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Essays on hypertrophic cardiomyopathy
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Hypertrophic Cardiomyopathy: Effects on Young Athletes
Alyssa Trimm
130568370
Wilfrid Laurier University
Dr. Kalmar
KP 122 Section A
Hypertrophic cardiomyopathy is a genetic disease of the heart, making the cardiac muscle is thick and strong. The thick muscle causes a decrease in cavity size, forcing the heart to pump less blood. Hypertrophic cardiomyopathy is one of the primary causes of sudden death as the prevention of blood flow causes cardiac arrest. More successful research is being conducted on HCM, including research on the genetics associated and the heredity of the genes. Unfortunately this disorder effects many young athletes due to their increased stresses of training on their heart. However, despite the use of new technology such as the electrocardiogram and transthoracic echocardiogram, the strategies are limited, restricting new answers.
This condition is said to start within the sacromeric proteins, as past studies has called this disorder ‘the disease of the sacromere’ 6. The muscle around the left ventricle is so strong that is does not relax enough after contraction to regenerate blood back into the heart 5. Hypertrophic cardiomyopathy was discovered in approximately 50% of young individuals who died suddenly 5. A recent study observed the genes associated with hypertrophic cardiomyopathy. Within 20 sacromere and myofilament related genes, there were 1400 mutations noted in HCM 6. The mutations within the sacromere prevent normal shortening that causes the muscle to contract stronger, reducing relaxation. However, all the mutated genes are not proven to cause hypertrophy. The MYH7 gene seems to be the most frequent as 25-35% of patients with mild or severe HCM had this gene present 6. Despit...
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... cardiomyopathy cohort. Hellenic J Cardiol. Jul-Aug 2013; 54(4):281-8.
Dassen WRM, Kuipers H, Mihl C, et al. Cardiac remodelling: concentric versus eccentric hypertrophy in stregnth and endurance atheletes. Neth Heart J. Apr 2008; 16(4):129-133.
De Cecoo CN, Magri D, Piccirillo G, et al. Myocardial Repolarization Dispersion and Late Gadolinium Enhancement in Patients With Hypertrophic Cardiomyopathy. Circulation Journal. Mar 2014
Efthimiadis GK, Pagourelias ED, Pitsis A, et al. Surgical septal myectomy for hypertrophic cardiomyopathy in Greece: a single-center initial experience. Hellenic J Cardiol. Mar-Apr 2014;55(2):132-8.
Rowland T. Sudden Unexpected Death in Young Athletes: Reconsidering “Hypertrophic Cardiomyopathy”. PEDIATRICS, Apr 2009;123(4):1217-1222.
Tang W, Yingchoncharoen T. Recent advances in hypertrophic cardiomyopathy. F1000Prime Rep. Feb 2104;3;6;12.
The skeletal and ultimate cardiac muscle fibers are affected by DMD. The disease starts by affecting the lower port...
This is induced by the sliding of the cardiac myofibril. Hypertrophic Cardiomyopathy, also known as HCM, is a type of heart disease that affects the Cardiac Muscles and Cardiac Muscle cells. This disease occurs if the Cardiac Muscle cells enlarge, which causes the wall of the heart’s ventricles (most often the left ventricle) to thicken. It can also cause stiffness in the ventricles, as well as mitral valve and cellular changes. On a cellular level, HCM can cause the cells to become disorganised and lost.
to determine why athletes suffer sudden cardiac arrest, and although there have been a fair amount of conclusions, none have been clear and strong enough to determine why exactly they occ...
“Ebstein’s anomaly is a rare cardiac anomaly that occurs in approximately one in 20,000 live births and accounts for less than 1% of all congenital heart disease (Ebstein’s anomaly in adults)”. The goal of this paper is to examine Ebstein’s Anomaly - to understand what it is, how it affects the heart, possible presenting symptoms, and other possible complications associated with this anomaly. Diagnosis of this anomaly is key in treating patients, thus echocardiographic as well as other test modalities are vital in assessing what the treatment options are available, as well as discerning what the prognosis may be. Advancing test modalities have helped distinguish Ebstein’s Anomaly with other differential diagnoses. Developments with testing modalities coupled with comprehensive calculations, formulas, and measurements have facilitated correctly diagnosing, and therefore properly treating cardiac patients.
