Following viral myocarditis, which athlete can re-enter his active sports career?
|
|
- Marshall Phelps
- 6 years ago
- Views:
Transcription
1 Following viral myocarditis, which athlete can re-enter his active sports career? ESC Congress 2011 Paris F. Carré University Rennes 1-Pontchaillou Hospital Inserm U642, Rennes - F-35000
2 The author declares that he has no conflict of interest concerning this lecture
3 Myocarditis definition Inflammatory disease of the myocardium Acute and/or chronic arrhythmogenic substrate Dennert RHJ et al Eur Heart J 2008; 12: 450-6
4 Myocarditis classification +++ Viral myocarditis Enteroviruses coxsackie B Parvovirus B19 Adenovirus Human herpes virus 6 Epstein-Barr-Virus CM virus Rarely Common cold viruses rhinovirus coronavirus Olimulder, MAGM, etal. Neth Heart J 2009;17: Circ J 2011; 75:
5 Acute Myocarditis evolution Total and spontaneous recovery in 50% Chronic myocarditis in 20% Myocarditis induced dilated cardiomyopathy in 20%
6 Myocarditis and sport 1- Why myocarditis and sport? 2- Difficult diagnosis in athlete 3- Sport participation with myocarditis 4- Prevention of myocarditis in athlete
7 Myocarditis and sport 1- Why myocarditis and sport? 2- Difficult diagnosis in athlete 3- Sport participation with myocarditis 4- Prevention of myocarditis in athlete
8 The cardiac arrhythmogenic triangle Arrhythmogenic substrate Trigger Environmental conditions Autonomic nervous system, dehydratation, hypoxia, acidosis Modified from Coumel P., 1984 catecholamines
9 Causes of sport s related SD observed in young competitive athletes SD is reported 1-2/ athletes 35 y.o. Myocarditis 5-22 % Wesslen L et al Eur Heart J 1996; 17: Frick M et al Herz 2009 ;34: Link MS, Estes M III Prog Cardiovasc Dis, 2008;1:44-57 McCaffrey FM, Am. J. Dis. Child. 1991; 145: Causes de MS dans les Sportifs 13% 14% n=126 11% 9% n=112 8% 4% 3% 1% n=326 36% 37% Congenital Anatomical - + congenital Anatomic Cardiomyopathies Myocadiopathies Arrhythmias Arrhythmias Infectious Atherosclerosis n=309 Infectious Degenerative Undetermined Degenerative Acquired Acquired 31% 35% "Normal Normal heart" heart Review of Bille K et al Eur J Cardiovasc Prev Rehab 2006.
10
11 Myocarditis and sport 1- Why myocarditis and sport? 2- Difficult diagnosis in athlete 3- Sport participation with myocarditis 4- Prevention of myocarditis in athlete
12 Myocarditis diagnostic (1) Symptoms Asymptomatic Flu-like symptoms Gastrointestinal symptoms Cardiac symptoms none chest pain dyspnea palpitations, syncope heart failure fulminant Subtle clinical discomfort + recent infectious event Circ J 2011; 75: Frick M et al Herz 2009 ;34:
13 Myocarditis diagnostic (2) Clinical signs Fever Cardiac rhythm disturbance Hypotension Auscultation abnormality Heart failure Blood biochemistry signs Transient elevation of C-reactive protein elevation MB form creatine kinase Cardiac troponin T and I Viral antibody titer «cardiac fatigue» in athlete? Circ J 2011; 75:
14 Myocarditis diagnostic (3) ECG signs Resting ECG Sensitive tool Timely repeated Conduction disturbances Abnormal ST-T waves Morgera T Am Heart J 1992; 124: Circ J 2011; 75: «Athlete s heart?
15 Myocarditis diagnostic (3) ECG signs Holter monitoring Exercise test Arrhythmias? Urhausen A et al Circulation 2003, 108:e21-e22
16 Myocarditis diagnostic (4) Echocardiography signs Transient wall thickening Reduced cardiac chamber size Reduced wall motion Pericardial effusion Urhausen A et al Circulation 2003, 108:e21-e22 Circ J 2011; 75: Sskouri HNGW et al. J Am Coll Cardiol 2006;48:
17 Cardiac Magnetic Resonance signs (Se 86 % - Spe 95%) Cine CMR Early and late contrast enhancement-cmr T2 acquisitions Myocarditis diagnostic (4) Acute myocarditis (EBV) T2 weighted images Acute myocarditis Spotty epicardial areas lateral free wall (PVB19) midwall IV septum(hhv6) Chronic myocarditis Chronic myocarditis scar fibrosis Sparrow Pj RadioGraphics 2009; 29: Friedrich MG et al. J Am Coll Cardiol 2009;53: Olimulder, MAGM, etal. Neth Heart J 2009;17:481-6.
