#stenosis heart

[bpod-bpod]

Risk for Rupture

CT scan study finds an increased risk of diseases in the wall of the aorta [the body's largest and central artery] called aortic pseudoaneurysm and penetrating aortic ulcer in individuals with aortic calcification, which causes narrowing

Read the published research article here

Image from work by Siting Li and Haoxuan Kan, and colleagues

Department of Vascular Surgery, Department of State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

Image originally published with a Creative Commons Attribution 4.0 International (CC BY 4.0)

Published in Scientific Reports, January 2024

You can also follow BPoD on Instagram, Twitter and Facebook

[struggling-to-find-home]

Me: *gets my test in which I am supposed to give a diagnosis to a patient*

My patient: *Has ALL of the textbook symptoms of TWO DIFFERENT HEART ISSUES, a bunch of general symptoms that can be attributed to both of them, and a HEART ATTACK in history, which can cause one, but not the other, but both of them can lead to each other, and there's literally ZERO INDICATION which one is the main one*

Me: WHAT AM I SUPPOSED TO DO WITH THIS?!!?!?!!!

[pathfinderlittleduck]

My chest hurts and my heart rate won't calm down. Also, I don't wanna say I have a heart murmur, but I think I have a heart murmur (at least it sounds like one).

Grief really tears your body apart.

[drone182]

Fuck Aortic Stenosis 🖕🏼

[beetlejuicesgraveyardrevue]

poor baby’s exercise intolerance is getting worse, luckily my sibling was able to come pick us up during our walk tonight. she didn’t pass out but she definitely reached her limit (which is waaaay lower now apparently than it was even a month ago) and refused to go any further. we’ve already upped her atenolol dose so i’m going to have to talk to the dr and see if there’s anything else we can do to help alleviate it for now. heart conditions fucking suck.

[medicomunicare]

How to delay aortic stenosis surgery? Tag the valve @ ataciguat.avast

Aortic valve stenosis (AVAST) is a significant health concern affecting millions of people globally.  In AVAST, calcium deposits build up and narrow the aortic valve, forcing the heart to work harder to move blood. The condition typically progresses over time, with symptoms like chest pain, shortness of breath and fatigue affecting people over age 65. The current standard of care – watchful…

[oskiandfriends]

Amos got the ultrasound this last Wednesday so now we know exactly what's going on. He's on a diuretic and is breathing better. He's still not eating well (he's become so finicky that after eats something 2-4x he won't touch it again). It's really about quality of life at this point so if the meds don't help enough or when things get worse it will be time. I will enjoy my time with him until then.

I have a goal on my Ko-Fi to get help with the vet bills. I am on disability and the two visits each used my monthly payment. Insurance was not an option because he was diagnosed with a murmur at his first check up after I got him. Even if I got coverage for other stuff they would deny coverage on the congenital issues.

I'm not sure I'll be able to get a cat again after this because of the cost of care is so high and I'm not the sort of person who can just let my cat suffer to avoid the debt. I'll always want to do what is best for them.

Health care shouldn't be a privilege for humans or for the animals that are reliant on us. Sigh.

https://ko-fi.com/leighdoingstuff

[indianhealthguru]

Heart valve replacement is required when a heart valve becomes severely diseased or damaged, leading to improper blood flow. The main causes include:

Valve Stenosis (Narrowing)

Valve Regurgitation (Leakage)

Congenital Heart Defects

Infections & Diseases

Degenerative Conditions

Rheumatic Heart Disease

[drraghu1]

Aortic Dissection: Causes, Symptoms, and Solutions

Aortic dissection is a serious heart condition requiring immediate attention. Learn about its causes, warning signs, and treatment solutions from Dr. Raghu. Early detection and timely intervention can be lifesaving. Schedule an appointment with Dr. C. Raghu, best Interventional Cardiologist at Yashoda Hospitals, Secunderabad.

Visit Now - https://drraghu.com/hearty-life/aortic-dissection-causes-symptoms-and-solutions/

[diana-aj]

Urgent Relief ... 🙏🇵🇸

"Save what's left of our souls . . . 👨‍👩‍👦

My name is Diana, a Palestinian from Gaza.

A mother of two beautiful children, Riad (6) and Ahmed (4). We live together with my mother, my brother and his wife.

Verified by ✅✅

@90-ghost ✅ here.

