cardiac - Indiana University Bloomingtonmedsci.indiana.edu/c602web/602/c602web/docs/card/card_slides.pdf · Obstructive Tardive Cyanosis, The Beginning Cyanotic Heart Disease Clubbing!

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Cardiac PathologyCardiac Pathology

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Clinical Presentations of Cardiac DiseaseClinical Presentations of Cardiac Disease

!! Loss of pumping capacityLoss of pumping capacity!! Decreased blood pressureDecreased blood pressure

!! EmboliEmboli!! PainPain

HypertrophyHypertrophy

Hypertrophy and FailureHypertrophy and Failure

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Superficial Superficial VarcositiesVarcosities Superficial Superficial VarcositiesVarcosities

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Congenital Heart DiseaseCongenital Heart DiseaseCongenital Heart DiseaseCongenital Heart Disease

!! TardiveTardive Cyanotic (Blue in a few years)Cyanotic (Blue in a few years)!! Starts as L Starts as L "" RR!! EisnenmengerEisnenmenger Reaction (becomes R Reaction (becomes R "" L)L)

!! Cyanotic (Blue form the get go)Cyanotic (Blue form the get go)!! ObstructiveObstructive

TardiveTardive Cyanosis, The BeginningCyanosis, The Beginning Cyanotic Heart DiseaseCyanotic Heart Disease

ClubbingClubbing

!! Hypertrophic Hypertrophic osteoarthropathyosteoarthropathy

!! Soft tissue and Soft tissue and periosteal boneperiosteal bone

!! EmphysemaEmphysema!! Lung cancerLung cancer!! Heart defectsHeart defects

EisenmengerEisenmenger ReactionReaction

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EisenmengerEisenmenger ReactionReaction ASDASD

ASDASD ASDASDRepairRepair

VSDVSD VSDVSD

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PDAPDA PDAPDA

TetralogyTetralogy of of FallotFallotTetralogyTetralogy of of

FallotFallot

Transposition of Great VesselsTransposition of Great Vessels TranspositionTransposition

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TranspositionTransposition Aortic Aortic CoarctationCoarctation

TruncusTruncus ArteriosisArteriosis IHSSIHSS

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PlueralPlueral FluidFluid

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Don’t argue with God!Don’t argue with God!

Ischemic Heart DiseaseIschemic Heart Disease

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Acute Myocardial InfarctionAcute Myocardial Infarction

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Healing Myocardial InfarctionHealing Myocardial Infarction

Ruptured Papillary MuscleRuptured Papillary Muscle

Ruptured Myocardial InfarctionRuptured Myocardial Infarction

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AneurysmAneurysm

Mural ThrombusMural ThrombusMural Thrombus Mural Thrombus EmbolizationEmbolization

!! The heart, no valentine The heart, no valentine decides to quit after lunch, decides to quit after lunch, the power shut off like a switch, the power shut off like a switch, a tiny dark ship is unmoored a tiny dark ship is unmoored into the flow of the body’s rivers, into the flow of the body’s rivers, the brain a monastery, the brain a monastery, defenseless on the shore. defenseless on the shore.

!! From "Picnic, LighteningFrom "Picnic, Lightening" by Billy Collins" by Billy Collins

Sympathetic PericarditisSympathetic Pericarditis

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Systemic Systemic HypertensionHypertension HypertensionHypertension

Systemic Systemic HypertensionHypertension

CorCor PulmonalePulmonale

CorCor PulmonalePulmonale CorCor PulmonalePulmonale

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KyphosisKyphosis

Pickwick SyndromePickwick Syndrome

Rheumatic Heart DiseaseRheumatic Heart Disease

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AschoffAschoff BodyBody

RHD Valvular DiseaseRHD Valvular DiseaseRHD Long termRHD Long term

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Atrial Appendage ThrombosisAtrial Appendage Thrombosis

Thank You Jessie NanceThank You Jessie Nance

Marfan’sMarfan’s SyndromeSyndrome

Bicuspid Aortic ValveBicuspid Aortic ValveMitral Valve Mitral Valve

ProlapseProlapse

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CalcificCalcific Aortic StenosisAortic StenosisInfective Infective

EndocarditisEndocarditis

Infective EndocarditisInfective EndocarditisInfective Infective

EndocarditisEndocarditis

RightRight--Sided Sided EndocarditisEndocarditis Perforated Valve LeafletsPerforated Valve Leaflets

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Sterile EndocarditisSterile Endocarditis

Nonbacterial Nonbacterial ThromboticThrombotic EndocarditisEndocarditis CarcinoidCarcinoid and Fenand Fen--PhenPhen

Prosthetic Heart ValvesProsthetic Heart Valves Prosthetic Valve ThrombosisProsthetic Valve Thrombosis

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Primary Myocardial Primary Myocardial DiseaseDisease

EndomyocardialEndomyocardial BiopsyBiopsy

Dilated Dilated CardiomyopathyCardiomyopathy

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HypertrophicHypertrophic CardiomyopathyCardiomyopathy

Restrictive Restrictive CardiomyopathyCardiomyopathy EndocardialEndocardial ElastosisElastosis

MyocarditisMyocarditis Viral Viral MyocarditisMyocarditis

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Hypersensitivity Hypersensitivity MyocarditisMyocarditisT. T. cruzicruzi

SarcoidSarcoid

Pericardial Pericardial EffusionsEffusions

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PericarditisPericarditis

PericarditisPericarditis

Atrial Atrial MyxomaMyxoma

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TransplantTransplant!! Tissue typeTissue type!! Coronaries, how to Coronaries, how to

preserve them?preserve them?!! Barr bodies and stem Barr bodies and stem

cellscells!! Patient selectionPatient selection!! CyclosporinCyclosporin!! Biopsy and early Biopsy and early

recognition of rejectionrecognition of rejection!! FutureFuture

!! AngiogenesisAngiogenesis

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Thank You Jessie NanceThank You Jessie Nance

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