Workshop B: Essentials of Neonatal Cardiology and CHD Anthony C. Chang, MD, MBA, MPH CARDIAC INTENSIVE CARE
|
|
- Marilynn Knight
- 2 years ago
- Views:
Transcription
1 SHUNT LESIONS NEONATAL : CONGENITAL CARDIAC MALFORMATIONS AND CARDIAC SURGERY ANTHONY C. CHANG, MD, MBA, MPH CHILDREN S HOSPITAL OF ORANGE COUNTY ATRIAL SEPTAL DEFECT LEFT TO RIGHT SHUNT INCREASED PULMONARY FLOW RV VOLUME OVERLOAD ATRIAL DYSRHYTHMIAS ATRIAL SEPTAL DEFECT PARTIAL ANOMALOUS PV RETURN LV-RA SHUNT (GERBODE DEFECT) CA-RA FISTULA CEREBRAL AVM VENTRICULAR SEPTAL DEFECT LEFT TO RIGHT SHUNT INCREASED PULMONARY FLOW AND PRESSURE LV VOLUME OVERLOAD VENTRICULAR SEPTAL DEFECT PATENT DUCTUS ARTERIOSUS AORTOPULMONARY WINDOW 1
2 COMMON ATRIOVENTRICULAR CANAL COMMON MIXING INCREASED PULMONARY BLOOD FLOW AND PRESSURE AV VALVE REGURGITATION BIVENTRICULAR VOLUME OVERLOAD COMMON ATRIOVENTRICULAR CANAL PAP PBF PVR PAP PBF PVR Low Normal Low CDH Normal or Low PAP PBF PVR PAP PBF PVR CDH Normal or Low VSD Normal VSD in Premie Low 2
3 PAP PBF PVR VSD in Premie VSD in Neonate Low Normal OBSTRUCTIVE LESIONS PULMONARY STENOSIS TETRALOGY OF FALLOT PREOPERATIVE PHYSIOLOGY UNRESTRICTIVE VSD DYNAMIC RVOT OBSTRUCTION RV HYPERTROPHY R TO L SHUNT WITH DECREASE IN SVR TETRALOGY OF FALLOT PREOPERATIVE PHYSIOLOGY TOF AND WITH STENOTIC SHUNT DORV WITH SUBPS SV WITH SUBPS ANY SV WITH STENOTIC SHUNT TREAT WITH OXYGEN, VOLUME, AND NEOSYNEPHRINE 3
4 TETRALOGY OF FALLOT/PULMONARY ATRESIA TETRALOGY OF FALLOT/ ABSENT PULMONARY VALVE AORTIC STENOSIS LV PRESSURE OVERLOAD LV CONCENTRIC HYPERTROPHY SUBENDOCARDIAL ISCHEMIA COEXISTING LESIONS AORTIC STENOSIS CORONARY ISCHEMIA ROSS LV DYSFUNCTION NEOAORTIC INSUFFICIENCY RV DYSFUNCTION RESIDUAL VSD RVOT NARROWING ROSS-KONNO COARCTATION OF THE AORTA LV PRESSURE OVERLOAD LV HYPERTROPHY MYOCARDIAL ISCHEMIA CVA DUCTAL DEPENDENT LESIONS 4
5 DUCTAL DEPENDENT LESIONS Pulmonary Blood Flow Critical PS/ PAtresia TOF with PS or PAtresia SV with PS or Patresia Tricuspid Atresia Ebstein s Anomaly TRICUSPID ATRESIA Ebstein s Anomaly Ebstein s Anomaly Preoperative Pathophysiology Severe TR Functional and PS/PAt RV/LV Interaction Pulmonary Hypoplasia Anatomic HETEROTAXY SYNDROME Heterotaxy HETEROTAXY SYNDROME Asplenia Heterotaxy DORV/ CAVC TAPVR SubPS or PAtresia AET 5
6 HETEROTAXY SYNDROME Heterotaxy Polysplenia Primum ASD/ LVOTO Interrupted IVC Ipsilateral SVC/PVs CHB DUCTAL DEPENDENT LESIONS SYSTEMIC BLOOD FLOW CRITICAL AORTIC STENOSIS COARCTATION OF THE AORTA INTERRUPTED AORTIC ARCH HYPOPLASTIC LEFT HEART SYNDROME HYPOPLASTIC LEFT HEART SYNDROME SINGLE VENTRICLE PHYSIOLOGY INCREASED QP:QS RV VOLUME OVERLOAD EXTRACARDIAC ISSUES HYPOPLASTIC LEFT HEART SYNDROME SINGLE VENTRICLE PHYSIOLOGY INCREASED QP:QS RV VOLUME OVERLOAD EXTRACARDIAC ISSUES SINGLE VENTRICLE PHYSIOLOGY CRITERIA SYSTEMIC AND PULMONARY VENOUS RETURN TO COMMON MIXING CHAMBER SYSTEMIC AND PULMONARY BLOOD FLOW DETERMINED BY SYSTEMIC AND PULMONARY VASCULAR RESISTANCE Single Ventricle Physiology Qp:QS Calculation IF AO-MV OXYGEN% IS 25% IF PV OXYGEN% IS 95% THEN QP:QS = AO MV/ PV PA = 25 / 95 PA AND SINCE AO = PA SAT 25 / 95 POX 6
