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How and why the heart goes wrong

How and why the heart goes wrong. What there is to go wrong. How and why the heart goes wrong. VALVES MUSCLE VESSELS ELECTRICS. How and why the heart goes wrong. MUSCLE VALVES VESSELS ELECTRICS. How and why the heart goes wrong. How and why the heart goes wrong.

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How and why the heart goes wrong

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  1. How and why the heart goes wrong

  2. What there is to go wrong

  3. How and why the heart goes wrong VALVES MUSCLE VESSELS ELECTRICS

  4. How and why the heart goes wrong MUSCLE VALVES VESSELS ELECTRICS

  5. How and why the heart goes wrong

  6. How and why the heart goes wrong

  7. How and why the heart goes wrong • MUSCLE • Malformed • connections • holes • Cardiomyopathy • hypertrophic • dilated • restrictive • Hypertensive disease • Remodelling

  8. How and why the heart goes wrong • VALVES • Congenital • malformed • Acquired • rheumatic fever • infective endocarditis • trauma • degenerative • floppy • senile calcification

  9. Mitral stenosis Aortic stenosis Pulmonary stenosis Tricuspid stenosis Prosthetic stenosis Mitral regurgitation Aortic regurgitation Pulmonary regurgitation Tricuspid regurgitation Prosthetic regurgitation Heart Valve lesions

  10. MS echo

  11. Aortic Stenosis - aetiology • Congenital – bicuspid valve • Acquired • Rheumatic • Senile/degenerative

  12. Aortic stenosis

  13. Echo AS

  14. AR - xray

  15. AR - Echo

  16. How and why the heart goes wrong • VESSELS • Malformed • Atheromatous disease • stenosis • narrowing • myocardial ischaemia • angina • occlusion • blockage • myocardial infarction • dilatation • aneurysmal • dissection

  17. How and why the heart goes wrong • ELECTRICS • Malformed • inadequate connection • excessive connection • Molecular • instability • Degenerative • Bystander • MI, infection, cardiomyopathy

  18. Sinus node disease

  19. AV node disease Complete (3rd degree) heart block

  20. What there is to go wrong

  21. Atrial flutter

  22. Atrial fibrillation

  23. What there is to go wrong

  24. AV nodal re-entry tachycardia

  25. What there is to go wrong

  26. Ventricular tachycardia

  27. Torsades de Pointes

  28. Rhythm Strip During Episode of Sudden Death

  29. Implanatable defibrillator in-situ

  30. How and why the heart goes wrong

  31. How and why the heart goes wrong

  32. Mitral regurgitation – pathophysiology • Leaking mitral valve •  LV emptying •  LV filling •  LV dilatation • LV stretch  contractile failure •  LA pressure • LA stretch • Atrial arrhythmia (atrial fibrillation) • Thrombo-embolic risk • stroke (cerebrovascular accident) • heart attack (myocardial infarct)

  33. Mitral regurgitation – pathophysiology • Leaking mitral valve valve •  LV emptying •  LV filling •  LV dilatation • LV stretch  contractile failure muscle •  LA pressure • LA stretch • Atrial arrhythmia (atrial fibrillation) electrics • Thrombo-embolic risk • stroke (cerebrovascular accident) • heart attack (myocardial infarct) vessels

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