18 Myocarditis diagnostic (5) Cardiac Catheterization Endomyocardial Biopsy Gold standard for diagnosis Myocardial degeneration, myocyte necrosis, inflammatory infiltrates, interstitial myocardial edema, fibrosis But adverse events and false negative results Wesslen L et al. Eur Heart J 1996;17:902-10
19 Myocarditis and sport 1- Why myocarditis and sport? 2- Difficult diagnosis in athlete 3- Sport participation with myocarditis 4- Prevention of myocarditis in athlete
20 Recommandations for sport participation in case of myocarditis Eur Heart J 2005;26: J Am Coll cardiol 2005;45:
21 Recommandations for sport participation in case of myocarditis Acute myocarditis or myopericarditis Possible diagnosis no strenous exercicse until definite diagnosis Definite diagnosis adapted treatment and no significant exercise C-MRI Pelliccia A et al. Eur Heart J 2005;26:
22 Chronic myocarditis and sport If symptoms no strenuous exercise, no competition C-MRI sequellae without symptoms? Professional cyclist 26 y.o. Asymptomatic ventricular premature beats
23 Normal echocardiography C-MRI
24 Exercise test 150 watts
25 Exercise test : HR 193 bpm- BP 210/65 mmhg 460 watts- VO 2 = 4,2 l/min 74 ml/min/kg Maximal exercise
26 Myocarditis and sport 1- Why myocarditis and sport? 2- Difficult diagnosis in athlete 3- Sport participation with myocarditis 4- Prevention of myocarditis in athlete
27 Prevention of myocarditis in athletes Wesslen et al. Eur Heart J.1996; 7: 902 7
28 Myocarditis more frequent in athletes? Elite athletes are not clinically immune deficient, but may be less resistant to common minor illnesses, such as URTI Gleeson M J Appl Physiol 103: , 2007.
29 Purpose of preventions 1- Stop elite sport for 4 weeks after an unspecific and proven infection rarely implemented 2- Stop sport and CV evaluation in case of subtle discomforts with suspected viral infection in spring and summer which exams? Cost-benefit ratio of myocarditis diagnosis in athletes? Walsh NP et al Exerc Immunol Rev. 2011;17:
30 Guidelines for return to exercise after infections One day without fever and with improvement of URTI or GI symptoms before returning to exercise Progressive improvement in training intensity. Check the individual tolerance to increased exercise intensity If recovery is incomplete take an extra day off Stop again physical exercise and consult your physician if fever and/or if any symptom reoccur
31 Conclusions True myocarditis diagnosis stop sport practice (6 months) True resumption OK for all competitive spot Myocarditis in athlete induce several questions 1- Lot of unknown myocarditis in athletes 2- True diagnostic athlete s heart? 3- True disease resumption no gold parameter 4- Which attitude in case of asymptomatic myocardial scar on C-MRI?
XVth Balkan Congress of Radiology Danubius Hotel Helia, October 2017, Budapest, Hungary
XVth Balkan Congress of Radiology Danubius Hotel Helia, 12-14 October 2017, Budapest, Hungary Ružica Maksimović MRI in Myocarditis Faculty of Medicine, University of Belgrade, Centre for Radiology and
More informationThe frontier between normal and abnormal electrocardiogram in athletes
The frontier between normal and abnormal electrocardiogram in athletes ESC Congress 2011 Paris F. Carré University Rennes 1-Pontchaillou Hospital Inserm U642, Rennes - F-35000 Cardiovascular preparticipation
More informationTHE NEW PLACE OF CARDIAC MRI IN AERONAUTICAL FITNESS
88 th ASMA ANNUAL SCIENTIFIC MEETING DENVER - CO April 30- May 4, 2017 THE NEW PLACE OF CARDIAC MRI IN AERONAUTICAL FITNESS S. BISCONTE (1), J. MONIN (2), N. HUIBAN (3), G. GUIU (2), S. NGUYEN (1), O.
More information27-year-old professionnal rugby player: asymptomatic
27-year-old professionnal rugby player: asymptomatic Benefits and limits of cardiac MRI in the young athlete with a suspected heart disease. Philippe PAULE Service de Cardiologie, HIA Clermont Tonnerre,
More informationAthletes with cardiac disease; dead and buried or chance for resurrection?