7 Single Ventricle Physiology Qp:QS (Pox 87%) IF AO-MV OXYGEN% IS 25% IF PV OXYGEN% IS 95% THEN QP:QS = AO MV/ PV PA = 25 / 95 PA AND SINCE AO = PA SAT 25 / = 3:1 HYPOPLASTIC LEFT HEART SYNDROME RV DYSFUNCTION (RV-LV) SINGLE VENTRICLE PHYSIOLOGY TRICUSPID REGURGITATION SHUNT STENOSIS/OBSTRUCTION RESIDUAL ARCH OBSTRUCTION RESTRICTIVE ASD NORWOOD HYPOPLASTIC LEFT HEART SYNDROME RV DYSFUNCTION (RV-LV) SINGLE VENTRICLE PHYSIOLOGY TRICUSPID REGURGITATION RVOT STENOSIS/OBSTRUCTION RESIDUAL ARCH OBSTRUCTION SANO Bidirectional Cavopulmonary Anastomosis Normal Profile PA PRESSURE MMHG LA PRESSURE 0-5 MMHG TP < 10 MMHG SATURATION 80 5% FONTAN MISCELLANEOUS 7
8 TRANSPOSITION OF THE GREAT ARTERIES MIXING ASD (MOST EFFECTIVE) VSD PDA COEXISTING PPHN (REVERSE DIFFERENTIAL CYANOSIS) TRANSPOSITION OF THE GREAT ARTERIES TRANSPOSITION OF THE GREAT ARTERIES PA saturation > Aortic saturation During systole (compliance of atria), atrial shunt is mostly L R During diastole (compliance of ventricles), mostly R L atrial shunt is TRANSPOSITION OF THE GREAT ARTERIES LV PREPAREDNESS CORONARY ISCHEMIA TOTAL ANOMALOUS PULMONARY VENOUS CONNECTION OBSTRUCTIVE TYPE LUNG PATHOLOGY NONOBSTRUCTIVE TYPE RV VOLUME OVERLOAD TOTAL ANOMALOUS PULMONARY VENOUS CONNECTION PULMONARY PATHOLOGY NONCOMPLIANT LV ATRIAL ECTOPIC TACHYCARDIA PV CONFLUENCE NARROWING 8
9 TRUNCUS ARTERIOSUS PEROPERATIVE PATHOPHYSIOLOGY INCREASED PULMONARY BLOOD FLOW AND PRESSURE BIVENTRICULAR VOLUME OVERLOAD TRUNCAL STENOSIS/ INSUFFICIENCY EXTRACARDIAC ISSUES TRUNCUS ARTERIOSUS RV RESTRICTIVE DYSFUNCTION JUNCTIONAL ECTOPIC TACHYCARDIA TRUNCAL STENOSIS/ INSUFFIENCY RESIDUAL VSD THE PRESSURE-VOLUME LOOP CARDIAC OUTPUT MANIPULATION CARDIAC OUTPUT MANIPULATION CARDIAC OUTPUT MANIPULATION PRELOAD 9
10 CARDIAC OUTPUT MANIPULATION AFTERLOAD CARDIAC OUTPUT MANIPULATION CONTRACTILITY VALVE STENOSIS [AORTIC] During ventricular ejection, LV pressure exceeds aortic pressure. Stroke volume is decreased; stroke work can be about the same but potential energy is increased. VALVE STENOSIS [MITRAL] During ventricular filling (diastole), LA pressure exceeds LVEDP. Both stroke volume and stroke work are decreased and the potential energy is unchanged. VALVE INSUFFICIENCY [AORTIC] During ventricular relaxation, blood flows backwards from aorta into to the LV. Pulse pressure widens. Both stroke volume and stroke work are increased but potential energy can be about the same. VALVE INSUFFICIENCY [MITRAL] During systole, LV ejects blood back into the LA as well as into the aorta. The LAP and the v-wave are increased. Both stroke volume and stroke work are increased but potential energy can be about the same. 10
11 VALVE INSUFFICIENCY [MITRAL] Acute- increased LA pressure with pulmonary edema and decreased cardiac output Chronic-increased LA size with little if any pulmonary edema and normal cardiac output Cardiac Cycle of Work/ Career Systole Diastole 11
Common types of congenital heart defects
Common types of congenital heart defects Congenital heart defects are abnormalities that develop before birth. They can occur in the heart's chambers, valves or blood vessels. A baby may be born with only
Segmental approach And Evaluation Of Cardiac Morphology In Congenital Heart Disease
Segmental approach And Evaluation Of Cardiac Morphology In Congenital Heart Disease Rajesh Krishnamurthy EB Singleton Dept. of Diagnostic Imaging Texas Children s Hospital, Baylor College of Medicine Houston,
Anesthesia in Children with Congenital Heart Disease. Elliot Krane, M.D.