To donate, click here 🙏

It is difficult for me to ask for a little financial help from you But I will not let my innocent children go without a fight until my last breath

I was about to achieve my dream of becoming a teacher but the war destroyed all my dreams. Most schools in Gaza have been destroyed.💔💔

Unfortunately, our house was bombed and destroyed during the recent events,

which caused us severe psychological and physical damage due to the catastrophic situation we are currently living in. We were forcibly displaced due to the heavy bombing from the north of Gaza to the south, where we have no shelter except a tent that does not protect us from the cold of winter or the heat of summer.

We are now living in catastrophic conditions, in particular my child Riad who was born with a hole in his heart and also pulmonary valve stenosis. At the age of 6 months, he underwent open heart surgery.

Unfortunately, during his regular checkups after surgery, exactly 2 years ago, we noticed that problems had started to appear again.💔

My child Riad often falls ill due to his weak immune system and the severe shortage of food, supplies and medical supplies that we suffer from, in addition to the high prices that make it difficult to meet our basic needs.

We don’t even have access to clean drinking water. The loss of our home has exacerbated our suffering, and our daily lives have become a constant struggle for survival.

My family and I thank you all from the bottom of our hearts! ❤️❤️‍

I understand that we all go through tough times, so anything helps. Whether it's your love and support, donating, sharing my story, or sending love, prayers, positive vibes, and healing. Everything is appreciated and accepted..🙏

"Save what's left of our souls . . . 👨‍👩‍👦

To donate, click here 🙏

With all appreciation and thanks,

Diana❤️

My campaign has been verified by :

@90-ghost ✅ here.

@el-shab-hussein ✅ here.

@gazavetters my number verified on the list is ( #233 )✅️ here.

@dlxxv-vetted-donations ✅ here.

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@postanagramgenerator ✅ here.

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[kaylasartwork]

if it's no too invasive to ask, in the Bras comic the lines underneath the chest, are they ment to represent something? we could be missing something obvious, or this could be too personal, if so sorry for asking

I LOOOOOOVE this question! In 2000 I was born with pulmonary stenosis which in my case meant my pulmonary valve was sealed shut when I was born and needed immediate attention. The docs basically saved me at the last second, but unfortunately gave me a side effect of having a pulmonary valve that was slowly failing.

2014 I had my first open heart surgery (hence the chest scars) to replace said valve. The two lines under my chest were from the drainage tubes. These were fun cus I had them both removed while I was awake and was slowly weaned off of pain meds.

Due to it slowly failing, which was expected, I had another heart surgery in 2022 where I'm currently on my second valve. Unfortunately I'll have to sort of repeat this process ever 10ish years.

[rainbow-banana-slug]

eye strain warning

gummy 🌈🐬

[plain text: gummy 🌈rainbow emoji🐬dolphin emoji]

(^ shark emoji not blue enough)

[id: dark skinned black person with williams syndrome in decora kei fashion walk with posterior walker. person have pink hair with rainbow bangs n all sorts hair clips in hair & stickers on cheek. have many rainbow necklace include one with double yoke egg. wear blue sweater with white cloud where one sleeve is yellow horse with pink leash thing. there many pins on sweater include gummies (gummy shark, peach ring, gummy worm, gummy bear) & green crayons & others. she wear cross body green dino plushie (bag?). rainbow vertical stripe pants with rainbow n star chain. one shoe red one shoe blue. posterior walker made of different color crayons. there text around character describe her which be functionally described below. end id]

🌈🐬.

girl (complicated gender) with williams syndrome n love decora kei fashion & bright colors (she call them happy colors/excited colors)!! she has lotssss of bows n head pieces n hair clips n necklaces n bracelets n other decoration & big wardrobe with bright colored clothing! she love wear different outfits but it consistently decora kei.

she love gummy candy & named herself after them >:) blue/red gummy worm & blue gummy shark her favorites (blue gummy shark also my favorite. to look at.)

williams syndrome (also known as williams-beuren syndrome) is genetic developmental disorder micro-deletion of some of chromosome 7. for gummy, WS lead her have moderate intellectual disability (ID) & global developmental delay, level 2 autism, ADHD-c; congenital heart defects (CHD); hypotonia (low muscle tone), & loose joints.