Athletes with cardiac disease; dead and buried or chance for resurrection? EuroPRevent 2011 Geneva F. Carré University Rennes 1-Pontchaillou Hospital Inserm U642, Rennes - F-35000 Risk of physical activity
More informationFrançois Carré Hôpital Pontchaillou -INSERM UMR1099-Université Rennes 1
Normal electrocardiogram variants in Athletes François Carré Hôpital Pontchaillou -INSERM UMR1099-Université Rennes 1 Disclosures No disclosure of interest concerning this lecture The cardiovascular sport
More informationAdvanced MR Imaging in Myocarditis
Naeem Merchant MD FRCP Professor of Medicine Department of Radiology Department of Cardiac Sciences Cumming School of Medicine University of Calgary Advanced MR Imaging in Myocarditis The Lake Louise Criteria
More informationWhen An MI Is Not An MI. Morning Report July 30, 2003 Ryan Mattison, MD
When An MI Is Not An MI Morning Report July 30, 2003 Ryan Mattison, MD Confounding Factors In This Patient WPW Abnormality Dynamic EKG Changes With Symptoms Myocarditis: Definition As the name implies,
More informationWe report here the case of a 30-year-old professional
Images in Cardiovascular Medicine Cardiac Contusion in a Professional Soccer Player Visualization of Acute and Late Pathological Changes in the Myocardium With Magnetic Resonance Imaging Hajnalka Vago,
More informationSPORT AND ARRHYTHMIA Sports and Physical Exercise in Special Clinical Settings Chairmen: P. Delise, F. Giada. Myocarditis
SPORT AND ARRHYTHMIA Sports and Physical Exercise in Special Clinical Settings Chairmen: P. Delise, F. Giada Myocarditis Brian Olshansky MD Professor Emeritus, University of Iowa Electrophysiologist, Mason
More information4/11/2017. Cardiomyopathy. John Steuter, MD Bryan Heart. Disclosures. No Conflicts. Cardiomyopathy. WHO Classification
Cardiomyopathy John Steuter, MD Bryan Heart Disclosures No Conflicts Cardiomyopathy WHO Classification Anatomy & physiology of the LV 1. Dilated Enlarged Systolic dysfunction 2. Hypertrophic Thickened
More informationMyocarditis in a patient with Campylobacter enteritis
Myocarditis in a patient with Campylobacter enteritis Dries De Cock, M.D. University Hospitals Leuven Department of Cardiology Herestraat 49 3000 Leuven - Belgium DECLARATION OF CONFLICT OF INTEREST No
More informationMyocarditis in Infants and Children
in Infants and Children Guideline of the German Society of Pediatric Cardiology Thomas Paul, Carsten Tschöpe, Reinhard Kandolf Children s Heart Center, Georg-August-University, Göttingen Department of
More informationNewly Diagnosed Heart Failure patient: When to Order an MRI and Why
Newly Diagnosed Heart Failure patient: When to Order an MRI and Why Jennifer Dickerson MD Assistant Professor of Clinical Internal Medicine Director, The Ohio State University Echocardiography Laboratory
More informationRight ventricular adaptation in endurance athletes. António Freitas. No conflict of interest
The role of echocardiography in sports cardiology Right ventricular adaptation in endurance athletes. António Freitas Cardiology Department - Fernando Fonseca Hospital Lisbon Sports Medicine Centre - Lisbon
More informationAdvanced Imaging MRI and CTA
Advanced Imaging MRI and CTA Who and why may benefit. Matthew W. Martinez, M.D. FACC Lehigh Valley Health Network Director, Cardiovascular Imaging Learning Objectives Review basics of CMR and CTA Review
More informationWhy Cardiac MRI? Presented by:
Why Cardiac MRI? Presented by: Lisa G. Carkner, MD, FACC 1 Disclosures I have no financial disclosures Objectives Review basic principles of Cardiac MRI. What patient characteristics do I need to consider
More informationCardiac Conditions in Sport & Exercise. Cardiac Conditions in Sport. USA - Sudden Cardiac Death (SCD) Dr Anita Green. Sudden Cardiac Death
Cardiac Conditions in Sport & Exercise Dr Anita Green Cardiac Conditions in Sport Sudden Cardiac Death USA - Sudden Cardiac Death (SCD)
More informationParoxysmal Supraventricular Tachycardia PSVT.