Anesthesia in Children with Congenital Heart Disease Elliot Krane, M.D. Introduction The evolution of medicine to managed care and contracted medical services has often had the effect of shifting a sicker
Resuscitation in congenital heart disease. Peter C. Laussen MBBS FCICM Department Critical Care Medicine Hospital for Sick Children Toronto
Resuscitation in congenital heart disease Peter C. Laussen MBBS FCICM Department Critical Care Medicine Hospital for Sick Children Toronto Evolution of Congenital Heart Disease Extraordinary success: Overall
Cardiovascular Pathophysiology:
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS iib6@columbia.edu Pediatric Cardiology What is Cyanosis? Bluish discoloration of skin that occurs when
How to get insurance companies to work with you
Paying for Quality ACHD Care How to get insurance companies to work with you Christy Sillman, RN, MSN ACHD nurse coordinator Inpatient ACHD Nurse Educator The Adult Congenital Heart Program Stanford Lucile
Questions FOETAL CIRCULATION ANAESTHESIA TUTORIAL OF THE WEEK 91 18 TH MAY 2008
FOETAL CIRCULATION ANAESTHESIA TUTORIAL OF THE WEEK 91 18 TH MAY 2008 Dr. S. Mathieu, Specialist Registrar in Anaesthesia Dr. D. J. Dalgleish, Consultant Anaesthetist Royal Bournemouth and Christchurch
Chapter 2 Cardiac Interpretation of Pediatric Chest X-Ray
Chapter 2 Cardiac Interpretation of Pediatric Chest X-Ray Ra-id Abdulla and Douglas M. Luxenberg Key Facts The cardiac silhouette occupies 50 55% of the chest width on an anterior posterior chest X-ray
Congenital Heart Defects Initial Diagnosis and
Congenital Heart Defects Initial Diagnosis and Management age e Linda Risley, RN, MSN, CPNP Congenital Heart Defects Congenital heart defects are the most common type of birth defect ~1 out of 100 live
Left And Right Heart Cath. Mohd Shafullah Serdari RDCS, RCS, RCIS Institut Jantung Negara
Left And Right Heart Cath Mohd Shafullah Serdari RDCS, RCS, RCIS Institut Jantung Negara Overview Right and left heart cath is a procedure where a catheter is inserted into the cardiac chambers and vessels
020 // Congenital Heart Disease
020 // Congenital Heart Disease CONTENTS 188 Basics 188 Atrial Septal Defect (ASD) 191 Patent Foramen Ovale (PFO) 192 Ventricular Septal Defects (VSD) 194 Patent Ductus Arteriosus (PDA) 195 Coronary Fistulas
Current status of pediatric cardiac surgery
Current status of pediatric cardiac surgery Sabine H. Daebritz Dept. of Cardio-vascular Surgery Heart Center Duisburg, Germany Normal circulation 1 Complex cardiac lesions Stenoses Shunts Malconnections
Congenital Heart Defects
Congenital Heart Defects 1 Congenital Heart Defects CHD with Increased Pulmonary Blood Flow Patent Ductus Arteriosus - PDA...3 Atrial Septal Defect - ASD...4 Ventricular Septal Defect - VSD...5 Aorto-Pulmonary
Left to Right Shunts and their Calculation. Ghada El Shahed, MD
Left to Right Shunts and their Calculation Ghada El Shahed, MD Professor of Cardiology Ain Shams University Flow through systemic & pulmonary circulations is normally balanced and equal. Two circulations
Universal Fetal Cardiac Ultrasound At the Heart of Newborn Well-being
Universal Fetal Cardiac Ultrasound At the Heart of Newborn Well-being Optimizes detection of congenital heart disease (chd) in the general low risk obstetrical population Daniel J. Cohen, M.D. danjcohen@optonline.net
Note: The left and right sides of the heart must pump exactly the same volume of blood when averaged over a period of time
page 1 HEART AS A PUMP A. Functional Anatomy of the Heart 1. Two pumps, arranged in series a. right heart: receives blood from the systemic circulation (via the great veins and vena cava) and pumps blood
Cardiology Fellowship Manual. Goals & Objectives -Cardiac Imaging- 1 Page
Cardiology Fellowship Manual Goals & Objectives -Cardiac Imaging- 1 Page 2015-2016 UNIV. OF NEBRASKA CHILDREN S HOSPITAL & MEDICAL CENTER DIVISION OF CARDIOLOGY FELLOWSHIP PROGRAM CARDIAC IMAGING ROTATION
Cardiac Kids. Michael Lohmeier. October 30, 2013
Cardiac Kids Michael Lohmeier October 30, 2013 Congenital Heart Defects Objectives Review Normal Cardiac Anatomy Discuss Basics of Fetal Cardiac Development Discuss Common Congenital Heart Defects Review
Question 1: Interpret the rhythm strip above (comment on regularity, rate, P wave, PR interval and QRS)?
