An 82 year -old male presented with two days of progressive abdominal pain and worsening dyspnea. His systolic blood pressure was 85 mmHg. EKG Showed deep precordial ST depression with Q waves in inferior leads. Cardiac Catheterization: He underwent an emergent cardiac catheterization which showed two vessel coronary artery disease [distal right coronary artery (RCA)thrombotic […]
Echocardiography is the key diagnostic tool used for determination of rheumatic valvular disease. Carpentier’s type IIIa is the most common dysfunction seen in patients with rheumatic mitral valve. The characteristic lesions are commissural fusion with or without calcification, leaflet thickening / retraction, and chordae fusion and shortening. The hemodynamic consequence of this valvular dysfunction is […]
During the second half of the 20th century the improvement in the socio-economic situation and the widespread use of antibiotics led to the eradication of rheumatic fever in developed countries. In contrast, the incidence of this disease has remained extremely high in non-industrialized countries. Today, rheumatic fever still remains the principle cause of valvular heart […]
Posted on: 21 November 2011 | 5:29 am
Chronologic Approach http://ping.fm/GcAqi
Posted on: 18 November 2011 | 11:33 pm
Diagnostic Tools Diagnostic tools such as sphygmography, X-ray, electrocardiogram, cardiac catheterization and more recently echocardiography. For each technology, we have provided the developmental background and then analyzed their applications in the diagnosis of the diseases of the mitral valve. This section covers primarily an era extending from the mid 19th century to the seventh decade […]
Chronologic approach the development of knowledge of the structure and function of the heart, circulatory system and subsequently the diseases of the heart with a particular emphasis on the mitral valve. In this section we analyze the work of major contributors from the European Renaissance until the end of the 19th century. Briefly, the 16th […]
