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Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…consequences include left ventricular hypertrophy, left atrial enlargement, and abnormalities of diastolic filling. Mitral regurgitation may develop through papillary muscle displacement, annular dilatation, or both…

Assessment of the pupillary reflex in cardiac arrest

…sign of brain death. However, the absence of pupillary light reflex immediately post cardiac arrest is more equivocal. Various pharmaceutical agents, including epinephrine—administered to…

Management of bradycardia (bradyarrhythmia)

…ECG monitoring D Disability AVPU: Alert Voice responsive Pain responsive Unresponsive Limb movements Pupillary light reflexes Blood glucose E Exposure Identify signs of heart failure…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…Ventricular free wall rupture, producing haemopericardium and cardiac tamponade. Papillary muscle rupture, producing acute severe mitral regurgitation (MR). These complications result from transmural myocardial necrosis…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…Other causes include acute mechanical complications—particularly ventricular septal defect (VSD) and papillary muscle rupture with acute severe mitral regurgitation—predominant right ventricular (RV) infarction…

Cardiac tumors

…primary cardiac tumors are benign. Among adults, most of them are myxomas and next papillary fibroelastoma is most common. Among children, rhabdomyoma is most common…

Intraventricular conduction delay: bundle branch blocks & fascicular blocks

…the septum. Purkinje fibers are branched off from the right bundle branch at the level of the origin of the anterior papillary muscle. A network…

Mitral regurgitation

…heart disease) Rheumatic valve disease Endocarditis Congenital mitral regurgitation Amyloidosis SLE Hypertrophic obstructive cardiomyopathy (HOCM) Rupture of papillary muscle Rupture of chordae tendineae Figure 1…

Mitral valve stenosis

…mitral valve The leaflets are connected to the papillary muscles via chordae tendineae (Figure 1). The anterolateral papillary muscle receives blood supply from the left…

Standard Transthoracic Echocardiogram: Complete Imaging Protocol

…Thus, with regards to measuring ventricular dimensions, trabeculae and papillary muscles are considered part of the left ventricular cavity. Other dimensions– including atrial dimensions, mitral…

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