…when medical therapy is insufficient, or when concomitant valvular disease (e.g mitral stenosis) requires intervention. Valve replacement can be performed with biological or mechanical…

…Risk factors for calcification overlap with risk factors for coronary heart disease (atherosclerosis). The average age at diagnosis of aortic stenosis is 75 years in…

…of which are rheumatic heart disease, congenital malformations, radiation complications, metastases, myxoma, cardiac thrombi, etc (Table 1). Most causes of mitral stenosis yield a progressive…

…Rheumatic heart disease typically results in thickening of the leaflets and may coexist with mitral stenosis. Idiopathic degeneration (Barlow's disease), degeneration associated with connective…

…adherence, pregnancy after the first trimester under specialist care). Rheumatic mitral stenosis with atrial fibrillation. In uncomplicated atrial fibrillation and in ordinary venous thromboembolism, a…

…The pulmonary, aortic and mitral valve must also be evaluated, particularly in the setting of rheumatic valvular disease. The regurgitation is considered severe if the…

…bacterial, protozoal, fungal, parasitic), autoimmune processes (giant cell myocarditis, sarcoidosis, rheumatic heart disease, connective tissue disease, eosinophilic myocarditis), toxins (alcohol, cocaine, cancer therapies), or physical…

…unrecognized inflammatory disease. Epidemiology and disease specific patterns Patients with inflammatory rheumatic disease have a higher cardiovascular risk than the general population. This excess risk…

…depression. Sinus tachycardia. Refer to Figure 1 . Figure 1. Electrical alternans in patient with cardiac tamponade. The ECG shows varying QRS and T wave amplitudes.

…of pulmonic stenosis. Tetralogy of Fallot Transposition of the great arteries) Dysplastic, bicuspid or unicuspid pulmonary valve Noonan syndrome : 60% of all individuals with Noonan…

…develops if the cardiac output is insufficient. Aortic regurgitation may cause myocardial ischemia because cardiac output diminishes in parallel with increasing myocardial load (and hence…

…as well as carotid sinus hypersensitivity, can also result in bradycardia with syncope. Carotid sinus hypersensitivity (CSH) is an exaggerated response to carotid sinus baroreceptor…

…recent cervical spine surgery, atlantoaxial instability, severe rheumatoid arthritis of the neck. Symptomatic carotid stenosis, recent stroke or TIA in the vertebrobasilar territory. Retinal detachment…

…of pulmonary involvement in systemic disease, for example rheumatoid arthritis or scleroderma, and during treatment with pulmonary toxic drugs. Contraindications Forced expiration raises the pressure…

…the emergency situation. Consider alternatives when: Intubation is not consistent with the treatment plan — check any decision to limit treatment when time allows. There is…

…ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency can cause necrosis and, in the worst case, amputation…

…Female specific or female predominant factors associated with later cardiovascular risk include: Premature menopause Premature ovarian insufficiency Hypertensive disorders of pregnancy Preeclampsia Preterm delivery Gestational…

…The most common causes are as follows: Rheumatoid arthritis (RA) Systemic Lupus Erythematosus (SLE) Acute myocardial infarction (AMI) Post infarction (including Dressler syndrome) Uremia Radiation…