Dr. S. Venkatesan MD

APRIL 28, 2024

However, underlying lesions such as hypertension, mitral valve disease, COPD, ASD, and TR greatly influence the degree of atrial enlargement. This is similar to MR begets MR. Atrial functional MR occurs when the lower part of the atria stretches the mitral annulus. Implications for electrophysiologists.

Atrial Fibrillation 75

Atrial Fibrillation Bicuspid/Mitral Pulmonary Ablation 75

Heart BMJ

SEPTEMBER 16, 2024

Clinical introduction A woman in her 30s, a case of rheumatic mitral stenosis status post balloon mitral valvuloplasty 15 years prior, presented to urgent care with palpitations and dyspnoea for 1 week. Echocardiography demonstrated severe calcific mitral stenosis with pulmonary hypertension.

Atrial Flutter 52

Atrial Flutter Bicuspid/Mitral Heart Failure Tachycardia 52

Open Heart

DECEMBER 7, 2023

Older age, hypertension (HR=2.06, 95% CI 1.31 to 2.94), increased ratio of early transmitral flow velocity to early mitral annular velocity (>24, HR=1.79, 95% CI 1.11 to 3.25), higher right ventricular diameter (>23 mm, HR=2.008, 95% CI 1.37 to 2.26) and higher LUS-BL number (>11, HR=1.510, 95% CI 1.01

Ultrasound 98

Ultrasound Heart Failure Risk Factors Bicuspid/Mitral 98

Dr. Smith's ECG Blog

APRIL 12, 2013

Of course, papillary muscle rupture and mitral regurgitation should be on the differential here, as in this case , but it is not very likely when the BP is so high. The hypertension alone is the likely etiology of the pulmonary edema. There is also ST depression in V2 and V3, now with fully upright T-waves. Is this acute STEMI?

STEMI 52

STEMI Pulmonary Stents Stent 52

All About Cardiovascular System and Disorders

APRIL 14, 2024

Though there are several parameters for evaluation of left ventricular diastolic function by echocardiography, the most commonly used are the pulsed Doppler mitral E/A ratio and tissue Doppler mitral E/e’ ratio. Doppler interrogation of mitral valve is usually done from the apex through the apical four chamber view.

Bicuspid/Mitral 52

Bicuspid/Mitral Pulmonary Atrial Fibrillation Ultrasound 52

Journal of the American Heart Association

FEBRUARY 26, 2025

Multimorbidity was defined as 2 comorbidities (heart failure, hypertension, diabetes, coronary heart disease, kidney dysfunction, moderate or severe mitral valve regurgitation, or obesity). AF symptom severity was assessed via the University of Toronto AF Severity Scale questionnaire.

Atrial Fibrillation 53

Atrial Fibrillation Bicuspid/Mitral Obesity Heart Failure 53

Open Heart

OCTOBER 19, 2022

Results Correction of severe AS by TAVR significantly reduced the proportion of patients suffering from concurrent severe mitral regurgitation (from 9.29% to 3.64%, p value: 0.0015). Importantly, not the degree of pulmonary hypertension at initial presentation, but the irreversibility of right heart dysfunction determines prognosis.

Aortic valve 52

Aortic valve Aortic Stenosis TAVR 52

All About Cardiovascular System and Disorders

MARCH 21, 2024

So that is why we see straightening of left border, typically heard of in mitral stenosis with left atrial enlargement and mild pulmonary hypertension. When there is gross pulmonary hypertension, instead of these being straight over here, it will form a bulge over here.

Pulmonary 52

Pulmonary Bicuspid/Mitral Hypertension Stenosis 52

All About Cardiovascular System and Disorders

APRIL 30, 2024

The post ectopic increase in the murmur is a hallmark of hypertrophic obstructive cardiomyopathy, which differentiates it clinically from mitral valve prolapse. Echocardiography in HCM Important echocardiographic features include mitral regurgitation and left ventricular outflow tract obstruction. in normotensives and more than 1.5

Cardiomyopathy 40

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

Dr. Smith's ECG Blog

JANUARY 13, 2024

Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted for overnight observation following outpatient placement of a mitral valve clip. A few days later, midodrine and fludrocortisone were held due to hypertension and the patient was discharged.

Pacemaker 110

Pacemaker Bicuspid/Mitral Blood Pressure Bradycardia 110

All About Cardiovascular System and Disorders

MARCH 30, 2024

The cyanosis in Ebstein’s anomaly, is usually not due to pulmonary hypertension, but because tricuspid regurgitation jet is directed across the atrial septal defect. This distance, between the anterior mitral leaflet and septal tricuspid leaflet, is usually only about 5 mm during echocardiography.

