Circulation 110:3221–3228 CrossRefPubMed Trescher K , Bernecker O , Fellner B , Gyongyosi M , Schafer R , Aharinejad S , DeMartin R , Wolner E , Podesser BK ( 2006 ) Inflammation and postinfarct remodeling : overexpression of IkBpreventsventricular dilation
inadequate CO leads to fatigue and weaknesscausesventricular dilation
AB(passive) triggered byventricular dilation
smooth musclescausingvenous dilation
obstruction to blood leaving the heartcausesventricular dilation
The consequence ... the legscausesvenous dilation
Bone marrow rescuepreventedventricular dilation
during sustained AFresultsduring sustained AF
in congestive heart failureresultingin congestive heart failure
in progressive heart failureresultingin progressive heart failure
from inborn defect of spermatic venous valves , which occurs in some 15 % of adult men with 90 % in left side and some 10 % involving both sidesresultingfrom inborn defect of spermatic venous valves , which occurs in some 15 % of adult men with 90 % in left side and some 10 % involving both sides
a key role in AF(passive) caused bya key role in AF
an impaired systolic function which results in an irregular heartbeat and heart failurecausesan impaired systolic function which results in an irregular heartbeat and heart failure
congestion of blood , Seattle , WA Mauss M 1990causescongestion of blood , Seattle , WA Mauss M 1990
congestion of blood ... R. 16 For organometallic catalysiscausescongestion of blood ... R. 16 For organometallic catalysis
to more AF episodes or progression to persistent and permanent formsleadsto more AF episodes or progression to persistent and permanent forms
to heart failure accompanied by non - CM cell population depletion ( Pesl et al . , 2020leadingto heart failure accompanied by non - CM cell population depletion ( Pesl et al . , 2020
to more serious complications including aortic dissection ( tearing of the aortic wallcan leadto more serious complications including aortic dissection ( tearing of the aortic wall
to left ventricular diastolic or systolic dysfunctionleadingto left ventricular diastolic or systolic dysfunction
non - structural changes to the heart that can cause arrhythmias or electrophysiological conduction delaysmay also causenon - structural changes to the heart that can cause arrhythmias or electrophysiological conduction delays
Accumulation of fluid in the abdomen , or swelling of the legs Vague upper abdominal discomfort from a congested liver Fatigue due to diminished cardiac output Most cases of tricuspid insufficiency(passive) are caused byAccumulation of fluid in the abdomen , or swelling of the legs Vague upper abdominal discomfort from a congested liver Fatigue due to diminished cardiac output Most cases of tricuspid insufficiency
to subsequent annular dilatation and functional insufficiencycommonly leadsto subsequent annular dilatation and functional insufficiency
to ventricular wall thinning , degeneration , and loss of contractilityleadsto ventricular wall thinning , degeneration , and loss of contractility
from either myocardial cell elongationcan resultfrom either myocardial cell elongation
an increase in the preload volume which , in turn , causes increased stroke work during contractionscausesan increase in the preload volume which , in turn , causes increased stroke work during contractions
to apical and lateral distraction of the papillary muscles , which results in tethering of the mitral leafletsleadsto apical and lateral distraction of the papillary muscles , which results in tethering of the mitral leaflets
increased mechanical stress and myocardial stretchalso causesincreased mechanical stress and myocardial stretch
mitral or tricuspid valve regurgitation with further increases in end - diastolic volumescan also causemitral or tricuspid valve regurgitation with further increases in end - diastolic volumes
from the increased preload causesresultingfrom the increased preload causes
a decrease in cardiac workcausinga decrease in cardiac work
to dilation of the mitral annulus and tricuspid annulusleadsto dilation of the mitral annulus and tricuspid annulus
alsocan ... causealso
a general- ized voltage decrease in the extremity leads and slow R pro-may causea general- ized voltage decrease in the extremity leads and slow R pro-
to atrioventricular annular dilationcan leadto atrioventricular annular dilation
a thinning of the ventricular wallcausesa thinning of the ventricular wall
to dilation of the mitral annulus and papillary muscle displacementleadsto dilation of the mitral annulus and papillary muscle displacement
to venous poolingleadingto venous pooling
to increased diastolic pressure and volumeleadingto increased diastolic pressure and volume
to hypertrophy eventually leading to CHF ( acute or chronic AR ) high LV stroke volumeleadsto hypertrophy eventually leading to CHF ( acute or chronic AR ) high LV stroke volume
dilation of both the mitral and tricuspid annuli which leads to mitral and tricuspid regurgitation ... further worsening the efficiency of the heart as much of the reduced stroke volume is lost to the regurgitation Reactions : WheezyBaby and jqueb29causedilation of both the mitral and tricuspid annuli which leads to mitral and tricuspid regurgitation ... further worsening the efficiency of the heart as much of the reduced stroke volume is lost to the regurgitation Reactions : WheezyBaby and jqueb29
a fall in SV during a fall in the EF of the RV contracting toward an increased RVESV indexpreventeda fall in SV during a fall in the EF of the RV contracting toward an increased RVESV index
to a reduced arterial pressure , reduced preload , reduced oxygen consumptionleadsto a reduced arterial pressure , reduced preload , reduced oxygen consumption
symptoms of severe headache , vomiting , irritability , lethargy , increased blood pressurecreatessymptoms of severe headache , vomiting , irritability , lethargy , increased blood pressure
to reduction in LVEFleadto reduction in LVEF
proper coaptation by altering the size and position of the mitral annulus ( Otsuji , et al . , 1997preventsproper coaptation by altering the size and position of the mitral annulus ( Otsuji , et al . , 1997
to apical and lateral distraction of the papillary muscles tethering the mitral leaflets causing central regurgitation owing to failure of coaptation during systole of the anatomically normal leaflets7 ( Fig . 45 - 1leadsto apical and lateral distraction of the papillary muscles tethering the mitral leaflets causing central regurgitation owing to failure of coaptation during systole of the anatomically normal leaflets7 ( Fig . 45 - 1