It is your first month on your NICU rotation and you are prerounding on your patients. The nurse takes you aside and says she s been seeing something funny on the cardiac monitor. You walk to the bedside
Pulmonary Atresia With Intact Ventricular Septum - Anatomy, Physiology, and Diagnostic Imaging
Pulmonary Atresia With Intact Ventricular Septum - Anatomy, Physiology, and Diagnostic Imaging Larry Latson MD Director of Pediatric Interventional Cardiology and Adult CHD Joe DiMaggio Children s Hospital
APPROACH TO CYANOTIC CONGENITAL HEART DISEASE IN THE NEWBORN. By Christopher Cheung, MD Reviewed by: Santokh Dhillon, MD, MBBS
APPROACH TO CYANOTIC CONGENITAL HEART DISEASE IN THE NEWBORN By Christopher Cheung, MD 2013 Reviewed by: Santokh Dhillon, MD, MBBS INTRODUCTION TO CYANOSIS Cyanosis is a bluish or purple discoloration
Delivery Planning for the Fetus with Congenital Heart Disease
Delivery Planning for the Fetus with Congenital Heart Disease Mar y T. Donofrio MD, FAAP, FACC, FASE Director of the Fetal Heart Program Children s National Medical Center Washington DC Objectives Review
Atrial Septal Defect. Non-cyanotic defects. Ventricular Septal Defect 10/8/2009. Hot Topics in Pediatric Cardiology. Treatment in Cath Lab
Hot Topics in Pediatric Cardiology Review of Major Defects Fetal Diagnosis of Congenital Heart Disease Neonatal Diagnosis of CHD Treatment in Cath Lab Heart Surgery Outcomes Primary Care Issues after Heart
Pediatric Echocardiography The Segmental Approach. Jennifer Whitham, MD North Carolina Children s Heart Center UNC School of Medicine Chapel Hill, NC
Pediatric Echocardiography The Segmental Approach Jennifer Whitham, MD North Carolina Children s Heart Center UNC School of Medicine Chapel Hill, NC Objectives Review pediatric echocardiogram protocol
COACH Columbus Ohio Adult Congenital Heart Disease Program The Heart Center at Nationwide Children s Hospital & The Ohio State University
COACH Columbus Ohio Adult Congenital Heart Disease Program The Heart Center at Nationwide Children s Hospital & The Ohio State University Single Ventricle Defects Normal Heart Structure The heart normally
The Patterns and Public Health Impact of Heart Defects in Texas Pediatric Cardiac Care Conference VI Dell Children s Medical Center, Feb.
The Patterns and Public Health Impact of Heart Defects in Texas Pediatric Cardiac Care Conference VI Dell Children s Medical Center, Feb. 7-8, 2013 Mark Canfield, Ph.D. Manager, Birth Defects Epidemiology
25 Anomalies and Diseases of the Fetal Heart
270 25 Anomalies and Diseases of the Fetal Heart Epidemiology and Indications for Fetal Echocardiography Epidemiologic Aspects It is generally known that approximately 15 20% of pregnancies in the second
Section Four: Pulmonary Artery Waveform Interpretation
Section Four: Pulmonary Artery Waveform Interpretation All hemodynamic pressures and waveforms are generated by pressure changes in the heart caused by myocardial contraction (systole) and relaxation/filling
Congenital Heart Defects. Wendi S Redfern MSN, RN, ACNS-BC Unit Based APN PICU
Congenital Heart Defects Wendi S Redfern MSN, RN, ACNS-BC Unit Based APN PICU Objectives To have an introductory understanding of congenital heart defects To verbalize the clinical indices of inadequate
Normal Intracardiac Pressures. Lancashire & South Cumbria Cardiac Network
Normal Intracardiac Pressures Lancashire & South Cumbria Cardiac Network Principle Pressures recorded from catheter tip Electrical transducer - wheatstone bridge mechanical to electrical waveform display
ACYANOTIC HEART DEFECTS
ACYANOTIC HEART DEFECTS Acyanotic congenital heart defects may be due to obstructive lesions (stenosis) or left-to-right shunts. Lesions with left-to-right shunts include atrial septal defect, ventricular
Normal & Abnormal Intracardiac. Lancashire & South Cumbria Cardiac Network
Normal & Abnormal Intracardiac Pressures Lancashire & South Cumbria Cardiac Network Principle Pressures recorded from catheter tip Electrical transducer - wheatstone bridge mechanical to electrical waveform
Chapter 9. The Cardiovascular System
Chapter 9 The Cardiovascular System Objectives Describe the anatomy of the heart and vascular systems. State the key characteristics of cardiac tissue. Calculate systemic vascular resistance given mean
Disclosures. Not as Pink as You Think 3/17/2014. Not As Pink As You Think: Pulse Oximetry Screening For Critical Congenital Heart Disease
March of Dimes New York State Chapter 36th Annual Perinatal Nurses Conference Promoting Perinatal Health Through Evidence Based Practice Not As Pink As You Think: Pulse Oximetry Screening For Critical
ANESTHESIA FOR PATIENTS POST CHD REPAIR
