Cardiomyopathy is a group of disease that affect the heart muscle. Early on there may be few or no symptoms. As the disease worsens, shortness of breath, feeling tired, and swelling of legs may occur, due to the onset of heart failure. An irregular heart beat and fainting may occur.
Cardiomyopathy is a disease of the heart muscles that makes it harder for your heart to pump blood to the rest of your body. Cardiomyopathy can lead to heart failure.
According to the structural and functional abnormalities of the heart muscle
Dilated cardiomyopathy
Hypertrophic cardiomyopathy
Restrictive cardiomyopathy
Arrhythmogenic right ventricular cardiomyopathy
Unclassified cardiomyopathy
Cardiomyopathy is a group of disease that affect the heart muscle. Early on there may be few or no symptoms. As the disease worsens, shortness of breath, feeling tired, and swelling of legs may occur, due to the onset of heart failure. An irregular heart beat and fainting may occur.
Cardiomyopathy is a disease of the heart muscles that makes it harder for your heart to pump blood to the rest of your body. Cardiomyopathy can lead to heart failure.
According to the structural and functional abnormalities of the heart muscle
Dilated cardiomyopathy
Hypertrophic cardiomyopathy
Restrictive cardiomyopathy
Arrhythmogenic right ventricular cardiomyopathy
Unclassified cardiomyopathy
a clinical syndrome that results from inadequate tissue perfusion.
Hypovolemic shock - Blood or fluid loss, both leading to a decreased circulating blood volume, diastolic filling pressure, and volume.
Cardiogenic shock - due to cardiac pump failure related to loss of myocardial contractility/functional myocardium or structural/mechanical failure of the cardiac anatomy and characterized by elevations of diastolic filling pressures and volumes
Extra-cardiac/obstructive shock - due to obstruction to flow in the cardiovascular circuit and characterized by either impairment of diastolic filling or excessive afterload
Distributive shock - caused by loss of vasomotor control resulting in arteriolar/venular dilatation leading to a decrease in preload, with decreased, normal, or elevated cardiac output, depending on the presence of myocardial depression.
commonly used for medical students, and helpful to use this ppt to study for them, and also a common man can understand very easily what is coarctation of aorta.
A case of missed diagnosis. Presentation can be in form of heart failure. Differentials can be of Constrictive pericarditis. Restrictive cardiomyopathy/Endomyocardial fibrosis, DCM. This presentation contains clinical presentation, differentials, hemodynamics of cath study, echocardiogrpahy in a case of CP
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
MATATAG CURRICULUM: ASSESSING THE READINESS OF ELEM. PUBLIC SCHOOL TEACHERS I...NelTorrente
In this research, it concludes that while the readiness of teachers in Caloocan City to implement the MATATAG Curriculum is generally positive, targeted efforts in professional development, resource distribution, support networks, and comprehensive preparation can address the existing gaps and ensure successful curriculum implementation.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
2. 46 YOF with a pmhx notable
for metastatic
adenocarcinoma of the breast
presents with 3 days
increasing dyspnea with
exertion and generalized
weakness. She denies chest
pain, cough/congestion, any
fevers/chills. She is currently
between chemotherapeutic
courses and is not currently
undergoing radiation
treatment. She presents
awake/alert, in no respiratory
distress.
T 97.7 P 105 BP 110/80
O2 96% RR 20
Gen: WDWN, thin
CV: Tachycardic, RR,
Pulm: Lungs CTA bilat,
chest wall shows left-
sided mastectomy.
Neck – no JVD, trachea
midline
Abd – s/nt/nd
Ext – warm, no cy/cl/ed
3.
4. -Pericardial effusion causes an enlarged heart shadow that is often globular
shaped (transverse diameter is disproportionately increased).
-A lateral film and close-up of a pericardial effusion showing the anterior
mediastinal fat (blue arrows) and epicardial fat (red arrows) separated by a
soft tissue stripe ( "fat pad" sign) reflecting the pericardial effusion seen
edge-on.
5. Oxygen
IV Fluid resuscitation
Treatment consists of emergency pericardiocentesis
when there is hemodynamic compromise.
Admission for management of underlying disease state
vs. intervention to address fluid collection.
6. Diagnosis
Although an effusion is often described as producing a globular-shaped
heart, it is usually not possible to differentiate a pericardial effusion from
cardiac enlargement on a chest radiograph
Approximately 250 ml of fluid must be in the pericardium to lead to a
detectable change in the size of the heart shadow on PA CXR
small effusions (100–200 mL) may not cause cardiomegaly even though
they can cause tamponade when they accumulate rapidly or when the
pericardial membrane is stiffened from fibrosis
Pericardial effusion can be definitively diagnosed with either
echocardiography (can be bedside in the emergency department in the
critically ill patient patient) or CT
7. Presentation
In the postoperative patient a pericardial effusion can be a sign of bleeding,
necessitating a return to the OR.
Beck's triad (1) systemic hypotension, (2) elevated systemic venous
pressure, and (3) muffled heart sounds is typical of acute tamponade which
may be due to abrupt intrapericardial hemorrhage from penetrating
trauma, invasive cardiac procedures, or rupture of an ascending aortic
dissection or myocardial infarction. The complete triad is rarely
present
Tamponade has a spectrum of presentations ranging from circulatory
collapse to mildly reduced cardiac output with symptoms of dyspnea and
chest or abdominal discomfort depending on the rate of fluid
collection.
8. Other findings
Pulsus paradoxicus, an accentuated fall in the systolic pulse
pressure (>10 mm Hg) during inspiration, is not present in one-
quarter of patients with tamponade.
EKG in the setting of tamponade often shows sinus rhythm with
low voltage (QRS amplitude in the limb leads <5 mm) suggestive
of tamponade physiology.
Electrical alternans, a more specific sign of tamponade occurs
when there is a very large pericardial effusion in which the heart
swings during cardiac contraction causing a beat-to-beat variation
in the EKG axis (QRS amplitude).
9. Echocardiogram (long axis left parasternal
view) confirming a moderate pericardial
effusion (1 cm thickness) both anterior and
posterior to the heart (arrows).
10. EKG showing low voltage in the limb
leads (<5 mm). There is slight beat-
to-beat variation in the QRS
amplitude of leads V1, V4 and V5
(electrical alternans).
EKG after pericardiocentesis and
drainage of the pericardial effusion
showing increased QRS amplitude.