Measurement of right ventricular outflow tract (RVOT) acceleration time, the time between the onset of flow and peak flow velocity. Acceleration time is.

Slides:

Advertisements

Similar presentations

Fig 39 Tetralogy of Fallot.

Advertisements

In a more severe dissection there can be complete occlusion of the internal carotid artery. The patient above has a normal common carotid artery (CCA)

Automatisms with preserved responsiveness were observed exclusively during seizures arising from the right nondominant temporal lobe. They were not observed.

Some examples of glass capillary viscometers (A) and a schematic diagram showing measurement of time of flow between two points (1 and 2) in a viscometer.

A. In the parasternal long-axis view, the aortic valve (Ao) is anterior. There is lack of fibrous continuity between the atrioventricular valve and the.

Reproduced with permission from Albert MA, Ridker PM

Acute irritant contact dermatitis on the hand due to an industrial solvent There is massive blistering on the palm. Source: Eczema/Dermatitis, Fitzpatrick's.

Two-dimensional echocardiogram from a patient with severe hypertrophic cardiomyopathy. There is a severe increase in left ventricular wall thickness, with.

The tracing shown was observed at EP study in a young man without evidence of heart disease. What is the likely mechanism of tachycardia for both the narrow.

Paralysis or weakness of all extremities, plus all bulbar musculature: Corticobulbar and corticospinal tracts bilaterally Source: Cerebrovascular Diseases,

Kawasaki disease Cherry-red lips with hemorrhagic fissures, in a little boy with prolonged high fever. This child also had a generalized morbilliform eruption,

A child presenting with high fever, refusal to eat, and sores in the mouth. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 3. Infectious Diseases,

Large cell undifferentiated carcinoma of lung

Incidence of CIN2 and 3 and cervical cancer

(Copied with permission from: Latson, L. A. , & Prieto, L. R. (2007)

ACLS algorithm for bradycardia

Adapted from Weiss et al. J Am Coll Cardiol. 1998;31:

Recording of fetal heart rate and uterine activity

Pathophysiology of esophageal reflux disease

In certain patients with the long QT syndrome, potassium channel function is reduced (diagonal arrows), which leads to prolongation of the action potential.

Ludwig Rehn, a surgeon from Frankfurt, Germany, who performed the first successful suture of a human heart wound. (Reproduced with permission from Mead.

Perioral dermatitis Preferential location on the chin but also on the lower eyelids in a 64-year-old woman. At this age, differential diagnosis includes.

Parasternal long axis view of a different patient with a severely dilated aortic root (7 cm) who presented with congestive heart failure from chronic AR.

Molluscum contagiosum Occasionally, a lesion of molluscum contagiosum may grow to as large as 3 cm in diameter. Two photos of such “giant mollusca” are.

Nine patterns of inflammatory skin disease. (See also Table 8–1.)

Diagnostic algorithm for normocytic anemia.

Angiosarcoma. (A) The dermis has been largely replaced by highly atypical cells in this patient with angiosarcoma. (B) Malignant cells form bizarre vascular.

The LifeStat system is an example of a piston compression device

Complications of left ventricular assist devices (LVADs)

A. In monopolar electrosurgery, current from an electrosurgical generator passes from an active electrode (the “Bovie” tip) through the patient to a return.

Atrial flutter terminated with radiofrequency ablation

Illustration of a 36-year-old woman with dextrocardia, a ventricular septal defect (VSD), double-outlet right ventricle, and pulmonary atresia. At 13 years.

A 24-year-old male presented with hypertension following renal transplant. (A) Spectral Doppler sonogram of transplant renal artery at site of anastomosis.

Negative-feedback control systems

(Used with permission from Lichtman’s Atlas of Hematology, www

Coccidioidomycosis This disease, caused by the dimorphic fungus Coccidioides immitis, is endemic to the southwestern United States and parts of Central.

Average annual number of dengue fever/dengue hemorrhagic fever cases reported to the World Health Organization and average annual number of countries reporting.

Recommended algorithm for perioperative management of patients with pulmonary arterial hypertension (PAH) secondary to congenital heart disease (CHD) in.