Tricuspid 52

Tricuspid Arrhythmia Congenital Heart Disease Electrophysiology 52

Dr. S. Venkatesan MD

APRIL 18, 2024

We know a small ASD decompresses mitral stenosis, and the combination of ASD and MS, Lutembacher, is a well-known syndrome called Lutembacher. Drugs like inotropes, pre-load , afterload modulators like diuretics and vasodilators can take care to a certain extent. The concept of LA flow regulator or decompressor came from this.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Pulmonary Congenital Heart Disease VSD 40

Dr. Smith's ECG Blog

APRIL 26, 2017

Low LV filling pressures are due to several etiologies, most commonly due to volume depletion (dehydration or hemorrhage), but also due to other etiologies including, but not limited to: mitral stenosis, pulmonary hypertension (chronic, or due to pulmonary embolism), or poor RV performance.

Chest Pain 52

Chest Pain STEMI Ultrasound Pulmonary 52

EMS 12-Lead

MAY 20, 2022

There is ventricular hypertrophy in the absence of abnormal loading conditions, such as aortic stenosis, or hypertension, for example – of which the most common variant is Asymmetric Septal Hypertrophy.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

EMS 12-Lead

JULY 24, 2023

Tortuous LAD consistent with hypertensive cardiac disease and luminal irregularities, but free of stenosis 3. Mitral valve calcification with mild regurgitation Laboratory data (pre-procedure) 1. Distal LM stenosis (80%), not acutely thrombosed b. The angiographer noted “marked ST depressions on telemetry with injection of contrast” 2.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

Heart BMJ

MAY 10, 2024

Objectives The association of pulmonary hypertension (PH) with the outcome after mitral transcatheter edge-to-edge repair (M-TEER) focusing on the new ESC/ERS guidelines definition for PH. Background PH is frequently found in patients with mitral regurgitation and is associated with lower survival rates.

Bicuspid/Mitral 52

Bicuspid/Mitral Pulmonary Hypertension Outcomes 52

Open Heart

FEBRUARY 15, 2023

Aims Atrial functional mitral regurgitation (AFMR) is characterised by left atrial and consequent mitral annular dilatation causing mitral regurgitation. After adjustment for age, sex, AF, and pulmonary hypertension, the prognosis for VFMR was significantly worse than for AFMR (HR 1.57, 95% CI 1.47

Bicuspid/Mitral 52

Bicuspid/Mitral Preserved Ejection Fraction Pulmonary Atrial Fibrillation 52

Cardiometabolic Health Congress

SEPTEMBER 13, 2024

New guidelines also: Classify “Elevated BP” between non-elevated BP and hypertension. Measuring eGFR and albuminuria is recommended for assessing kidney disease in all hypertensive patients. Advise increased potassium intake for hypertensive patients.

Hypertension 59

Hypertension Cardiovascular Disease Bicuspid/Mitral Arrhythmia 59

BoardVitals - Cardiovascular

JANUARY 18, 2021

ACS QID 3103 A 64 year old Caucasian male with a history of extensive tobacco use, hypertension, hyperlipidemia, and obesity presents with acute onset chest pain. Severe mitral stenosis C. Acute mitral regurgitation E. Acute mitral regurgitation. Question 2. Click here to view larger image. Ventricular septal rupture B.

Bicuspid/Mitral 52

Bicuspid/Mitral Atrial Fibrillation Chest Pain STEMI 52

Heart BMJ

JANUARY 29, 2024

Most patients who develop native aortic stenosis have hypertension, and some have increased cholesterol. However, male sex, body mass index, smoking, metabolic syndrome, renal failure and genetic factors (eg, bicuspid aortic valve) have been identified in epidemiological studies as risk factors for developing native aortic stenosis.

Blood Pressure 40

Blood Pressure Aortic valve Bicuspid/Mitral Stenosis 40

Hypertension Journal

MARCH 1, 2024

Hypertension, Ahead of Print. By these mechanisms, SMC-MR promotes disease progression in models of aging-associated vascular stiffness, vascular calcification, mitral and aortic valve disease, pulmonary hypertension, and heart failure.

Blood Pressure 40

Blood Pressure Aortic valve Heart Failure Hypertension 40

BoardVitals - Cardiovascular

MAY 1, 2017

While the first one may radiate to the axilla and base, but usually not into the neck, it does reflect both aortic outflow obstruction and mitral regurgitation in patients with a large gradient.

Cardiomyopathy 52

Cardiomyopathy Sudden Cardiac Death Bicuspid/Mitral Electrocardiogram 52

Open Heart

OCTOBER 17, 2024

Background Bicuspid aortic valve (BAV) is often associated with a concomitant aortopathy. However, few studies have evaluated the effect of the aortic valve (AV) phenotype on the rate of dilation of the aorta.

Aortic valve 52

Aortic valve Aortic Stenosis Bicuspid/Mitral 52

Circulation

NOVEMBER 11, 2024

Among these, a fistula between the left anterior descending artery and the pulmonary artery is the rarest variant, comprising about 17% of all coronary artery fistula cases.Case:A 54-year-old male, with a known history of atrial fibrillation and hypertension, presented to our emergency department with non-rotatory dizziness.