Atrial Tachycardia; is the name for an arrhythmia caused by a disorder of the impulse generation in the atrium or the AV node. An area in the atrium sends out rapid signals, which are faster than those
More informationCardiac MRI: Clinical Application to Disease
Cardiac MRI: Clinical Application to Disease Jessi Smith, MD Cardiothoracic imaging, Indiana University Slides courtesy of Stacy Rissing, MD Outline Imaging planes Disease findings Pulse sequences used
More informationTwo Decades of Managing Myocarditis. Peter C. Laussen MB.BS., FCICM
Two Decades of Managing Myocarditis Peter C. Laussen MB.BS., FCICM No disclosures Etiology Viral infections Epidemiologic change over time: Enteroviruses: 1970 s & 80 s Coxsackie group Adenovirus: 1990
More informationDiagnostic approach of myocarditis: strike the golden mean
Neth Heart J (2014) 22:80 84 DOI 10.1007/s12471-013-0499-3 ICIN Diagnostic approach of myocarditis: strike the golden mean M. R. Hazebroek K. Everaerts S. Heymans Published online: 8 January 2014 # The
More informationMyocarditis. By : Nader Alaridah MD,PhD
Myocarditis By : Nader Alaridah MD,PhD Background Myocarditis is an inflammatory disease of the cardiac muscle. Histologically, It is described as an inflammatory infiltrate of the myocardium with necrosis
More informationSlide 1. Slide 2. Slide 3. Sudden Cardiac Death In Athletes. Epidemiology. Epidemiology. Shaun McMurtry, MD Primary Care Sports Medicine
Slide 1 Sudden Cardiac Death In Athletes Shaun McMurtry, MD Primary Care Sports Medicine Slide 2 Epidemiology College and Professional Athletes 500,000 participants each year Competitive Athletics Estimated
More informationTHE PERICARDIUM: LOOKING OUTSIDE THE HEART
THE PERICARDIUM: LOOKING OUTSIDE THE HEART DISCLOSURE Relevant relationships with commercial entities none Potential for conflicts of interest within this presentation none Steps taken to review and mitigate
More informationThe Athletic Heart Takes Shape: Overview of Cardiac Remodeling Rory B. Weiner, MD
The Athletic Heart Takes Shape: Overview of Cardiac Remodeling Rory B. Weiner, MD Cardiovascular Performance Program, MGH Assistant Professor of Medicine, Harvard Medical School Outline Athlete s Heart
More informationClinical Decision Seminar Imaging
Cardiology Update 2013, Davos, Switzerland February 2013 Clinical Decision Seminar Imaging Dr. med. Robert Manka Cardiovascular MRI and Interventional Cardiology University Hospital Zurich Institute for
More informationHEART CONDITIONS IN SPORT
HEART CONDITIONS IN SPORT Dr. Anita Green CHD Risk Factors Smoking Hyperlipidaemia Hypertension Obesity Physical Inactivity Diabetes Risks are cumulative (multiplicative) Lifestyles predispose to RF One
More informationDELAYED ENHANCEMENT IMAGING IN CHILDREN
NASCI 38 TH ANNUAL MEENG, SEATLE October 3-5, 21 1. DELAYED ENHANCEMENT IN CHILDREN Shi-Joon Yoo, MD Lars Grosse-Wortmann, MD University of Toronto Canada -1. 1. 1. Magnitude image Magnitude images -1.
More information2
1 2 Although the term "cardiomyopathy" could theoretically apply to almost any disease affecting the heart, it is usually reserved for "severe myocardial disease leading to heart failure".cardiomyopathy
More informationVentricular tachyarrhythmias induced by exercise: are they an unsafe clinical pattern?
Ventricular tachyarrhythmias induced by exercise: are they an unsafe clinical pattern? Alessandro Biffi Istitute of Sports Medicine and Science Italian Olympic Commitee Rome, Italy A complex interaction
More informationCardiac MRI: Clinical Application to Disease
Cardiac MRI: Clinical Application to Disease Stacy Rissing, MD! Cardiothoracic imaging, Indiana University! Outline Imaging planes Disease findings Pulse sequences used for each indication Pathophysiology
More informationPVCs: Do they cause Cardiomyopathy? Raed Abu Sham a, M.D.
PVCs: Do they cause Cardiomyopathy? Raed Abu Sham a, M.D. Cardiologist and Electrophysiologist No conflict of interest related to this presentation Objectives 1. PVCs are benign. What is the Evidence?
More informationPeripartum cardiomyopathy: review and practice guidelines. Hanan ALBackr Associate Professor King Saud university, King Fahad Cardaic center -Riyadh
Peripartum cardiomyopathy: review and practice guidelines Hanan ALBackr Associate Professor King Saud university, King Fahad Cardaic center -Riyadh Outlines Definition of PPCM Dignostic Critaria for peripartum
More informationSudden Cardiac Death in Sports: Causes and Current Screening Recommendations
Sports Cardiology Sudden Cardiac Death in Sports: Causes and Current Screening Recommendations Domenico Corrado, MD, PhD Inherited Arrhytmogenic Cardiomyopathy Unit Department of Cardiac, Thoracic and
