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Congenital heart disease is the most common type of birth defect, affecting around 1 in 1000 live births. It involves defects in the structure or function of the heart present at birth. Common types include ventricular septal defect, atrial septal defect, patent ductus arteriosus, tetralogy of Fallot, and transposition of the great arteries. Causes may be genetic factors, environmental exposures during pregnancy, or both. Imaging plays an important role in diagnosis and surgical planning, with modalities like echocardiography, CT, MRI, and angiography used to characterize the anatomy and assess blood flow patterns through the heart. Treatment depends on the specific defects but may involve cardiac catheterization, balloon angioplastCORONARY ANOMALY
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- The first successful surgical repair was performed by DeBakey in 1955.
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- Presentation includes sudden, severe chest pain that may radiate to the back. Early mortality can be as high as 5% per hour without treatment.
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- Diagnosis involves features like widened mediastinum on CAortic Dissection
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1) A 38-year old hypertensive smoker presented with severe central chest pain and was diagnosed with acute aortic dissection.
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o Early recognition of warning signs and risk assessment
o Advanced diagnostic approaches including ECG findings and genetic testing
o Pharmacological and device-based interventions like beta-blockers, ICDs, and ablations
o Preventive strategies such as lifestyle modifications and public access defibrillation
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1) Sudden cardiac death is a major public health problem, causing hundreds of thousands of deaths in the US each year. The most common causes are coronary artery disease and structural heart diseases.
2) Early recognition of SCD and initiation of cardiopulmonary resuscitation significantly improves chances of survival. Defibrillation within 5 minutes of cardiac arrest from ventricular fibrillation is critical.
3) New guidelines emphasize the importance of continuous chest compressions, use of automated external defibrillators, capnography to monitor CPR quality, and therapeutic hypothermia after resuscitation from cardiac arrest.
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Personality development: How a person's personality develops over time.
Personality disorders: How personality theories can be used to study personality disorders.
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This presentation emphasizes the role of immunodiagnostics and Immunotherapy. Restoring Remission in RRMM: Present and Future of Sequential Immunotherapy W...
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Coronary Anamolies usefull for interventionist- Copy.pptx
- 1. Coronary Anomalies Dr. Manzoor Mohammad Khan
- 6. Frequency Coronary artery anomalies are observed in 0.3-1.3% of patients undergoing diagnostic coronary angiography In approximately 1% of routine autopsy examinations And in 4- 15% of young people who experience sudden death
- 7. In the general population, the incidence of a single coronary artery is approximately 0.024% Coronary artery fistulas are found in 0.2% of patients undergoing coronary angiography Coronary artery fistulas are present in 0.002% of all patients with congenital heart disease
- 21. Ectopic origin of right coronary artery or left main trunk from posterior sinus of Valsalva Ectopic coronary origin from the ascending aorta
- 23. Separate Ostia Most common congenital anomaly Larger catheter for LCx and smaller for LAD
- 26. RCA Off Left Cusp Not hemodynamically significant Multipurpose, AL, JL Catheters
- 27. RCA Off Left Cusp
- 32. Fistulas
- 39. Case 47 yo female with ulcerative colitis with 1 day of chest pain ECG: Sinus tach Troponin T: 0.18
- 45. What do you think?
- 46. Key Points
- 47. Thank you
Editor's Notes
- #45: Lvgram to see at regionals oto see if theres any hint. Nope!