ischemic cardiomyopathy
added by Emmel
ischemic cardiomyopathy
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Added: 24-02-2013
Runtime: 0m 33s
Views: 1970
Comments: 4 Current Rating:
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Runtime: 0m 33s
Views: 1970
Comments: 4 Current Rating:
Not yet rated
(0 Votes)
Description
about 65 y old patient with dyspnoe; a coronary disease is known, condition after surgical myocardial revascularisation in the 80´s. In TTE you can see a distinct decrease of myocardial funktion with septo-apical akinesia. In cardia catheter there is no chance for improve the coronary state. optimal medical therapy is established. We will implantate an AICD, no LBBB, so no indication for CRT-D to improve the clinical afflictions. Do you have some experiences with cardiac contractility modulation? Do you think that patient could have any benefit with this therapeutical option?
about 65 y old patient with dyspnoe; a coronary disease is known, condition after surgical myocardial revascularisation in the 80´s. In TTE you can see a distinct decrease of myocardial funktion with septo-apical akinesia. In cardia catheter there is no chance for improve the coronary state. optimal medical therapy is established. We will implantate an AICD, no LBBB, so no indication for CRT-D to improve the clinical afflictions. Do you have some experiences with cardiac contractility modulation? Do you think that patient could have any benefit with this therapeutical option?
Endocarditis of aortic prosthesis with dehiscence
Runtime: 1m:-0s
Comments: 0
Views: 4118
From: Emmel
Runtime: 1m:-0s
Comments: 0
Views: 4118
From: Emmel
massive mitral valve insufficiency with giant left atrium
Runtime: 0m:44s
Comments: 1
Views: 8602
From: Emmel
Runtime: 0m:44s
Comments: 1
Views: 8602
From: Emmel
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Hello Pablo!
Very good idea with the treatment of mitral
valve insufficiency. Recently we have some good results with mitral
valve clipping to improve the clinical afflictions (I posted two vids:
before and after clipping).
Maybe that patients could have a
benefit of that treatment.
Best wishes and thanks a lot for that
hints!!!
Jörg.
Big left filling pressure! Some treatment to mitral valve is posible?
Hello Pablo!
You are right, there is - in my opinion - a right
heart dysfunction. Approach to PAPdiastol. and PAPmean measured by
pulmonary insufficiency is: PAPd about 18 mmHg + CVP, PAPmean about 45
mmHg + CVP.
I think, that we have reach the end of cardiac
disease, maybe.
Best wishes,
Jörg.
Amazing clip. Nice pulmonary regurgitation jet! Do you measure
diastolic pulmonary artery pressure with it? RV have systolic function
problems too?