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Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
Location and Orientation of the Heart01:13

Location and Orientation of the Heart

The human heart, despite its modest size and weight, is an organ of remarkable strength and endurance. Roughly the size of a fist, the heart weighs between 250 and 350 grams and is nestled within the mediastinum, the medial cavity of the thorax. It extends obliquely for about 12 to 14 cm, resting on the superior surface of the diaphragm. The heart is positioned anterior to the vertebral column and posterior to the sternum, with two-thirds of its mass lying to the left of the midsternal line.
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Chambers of the Heart01:16

Chambers of the Heart

The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...

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Updated: Jul 5, 2026

A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs
07:09

A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs

Published on: February 18, 2022

The constricted heart.

Thomas Marnejon1, Hayah Kassis, David Gemmel

  • 1Department of Internal Medicine, St. Elizabeth Health Center, College of Health and Human Services, Youngstown State University, Youngstown, OH 44501, USA. thomas_marnejon@hmis.org

Postgraduate Medicine
|May 10, 2008
PubMed
Summary

Diagnosing constrictive pericarditis requires clinical skill to differentiate it from other conditions. Key diagnostic steps include a thorough medical history, physical exam, imaging, and cardiac catheterization for accurate treatment.

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Last Updated: Jul 5, 2026

A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs
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A Surgical Model of Heart Failure with Preserved Ejection Fraction in Tibetan Minipigs

Published on: February 18, 2022

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Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Constrictive pericarditis is often misdiagnosed, presenting similarly to restrictive cardiomyopathy and hepatic cirrhosis.
  • Accurate diagnosis is critical for effective management and patient outcomes.

Observation:

  • Clinical acumen is paramount in distinguishing constrictive pericarditis.
  • Key physical examination findings include Kussmaul's sign, pulsus paradoxus, and pericardial knock.
  • Jugular venous distention is a significant sign to rule out liver cirrhosis as a cause of ascites.

Findings:

  • A comprehensive medical history, focusing on infectious disease exposure, is essential.
  • A complete physical examination, including specific diagnostic signs, aids in diagnosis.
  • Advanced diagnostic tools such as imaging studies and cardiac catheterization are crucial.

Implications:

  • Prompt and accurate diagnosis facilitates timely treatment of constrictive pericarditis.
  • Distinguishing constrictive pericarditis from similar conditions improves patient care.
  • Understanding diagnostic nuances is vital for cardiologists and internists.