137 results match your criteria murmur decrease


High risk of cardiovascular side effects after treatment of Hodgkin's lymphoma - is there a need for intervention in long-term survivors?

Ups J Med Sci 2021 15;126. Epub 2021 Feb 15.

Department of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.

Background: Hodgkin lymphoma (HL) patients have a good prognosis after adequate treatment. Previous treatment with mantle field irradiation has been accompanied by an increased long-term risk of cardiovascular disease (CVD). This study identified co-morbidity factors for the development of cardiovascular side effects and initiated an intervention study aimed to decrease morbidity and mortality of CVD in HL survivors. Read More

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February 2021

Infective bicuspid aortic valve endocarditis causing acute severe regurgitation and heart failure: A case report.

World J Clin Cases 2021 Feb;9(5):1221-1227

Department of Cardiology, Peking University People's Hospital, Beijing 100044, China.

Background: Infective endocarditis (IE) is an uncommon but potentially life-threatening infection, which occasionally develops into acute severe valve insufficiency leading to the onset of heart failure, and necessitates timely intervention. However, the variable and atypical clinical manifestations always make the early detection of IE difficult and challenging.

Case Summary: A 45-year-old female who was previously healthy presented with exertional shortness of breath and paroxysmal nocturnal dyspnea. Read More

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February 2021

A clinical case of single left ventricle in a Holstein calf.

J Vet Med Sci 2021 Apr 9;83(4):609-612. Epub 2021 Feb 9.

Veterinary Medical Center, Graduate School of Agriculture and Life Science, The University of Tokyo, Tokyo 113-8657, Japan.

A 15-day-old Holstein calf with lethargy and tachypnea presented to the Veterinary Teaching Hospital at Obihiro University of Agriculture and Veterinary Medicine for evaluation of suspected congenital heart defect. A Levine grade 6 systolic murmur was noted at right apical site auscultation and phonocardiogram also recorded systolic a murmur. Electrocardiography findings include increased R and S waves, R wave split, and negative T waves without arrhythmia. Read More

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Surgical repair for canine tricuspid valve dysplasia: Technique and case report.

J Vet Cardiol 2021 Feb 10;33:34-42. Epub 2020 Nov 10.

Department of Clinical Sciences, Colorado State University, Fort Collins, CO, USA.

Tricuspid valve dysplasia (TVD) is a congenital malformation of the right atrioventricular valve characterized by restricted leaflet motion, annular dilation, and tricuspid regurgitation (TR). Severe cases typically exhibit progressive right-sided congestive heart failure, affecting the quality of life and survival. This article describes a technique for surgical repair of TVD and a case report with long-term follow-up. Read More

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February 2021

Culture-negative endocarditis with neurologic presentations and dramatic response to heparin: a case report.

BMC Infect Dis 2020 Jul 6;20(1):476. Epub 2020 Jul 6.

Cardiologist, Tehran, Iran.

Background: Blood culture-negative endocarditis (BCNE) is diagnosed in 2-7% of patients with infective endocarditis (IE) and recent antibiotic use is a known risk factor. Altered mental status may be a presenting symptom. Besides empiric antibiotics, intravenous anticoagulation using heparin may have a role in the management of such patients. Read More

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Pooled analysis of 1270 infective endocarditis cases in Turkey.

J Infect Dev Ctries 2019 02 28;13(2):93-100. Epub 2019 Feb 28.

Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Ege University, Bornova, Izmir, Turkey.

Introduction: Despite developments in medicine, infective endocarditis (IE) is still associated with significant morbidity and mortality. In this study it was aimed to systematically review the infective endocarditis literature published or presented from Turkey.

Methods: To find the published series, one national database (Ulakbim), and three international databases (Scopus, Pubmed and Sci-e) were searched between 31 October-3 November 2014. Read More

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February 2019

Impact of Clinician Engagement on Implementation of the Pediatric Echocardiography Appropriate Use Criteria.

Pediatr Cardiol 2020 Mar 14;41(3):553-560. Epub 2020 Jan 14.

Division of Pediatric Cardiology, Department of Pediatrics at Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TN, USA.

We sought to determine whether awareness of the pediatric appropriate use criteria (AUC) affected transthoracic echocardiogram (TTE) ordering by cardiologists; evaluate for differences in classification of an encounter's AUC clinical scenario by investigator chart review compared with clinicians at the time of the encounter; and assess TTE yield by appropriateness rating. AUC clinical scenario(s) were assigned to patients without prior TTE by investigator chart review of visits in 2014 (n = 209) and 2016 (n = 199), and by clinician classification in 2016 (n = 671). Investigators documented TTE utilization and findings. Read More

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Case report: systolic murmur associated with pulmonary embolism.