ANESTHESIA FOR PATIENTS POST CHD REPAIR ABDULLAH HALAWANI, MBBS, FRCPC. Consultant CVT Anesthesiologist Head, Section of Pediatric Anesthesia KFSH & RC, Riyadh 1 Congenital Heart Disease (CHD) is one of
Nutrition in Paediatric Cardiology. Karen Hayes Paediatric Dietitian Addenbrooke s Hospital
Nutrition in Paediatric Cardiology Karen Hayes Paediatric Dietitian Addenbrooke s Hospital Topics Who needs Nutrition support? Energy Requirements Meeting Energy and growth requirements Feeding Issues
Fellow TEE Review Workshop Hemodynamic Calculations 2013. Director, Intraoperative TEE Program. Johns Hopkins School of Medicine
Fellow TEE Review Workshop Hemodynamic Calculations 2013 Mary Beth Brady, MD, FASE Director, Intraoperative TEE Program Johns Hopkins School of Medicine At the conclusion of the workshop, the participants
Chromosome Syndromes associated with Congenital Heart Defects
National Birth Defects Prevention Network (NBPDN)/NBDPS Annual Meeting Feb. 26-29. 2012 Arlington, VA Chromosome Syndromes associated with Congenital Heart Defects Angela E. Lin, MD, FAAP, FACMG Associate
The Society of Thoracic Surgeons Adult Cardiac Surgery Database V2.73
The Society of Thoracic Surgeons Adult Cardiac Surgery Database V2.73 Congenital Diagnoses And Procedures Lists January 14, 2011 Table of contents: Congenital Diagnoses (by category)... 1 Congenital Procedures
Cardiac Catheterization in Patients with Pulmonary Hypertension
Cardiac Catheterization in Patients with Pulmonary Hypertension Russel Hirsch, M.D. And James Tarver, M.D. Cincinnati Chldren s Hospital Medical Center And Orlando Heart Center Disclosures Russel Hirsch
Cardiac Cycle. All events associated with the flow of blood through the heart during one complete heart beat. Approx 0.83sec if heart rate is 72 bpm
Cardiac Cycle All events associated with the flow of blood through the heart during one complete heart beat Approx 0.83sec if heart rate is 72 bpm Cardiac Cycle 2 Periods Diastole/Systole 4 Phases Ventricular
Management of the Patient with Aortic Stenosis undergoing Non-cardiac Surgery
Management of the Patient with Aortic Stenosis undergoing Non-cardiac Surgery Srinivasan Rajagopal M.D. Assistant Professor Division of Cardiothoracic Anesthesia Objectives Describe the pathophysiology
Acute myocardial infarction, of other anterior wall, episode of care unspecified
ICD-9 Description 395.0 Rheumatic aortic stenosis 395.1 Rheumatic aortic insufficiency 395.2 Rheumatic aortic stenosis with insufficiency 395.9 Other and unspecified rheumatic aortic diseases 396.0 Mitral
Congenital heart defects
CONGENITAL ANOMALY REGISTER & INFORMATION SERVICE COFRESTR ANOMALEDDAU CYNHENID Congenital heart defects Cardiovascular defects are by far the commonest major group of congenital anomalies. Development
CTA OF THE EXTRACORONARY HEART
CTA OF THE EXTRACORONARY HEART Charles White MD Director of Thoracic Imaging Department of Radiology University of Maryland NO DISCLOSURES CWHITE@UMM.EDU CARDIAC CASE DISTRIBUTION Coronary CTA 30% ED chest
HEART MURMURS THROUGHOUT CHILDHOOD
HEART MURMURS THROUGHOUT CHILDHOOD Frances R. Zappalla, D.O. Nemours Cardiac Center A.I. du Pont Hospital for Children Wilmington, DE Definition: HEART MURMURS An extra abnormal heart sound usually detected
Heart Pump and Cardiac Cycle. Faisal I. Mohammed, MD, PhD
Heart Pump and Cardiac Cycle Faisal I. Mohammed, MD, PhD 1 Objectives To understand the volume, mechanical, pressure and electrical changes during the cardiac cycle To understand the inter-relationship
Pulse Oximetry Screening for Critical Congenital Heart Disease (CCHD): Early WA Experience. Jim Ramsay Children s Cardiac Centre Perth
Pulse Oximetry Screening for Critical Congenital Heart Disease (CCHD): Early WA Experience Jim Ramsay Children s Cardiac Centre Perth Overview of Presentation WA Oximetry Screening Origins Critical CHD
Cardiovascular System
Cardiovascular System Major Jobs of the CV system? Transport O 2 & nutrients to tissues Removal of waste Helps regulate body temperature 1 A Coupled Unit Circulatory & Respiratory systems work TOGETHER
PULMONARY ARTERY CATHETERIZATION
PULMONARY ARTERY CATHETERIZATION Introduction Pulmonary artery catheters (PAC) provide measured and derived pressure and flow variables of the systemic and pulmonary circulations. Some parameters include
Extrauterine Transition Umbilical cord clamped and respirations initiated, increased PaO2 levels cause:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 PEDIATRIC CARDIOLOGY Nursing 210 Extrauterine Transition Umbilical cord clamped and respirations initiated, increased PaO2 levels cause: Cardiac Defects 8% of newborn are
Role of imaging: Insights from the cardiac catheterization?
