RJS How and why the heart goes wrong
RJS What there is to go wrong
RJS How and why the heart goes wrong VALVES MUSCLE VESSELS ELECTRICS
RJS How and why the heart goes wrong MUSCLE VALVES VESSELS ELECTRICS
RJS How and why the heart goes wrong
RJS How and why the heart goes wrong
RJS How and why the heart goes wrong MUSCLE Malformed connections holes Cardiomyopathy hypertrophic dilated restrictive Hypertensive disease Remodelling
RJS How and why the heart goes wrong VALVES Congenital malformed Acquired rheumatic fever infective endocarditis trauma degenerative floppy senile calcification
RJS Heart Valve lesions Mitral stenosis Aortic stenosis Pulmonary stenosis Tricuspid stenosis Prosthetic stenosis Mitral regurgitation Aortic regurgitation Pulmonary regurgitation Tricuspid regurgitation Prosthetic regurgitation
RJS
MS echo
RJS Aortic Stenosis - aetiology Congenital – bicuspid valve Acquired –Rheumatic –Senile/degenerative
RJS Aortic stenosis
RJS Echo AS
RJS AR - xray
RJS AR - Echo
RJS How and why the heart goes wrong VESSELS Malformed Atheromatous disease stenosis narrowing myocardial ischaemia angina occlusion blockage myocardial infarction dilatation aneurysmal dissection
RJS
How and why the heart goes wrong ELECTRICS Malformed inadequate connection excessive connection Molecular instability Degenerative Bystander MI, infection, cardiomyopathy
RJS
Sinus node disease
RJS AV node disease Complete (3rd degree) heart block
RJS What there is to go wrong
RJS Atrial flutter
RJS Atrial fibrillation
RJS What there is to go wrong
RJS AV nodal re-entry tachycardia
RJS What there is to go wrong
RJS Ventricular tachycardia
RJS Torsades de Pointes
RJS Rhythm Strip During Episode of Sudden Death
RJS Implanatable defibrillator in-situ
RJS How and why the heart goes wrong
RJS
How and why the heart goes wrong
RJS 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)
RJS Mitral regurgitation – pathophysiology Leaking mitral valvevalve LV emptying LV filling LV dilatation LV stretch contractile failuremuscle LA pressure LA stretch Atrial arrhythmia (atrial fibrillation)electrics Thrombo-embolic risk –stroke (cerebrovascular accident) –heart attack (myocardial infarct)vessels