This document discusses a case of a 20-year-old woman who developed a large mechanical heart valve thrombosis after stopping anticoagulation during pregnancy and childbirth. 3D echocardiography clearly showed the large thrombus blocking the valve. She was referred for urgent valve replacement surgery. The document then provides 3 key take home messages: 1) Obstructive mechanical valve thrombosis should be suspected in patients with symptoms and inadequate anticoagulation and urgent surgery is often needed. 2) Younger patients require careful consideration of valve type due to risks of each. 3) Anticoagulation regimens during pregnancy aim to balance risks of thrombosis and bleeding but require strict control and monitoring.
This official textbook of the European Association of Echocardiography (EAE) serves the educational requirements of cardiologists and all clinical medical professionals, underpinning the structural training in the field in accordance with EAE aims and goals, and reflecting the EAE Core Syllabus.
An unusual heart coping with a dysfunctional prosthetic valve (at least once ...escardio
A 45-year-old female presented with severe shortness of breath and was found to have a dysfunctional mechanical mitral valve prosthesis implanted 10 years ago. Transesophageal echocardiography revealed the monoleaflet valve was only opening intermittently every two or three beats due to limited motion. Surgery found pannus tissue extending from the valve annulus obstructing leaflet opening. Pannus is fibroelastic tissue ingrowth from the annulus that can obstruct prosthetic valves. Differentiating pannus and thrombus is important for determining appropriate treatment as pannus requires surgery while thrombus may be treated with thrombolysis.
A pregnant women with valvular heart diseaseescardio
This document presents the case of a 28-year-old pregnant woman with known but uninvestigated valvular heart disease. Echocardiography revealed severe mitral regurgitation with mild mitral stenosis and mild aortic regurgitation. Close monitoring during pregnancy showed the condition was well tolerated without treatment. A multidisciplinary team recommended vaginal delivery with monitoring due to the risks of cardiac surgery during pregnancy. Delivery was successful at term with a healthy baby. The key messages were that regurgitant valve disease can be tolerated in pregnancy if left ventricular function is normal, cardiac surgery should be avoided, and multidisciplinary management including delivery planning is important.
Aortic Regurgitation secondary to RCC prolapseescardio
A 38-year-old man was referred for evaluation of dyspnea. Echocardiography revealed severe aortic regurgitation due to prolapse of the right coronary cusp. Transoesophageal echocardiography confirmed moderate to severe left ventricular dilation with mildly impaired systolic function and prolapse of the right coronary cusp causing an eccentric regurgitant jet. The patient underwent aortic valve replacement with a mechanical prosthesis due to failure to correct the prolapse with repair.
This document discusses a case of a 20-year-old woman who developed a large mechanical heart valve thrombosis after stopping anticoagulation during pregnancy and childbirth. 3D echocardiography clearly showed the large thrombus blocking the valve. She was referred for urgent valve replacement surgery. The document then provides 3 key take home messages: 1) Obstructive mechanical valve thrombosis should be suspected in patients with symptoms and inadequate anticoagulation and urgent surgery is often needed. 2) Younger patients require careful consideration of valve type due to risks of each. 3) Anticoagulation regimens during pregnancy aim to balance risks of thrombosis and bleeding but require strict control and monitoring.
This official textbook of the European Association of Echocardiography (EAE) serves the educational requirements of cardiologists and all clinical medical professionals, underpinning the structural training in the field in accordance with EAE aims and goals, and reflecting the EAE Core Syllabus.
An unusual heart coping with a dysfunctional prosthetic valve (at least once ...escardio
A 45-year-old female presented with severe shortness of breath and was found to have a dysfunctional mechanical mitral valve prosthesis implanted 10 years ago. Transesophageal echocardiography revealed the monoleaflet valve was only opening intermittently every two or three beats due to limited motion. Surgery found pannus tissue extending from the valve annulus obstructing leaflet opening. Pannus is fibroelastic tissue ingrowth from the annulus that can obstruct prosthetic valves. Differentiating pannus and thrombus is important for determining appropriate treatment as pannus requires surgery while thrombus may be treated with thrombolysis.
A pregnant women with valvular heart diseaseescardio
This document presents the case of a 28-year-old pregnant woman with known but uninvestigated valvular heart disease. Echocardiography revealed severe mitral regurgitation with mild mitral stenosis and mild aortic regurgitation. Close monitoring during pregnancy showed the condition was well tolerated without treatment. A multidisciplinary team recommended vaginal delivery with monitoring due to the risks of cardiac surgery during pregnancy. Delivery was successful at term with a healthy baby. The key messages were that regurgitant valve disease can be tolerated in pregnancy if left ventricular function is normal, cardiac surgery should be avoided, and multidisciplinary management including delivery planning is important.
Aortic Regurgitation secondary to RCC prolapseescardio
A 38-year-old man was referred for evaluation of dyspnea. Echocardiography revealed severe aortic regurgitation due to prolapse of the right coronary cusp. Transoesophageal echocardiography confirmed moderate to severe left ventricular dilation with mildly impaired systolic function and prolapse of the right coronary cusp causing an eccentric regurgitant jet. The patient underwent aortic valve replacement with a mechanical prosthesis due to failure to correct the prolapse with repair.