“Hypoplastic left heart syndrome accounts for 9% of all critically ill newborns with congenital cardiac disease, causing the largest number of cardiac deaths in the first year of life.(2) ” HLHS is a severe heart defect that is present at birth. HLHS combines different defects that result in an underdeveloped left side of the heart. This syndrome is one of the most challenging and difficult to manage of all of the congenital heart defects. Multiple portions on the left side of the heart are affected including the left ventricle, the mitral and aortic valve, and the ascending aorta. These structures are greatly reduced in size, or completely nonexistent causing the functionality of the left heart to be reduced, or non-functional all together.
There are four different categories of treatment: lifestyle changes, surgical procedures, non-surgical procedures, and medications. Lifestyle changes include having a healthy diet; increasing physical activity; eliminating cigarettes, alcoholic beverages, and illicit drugs; and getting enough rest and sleep; losing excess weight. These lifestyle changes are to lower the patient’s blood pressure, cholesterol, and reducing any other future medical conditions. There are also surgical options to help cure, prevent, or control cardiomyopathy. Surgical method include a septal myectomy, surgically implanted devices, and a heart transplant. A septal myectomy is used to specifically treat hypertrophy cardiomyopathy which is where the heart muscle cells enlarge and cause the walls of the ventricles to thicken. The thickening of the walls may not affect the size of the ventricles but instead may affect the blood flow out of the ventricle. Usually along with the ventricles swelling, the septum in between the ventricles can become enlarged and block the blood flow causing a heart attack. When medication is not working well to treat hypertrophic cardiomyopathy, a surgeon will open the chest cavity and remove part of the septum that is blocking blood flow. Surgically implanted devices include a pacemaker, a cardiac resynchronization therapy device, a left ventricular assist device, and an implantable
Millions of people suffer from heart valve disease every year (“US Markets for Heart Valves”, 2007). Out of all of the heart valve diseases, “mitral regurgitation is the second most common valvular heart disease” (Baumgartner et al., 2006). This is due to the fact that the mitral valve experiences the most pressure and blood flow compared to the other valves in the heart (“US Markets for Heart Valves”, 2007). The disease occurs when blood leaks back into the left auricle from the left ventricle, which is caused by the mitral valve not closing properly (Lantada et al., 2009). The majority of the time, the mitral valve does not function correctly due to a structural abnormality (Buckner et al., 2010). These abnormalities can occur in either the papillary chords or the papillary muscles (Lantada et al., 2009). The frequency of the mitral valve abnormalities, especially in the elderly population, led to extensive research to find a solution (“US Markets for Heart Valves”, 2007).
Capture Myopathy? Not very often a diagnosis is termed liked this, especially in the field of human medicine, especially n the field of cardiology the where the term myopathy is revered as Cardiomyopathy. Myopathy is a disease that affects the muscles and causes weakness due to dysfunction of muscle fibers (1); Cardiomyopathy is of the same circumstance but deals primarily with the heart. Capture Myopathy is relative to many animals, especially mammals and provides a definitive correlation to humans and their potential medical prognosis of Cardiomyopathy. Capture Myopathy is a syndrome that that occurs within captive animals and causes rapid death through excessive adrenaline within the bloodstreams. (3) Capture Myopathy is quite often referred to as white muscle disease, the muscle when used causes a change of metabolism from using oxygen to using the stored energy within the muscle. The change up allows for lactic acid to build up and make its way into the bloodstream where it changes the homeostasis of the body: the body pH and the heart output. In essence, if the heart is inefficiently pumping the correct oxygen to the muscle, the muscle will begin to deteriorate and ultimately lead to damages to the kidney and the effector organs. (2) Animal Capture Myopathy is very relatable to human Takotsubo Cardiomyopathy, and thus this paper will aim to trace how animals are very relatable to humans even through the Cardiovascular System based on normal physiology and stress. (WHAT SHOULD I TALK ABOUT?)