More informationThe use of Cardiac CT and MRI in Clinical Practice
The use of Cardiac CT and MRI in Clinical Practice Matthew W. Martinez, MD Assistant Professor of Medicine LVPG - Lehigh Valley Heart Specialists Lehigh Valley Health Network Oct. 3, 2009 DISCLOSURE Relevant
More informationClinical aspects of Arrhythmogenic Cardiomyopathies
Clinical aspects of Arrhythmogenic Cardiomyopathies INTERNATIONAL CLINICAL CARDIOVASCULAR GENETICS CONFERENCE 25 May 2018 Dr Hari Raju MBChB PhD ECES FRACP Clinical Associate Professor, Macquarie University,
More informationMyocarditis and Pericarditis
Myocarditis and Pericarditis Elias V. Haddad, M.D., FACC Advances in Cardiovascular Care 2012 Kingston, Jamaica December 7, 2012 Financial Disclosures No disclosures relevant to this presentation Learning
More informationInfluenza A positive but H1N1 negative myocarditis in a patient coming from a high outbreak region of new influenza
CASE REPORT Cardiology Journal 2011, Vol. 18, No. 4, pp. 441 445 Copyright 2011 Via Medica ISSN 1897 5593 Influenza A positive but H1N1 negative myocarditis in a patient coming from a high outbreak region
More informationEndurance Exercise and Cardiovascular Health
Endurance Exercise and Cardiovascular Health Professor Sanjay Sharma St George s University of London St George s Hospital NHS Trust sasharma@sgul.ac.uk @SSharmacardio Conflicts/Disclosures: None Objectives
More informationOutline. Pathophysiology: Heart Failure. Heart Failure. Heart Failure: Definitions. Etiologies. Etiologies
Outline Pathophysiology: Mat Maurer, MD Irving Assistant Professor of Medicine Definitions and Classifications Epidemiology Muscle and Chamber Function Pathophysiology : Definitions An inability of the
More informationWhat s New in Cardiac MRI
What s New in Cardiac MRI Katie M. Hawthorne, MD Director, Cardiac MRI Main Line Health Philadelphia Cardiovascular Summit November 18, 2017 Cardiac MRI: Disclosure 2 Disclosures No financial disclosures
More informationKuchynka P, Palecek T, Nemecek E, Kovarnik T, Horak J, Vitkova I and Linhart A
Is improvement of the left ventricular systolic function in patients with new-onset dilated cardiomyopathy related to the presence of virus or inflammation in endomyocardial biopsy? Kuchynka P, Palecek
More informationApril 22, 2017 Abraham Rothman, MD
April 22, 2017 Abraham Rothman, MD University of Nevada School of Medicine } Definitions } Adults } Children } Heart beats } Children and adolescents who want to participate in intensive exercise. } Just
More informationIs it HF secondary to rheumatic heart disease???
Is it HF secondary to rheumatic heart disease??? Is mitral regurg. Is complication of CHF??? Cardiomyopathy Definition The term cardiomyopathy is purely descriptive, meaning disease of the heart muscle
More informationPediatrics. Arrhythmias in Children: Bradycardia and Tachycardia Diagnosis and Treatment. Overview
Pediatrics Arrhythmias in Children: Bradycardia and Tachycardia Diagnosis and Treatment See online here The most common form of cardiac arrhythmia in children is sinus tachycardia which can be caused by
More informationUpdate on use of cardiac MRI in ARVC/D. Stefan L. Zimmerman, MD Johns Hopkins University Department of Radiology
Update on use of cardiac MRI in ARVC/D Stefan L. Zimmerman, MD Johns Hopkins University Department of Radiology Outline Background Diagnosis Characteristic imaging findings Genetics of ARVC Genotype phenotype
More informationCardiac MRI: Cardiomyopathy
Cardiac MRI: Cardiomyopathy Laura E. Heyneman, MD I do not have any relevant financial relationships with any commercial interests Cardiac MRI: Cardiomyopathy Laura E. Heyneman, MD Duke University Medical
More informationAthlete s Heart: Clinical Relevance. Athlete's Heart vs. Cardiac Pathology Clinical Approaches. Echo Florida Conflicts of Interest: None
Athlete's Heart vs. Cardiac Pathology Clinical Approaches Echo Florida 2012 Aaron L. Baggish MD Cardiovascular Performance Program Cardiac Ultrasound Laboratory Division of Cardiology Massachusetts General
More informationHCM GUIDELINES ESC 2014 HYPERTROPHIC CARDIOMYOPATHY ASYMPTOMATIC PATIENT
HCM GUIDELINES ESC 2014 HYPERTROPHIC CARDIOMYOPATHY ASYMPTOMATIC PATIENT Division of Inherited Cardiac Diseases Heart Center for the Young and Athletes A Dpt of Cardiology University of Athens ASYMPTOMATIC
More informationEAE Teaching Course. Magnetic Resonance Imaging. Competitive or Complementary? Sofia, Bulgaria, 5-7 April F.E. Rademakers
EAE Teaching Course Magnetic Resonance Imaging Competitive or Complementary? Sofia, Bulgaria, 5-7 April 2012 F.E. Rademakers Complementary? Of Course N Engl J Med 2012;366:54-63 Clinical relevance Treatment
More informationSudden cardiac death: Primary and secondary prevention