Int J Emerg Med 2019 Nov 6;12(1):32. Epub 2019 Nov 6.

Evangelical Community Hospital, 1 Hospital Drive, Lewisburg, 17837, PA, USA.

Background: This case study's novelty lies in the potential to link a new sign in pulmonary embolism diagnosis which does not increase cost but could lead to more rapid treatment. Early intervention in these cases is vital to decrease morbidity and mortality.

Case Presentation: An otherwise healthy 20-year-old female patient presents to the emergency department for evaluation of a syncopal episode which occurred just prior to arriving to the emergency department. Read More

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November 2019

A case report of tuberculous chylothorax.

Medwave 2019 Jun 19;19(5):e7655. Epub 2019 Jun 19.

Centro de Excelencia para el Manejo de Tuberculosis Luz Caviedes Rojas, Hospital Regional Docente de Trujillo, Trujillo, Perú.

Tuberculous chylothorax is a rare infectious disease that occurs when the thoracic duct is obstructed. Treatment is directed to the tuberculosis infection. A 55-year-old male, driver, born in Trujillo (Peru) is admitted to the emergency department with increasing dyspnea and a 5-day dry cough. Read More

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Clinicopathologic findings of naturally occurring Rabbit Hemorrhagic Disease Virus 2 infection in pet rabbits.

Vet Clin Pathol 2019 Mar 12;48(1):89-95. Epub 2019 Mar 12.

Centro Veterinario Los Sauces, Madrid, Spain.

Two pet rabbits were presented with an acute decrease in appetite and activity. Rabbit 1 showed severe hypothermia, bradycardia, arrhythmias, a heart murmur, dyspnea, occlusion of the nares with secretions, icterus, dehydration, and gaseous gastrointestinal dilation. The urine was dark yellow. Read More

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Heart failure due to aorto-right atrial fistula and successful treatment with percutaneous closure.

Turk Kardiyol Dern Ars 2019 01;47(1):60-62

Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey.

Aorto-atrial fistula is a rare anomaly of the heart that may be the result of congenital or acquired conditions, such as bacterial endocarditis, paravalvular abscess, aortic dissection, or a complication of cardiac surgery. A 50-year-old female patient presented at the clinic with the complaint of dyspnea and abdominal distention due to ascites. On admission, her functional capacity was New York Heart Association (NYHA) class III. Read More

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January 2019

Aortic dissecting aneurysm associated with systemic arterial hypertension in a cat.

Schweiz Arch Tierheilkd 2018 May;160(5):320-324

Unité de Cardiologie d'Alfort, Ecole Nationale Vétérinaire d'Alfort, Centre Hospitalier Universitaire Vétérinaire d'Alfort, Maisons-Alfort, France.

Introduction: Aortic dissection is characterized by a tear in the aortic wall resulting in blood from the aortic lumen penetrating into the media, which causes dissection. When aortic dissection does not cause rupture, it provokes localized dilation of the aorta or aneurism, also called dissecting aortic aneurism (DAA). This case report describes a DAA in a cat associated with systemic arterial hypertension (SAHT). Read More

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Quercetin Prevents Diastolic Dysfunction Induced by a High-Cholesterol Diet: Role of Oxidative Stress and Bioenergetics in Hyperglycemic Rats.

Oxid Med Cell Longev 2018 11;2018:7239123. Epub 2018 Jan 11.

Department of Nutrition, Faculty of Medicine, University of Chile, Santiago, Chile.

Alterations in cardiac energy metabolism play a key role in the pathogenesis of diabetic cardiomyopathy. Hypercholesterolemia associated with bioenergetic impairment and oxidative stress has not been well characterized in the cardiac function under glycemic control deficiency conditions. This work aimed to determine the cardioprotective effects of (QUE) against the damage induced by a high-cholesterol (HC) diet in hyperglycemic rats, addressing intracellular antioxidant mechanisms and bioenergetics. Read More

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September 2018

Ventricular Parasystole in a Neonatal Rhesus Macaque ().

Comp Med 2016 12;66(6):489-493

Division of Comparative Medicine, Oregon National Primate Research Center, Beaverton, Oregon.

A 6-d-old Indian-origin female rhesus macaque (Macaca mulatta) presented with bradycardia shortly after sedation with ketamine. No other cardiac abnormalities were apparent. Approximately 2 wk after the initial presentation, the macaque was again bradycardic and exhibited a regularly irregular arrhythmia on a prestudy examination. Read More

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December 2016

Diagnostic Yield of Outpatient Pediatric Echocardiograms: Impact of Indications and Specialty.