History and Clinical Presentation of Hypertrophic Cardiomyopathy Role of imaging: Insights from the cardiac catheterization? Stavros Hadjimiltiades MD, FACC, FACP Associate Professor in Cardiology Focal
The Pattern of Congenital Heart Disease among Neonates Referred for Echocardiography
Bahrain Medical Bulletin, Vol. 36, No. 2, June 2014 ABSTRACT The Pattern of Congenital Heart Disease among Neonates Referred for Echocardiography Hussain Al Khawahur, MD* Hussain Al Sowaiket, MD** Thuria
Coarctation of the Aorta
Coarctation of the Aorta A GUIDE TO HELP UNDERSTAND YOUR BABY S HEART PROVIDED BY THE Center for Advanced Fetal Care the Fetal Heart Program Medical Center Table of Contents This guide will help you understand
Presentation of Congenital Heart Disease in the Neonate and Young Infant
Presentation of Congenital Heart Disease in the Neonate and Young Infant Article cardiology Michael Silberbach, MD,* David Hannon, MD Author Disclosure Drs Silberbach and Hannon did not disclose any financial
The ABC s of Heart Disease
William Herring, M.D. 2003 The ABC s of Heart Disease In Slide Show mode, to advance slides, press spacebar or click left mouse button William Herring, M.D. Albert Einstein Medical Center Philadelphia,
Heart Disorders Glossary
Heart Disorders Glossary ABG (Arterial Blood Gas) Test: A test that measures how much oxygen and carbon dioxide are in the blood. Anemia: A condition in which there are low levels of red blood cells in
1p36 and the Heart. John Lynn Jefferies, MD, MPH, FACC, FAHA
1p36 and the Heart John Lynn Jefferies, MD, MPH, FACC, FAHA Director, Advanced Heart Failure and Cardiomyopathy Services Associate Professor, Pediatric Cardiology and Adult Cardiovascular Diseases Associate
Heart Failure EXERCISES. Ⅰ. True or false questions (mark for true question, mark for false question. If it is false, correct it.
Heart Failure EXERCISES Ⅰ. True or false questions (mark for true question, mark for false question. If it is false, correct it. ) 1. Heart rate increase is a kind of economic compensation, which should
HYPOPLASTIC LEFT HEART SYNDROME
HYPOPLASTIC LEFT HEART SYNDROME What is HLHS? HLHS is the one of the most challenging and complex form of congenital heart diseases. Without treatment, this defect is usually fatal within the first weeks
Diagnostic: Right / Left Heart Catheterization
Table 2. Diagnostic Procedures Report Content. For each procedure, the content listed under the header corresponds to content placed in Box 1 on the prototype report. Content listed under the header corresponds
CURRICULUM VITAE MUTHU JOTHI
CURRICULUM VITAE MUTHU JOTHI Nationality: Indian Date of Birth: 2 st April 965 Residential Address: A-32 Mayflower Shakthi Gardens Nanjundapuram Road, Coimbatore Pin :64036 Phone: 0(9)422-2325532 Mobile
Transposition of the Great Arteries
Description and Epidemiology Transposition of the Great Arteries Transposition of the Great Arteries (TGA) is a cyanotic congenital heart defect in which the aorta arises from the right ventricle and the
Confirmed CCHD What next?
Confirmed CCHD What next? Herbert J. Stern MD, FACC, FSCAI Children s Cardiology Associates and Dell Children s Hospital Catheter Based Therapy: Spectrum of Procedures Tear PFO to enhance mixing (D-TGA)
Congenital Heart Disease. Mary Rummell, RN, MN, CPNP, CNS Clinical Nurse Specialist Pediatric Cardiology/Cardiac Surgery
Congenital Heart Disease Mary Rummell, RN, MN, CPNP, CNS Clinical Nurse Specialist Pediatric Cardiology/Cardiac Surgery Objectives The learner will: Identify 3 areas in the developing heart that result
MR Imaging of Congenital Heart Disease
Clinical Cardiovascular MRI MR Imaging of Congenital Heart Disease Vivek Muthurangu, M.D.; Michael Hansen, M.D.; Andrew M. Taylor, M.D. UCL Institute of Child Health & Great Ormond Street Hospital for
CARDIAC CYCLE systole diastole Isovolumic contraction Ejection
CARDIAC CYCLE The cardiac cycle is a period from the beginning of one heart beat to the beginning of the next one. It consists of two parts: 1. Ventricular contraction called systole. 2. Ventricular relaxation
The Cardiac Cycle. Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.
