HNOCM
added by Emmel
Add Video To Your Social Bookmarks!
Video Information
(87) |
(12) |
(3)
Added: 19-12-2011
Runtime: 0m 10s
Views: 2977
Comments: 1 Current Rating:
(3 Votes)
Runtime: 0m 10s
Views: 2977
Comments: 1 Current Rating:
(3 Votes)
Description
about 60 y old patient was admitted to our icu with typical clinical afflictions of ACS. Condition after transaortale septal myectomy in the case of HOCM for years. Actually we saw a distinct LV-hypertrophy with midventricular gradient dependent on heart rate. In LVOT we could found a notable acceleration of flow but NO SAM or midsystolic closure of aortic valve. Under the therapy with volume and beta-blocker (esmolol) we could see a rapidly haemodynamic improvement. DON´T give that patient inotropics in cases of haemodynamic instability! What do you think about? Make it sense to implantate a DDD-pacemaker to reach an asynchronous stimulation of the heart (with asynchronous contraction behavour/ cycle of right and left ventricle) to moderate the ventricular gradients?
about 60 y old patient was admitted to our icu with typical clinical afflictions of ACS. Condition after transaortale septal myectomy in the case of HOCM for years. Actually we saw a distinct LV-hypertrophy with midventricular gradient dependent on heart rate. In LVOT we could found a notable acceleration of flow but NO SAM or midsystolic closure of aortic valve. Under the therapy with volume and beta-blocker (esmolol) we could see a rapidly haemodynamic improvement. DON´T give that patient inotropics in cases of haemodynamic instability! What do you think about? Make it sense to implantate a DDD-pacemaker to reach an asynchronous stimulation of the heart (with asynchronous contraction behavour/ cycle of right and left ventricle) to moderate the ventricular gradients?
Endocarditis of aortic prosthesis with dehiscence
Runtime: 1m:-0s
Comments: 0
Views: 4081
From: Emmel
Runtime: 1m:-0s
Comments: 0
Views: 4081
From: Emmel
abnormal tricuspid chord in a case of turner syndrom
Runtime: 1m:3s
Comments: 0
Views: 3007
From: magehana47
Runtime: 1m:3s
Comments: 0
Views: 3007
From: magehana47
Channels:
Tags:
Copyright (c) 2006-2013 Cardiac Echoes and TEEs | EchoJournal. All rights reserved.
JORG I WANNA CONGRATULATE WITH YOU NOT ONLY FOR THIS EDUCATIONAL VIDEO
BASED CASE BUT MAINLY FOR THE DIAGNOSTIC APPROACH TO THIS CASE . I
RARELY MEET IN MY BEDSIDE ACTIVITY CLINICIANS AND I MEAN ....NAMELY
CARDIOLOGISTS WHO ARE ABLE TO HANDLE IN A SUCH COMPREHENSIVE MANNER
CARDIOVASCULAR ISSUES IN ICU SETTING
THIS SHOULD BE NOT ONLY A
PLATFORM TO SHARE IMAGES BUT IN MY HUMBLE OPINION A PLATFORM WHERE W
SHOULD SHARE THOUGHTS AND OPINIONS BESIDE THE ECHOCARDIOGRAM STUDY PER
SE ... SO TO SPEAK
WELL DONE JORG , WAY TO GO AND KEEP ON THIS
WAY