Sudden cardiac death: Primary and secondary prevention By Kai Chi Chan Penultimate Year Medical Student St George s University of London at UNic Sheba Medical Centre Definition Sudden cardiac arrest (SCA)
More informationRisk Stratification for CAD for the Primary Care Provider
Risk Stratification for CAD for the Primary Care Provider Shimoli Shah MD Assistant Professor of Medicine Directory, Ambulatory Cardiology Clinic Knight Cardiovascular Institute Oregon Health & Sciences
More informationECG Workshop. Nezar Amir
ECG Workshop Nezar Amir Myocardial Ischemia ECG Infarct ECG in STEMI is dynamic & evolving Common causes of ST shift Infarct Localisation Left main artery occlusion: o diffuse ST-depression with ST elevation
More informationSports Cardiology: Matters of the Heart. AMSSM Exchange Lecture AOSSM 2013 Annual Meeting
Sports Cardiology: Matters of the Heart AMSSM Exchange Lecture AOSSM 2013 Annual Meeting Matthew Gammons, MD Vermont Orthopaedic Clinic Killington Medical Clinic Although sudden cardiac death is a relatively
More informationCase Report Fulminant Myocarditis Managed by Extracorporeal Life Support (Impella CP): A Rare Case
Hindawi Volume 2017, Article ID 9231959, 4 pages https://doi.org/10.1155/2017/9231959 Case Report Fulminant Myocarditis Managed by Extracorporeal Life Support (Impella CP): A Rare Case Henrik Fox, Martin
More informationSudden Death (SD) and hypertrophic cardiomyopathy (HCM) Attempt of risk stratification
Sudden Death (SD) and hypertrophic cardiomyopathy (HCM) Attempt of risk stratification 84th Annual Scientific Meeting of the Aerospace Medical Association May 12-16, 2013 Sheraton Chicago Hotel & Towers,
More informationDetection Of Heart. By Dr Gary Mo
Detection Of Heart Disease By Dr Gary Mo Types Of Heart Disease A. Coronary Heart Disease B. Valvular Heart Disease C. Cardiac Arrhythmia ( Rhythm disturbance ) D. Heart Blocks ( Conduction Abnormalities
More informationNon-Invasive Evaluation of Coronary Vasospasm Using a Combined Hyperventilation and Cold-Pressure-Test Perfusion CMR Protocol
Journal of Cardiovascular Magnetic Resonance (2007) 9, 759 764 Copyright c 2007 Informa Healthcare USA, Inc. ISSN: 1097-6647 print / 1532-429X online DOI: 10.1080/10976640701544662 Non-Invasive Evaluation
More informationHeart Failure Syndromes related to Unusual Cardiomyopathies
Heart Failure Syndromes related to Unusual Cardiomyopathies Juan M. Aranda Jr., M.D. Professor of Medicine Medical Director of Heart Failure/ Transplant Program University of Florida College of Medicine
More informationPathophysiology: Heart Failure
Pathophysiology: Heart Failure Mat Maurer, MD Irving Assistant Professor of Medicine Outline Definitions and Classifications Epidemiology Muscle and Chamber Function Pathophysiology Heart Failure: Definitions
More informationInterpretation and Consequences of Repolarisation Changes in Athletes
Interpretation and Consequences of Repolarisation Changes in Athletes Professor Sanjay Sharma E-mail sasharma@sgul.ac.uk @SSharmacardio Disclosures: None Athlete s ECG Vagotonia Sinus bradycardia Sinus
More informationMANAGEMENT OF ASYMPTOMATIC BRADYCARDIA. Pr. HABIB HAOUALA Service de Cardiologie Hôpital militaire de Tunis
MANAGEMENT OF ASYMPTOMATIC BRADYCARDIA Pr. HABIB HAOUALA Service de Cardiologie Hôpital militaire de Tunis DISCLOSURE STATEMENT OF FINANCIAL INTEREST Grant/research: Medtronic;Sanofi; Novartis Consulting
More informationEVALUATION OF THE ATHLETE. Karen Stout, MD Professor, Medicine and Pediatrics University of Washington
EVALUATION OF THE 12 ATHLETE Karen Stout, MD Professor, Medicine and Pediatrics University of Washington NO DISCLOSURES OUTLINE Why evaluate athletes? What s the problem? What evaluation should be done?
More informationThe Athlete s Heart. Critical Role of Echo. Neil J. Weissman, MD MedStar Health Research Institute & Professor of Medicine Georgetown University
The Athlete s Heart Critical Role of Echo Neil J. Weissman, MD MedStar Health Research Institute & Professor of Medicine Georgetown University Washington, D.C. Disclosures Grant support (to institution)
More informationMyocardial involvement in Chagas disease: Insights from cardiac magnetic resonance
Myocardial involvement in Chagas disease: Insights from cardiac magnetic resonance Ander Regueiro a,b, Ana García-Álvarez a,b,c, Marta Sitges a,b, José Tomás Ortiz-Pérez a, Maria Teresa De Caralt a, María
More informationPatients and Relatives Information Evening 14/09/2016
Patients and Relatives Information Evening 14/09/2016 Presenters: Andy Jansons Dr Sanjay Prasad Dr Amrit Lota Dr Jan Lukas Robertus Rebecca Wassall Funded by the Alexander Jansons Foundation What is myocarditis?
