stents Stent Coronary Artery Disease 52

Frontiers in Cardiovascular Medicine

JANUARY 8, 2025

Aortic stenosis (AS) was historically considered a disease of the left side of the heart, with the main pathophysiological impact being predominantly on the left ventricle (LV). This review will summarise the features of normal RV physiology and the mechanisms responsible for RV impairment in AS.

Aortic valve 52

Aortic valve Aortic Stenosis Physiology 52

Physiologically Speaking

APRIL 24, 2024

13 Coronary artery calcification (CAC) and aortic stiffness are also associated with self-reported sleep duration. 21 22 23 It is worth noting that the literature here is still in its infancy, as research into sex differences is currently an emerging area in physiology.

Blood Pressure 52

Blood Pressure Blood Clot COVID-19 Cardiovascular Disease 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. heart auscultation (aortic stenosis); c. Fourth, syncope in the elderly often results from polypharmacy and abnormal physiologic responses to daily events. Good History and Physical exam, including a. orthostatic vitals b. FHx of sudden death.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. S. Venkatesan MD

DECEMBER 23, 2024

It needs a good knowledge of anatomy, physiology of inter & Intra valvular hemodynamics.It Final message Prosthetic valve assessment is complex, thought process intensive examination. Not every echocardiographer can do it efficiently.

Bicuspid/Mitral 52

Bicuspid/Mitral Aortic valve Aortic Anatomy 52

Dr. S. Venkatesan MD

MARCH 17, 2025

The classical illustrations that are found in cardiac physiology literature about the dominance of coronary blood flow during diastole (Image source Ref 2) Instead, coronary perfusion pressure, mean coronary arterial pressure, and coronary arterial wedge pressure are discussed. How common is angina in DCM ? Reference 1. Green, Donald D.

Angina 59

Angina Physiology Cardiomyopathy Aortic 59

Dr. Smith's ECG Blog

APRIL 21, 2025

A bedside echo revealed the large pericardial effusion, with tamponade physiology confirmed clinically and ultrasonographically. CT done to look for aortic dissection. This is electrical alternans. Here is her initial ED ECG: Here is a prior ECG available from months ago: No alternans.

Ultrasound 91

Ultrasound Chest Pain Cancer Blog 91

MIBHS

APRIL 15, 2025

Innocent Heart Murmurs: These are also called functional or physiologic murmurs. The aortic valve and mitral valve are two of the most common valves affected by heart murmurs. Aortic stenosis, mitral valve prolapse, and other valve problems may not resolve without treatment. Innocent murmurs do not indicate a heart problem.

Heart Valves 52

Heart Valves Aortic valve Chest Pain Blood Pressure 52

Dr. S. Venkatesan MD

APRIL 3, 2025

Hemodynanmic of normal delivery Natural delivery involves the physiological stress of labor, which includes increased cardiac output, blood pressure fluctuations, and oxygen demand, peaking at 50-80% above baseline during contractions and pushing. In women with significant heart disease, the physiological demands of labor (e.g.,

Heart Disease 45

Heart Disease Blood Pressure Heart Failure Aortic 45

Dr. Smith's ECG Blog

JANUARY 28, 2025

The QoH now correctly sees active OMI: A CT scan to rule out aortic dissection was performed (Smith: why???) The physiologic reason for this finding is that the T wave axis in the limb leads generally follows the QRS axis. Hans has not even been to medical school. before transferring the patient to the cath facility.

Chest Pain 104

Chest Pain STEMI Hospital Blood Pressure 104