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If medications are not effective enough, procedures such as implanting a pacemaker, cardioverter-defibrillator (ICD), or a left ventricular assist device (LVAD), heart valve surgery, and coronary bypass surgery may be needed. [3] The last resort treatment option would be a complete heart transplant.
Coronary artery ectasia is characterized by an increased wall stress of the vessel, thinning of the arterial wall which causes progressive dilation and remodelling of the vessel. [2] The permanent dilation of the artery is thought to be mainly caused by inflammation, triggered by disease, chemicals, or physical stress of the vessel. [3]
An important potential finding with echo is McConnell's sign, where only the RV apex wall contracts; [7] it is specific for right heart strain and typically indicates a large PE. [8] On an electrocardiogram (ECG), there are multiple ways RV strain can be demonstrated. A finding of S1Q3T3 [b] is an insensitive [10] sign of right heart strain. [11]
Clots that develop on the right side of the heart may travel to the lungs, a dangerous condition called a pulmonary embolism. Heart murmur: Two of the heart's four valves – the mitral and tricuspid valves – may become dilated and not close properly, leading to a backflow of
Dilated cardiomyopathy (DCM) is a condition in which the heart becomes enlarged and cannot pump blood effectively. [3] Symptoms vary from none to feeling tired, leg swelling , and shortness of breath . [ 2 ]
The right ventricle is one of the four chambers of the heart. It is located towards the right lower chamber of the heart and it receives deoxygenated blood from the right upper chamber (right atrium) and pumps blood into the lungs. Since RVH is an enlargement of muscle it arises when the muscle is required to work harder.
The underlying commonality in these disease states is an increase in pressures that the ventricles experience. For example, in tetralogy of Fallot, the right ventricle is exposed to the high pressures of the left heart due to a defect in the septum; as a result the right ventricle undergoes hypertrophy to compensate for these increased pressures.
Coronary artery aneurysm is an abnormal dilatation of part of the coronary artery. This rare disorder occurs in about 0.3–4.9% of patients who undergo coronary angiography . [ 2 ]