The Cardiac Cycle Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.com) Page 1. Introduction The cardiac cycle includes all the events related
Anaesthesia and Heart Failure
Anaesthesia and Heart Failure Andrew Baldock, Specialist Registrar, Southampton University Hospitals NHS Trust E mail: ajbaldock@doctors.org.uk Self-assessment The following true/false questions may be
Congenital Heart Defects Project in the Kingdom of Saudi Arabia Genetic and Environmental risk factors
Kingdom of Saudi Arabia King Abdulaziz City for Science and Technology General Director of Research Grants Programs LGP - 23 6 Congenital Heart Defects Project in the Kingdom of Saudi Arabia Genetic and
Heart Sounds & Murmurs
Cardiovascular Physiology Heart Sounds & Murmurs Dr. Abeer A. Al-Masri MBBS, MSc, PhD Associate Professor Consultant Cardiovascular Physiologist Faculty of Medicine, KSU Detected over anterior chest wall
Hypoplastic Left Heart Syndrome (HLHS)
Hypoplastic Left Heart Syndrome (HLHS) Hypoplastic left heart syndrome (HLHS) is a severe congenital heart defect in which the left side of the heart (mitral valve, left ventricle, aortic valve, and aorta)
Circulatory Systems III
Circulatory Systems III Mammals & Birds Mammals & Birds Atrioventricular (AV) valves: located between atrias and ventricles and ensure one-way flow Right AV valve = tricuspid valve Left AV valve = bicuspid
Pulmonary and Systemic Circuits. Path of Blood Flow. Heart Anatomy. Heart valves
Pulmonary and Systemic Circuits Heart: double pumps pulmonary circuit short, low-pressure circulation systemic circuit long, high-friction circulation Trace the flow of blood to & away from the heart P:4
Objectives. The ECG in Pulmonary and Congenital Heart Disease. Lead II P-Wave Amplitude during COPD Exacerbation and after Treatment (50 pts.
The ECG in Pulmonary and Congenital Heart Disease Gabriel Gregoratos, MD Objectives Review the pathophysiology and ECG signs of pulmonary dysfunction Review the ECG findings in patients with: COPD (chronic
THE CARDIAC CYCLE. Describe Cardiac Functional Anatomy (including a review of blood flow and valves) Understand the Wiggers Diagram of Cardiac Cycle
Objectives: THE CARDIAC CYCLE Identifying Factors which affect heart rate Describe Cardiac Functional Anatomy (including a review of blood flow and valves) Understand the Wiggers Diagram of Cardiac Cycle
Normal and Abnormal. Heart Rate and Blood Pressure. Signs and Symptoms. Abnormal HR and BP responses. Normal Peak Blood Pressures.
Normal and Abnormal Exercise Response Potential Measurements Signs and symptoms Heart rate and blood pressure EKG Cardiac output, stroke volume VO2 Anaerobic threshold O2 pulse Systolic time interval Skin
Mr GH: Pericardial Window. Anaesthetic Management of Cardiac Tamponade
Mr GH: Pericardial Window Anaesthetic Management of Cardiac Tamponade Mr GH 56 yo M HOPCx Asbestosis, adenoca R lung 8/52 6/52 cisplatin/ taxol chemo Weekly pleural taps for effusions Sent from Bendigo
Congenital Diaphragmatic Hernia By Dr. N. Robert Payne
The following material was developed prior to RGA s acquisition on January 1, 2010 of the Group Reinsurance Business formerly formerly owned owned by ReliaStar by Life ReliaStar Insurance Life Company
Assessment of Right Ventricle, Tricuspid Valve, and Pulmonary Artery Pressures
Assessment of Right Ventricle, Tricuspid Valve, and Pulmonary Artery Pressures April17, 2015 Lily Zhang Assistant Professor of Medicine Baylor College of Medicine Importance of RV Dysfunction in Various
What is echo? CHAPTER 1 1.1 BASIC NOTIONS. Ultrasound production and detection
What is echo? CHAPTER 1 1.1 BASIC NOTIONS Echocardiography (echo) the use of ultrasound to examine the heart is a safe, powerful, non-invasive and painless technique. Echo is easy to understand as many
Cardiac Disorders of the Newborn
Cardiac Disorders of the Newborn Lance A. Parton, MD, FAAP Associate Director Regional NICU Maria Fareri Children s Hospital at Westchester Medical Center Professor of Pediatrics OB/Gyn, Anesthesiology
1 Congestive Heart Failure & its Pharmacological Management
Harvard-MIT Division of Health Sciences and Technology HST.151: Principles of Pharmocology Instructor: Prof. Keith Baker 1 Congestive Heart Failure & its Pharmacological Management Keith Baker, M.D., Ph.D.