More informationEndurance training and cardiac arrhythmias
Endurance training and cardiac arrhythmias Myocardial and autonomic alterations under endurance training Federico Lombardi, MD, FESC Cardiologia, Osp. San Paolo D.M.C.O. University of Milan Milan, Italy
More informationThe different clinical scenarios of left ventricular non-compaction: report of three cases
Page 1 of 5 Cardiovascular Medicine The different clinical scenarios of left ventricular non-compaction: report of three cases M Bolognesi 1 *, D Bolognesi 2 Abstract Introduction Left ventricular non-compaction
More informationPrevention of Sudden Death in ARVC
ESC Munich, August 29, 2012 Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC): Prevention of Sudden Death in ARVC Thomas Wichter, MD, FESC Professor of Medicine - Cardiology Marienhospital Osnabrück
More informationMRI of Nonischemic Cardiomyopathy
Cardiopulmonary Imaging Clinical Perspective Bluemke MRI of Nonischemic Cardiomyopathy Cardiopulmonary Imaging Clinical Perspective David A. Bluemke 1 Bluemke DA Keywords: arrhythmogenic right ventricular
More informationThe Heart of a Cyclist Insights from Sports Cardiology. Michel Accad, MD February 21, 2018 UCSF Mini Medical School
The Heart of a Cyclist Insights from Sports Cardiology Michel Accad, MD February 21, 2018 UCSF Mini Medical School Lecture outline: WARNING: Not a lecture about how to boost your performance! Preliminary
More informationCardiomyopathy. Jeff Grubbe MD FACP, Chief Medical Director, Allstate Life & Retirement
Cardiomyopathy Jeff Grubbe MD FACP, Chief Medical Director, Allstate Life & Retirement Nebraska Home Office Life Underwriters Association March 20, 2018 1 Cardiomyopathy A myocardial disorder in which
More informationAn Approach to the Patient with Syncope. Guy Amit MD, MPH Soroka University Medical Center Beer-Sheva
An Approach to the Patient with Syncope Guy Amit MD, MPH Soroka University Medical Center Beer-Sheva Case presentation A 23 y.o. man presented with 2 episodes of syncope One during exercise,one at rest
More informationChronic fatigue syndrome in women assessed with combined cardiac magnetic resonance imaging
Neth Heart J (2016) 24:709 716 DOI 10.1007/s12471-016-0885-8 ORIGINAL ARTICLE Chronic fatigue syndrome in women assessed with combined cardiac magnetic resonance imaging M. A. G. M. Olimulder 1 M.A.Galjee
More informationMyocarditis Bugs, Drugs, and the Role of Mechanical Circulatory Support
Myocarditis Bugs, Drugs, and the Role of Mechanical Circulatory Support Matthew J. Bock, M.D. Assistant Professor, Division of Pediatric Cardiology Pediatric Heart Failure & Transplantation Loma Linda
More informationCARDIOMYOPATHY IN CT. Hans- Christoph Becker Professor of Radiology
CARDIOMYOPATHY IN CT Hans- Christoph Becker Professor of Radiology 1 Cardiomyopathy Heart muscle disease Deterioration of the heart function, heart failure Dyspnea, peripheral edema Risk of arrhythmia,
More informationCardiomyopathy. Cardiomyopathies HOCM. Hypertrophic Obstructive Cardiomyopathy. Systolic Anterior Movement (SAM) of Mitral Valve (Venturi Effect) Cine
Jens Bremerich Radiology University Hospital Basel Hypertrophic Obstructive Cine VENC Cine (5m/s) Modified Bernoulli Equation: P (in mmhg) = 4 x (Vmax)2 Vmax= 4.2 m/s, P = 70mm Hg Hydrodynamica 738 HOCM
More informationRole of CMR in heart failure and cardiomyopathy
Role of CMR in heart failure and cardiomyopathy Hajime Sakuma Department of Radiology, Mie University Late gadolinium enhancement (LGE) LGE MRI can demonstrate site of necrosis, fibrosis or deposition
More informationHYPERTROPHIC CARDIOMYOPATHY RISK STRATIFICATION WHAT IS NEW?