This document discusses left atrial thrombus in patients with rheumatic mitral stenosis. It finds that 26-33% of patients with severe mitral stenosis have left atrial thrombi, which are associated with a higher risk of embolic events. The document classifies different types of left atrial thrombi and examines determinants of thrombus formation like atrial fibrillation, left atrial size, and severity of mitral stenosis. It recommends anticoagulation to reduce thromboembolic risk, noting studies have found anticoagulation facilitates thrombus resolution.
A 75-year-old man with a history of HIV, kidney disease, and heart disease was admitted for pacemaker implantation. Initially, only mild tricuspid regurgitation was observed. However, 6 months later, severe right heart failure developed and echocardiography showed severe tricuspid regurgitation. 3D echocardiography revealed that the pacemaker lead was impeding closure of the tricuspid valve, causing iatrogenic functional tricuspid regurgitation. The pacemaker lead was responsible for incomplete coaptation of the tricuspid valve leaflets, a rare but severe complication of pacemaker implantation.
This document discusses guidelines for performing tricuspid valve surgery. It notes that 30-50% of patients who undergo isolated mitral valve replacement later develop moderate or severe tricuspid regurgitation. The document recommends considering combined tricuspid valve surgery during left-sided valve surgery if the tricuspid regurgitation grade is greater than 2/4 or the tricuspid annular diameter is 40mm or larger, in order to prevent late tricuspid regurgitation and right ventricular dysfunction. A strategy based on both tricuspid regurgitation grade and annular diameter is associated with better outcomes than one based on regurgitation grade alone.
This document describes the case of a 20-year-old woman who had a mechanical valve replacement in 2010 and became pregnant in 2012. During her pregnancy, she was treated with vitamin K antagonists until week 36 when she switched to heparin. After delivery, anticoagulation was stopped for several days due to hemorrhaging, which led to a large prosthetic valve thrombosis. She was referred to the authors' center and found to have an obstructive prosthetic valve thrombosis based on echocardiography imaging. She underwent urgent valve replacement surgery. The document concludes with recommendations on managing mechanical valve thrombosis and anticoagulation regimens during pregnancy.
Здоровый образ жизни - это образ жизни, основанный на принципах нравственности, рационально организованный, активный, трудовой, закаливающий и, в то же время, защищающий от неблагоприятных воздействий окружающей среды, позволяющий до глубокой старости сохранять нравственное, психическое и физическое здоровье. Здоровый и духовно развитый человек счастлив - он отлично себя чувствует, получает удовлетворение от своей работы, стремится к самоусовершенствованию, достигая неувядающей молодости духа и внутренней красоты.
технологии, сберегающие здоровье в современном детском садуВалерия Кулеш
Представляется опыт работы по развитию здорового образа жизни через использование программ физкультурно-оздоровительной направленности по формированию мотиваций и навыков здорового образа жизни.Данный материал предназначен для воспитателей, инструкторов по физической культуре в дошкольных учреждениях, так какприобщение человека к ЗОЖ следует начинать с формирования у него мотивации здоровья. Презентация содержит практический материал, который может быть использован, как конкретный инструментарий при реализации здоровьесберегающей деятельности и призван обеспечить доступность новейших практико-ориентированных разработок, способствующих повышению качества образования.Предложенные программы «Мяч в игре», «Йога для дошколят», «Степ-аэробика», «Скандинавская ходьба»,«Баскетбол для детей» являютсяодними из средств всестороннего развития ребенка-дошкольника. Созданные программынаправленнына расширение диапазона двигательных возможностей детей, на работу по развитию двигательных качеств, формированию правильных элементов бега, прыжков, подаче мяча, освоение основных поз – асанов, изучение мудр (йога для пальцев) и т.д., а также на развитие морально-волевых качеств, эмоционального состояния. Формирование правильной осанки, профилактика плоскостопия, укрепление систем организма соответствует оздоровительной направленности.
Мы надеемся, что представленные программы могут быть полезны как опробованный и эффективный инструментарий по данной теме.
10. Цель обучения дошкольников плаванию- содействие их
оздоровлению и закаливанию, обеспечение всесторонней
физической подготовки.
11. Купание, плавание, игры и развлечения на воде
благотворно воздействуют на все системы организма.
12. Вот так мы выполняем упражнение
«стрела» на спине
13. Согласованный ритм работы мышц и органов дыхания,
горизонтальное положение тела способствуют
.
равномерной циркуляции крови, улучшают вентиляцию
легких, закрепляют навык глубокого и ритмичного
дыхания, содействуют росту и укреплению костной ткани.
14. Плавание оказывает благотворное действие на нервную систему,
позволяет предупредить возникновение различных заболеваний.
Жду каждого ребенка на своих занятиях.
С уважением инструктор по плаванию Орлова Т.С.