like many people with WS, gummy very friendly & social! she love hugs & talking to people & talk lot & very physical in show affection! but also often struggle tell when other people not want be social / be social with her, be called “a lot” & “too much,” which lead her have trouble make n keep friends n make her sad—even tho WS make her extra outgoing, she also still get sad n mad n not hide it. she also struggle with danger awareness & often treat strangers like would with friend, n it been something that her support team very focused on work with her entire life because this lead her be very easily taken advantage of n be put in danger.

also like many ppl with williams syndrome, language & verbal abilities her strong suit—tho it’s relative to her moderate ID, so one shouldn’t expect she write speak communicate like average person without struggle. her words more simple, n still need many help for communication, including various form of AAC & aide person.

she has aides that pretty much 24/7 present because WS & moderate ID but working on skills so can be more independent! it something she been work very hard on entire life n she quite proud of progress.

she has many classic facial features associate with williams syndrome, like epicanthal folds at eye, upturned nose, wide mouth & small teeth, small jaw, full cheeks (badly drawn), n large ears.

70% or more people with WS have some sort cardiovascular problem, n so do gummy. she has supravalvar aortic stenosis (narrowing of aorta) which form of congenital heart defect (CHD). hers not very severe n be closely monitored.

she also have hypotonia & loose joints due to WS & uses posterior walker full time to get around. she really like her posterior walker, it shaped like many crayons :D also wear SMOs but forgot write it so oops

art fight character profile

[reblog welcome but please no repost]

[scientia-rex]

Wound Care

Ok so, take this with a BIG grain of salt, because I may be a medical doctor BUT you need to know how much wound care training we get in medical school: none. Zip. Zilch. There may be medical schools where you do, but mine wasn't a bozo factory and there was NO wound care training. Everything I know I learned from one of several sources: an intensive 2-day wound care course I did in residency (highly recommend), the local Home Health wound care nurse (highly recommend), a completely batshit insane old white male doctor who started our learning sessions by yelling Vietnam War stories at me (do not recommend), a hospital wound care nurse (highly recommend), and experience (oh god do not recommend).

The first thing you need to know is that wound healing varies dramatically across the course of a lifespan. Kids? Kids will heal. If they don't, get their ass to a pediatrician because there's something genetic going on. Young adults will heal. Middle-aged adults will heal. You know who doesn't heal for shit? The elderly, and people with severe illnesses, and people with uncontrolled type II diabetes.

Your body needs several things in order to heal. It needs macronutrients, so you need to be able to EAT protein, fat, and carbs. If you are on total parenteral nutrition, aka TPN, aka IV nutrition, you are going to be worse at healing. If you are starving yourself, you are going to be worse at healing. If your body is desperately funneling all the calories you take in to surviving your COPD or cancer, you are going to be worse at healing.

It also needs micronutrients. If your diet sucks, you won't heal. Take a multivitamin once in a while.

There are two CRITICAL skin components to healing: collagen and elastin. Guess what we stop making as we age. Promoting collagen isn't just good for "anti-aging," it's good for NOT ripping your skin apart. Taking oral collagen is probably bullshit because your body is going to have to disassemble it to get it across the intestinal membranes to absorb, but it's also harmless, and if your diet REALLY sucks, who knows. Give it a try. Collagen is made of amino acids; think protein.

Another absolutely crucial component is blood flow. As people age, they start to develop cholesterol plaques lining arteries that eventually pick up calcium deposits. This makes blood vessels less elastic, which is a problem, but eventually also blocks them off, which is a much bigger problem. If someone has the major blood flow to their feet decreased by 90% by arterial stenosis, they are not going to heal for shit AND their foot's gonna hurt.

One component of blood flow I hadn't thought about before going into medicine is fluid retention. The way your body works, blood exits the heart at a very high velocity, but slows to a crawl by the time it gets into capillaries, the smallest blood vessels in the body. Water is a very small molecule and can leave the blood vessel, especially if there aren't big, negatively-charged molecules like proteins like albumin in the blood vessels to hold the water there. And we're built for this--some water is supposed to leak out of our blood vessels when it gets to real little vessels. It gets taken back up by the lymphatic system and eventually dumped back into the bloodstream at the inferior vena cava. But if you aren't making albumin--for instance, in liver failure--you may leak a LOT of fluid into the tissue, so much that your legs get swollen, tight, the skin feeling woody and strange. This isn't fixable by drainage because the fluid is everywhere, not in a single pocket we can drain. And because it puts so much pressure on the tissues of the skin, it often results in ulcers. Congestive heart failure, liver failure, kidney failure--these are all common causes of severe edema, aka swelling due to fluid in the tissues. And they're a real bitch when it comes to wound care, because we have such limited resources for getting the fluid back out, which is a necessary first step to healing.