[11] Nishimura, Rick A., Ommen, Steve R., Tajik, A.J., (2003) Hypertrophic Cardiomyopathy: A Patient Perspective. Dallas, TX: American Heart Association,
Just as breast cancer is killing our African American women, heart disease is also one of the major diseases killing our women. Heart disease is one of the nation’s leading causes of death in both woman and men. About 600,000 people die of heart disease in the United States (Americas heart disease burden, 2013). Some facts about heart disease are every year about 935,000 Americans have a heart attack. Of these, 610,000 are a first heart attack victim. 325,000 happen in people who have already had a heart attack. Also coronary heart disease alone costs the United States $108.9 billion each year. This total includes the cost of health care services, medications, and loss of productivity. Deaths of heart disease in the United States back in 2008 killed about 24.5% of African Americans.
AIM: - the aim of this experiment is to find out what the effects of exercise are on the heart rate. And to record these results in various formats. VARIABLES: - * Type of exercise * Duration of exercise * Intensity of exercise * Stage of respiration
Investigating the Effect of Exercise on the Heart Rate Introduction For it's size the heart has the huge capacity of pumping large amounts of blood, in the average adult's heart beats 60 to 100 times a minute, pumps between 70ml and 100ml of blood with each beat, circulates 5 to 6 litres of blood around the body per minute and about 13 litres of blood per minute during vigorous exercise. The heart will beat more then 2.5 billion times during an average lifetime. This investigation will be looking at the effect of exercise on the heart rate. Aim The aim of this investigation is to find out how exercise affects the heart rate, using research & experimenting on changes and increases in the heart rate using exercise. Research â— The heart The normal heart is a strong, hardworking pump made of muscle tissue.
The heart is a pump with four chambers made of their own special muscle called cardiac muscle. Its interwoven muscle fibers enable the heart to contract or squeeze together automatically (Colombo 7). It’s about the same size of a fist and weighs some where around two hundred fifty to three hundred fifty grams (Marieb 432). The size of the heart depends on a person’s height and size. The heart wall is enclosed in three layers: superficial epicardium, middle epicardium, and deep epicardium. It is then enclosed in a double-walled sac called the Pericardium. The terms Systole and Diastole refer respectively and literally to the contraction and relaxation periods of heart activity (Marieb 432). While the doctor is taking a patient’s blood pressure, he listens for the contractions and relaxations of the heart. He also listens for them to make sure that they are going in a single rhythm, to make sure that there are no arrhythmias or complications. The heart muscle does not depend on the nervous system. If the nervous s...
Oxygen was first admitted to the client with chest pain over 100 years ago (Metcalfe, 2011). Chest pain is a large bracket that can contain many different conditions, but for the purpose of this analysis it is focused manly upon a myocardial infarction. A myocardial infarction is mainly referred to as a heart attack, and occurs when one or more coronary arteries leading to the heart reduce or completely stop blood flow (Tuipulotu, 2013 ). Administering high concentrations of oxygen to patients with chest pain is now embedded in guidelines, protocols and care pathways, even with a lack of clear supporting evidence (Nicholson, 2004 ). High concentration of oxygen means that up to 60% is administered (Knott, 2012). More recent research has suggested that the use of oxygen in this scenario is unnecessary and can lead to unwanted side effects, especially in normoxic cardiac patients (Moradkham & Sinoway, 2010 ). The aim of this comparative analysis is to dismantle and understand both the benefits and risks of the commonly known practice of administration of oxygen to the client with chest pain. Through completing this analysis using recent and appropriate evidence a more improved practice can be given and understood.
Jardinds, T. (2013). Cardiopulmonary anatomy & physiology. (sixth edition ed., pp. 84-85). Clifton Park, NY: Delmar.