HYPERTROPHIC CARDIOMYOPATHY RISK STRATIFICATION WHAT IS NEW? Division of Inherited Cardiac Diseases Heart Center for the Young and Athletes A Dpt of Cardiology University of Athens LANCET 2013 ESC HCM
More informationPresenter Disclosure Information
Various Morphological Types of Ventricular Premature Beats with Fragmented QRS Waves on 12 Lead Holter ECG had a Positive Relationship with Left Ventricular Fibrosis on CT in Patients with Hypertrophic
More informationTHE CARDIOVASCULAR SYSTEM
THE CARDIOVASCULAR SYSTEM AND RESPONSES TO EXERCISE Mr. S. Kelly PSK 4U North Grenville DHS THE HEART: A REVIEW Cardiac muscle = myocardium Heart divided into two sides, 4 chambers (L & R) RS: pulmonary
More informationCardiac Sarcoidosis. Millee Singh DO Non Invasive Cardiology First Coast Heart and Vascluar
Cardiac Sarcoidosis Millee Singh DO Non Invasive Cardiology First Coast Heart and Vascluar Introduction Multisystem granulomatous disease of unknown etiology characterized by noncaseating granulomas in
More informationCONGENITAL CORONARY ARTERY ANOMALIES
How to prevent sudden coronary death in the young CONGENITAL CORONARY ARTERY ANOMALIES Cristina Basso, MD, FESC University of Padua, Italy ESC Congress Paris August 29, 2011 DECLARATION OF CONFLICT OF
More informationINTRODUCTION. left ventricular non-compaction is a sporadic or familial cardiomyopathy characterized by
A Rare Case of Arrhythmogenic Right Ventricular Cardiomyopathy Co-existing with Isolated Left Ventricular Non-compaction NS Yelgeç, AT Alper, Aİ Tekkeşin, C Türkkan INTRODUCTION Arrhythmogenic right ventricular
More informationArrhythmogenic Cardiomyopathy cases. Δέσποινα Παρχαρίδου Καρδιολόγος Επιστημονικός Συνεργάτης Α Καρδιολογική κλινική ΑΧΕΠΑ
Arrhythmogenic Cardiomyopathy cases Δέσποινα Παρχαρίδου Καρδιολόγος Επιστημονικός Συνεργάτης Α Καρδιολογική κλινική ΑΧΕΠΑ Definition ARVD (Arrhythmogenic Right Ventricular Dysplasia) Progressive loss of
More informationCuRe PreClerkship Presentation. CARDIOVASCULAR COURSE Anita Soni MD FRCP (C) January 23, 2014
CuRe PreClerkship Presentation CARDIOVASCULAR COURSE Anita Soni MD FRCP (C) January 23, 2014 DRAFT 5 Nov 1, 2013 Y1 M1 Y2 M2 CuRe Preclerkship M0, 1/2: Human Biology, Health and Human Disease Biology and
More informationName of Presenter: Marwan Refaat, MD
NAAMA s 24 th International Medical Convention Medicine in the Next Decade: Challenges and Opportunities Beirut, Lebanon June 26 July 2, 2010 I have no actual or potential conflict of interest in relation
More informationCardiomyopathy: The Good, the Bad.and the Insurable?
Cardiomyopathy: The Good, the Bad.and the Insurable? WAHLU Spring Seminar 2014 Joy Geiger, RN, BSN, ALMI Medical Consultant The Northwestern Mutual Life Insurance Company Milwaukee, WI Objectives Overview
More informationProtocol Identifier Subject Identifier Visit Description. [Y] Yes [N] No. [Y] Yes [N] N. If Yes, admission date and time: Day Month Year
PAST MEDICAL HISTORY Has the subject had a prior episode of heart failure? o Does the subject have a prior history of exposure to cardiotoxins, such as anthracyclines? URGENT HEART FAILURE VISIT Did heart
More informationCardiac Dysrhythmias and Sports
Sudden unexpected death during athletic participation is the overriding consideration in advising individuals with dysrhythmias about participation in sports. The incidence of sudden death is 1 to 2 per
More informationMultiparametric T1, T2 and T2* MR Imaging
Multiparametric T1, T2 and T2* MR Imaging Kate Hanneman MD Assistant Professor of Radiology Joint Department of Medical Imaging, University of Toronto Disclosure Neither I nor my immediate family members
More informationPage 1. Typical presentation. Unexpected Clinical Presentation of Cardiac Amyloidosis. Typical presentation. Typical presentation
Unexpected Clinical Presentation of Cardiac Amyloidosis Typical presentation Sx assoicated with Lt sided HF and/or Rt sided HF Dae-Won Sohn, M.D., Ph.D., FACC, FASE Department of Internal Medicine, Seoul
More informationProfessor Sanjay Sharma St George s University of London
How to Evaluate an Athlete of Afro- Caribbean Origin. Professor Sanjay Sharma St George s University of London Background: Causes of SCD in Sport Young competitive athlete Personal and family history Physical
More informationthe Young Athlete David B. Gremmels, MD Pediatric Cardiologist Children s Hospitals and Clinics of MN
Cardiovascular Risk Assessment in the Young Athlete David B. Gremmels, MD Pediatric Cardiologist Children s Heart Clinic Children s Hospitals and Clinics of MN No disclosure or financial relationships
More informationThe focus of this week s lab will be pathology of the cardiovascular system.
LAB 3: THE MUSCLE AND CARDIOVASCULAR SYSTEM The focus of this week s lab will be pathology of the cardiovascular system. The cases we will cover are: A. Atherosclerosis Refer to virtual slide p_8, should
More informationMR imaging in suspected acute myocarditis
MR imaging in suspected acute myocarditis Poster No.: C-1954 Congress: ECR 2012 Type: Educational Exhibit Authors: C. Lacroix, D. Bélanger, P. Martin, P. Farand, F. Belzile, G. Gahide; Sherbrooke, QC/CA
More informationImpact of the Revision of Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia Task Force Criteria on Its Prevalence by CMR Criteria
JACC: CARDIOVASCULAR IMAGING VOL. 4, NO. 3, 2011 2011 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 1936-878X/$36.00 PUBLISHED BY ELSEVIER INC. DOI:10.1016/j.jcmg.2011.01.005 Impact of the Revision
More information