Pressure is another common cause of wounds. Pressure forces blood out of those little capillaries, so you starve the cells normally fed by those capillaries, and they die. It's called pressure necrosis. Very sick people who can't turn themselves over--people in the ICU, people in nursing homes--are especially prone to these wounds, as are people with limited sensation; pressure wounds are common in wheelchair users who have lost some feeling in the parts of their bodies that rub against those surfaces, or diabetics who don't notice a rock in their shoe.

So, if you're trying to treat wounds, the questions to ask are these:

Why did this wound happen?

-Was it pressure? If it's pressure, you have to offload the source of the pressure or else that wound will not heal. End of story. You can put the tears of a unicorn on that thing, if you don't offload the pressure it won't heal.

-Was it fluid? If it's fluid, you have get the fluid out of the issues or else it won't heal. You can sometimes do that with diuretics, medications that cause the body to dump water through the kidneys, but that's always threading a needle because you have to get someone to a state where they still have juuuuust enough fluid inside their blood vessels to keep their organs happy, while maintaining a very slight state of dehydration so the blood vessels suck water back in from the tissues. You can use compression stockings to squeeze fluid back into the vessels, but if they have arterial insufficiency and not just venous insufficiency, you can accidentally then cause pressure injury. The safest option is using gravity: prop the feet up above the level of the heart, wherever the heart is at, at that moment, and gravity will pull fluid back down out of the legs. Super boring though. Patients hate it. Not as much as they hate compression stockings.

-Was it a skin tear because the skin is very fragile? This is extremely common in the elderly, because they're not making collagen and elastin, necessary to repairing skin. If this is the case, make sure they're actually getting enough nutrition--as people get into their 80s and 90s, their appetites often change and diminish, especially if they're struggling with dementia. And think about just wrapping them in bubble wrap. Remove things with sharp edges from their environments. I have seen the WORST skin tears from solid wood or metal furniture with sharp edges. Get rid of throw rugs and other tripping hazards. I had somebody last week who tried to a clear a baby gate and damn near destroyed their artificial hip.

The next critical question: why isn't it healing?

-Are you getting enough nutrients? Both macro and micro?

-Are you elderly?

-Are you ill?

-Do you have a genetic disorder of collagen formation?

Fix why it's not healing and almost anything will heal. If you're diabetic, find a medication regimen that improves your sugars and stick to it. If you're anorexic, get treatment for your eating disorder. If you have congestive heart failure, work with your doctor on your fluid balance. Wear the damn pressure stockings. Prop up your feet.

If, after those two unskippable questions are done, you want to do something to the wound--apply a dressing, do a treatment--that's a whole other kettle of fish. I'll write that later. The dryer just sang me its little song and I need to put away the laundry.

[atomicraft]

here’s a sketch i did of the tmkers in my modern au !! I’ve dropped a couple hcs abt them below the cut for funsies <3

everett:

former emo kid who never fully left that phase

black cat amongst two golden retrievers

handful of tattoos, mostly of dragons and other mythical creatures

has a heart condition called aortic stenosis and has various surgery scars in the center of his chest bc of it

only responds to group chat texts in 3 word or less sentences between the hours of 9pm and 2am

Jin:

college athlete

weightlifts as well

gym bros with everett

filipino (and bilingual, he speaks tagalog)

his height and build kind of intimidate people which makes him a little sad

allergic to cats but in denial

Lucia:

Amber is her ESA

goes to veteranarian school

very into thrifting and hand making jewelry

has depersonalization / derealization disorder (DPDR)

only wears maxi skirts

packs everett lunches weekly

[cardiacreports2]

Paramedic Incident Report

Incident Number: 2024-19245 Date: December 6, 2024 Time of Call: 15:23

Incident Location: ClimbX Indoor Gym, 345 Summit Street, Boulder, CO

Patient Information:

Name: Daniel Carson

Age: 20

Gender: Male

Height: 5'11"

Weight: 165 lbs

Physical Description: Lean and muscular build with well-defined arms and torso typical of an experienced climber. Short dark brown hair, light complexion.

