... the archi- tecture of the anatomic distribution of cardiac muscle fibers. The double spiral that constitutes the three-dimensional (3-D) architecture of the heart permits a shortening of 15% of ... the myocytes in a complex array of fibers forming the 3-D architecture of the wall and coordinating the delivery of forces generated by myocytes. These forces ar...
Ngày tải lên: 11/08/2014, 15:20
THE ROLE OF SURGERY IN HEART FAILURE - PART 10 potx
... lifetime therapy should the heart not recover. If a transplant candidate’s heart improves during LVAD unloading, there is the option for device removal instead of transplantation. In the future ... exist. The LVAD sustains life, whereas the patient’s re- sponse determines the clinical course. For in- stance, non–transplant-eligible patients may be salvaged with a tempora...
Ngày tải lên: 11/08/2014, 17:20
THE ROLE OF SURGERY IN HEART FAILURE - part 2 pps
... condition, but the annual mortality from diastolic heart fail- ure ranges from 5% to 15% , and admission rate for recurrent heart failure is 50 % within the first 6 months [1–4]. The remaining 50 % to 70% of ... shortage of donor hearts. Currently, the mainstay of heart failure treatment is pharmacologic and includes angiotensin converting enzyme inhibitors, angio- t...
Ngày tải lên: 11/08/2014, 15:20
THE ROLE OF SURGERY IN HEART FAILURE - part 3 pptx
... there is a change in clinical status. However patients who have bio- prosthetic valves may be considered for annual echocardiography after the first 5 years in the ab- sence of a change in clinical ... prosthetic valve depends upon the type, size, and position of the prosthesis as well as the cardiac output; guidelines are available for the ac- ceptable range of Doppl...
Ngày tải lên: 11/08/2014, 15:20
THE ROLE OF SURGERY IN HEART FAILURE - part 4 ppsx
... correction of mitral regurgitation. In the event of spontaneous or inducible ventricu- lar tachycardia, cryotherapy was also applied to the edges of the resection (50 % of cases). Between development of ... greater than 25 mm Hg [53 ]. One third of the cases had mitral regurgitation requiring repair. A balloon in ated to the theoretic diastolic capacity of the p...
Ngày tải lên: 11/08/2014, 15:20
THE ROLE OF SURGERY IN HEART FAILURE - part 6 doc
... per year with the annual in- cidence of AMI at 8 65, 000. Total-mention mortal- ity due to coronary heart disease is 653 ,000 per year, making coronary heart disease the largest killer of Americans ... result of emerging knowl- edge, new procedures, and technical advances. This article addresses the pathophysiology, the treat- ment options, and their rationale in the s...
Ngày tải lên: 11/08/2014, 15:20