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Related Concept Videos

Myocarditis I: Introduction01:21

Myocarditis I: Introduction

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Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

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Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
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Acute Coronary Syndrome I: Introduction01:30

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

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Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
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Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

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Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
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Severe postpartum sepsis with prolonged myocardial dysfunction: a case report.

Michael A Mazzeffi1, Katherine T Chen

  • 1Department of Anesthesiology Mount Sinai School of Medicine One Gustave L Levy Place Box 1010 NY, NY 10029 USA. miranda.d.raines@vanderbilt.edu.

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Summary

Severe sepsis can cause prolonged heart dysfunction in new mothers. This rare case highlights the need for extended monitoring and treatment for postpartum cardiac issues.

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A Controlled Mouse Model for Neonatal Polymicrobial Sepsis
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Area of Science:

  • Obstetrics and Gynecology
  • Cardiology
  • Infectious Diseases

Background:

  • Severe sepsis in pregnancy or postpartum is uncommon.
  • Cardiovascular changes in sepsis typically resolve within 5-10 days.
  • This case presents prolonged septic myocardial dysfunction in a parturient, a duration exceeding the usual recovery period.

Purpose of the Study:

  • To report a unique case of prolonged septic myocardial dysfunction in a postpartum woman.
  • To highlight the potential for extended cardiac complications following severe sepsis in parturients.

Main Methods:

  • Case report of a 24-year-old Hispanic woman.
  • Patient experienced pyelonephritis and severe sepsis post-vaginal delivery.
  • Focus on the duration and characteristics of myocardial dysfunction.

Main Results:

  • The patient exhibited septic myocardial dysfunction lasting longer than 10 days.
  • This contrasts with the typical reversibility of septic cardiovascular changes in non-obstetric patients.

Conclusions:

  • Septic myocardial dysfunction can be prolonged in postpartum women.
  • Parturients with prolonged septic myocardial dysfunction may require extended follow-up and pharmacological intervention.