Pericardial Effusion
The hemodynamic significance of an effusion is not always related to What?
Size
Another way to say heart failure due to filling disorders is.
What is heart failure with preserved EF
Alcohol abuse, valvular heart disease and geneitcs may be causes of what?
Dilated cardiomyopathy
Symptoms of IE typically present as?
Fever, malaise, tachycardia, new murmur, + blood cultures
This typically occurs early in life and causes the heart to become enlarged and heavily thickened due to excessive glycogen storage in the tissues
What is Pompes disease
A large amount of fluid in the pericardial space can compress the heart and impair what?
What is Diastolic filling
Causes of heart failure include.
What are Decreased LV function, Increased workload, Filling disorders and Dysrhythmias
A cardiomyopathy that produces slow or stagnant blood flow has what complication risk?
Systemic embolization
If you have a prosthetic valve or valve repaired with prosthetic material what must you do before a dental procedure?
Take antibiotics
Valvular heart disease, previous myocardial infarction, and long-standing hypertension are all potential causes of What?
What is dilated cardiomyopathy.
The term used to describe the equalization of systolic and diastolic pressures resulting in decreases cardiac output due to effusion
What is Tamponade
In heart failure with normal ejection fraction the LA measurement is important because if enlarged:
What is it suggests increased filling pressures
Valvular heart disease, previous MI, Hypertension or anything that increases workload can cause what?
Dilated cardiomyopathy
Which side of the semilunar valves do vegetation typically attach to?
Ventricular
The pathophysiologic state in which the heart, via an abnormality of cardiac function, fails to pump blood at a rate commensurate with the requirements of the metabolizing tissues or is able to do so only with an elevated diastolic filling pressure.
What is Heart Failure
RV diastolic collapse, RA systolic collapse, LV diastolic collapse, and respiratory variations in mitral inflow of greater than 25% are indications of what?
What is Tamponade?
An acquired or hereditary disease of the heart muscle, this condition makes it hard for the heart to deliver blood to the body and can lead to heart failure.
What is cardiomyopathy
ASH and SAM are indications of what?
What is HOCM
Even a normal valve can be affected by what
Acute endocarditis
`Non-transmural` MI is a subendocardial MI that does not do what?
Extend through the entire thickenss of the heart wall
A large amount of fluid that goes posterior to the aorta but appears to be in the pericardial space is called what?
What is a large pleural effusion?
Heart failure is a complication of this granulomatous infiltration.
What is Sarcoidosis
Constrictive pericarditis resembles which cardiomyopathy
What is restrictive/infiltrative cardiomyopathy
Strep viridans is usually associated with what?
Subacute Bacterial Endocarditis SBE
A 70 y.o. woman is admitted to the ER with chest pain and shortness of breath. She does not have a history of heart disease. Her troponin is elevated and there are ecg changes. Her husband of 50 years recently passed away due to heart complications. A bedside echocardiogram was done and showed LV akinesis circumferentially from the mid-LV to the apex. Her EF was estimated at 30%. If she was taken to the cath lab what would you expect to find?
Basically normal coronaries