Pediatr Cardiol 2017 Jan 8;38(1):162-169. Epub 2016 Nov 8.

Section of Pediatric Cardiology, Arkansas Children's Hospital, 1 Children's Way, Slot 512-3, Little Rock, AR, 72202, USA.

Multiple reports have shown that echocardiograms are neither cost-effective nor of high diagnostic yield for a number of indications. This study sought to evaluate the impact of indications and provider type on the diagnostic yield of first-time outpatient pediatric echocardiograms. All initial echocardiograms interpreted at our institution from February 2009 to December 2014 were reviewed retrospectively. Read More

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January 2017

A case of infective endocarditis and pyogenic spondylitis after transrectal ultrasound guided prostate biopsy.

J Infect Chemother 2016 Nov 28;22(11):767-769. Epub 2016 Jun 28.

Department of Urology, Sapporo Medical University School of Medicine, Japan.

We report a patient with infective endocarditis and pyrogenic spondylitis occurring simultaneously. The patient was a 59-year-old man. He was suspected of having prostate cancer due to a high prostate-specific antigen concentration noted in a checkup. Read More

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November 2016

Asymptomatic Kawasaki Disease in a 3-Month-Old Infant.

Pediatrics 2016 08 1;138(2). Epub 2016 Jul 1.

Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Kawasaki disease (KD) is the leading cause of acquired heart disease in children in the United States. It is a systemic vasculitis characterized by diffuse inflammation of medium and small blood vessels. If untreated it can lead to myocardial infarction, ischemic heart disease, or sudden death. Read More

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Marfan Syndrome: new diagnostic criteria, same anesthesia care? Case report and review.

Braz J Anesthesiol 2016 Jul-Aug;66(4):408-13. Epub 2014 Nov 27.

Anesthesiology Department, Hospital Santa Maria, Lisbon, Portugal.

Background: Marfan's Syndrome (MFS) is a disorder of connective tissue, mainly involving the cardiovascular, musculoskeletal, and ocular systems. The most severe problems include aortic root dilatation and dissection. Anesthetic management is vital for the improvement on perioperative morbidity. Read More

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[Marfan Syndrome: new diagnostic criteria, same anesthesia care? Case report and review].

Rev Bras Anestesiol 2016 Jul-Aug;66(4):408-13. Epub 2016 May 4.

Departamento de Anestesiologia, Hospital Santa Maria, Lisboa, Portugal.

Background: Marfan's Syndrome (MFS) is a disorder of connective tissue, mainly involving the cardiovascular, musculoskeletal, and ocular systems. The most severe problems include aortic root dilatation and dissection. Anesthetic management is vital for the improvement on perioperative morbidity. Read More

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Breeding Restrictions Decrease the Prevalence of Myxomatous Mitral Valve Disease in Cavalier King Charles Spaniels over an 8- to 10-Year Period.

J Vet Intern Med 2016 Jan-Feb;30(1):63-8. Epub 2015 Nov 17.

Department of Veterinary Disease Biology, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark.

Background: Cavalier King Charles Spaniels (CKCS) are predisposed to myxomatous mitral valve disease (MMVD). Studies have indicated a strong genetic background.

Objective: The aim of this study was to evaluate the effect of a breeding scheme involving auscultation and echocardiography. Read More

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October 2016

Reversion of Severe Mitral Insufficiency in Peripartum Cardiomyopathy Using Levosimendan.

J Clin Med Res 2015 Dec 23;7(12):998-1001. Epub 2015 Oct 23.

Universidad del Rosario, Bogota, Colombia.

Idiopathic peripartum cardiomyopathy presenting with heart failure is a true diagnostic and treatment challenge. Goal oriented clinical management aims at the relapse of left ventricular systolic dysfunction. A 35-year-old patient on her 12th day post-delivery presents progressive signs of heart failure. Read More

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December 2015

On behalf of tradition: An analysis of medical student and physician beliefs on how anatomy should be taught.

Clin Anat 2015 Nov 18;28(8):980-4. Epub 2015 Sep 18.

Division of Learning Disabilities, School of Education and the Sagol School of Neuroscience, Tel-Aviv University, Ramat-Aviv, Israel.

Human anatomy, one of the basic medical sciences, is a time-honored discipline. As such, it is taught using traditional methods, cadaveric dissection chief among them. Medical imaging has recently gained popularity as a teaching method in anatomy courses. Read More

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November 2015

Peripheral pulmonary artery stenosis as a cause of pulmonary hypertension in adults.

Pulm Circ 2015 Mar;5(1):204-10

Center for Pediatric and Congenital Heart Disease, Cleveland Clinic, Cleveland, Ohio, USA.

