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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

457
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
457
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

634
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
634
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

549
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
549
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

571
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
571
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

451
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),...
451
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

405
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
405

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Early Degeneration of a Next-Generation Mitral Bioprosthesis in the Tricuspid Position Treated With Valve-in-Valve.

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Related Experiment Video

Updated: Mar 30, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

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The Snubbed Complication: Why Postinfarction Ventricular Septal Defect Management Lacks Evidence-Based Guidance in

Silvia Corona1, Yoan Lamarche2, Reda Ibrahim3

  • 1Cardiac Surgery Department, Montreal Heart Institute, Montreal, Canada; Structural Heart Valve Center and Interventional Cardiology Department, Montreal Heart Institute, Montreal, Canada.

JACC. Case Reports
|March 28, 2026
PubMed
Summary

Managing postinfarction ventricular septal defect (VSD) with cardiogenic shock and aortic stenosis is challenging. Multidisciplinary consensus is vital, as all treatment strategies carry significant risks, especially with acute tissue friability.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Postinfarction ventricular septal defect (VSD) management is complex, particularly with cardiogenic shock and severe aortic stenosis.
Keywords:
acute heart failureaortic valvemyocardial infarctionmyocardial revascularizationpercutaneous coronary interventionvalve replacementventricular septal defect

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  • No clear clinical guidelines exist for these challenging cases.