Pulmonary 40

Pulmonary Open-Heart Surgery Atrial Fibrillation Myocardial Infarction 40

DAIC

FEBRUARY 1, 2024

million, or 47% of adults are estimated to have hypertension.** More information: www.heart.org, www.diabetes.org, www.factmr.com Related content: NEW STUDY REVEALS LATEST DATA ON GLOBAL BURDEN OF CARDIOVASCULAR DISEASE Spotlight on Advancements in Mitral Valve Repair, Research per 1,000* - 122.4

Cardiovascular Disease 104

Cardiovascular Disease Atherosclerosis Strokes Peripheral Arterial Disease 104

Circulation

NOVEMBER 11, 2024

Multivariable Cox regression models were fitted to investigate additive prognostic differences.Results:The study population consisted mainly of blacks and major factors were hypertension, diabetes, mitral valve disease, and older age (p<0.0001).

Biomarkers 40

Biomarkers Heart Failure Risk Factors Atrial Fibrillation 40

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Program Designations Access and Publications (A&P) 1 Participant User File (PUF) 2 Task Force on Funded Research (TFR) 3 Special Projects 4 Adult Cardiac Surgery Database Lead Author Title Publication Date William Keeling 2 National Trends in Emergency Coronary Artery Bypass Grafting European Journal of Cardiothoracic Surgery October 2023 Jake (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Frontiers in Cardiovascular Medicine

JANUARY 9, 2025

ObjectiveThis meta-analysis aims to assess the impact of pulmonary hypertension (PH) on the clinical prognosis of patients with moderate to severe mitral valve regurgitation (MR) undergoing transcatheter edge-to-edge mitral valve repair (TEER).MethodsAs

Bicuspid/Mitral 52

Bicuspid/Mitral Pulmonary Hypertension Heart Failure 52

All About Cardiovascular System and Disorders

DECEMBER 16, 2024

Most common method of assessment of pulmonary hypertension by Doppler echocardiography is by using: A: Forward velocity across the tricuspid valve B: Reverse velocity across the tricuspid valve C: Forward velocity across the pulmonary valve D: Reverse velocity across the mitral valve Correct answer: B: Reverse velocity across the tricuspid valve Reverse (..)

Pulmonary 52

Pulmonary Hypertension Tricuspid Bicuspid/Mitral 52

Dr. S. Venkatesan MD

NOVEMBER 26, 2024

Right from the days we entered medical schools, severe mitral stenosis was defined by less than 1 cm² MVO by echocardiography. The bottom line is, we should not miss a functionally significant mitral stenosis, strictly adhering to the anatomical 1 cm² cut-off. El Sabbagh A, Low-Gradient Severe Mitral Stenosis J Am Heart Assoc.

Bicuspid/Mitral 40

Bicuspid/Mitral Stenosis Atrial Fibrillation Tachycardia 40

Frontiers in Cardiovascular Medicine

JANUARY 1, 2025

The study tracked changes in left atrial diameter (LAD), left ventricular end-diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF), and the severity of mitral regurgitation over one year.ResultsA total of 764 patients were enrolled. Additionally, the use of digoxin could affect changes in left ventricular ejection fraction.

Atrial Fibrillation 52

Atrial Fibrillation Bicuspid/Mitral Coronary Artery Disease BMI 52

Dr. S. Venkatesan MD

APRIL 3, 2025

severe mitral stenosis, pulmonary hypertension, or cardiomyopathy), prolonged labor could strain the heart excessively, potentially leading to decompensation, heart failure, or arrhythmias. For women with significant heart disease (e.g., 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

MARCH 3, 2025

A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chest pain and shortness of breath. The scan showed a bicuspid aortic valve with severe stenosis and coronary artery disease. This was written by Hans Helseth. As her pain worsened, so did her dyspnea.

Tachycardia 73

Tachycardia Pulmonary Chest Pain Stenosis 73

Open Heart

OCTOBER 27, 2024

Aims We set out to explore associations between a ‘mitral-specific’ cardiac damage score (m-CDS) and survival outcomes in mitral regurgitation (MR) and compare the performance of the m-CDS and an ‘aortic-specific’ CDS (a-CDS) in patients with MR within the large National Echo Database of Australia.

Bicuspid/Mitral 52

Bicuspid/Mitral Aortic Pulmonary Hypertension 52

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

Mechanical complications such as free wall rupture, VSR and papillary muscle rupture is more likely to occur in patients who are older, female, hypertensive, have chronic kidney disease, and have no prior history of smoking. The patient was not considered a surgical candidate.

Chest Pain 88

Chest Pain Pericarditis Myocardial Infarction Dementia 88