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Related Concept Videos

Dysrhythmias III: Characteristics of Dysrhythmias01:29

Dysrhythmias III: Characteristics of Dysrhythmias

Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per minute.
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Layers of the Heart Wall01:15

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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: Jun 12, 2026

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
04:48

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery

Published on: November 28, 2018

Ventricular free wall rupture.

Palwasha Sahibzada1, Niaz Ali, M Zahidullah

  • 1Rehman Medical Institute, Peshawar.

Journal of Ayub Medical College, Abbottabad : JAMC
|June 8, 2010
PubMed
Summary
This summary is machine-generated.

Left ventricular free wall rupture (FWR) is a serious complication of myocardial infarction. This study found no surgical mortality in six patients with FWR, suggesting favorable outcomes with medical stabilization before surgery.

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Research

Background:

  • Left ventricular free wall rupture (FWR) complicates 2-6% of acute myocardial infarctions.
  • FWR contributes to 20-30% of all infarct-related deaths, carrying a high mortality rate.

Purpose of the Study:

  • To present surgical experience with FWR over a five-year period (2004-2009).
  • To evaluate outcomes in patients undergoing surgical repair for FWR.

Main Methods:

  • Retrospective review of patient records.
  • Diagnostic imaging including echocardiography, coronary angiography, and left ventriculography.
  • Surgical intervention for confirmed FWR.

Main Results:

  • Six patients with FWR were identified.
  • Half presented with hypotension, and half with persistent chest pain.
  • Surgery confirmed FWR in all cases, with no intraoperative mortality.

Conclusions:

  • No surgical mortality was observed in this small series.
  • Favorable prognosis may be linked to subacute rupture and medical stabilization prior to surgery.