ALSO SHOW A SIGMOID SEPTUM OR SHAPPED VENTRICULAR SEPTUM (SSVS)CAN
OCCUR TO A NORMAL ADULT HEART AND INCREASES W AGE...HEART WITH
(SSVS)ARE NOT HYPERTHROPIED..PROVABLY DOES NOT RESULT IN OBSTRUCTION
TO THE LVOT BUT,BECAUSE ITS TO CLOSE TO THE MV,BECOME OBSTRUCTIVE WHEN
THE MV IS REPLASEDBY AN ARTIFICIAL BALL VALVE.. .THE CONDITION
DEVELOPS AS THE RESULT OF PHYSIOLOGIC DECREASE IN (CO)CARDIAC OUTPUT
WHICH OCCUR IN AGING PEOPLE.THIS DECREASE IN CO LEADS IN TURN TO A
SHRINKING OF THE IV CAVITY..

ATRIAL FIBRILLATION..IS A COMON ARRHYTHMIA REFERED AS PATIENT WITH
ELECTRICAL OR CHEMICAL CARDIOVERSION..DUE TO A PROLONGED DILATATION IN
THE LEFT ATRIUM...(AF) CAUSE A LOST OF THE ATRIAL
KICK(SYSTOLE)CONSCUENCES?? DECREASE IN (CO)CRDIAC OUTPUT(NORMAL 5L/MIN
5,000ML/M)...LA THROMBOSIS/STASIS OF BLOOD...PULMONARY HYPERTENTION
(NORMAL RANGE 30-35MMHG CALCULATED BY BERNOULLI EQUATION AP=4X
V2...BEFORE ADDING THE UNIVERSAL VALUE 10 MMHG TAKE A LOOK OF THE IVC
AND MEASURE DILATATION AND IF THE IVC IT COLLAPSE MORE THAN 50%...::))