Peripheral pulmonary artery stenosis (PPAS) is an underrecognized condition in the adult population. PPAS can lead to pulmonary hypertension but is likely misdiagnosed as either idiopathic pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension. We retrospectively identified adult patients with PPAS either in its isolated form or related to other congenital defects from January 1998 to September 2012. Read More

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Left ventricular outflow tract obstruction with abnormal papillary muscles.

J Cardiol Cases 2015 Feb 25;11(2):69-72. Epub 2014 Nov 25.

Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan.

A 65-year-old man with a history of hypertension was admitted to our hospital with fainting and syncope. He had experienced recurrent syncope since 20 years of age. On admission, systolic heart murmur was audible at the apex of the heart. Read More

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February 2015

Gemella morbillorum prosthetic aortic valve endocarditis.

Authors:
Lokesh Shahani

BMJ Case Rep 2014 Nov 18;2014. Epub 2014 Nov 18.

Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA.

Gemella morbillorum is facultative anaerobic, Gram-positive cocci and are a commensal part of human flora. The reported patient in this case, with a prosthetic bovine aortic valve, presented with fever, poor dental hygiene, new cardiac murmur and signs of congestive heart failure. Blood cultures were positive for a viridans streptococcal species; however, the organism could not be further identified at our institution. Read More

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November 2014

Juvenile severe mitral stenosis predisposing Eisenmenger syndrome in a case with ventricular septal defect, patent ductus arteriosus, coarctation of aorta & hypoplastic aortic arch: Report of first case of rare association.

J Cardiovasc Dis Res 2013 Sep 20;4(3):195-7. Epub 2013 Aug 20.

Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Mysore Branch, Bangalore 560069, Karnataka, India.

We are reporting the first case of rare association between multiple congenital cardiac malformations with severe rheumatic mitral stenosis which is an acquired structural cardiac disease. A 16 years old female patient presented with progressive dyspnoea & cyanosis for the last one month with past history of recurrent pneumonia since infancy. Physical examination revealed presence of cyanosis, grade I clubbing, radio-radial & radio-femoral delay, loud & single second heart sound, apical long mid diastolic murmur and left parasternal ejection systolic murmur. Read More

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September 2013

[Trends in pediatric infective endocarditis in a tertiary pediatric center in Israel].

Harefuah 2012 Aug;151(8):464-8, 498, 497

Department of Pediatrics A, Schneider Children's Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Introduction: The characteristics of pediatric infective endocarditis (IE) are continuously changing.

Objectives: To describe trends in pediatric IE over a period of 25 years.

Study Methods: Children (< 18 years old] treated at Schneider Children's Medical Center during 1992-2004 who met Duke criteria for definite or possible IE were included in the study. Read More

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[A cause of dilated cardiomyopathy in a child: primary carnitine deficiency].

Ann Cardiol Angeiol (Paris) 2014 Apr 27;63(2):107-10. Epub 2011 Dec 27.

Service de pédiatrie moléculaire, CHUV Lausanne, Lausanne, Suisse.

Aim: The aim of this case report was to show the importance to research metabolic etiology, especially a carnitine deficiency in dilated cardiomyopathy of children.

Case Report: A three years old Togolese child presented muscular hypotonia, dyspnea. Examination showed left galop murmur and systolic murmur 2/6. Read More

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Tinnitus retraining therapy using portable music players.

Auris Nasus Larynx 2011 Dec 20;38(6):692-6. Epub 2011 May 20.

Department of Otolaryngology, Faculty of Medicine, Kagawa University, Ikenobe 1750-1, Kagawa, Japan.

Objective: We aimed to perform acoustic analysis of environmental sounds used in sound therapy for tinnitus retraining therapy (TRT) and to evaluate the efficacy of TRT performed by using a portable music player (PMP) with recorded environmental sounds as the sound generator.

Methods: Acoustic analysis of environmental sounds was performed using a sound analyzer. The subjects were 23 patients with chronic tinnitus. Read More

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December 2011

Left ventricular myxoma in a child: a case report.

Eur J Echocardiogr 2011 Mar 14;12(3):E23. Epub 2011 Jan 14.

Pediatric Cardiology, Military Hospital (Cardio Thoracic Centre), Golibar Maidan, Pune 411040, Maharashtra, India.

Left ventricular myxoma are quite rare and have not been reported in children. We report a left ventricular myxoma arising from interventricular septum in a 12-year-old girl who presented with history of single episode of syncope while playing in school. General examination of the child did not reveal any abnormality except a grade II/VI systolic murmur in left parasternal area. Read More

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