Description of Incident: At 15:23, dispatch received a 911 call reporting a young male climber had collapsed while bouldering at an indoor climbing facility. The patient was reportedly scaling a mid-level climb when witnesses described him suddenly clutching his chest, losing his grip, and falling to the mat below. He was unresponsive upon initial assessment by gym staff.

Initial Assessment Upon Arrival (15:30):

Level of Consciousness: Unresponsive

Pulse: Absent

Respiratory Effort: None

Skin Condition: Pale, cool, and clammy

Pupils: Fixed and dilated

Bystanders reported that staff initiated CPR immediately after the collapse and delivered one shock using the facility's automated external defibrillator (AED).

Treatment at Scene (15:30-15:45):

CPR: High-quality chest compressions continued upon paramedics’ arrival.

Airway Management: Airway secured with a bag-valve mask; oxygen at 15 L/min.

AED Analysis: AED advised one additional shock, which was administered at 15:35. Return of spontaneous circulation (ROSC) achieved at 15:37.

Vital Signs Post-ROSC:

Pulse: Weak and irregular at 45 bpm

Blood Pressure: 80/50 mmHg

Respiration: Shallow and labored at 10 breaths/min

Oxygen Saturation: 78%

Transport Summary (15:45-16:00): Patient was loaded into the ambulance for transport to St. Anthony's Hospital. During transport, the patient exhibited further signs of cardiac distress. At 15:50, he experienced ventricular fibrillation (VF).

Intervention: CPR resumed, epinephrine 1 mg administered IV, and defibrillation attempted twice.

Outcome: No ROSC achieved after second cardiac arrest.

Time of Death: 16:00

Remarks: The patient suffered two cardiac arrests within a 30-minute period, likely indicative of a severe underlying cardiac condition. Efforts to stabilize were unsuccessful due to continued arrhythmias and compromised circulation.

Autopsy Report

Case Number: 2024-AU-1245 Date of Examination: December 7, 2024 Time of Examination: 09:00

Name: Daniel Carson Age: 20 Height: 5'11" Weight: 165 lbs Sex: Male Race: Caucasian

External Examination:

General Appearance: Well-developed and muscular young male. No evidence of external trauma except for mild abrasions on the back of hands and forearms, consistent with climbing activities. Skin pale with slight cyanosis around the lips and nail beds.

Scars/Marks: None significant.

Tattoos: None noted.

Clothing: Patient arrived wearing climbing shorts and a tank top.

Internal Examination:

Cardiovascular System:

Heart: Enlarged, weighing 420 grams (average for age/weight: 300-350 grams).

Valves: Mitral valve revealed significant calcification and fibrosis, indicative of a congenital defect. The defective valve exhibited stenosis, which restricted blood flow and created turbulent circulation.

Coronary Arteries: Severe occlusion (95%) of the left anterior descending (LAD) artery due to atherosclerotic plaque.

Myocardium: Evidence of acute ischemic changes and scarring, suggesting prior silent infarctions. The ventricular walls were thickened (hypertrophic cardiomyopathy).

Aorta: Normal caliber and appearance.

Respiratory System:

Lungs congested, with frothy fluid in the trachea and bronchi.

Right lung: 450 grams; Left lung: 430 grams.

Gastrointestinal System:

Stomach contained approximately 200 mL of partially digested food.

No abnormalities in the esophagus, stomach, or intestines.

Central Nervous System:

Brain weight: 1,450 grams. No gross abnormalities.

Other Organs:

Liver: Enlarged (1,600 grams), possibly due to mild congestion.

Kidneys: Unremarkable.

Spleen: Normal size.

Microscopic Examination:

Heart Tissue: Acute myocardial infarction visible in sections of the left ventricle.

Coronary Arteries: Advanced plaque buildup with rupture and thrombus formation.

Mitral Valve: Fibrotic thickening and calcification evident.

Toxicology:

No evidence of drugs or alcohol.

Summary and Cause of Death: Daniel Carson, a 20-year-old male, died from complications of a congenital mitral valve defect and severe coronary artery disease. The primary event was a massive myocardial infarction triggered by the blockage of the LAD artery. A second cardiac arrest during transport proved fatal.

Final Diagnosis:

Acute myocardial infarction secondary to LAD artery occlusion.

Congenital mitral valve stenosis and calcification.

Hypertrophic cardiomyopathy contributing to cardiac instability.

Cause of Death: Cardiac arrest due to a defective valve and blocked artery.

Manner of Death: Natural.

Signed by: Dr. Margaret Li, MD Pathologist