Congenital & Acquired Heart Defects. Cindi Mockel RN, MSN, PHN, FNP
Congenital & Acquired Heart Defects Cindi Mockel RN, MSN, PHN, FNP Review Of The Heart and Circulation: Fetal Circulation Oxygenated blood in the umbilical vein travels through the fetal liver through
Pediatric Heart Murmurs. Benton Ng Clinical Assistant Professor Stead Family Department of Pediatrics Division of Cardiology
Pediatric Heart Murmurs Benton Ng Clinical Assistant Professor Stead Family Department of Pediatrics Division of Cardiology Disclosures I have no disclosures Objectives Heart sounds Systolic murmurs Diastolic
016 // Right Heart Disease
016 // Right Heart Disease CONTENTS 150 Basics of Pulmonary Hypertension 152 Echo Assessment of Pulmonary Hypertension 155 Disease of the Right Ventricle 155 Right Ventricular Infarction 156 Right Ventricular
Hemodynamic assessment prior to closure of heart defects in presence of pulmonary hypertension
Hemodynamic assessment prior to closure of heart defects in presence of pulmonary hypertension Krishna Kumar Pediatric Cardiology SevenHills Hospital Mumbai, Vishakhapatnam India Hemodynamic assessment
Dynamic Auscultation of Heart Sounds and Murmurs. Acknowledgement. Disclosures Real or Potential Conflicts of Interest
Dynamic Auscultation of Heart Sounds and Murmurs W. Lane Edwards, Jr., MSN, ARNP, ANP Hospitalist Group of Southwest Florida Affiliate Professor of Nursing, University of Alaska at Anchorage Acknowledgement
Auscultation of the Heart
Review of Clinical Signs uscultation of the Heart Series Editor: Bernard Karnath, MD Bernard Karnath, MD William Thornton, MD uscultation of the heart can provide clues to the diagnosis of many cardiac
Definitions. Child LifeAdvance. Critical Illness Insurance Plan
Definitions Child LifeAdvance Critical Illness Insurance Plan Child LifeAdvance This is specimen wording only and is not binding. In the event of any inconsistency between the information contained in
Cardiovascular Disease
Cardiovascular Disease Certification Examination Blueprints Blueprint for the Full Day, Multiple Choice Questions Component of the Exam: Purpose of the exam The exam is designed to evaluate the knowledge,
Screening for Critical Congenital Heart Disease in the Apparently Healthy Newborn
Screening for Critical Congenital Heart Disease in the Apparently Healthy Newborn A presentation of Texas Pulse Oximetry Project: A Joint Educational Initiative of The University of Texas Health Science
Prenatal Diagnosis of Congenital Heart Disease
Prenatal Diagnosis of Congenital Heart Disease Pei-NiJone, MD a, Kenneth O. Schowengerdt, Jr., MD b, * KEYWORDS Fetal echocardiography Prenatal diagnosis Neonatal heart disease Fetal echocardiography,
2
This educational slide module includes notes and diagrams of slides to be used in presenting the concepts of volumetric monitoring using the Edwards Vigilance monitoring system. This system provides the
Facts about Congenital Heart Defects
Facts about Congenital Heart Defects Joseph A. Sweatlock, Ph.D., DABT New Jersey Department of Health Early Identification & Monitoring Program Congenital heart defects are conditions that are present
HEART DISEASE IN THE YOUNG CHARLES S. KLEINMAN, M.D.
CHAPTER 20 HEART DISEASE IN THE YOUNG CHARLES S. KLEINMAN, M.D. INTRODUCTION Congenital heart defects are relatively rare; seriously debilitating heart abnormalities rarer still. Approximately 8 babies
Birth Defects Included in Maine s Reportable List
Birth Defects Included in Maine s Reportable List Central Nervous System Anencephalus - Partial or complete absence of the brain and skull. Spina Bifida without Anencephalus - Incomplete closure of the
Doc, I Am Fine, But I Have A Cardiac Condition
Doc, I Am Fine, But I Have A Cardiac Condition Nevine Mahmoud, MD John Ludtke, MD Maj, USAFR, MC, FS RAM Class 2014 Wright State University Boonshoft School of Medicine Division of Aerospace Medicine Dayton,
Introduction to CV Pathophysiology. Introduction to Cardiovascular Pathophysiology
Introduction to CV Pathophysiology Munther K. Homoud, MD Tufts-New England Medical Center Spring 2008 Introduction to Cardiovascular Pathophysiology 1. Basic Anatomy 2. Excitation Contraction Coupling
Pediatric Congenital Cardiac Surgery
Pediatric Congenital Cardiac Surgery in New York State 2006 2009 New York State Department of Health October 2011 Members of the New York State Cardiac Advisory Committee Chair Spencer King, M.D. Executive