Archive | October, 2012

Noncompaction Cardiomyopathy (NCCM)

 Isolated non-compaction cardiomyopathy (INCCM) and its typical echocardiographic appearance were first described in 1984 by Engberding and Bender.  INCCM is a heart-muscle disorder that is still little known among physicians.  In a study of children with primary cardiomyopathy of all types, NCCM was present in 9.2%. It was thus the third most common type of […]

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European Society of Cardiology (ESC) Guidelines on the management of valvular heart disease (version 2012)

   A great number of guidelines have been issued in recent years by the European Society of Cardiology (ESC) as well as by other societies and organizations. Because of their impact on clinical practice, quality criteria for the development of guidelines have been established, in order to make all decisions transparent to the user. The […]

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Valve Prosthesis–Patient Mismatch

The concept/phenomenon of valve prosthesis/patient mismatch (VP–PM) was first described in 1978.  All prosthetic heart valves have some degree of VP–PM. The original paper (in 1978) that described valve prosthesis–patient mismatch (VP–PM) stated that “Mismatch can be considered to be present when the effective prosthetic heart valve area, after insertion into the patient, is less […]

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HRT cuts down cardiovascular risk by 50%

A new randomized Danish study, published online October 9, 2012 in BMJ, showed that hormone-replacement therapy (HRT) in postmenopausal women, with a mean age of 50, significantly reduced the risk of the combined end point of mortality, myocardial infarction, or heart failure. Healthy 1006 women aged 45 to 58 who were recently postmenopausal or had […]

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55-year old male with chest pain.

The following ECG was taken from a  55-year old male who presented to the ER with 2-hour history of persistent heavy discomfort across the anterior chest with radiation to the neck. Risk factors: Positive family history (father had MI at age 52); hypertension; dyslipidemia. Medications: Nifedipine XL 30 mg daily and atorvastatin 10 mg daily. Physical examination: Heart […]

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What is new about premature atrial contractions?

  Premature atrial contractions (PACs) occur in the majority of people aged over 50, and their frequency is independently associated with a number of risk factors.   PACs are very common and we normally say they are benign and tell the patient not to worry about them. This message should not change.  It has been known that […]

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Wolff-Parkinson-White Syndrome

The heart has 4 chambers that pump blood. The 2 upper chambers are the right and left atria, and the 2 lower chambers are the right and left ventricles. The heart also has an electric system that directs the coordinated beating of these 4 chambers. A schematic drawing of the normal heart structure and electric […]

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Questions if you are considering a heart surgery!

What to ask your cardiologist… What   is coronary artery disease? How many heart vessels are blocked? What   are my treatment options and what are the risks and benefits of each? Why   are you recommending this treatment over the others? What   lifestyle changes will I need to make and what community resources […]

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Hypertrophic Cardiomyopathy (HCM)

Hypertrophic cardiomyopathy is a condition where the heart muscle becomes thickened. The symptoms that develop depend on the severity of the condition. The treatment depends on the type of symptoms you have and whether complications develop. Some people need no treatment. Most cases are hereditary so screening of close family members is advised. What happens […]

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Medication after a Heart Attack (Myocardial Infarction)

  If you have had a myocardial infarction (a heart attack), it is common to be advised to take four medicines for the rest of your life. These are: aspirin (or similar), a beta-blocker, an ACE inhibitor and a statin. These medicines are likely to improve your outlook. Also, an additional antiplatelet medicine (e.g. Plavix) may […]

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