Schematic representation of the main divisions of the respiratory tract. (Reproduced, with permission, from Junqueira LC, Carneiro J: Basic Histology:

The exact pathogenesis of atopic dermatitis remains a mystery

Herpes zoster A 67-year old Chinese female with dermatomal zoster in L-mandibular branch of the trigeminal nerve. Bullae, vesicle, and erosions are seen.

Ulcerative colitis. Note the continuous segment of mucosal erythema extending from the distal aspect of the specimen (right of image). This pattern of.

In diastolic dysfunction, the diastolic pressure-volume relationship is shifted upward and to the left (dashed line), which leads to an elevated left ventricular.

A: Congenital bicuspid aortic valve, producing isolated aortic stenosis. In this young adult, the aortic valve is calcified (black arrow). The left ventricular.

Electrical conducting system of the heart

Small bowel Crohn disease.

Different patient with left calf muscle rupture misdiagnosed as calf vein thrombosis. Following anticoagulation, the left calf became very tense, painful,

Varicose veins A. There are meandering and convoluted irregular varicose veins on the thigh of a 70-year-old man who also had lipodermatosclerosis and.

Autoimmune disease, such as autoimmune thyroiditis, and malignancy are extremely rare causes. In the child with chronic urticaria, it is often difficult.

Ventricular assist device (VAD) patient in action

Folliculitis, shown in Fig

Hair growth cycle Diagrammatic representation of the changes that occur to the follicle and hair shaft during the hair growth cycle. A. Anagen (growth.

Apical 4 chamber view after transplantation using a bicaval technique

Phase-encoded velocity mapping

Color Doppler demonstrating high-velocity flow through the narrow aortic valve in a fetus with aortic stenosis. Source: Aortic Stenosis, Fetology: Diagnosis.

(Adapted and reprinted with permission, from Hughes JM et al: Effect of lung volume on the distribution of pulmonary blood flow in man. Respir Physiol.

Juvenile rheumatoid arthritis Faint erythematous, urticarial plaques on the torso of a child. Source: Section 17. Autoimmune Connective Tissue Diseases,

Varicose veins, manifested as blue, subcutaneous, tortuous veins more than 3 mm in diameter. (Used, with permission, from Dean SM, Satiani B, Abraham WT.

Adapted with permission from Hsia, J et al

(A) CT Angiogram, 3D volume rendering of Stanford Type B aortic dissection extending from just distal to left subclavian artery origin into the abdominal.

This infant developed typical arcuate lesions on the face

Testing the first MTP joint motion. (From Dutton M

Venous Doppler ultrasound for DVT

Computed tomography (CT) scan of CC-TGA. A

Chest radiograph cardiac enlargement, with prominence of the pulmonary artery, right atrium, and right ventricle, in a patient with primary pulmonary hypertension.

Guideline for approaching the differential diagnosis of pulmonary hypertension. CHD, congenital heart disease; CO, cardiac output; CT, contrast-enhanced.

Spina bifida occulta. The arrows point to a swelling above the buttocks. (From Waxman SG. Clinical Neuroanatomy. 26th ed.

(A) A Sinus venous defect with partial anomalous pulmonary venous return. (B) The pulmonary veins are baffled to the left atrium with native pericardium.

Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.

Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.

Presentation transcript:

Measurement of right ventricular outflow tract (RVOT) acceleration time, the time between the onset of flow and peak flow velocity. Acceleration time is usually greater than 100 ms, and values less than that (especially <80 ms) are suggestive of elevated pulmonary vascular resistance. Source: PULMONARY HYPERTENSION IN ADULTS WITH CONGENITAL HEART DISEASE, Color Atlas and Synopsis of Adult Congenital Heart Disease Citation: Daniels CJ, Zaidi AN. Color Atlas and Synopsis of Adult Congenital Heart Disease; 2016 Available at: http://accesscardiology.mhmedical.com/DownloadImage.aspx?image=/data/books/1829/danadult_ch9_f004.png&sec=127336308&BookID=1829&ChapterSecID=127336297&imagename= Accessed: October 23, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved