Foramen Ovale, Patent: A condition in which the FORAMEN OVALE in the ATRIAL SEPTUM fails to close shortly after birth. This results in abnormal communications between the two upper chambers of the heart. An isolated patent ovale foramen without other structural heart defects is usually of no hemodynamic significance.Foramen Ovale: An opening in the wall between the right and the left upper chambers (HEART ATRIA) of a fetal heart. Oval foramen normally closes soon after birth; when it fails to close the condition is called PATENT OVAL FORAMEN.Heart Septal Defects, Atrial: Developmental abnormalities in any portion of the ATRIAL SEPTUM resulting in abnormal communications between the two upper chambers of the heart. Classification of atrial septal defects is based on location of the communication and types of incomplete fusion of atrial septa with the ENDOCARDIAL CUSHIONS in the fetal heart. They include ostium primum, ostium secundum, sinus venosus, and coronary sinus defects.Embolism, Paradoxical: Blockage of an artery due to passage of a clot (THROMBUS) from a systemic vein to a systemic artery without its passing through the lung which acts as a filter to remove blood clots from entering the arterial circulation. Paradoxical embolism occurs when there is a defect that allows a clot to cross directly from the right to the left side of the heart as in the cases of ATRIAL SEPTAL DEFECTS or open FORAMEN OVALE. Once in the arterial circulation, a clot can travel to the brain, block an artery, and cause a STROKE.Patents as Topic: Exclusive legal rights or privileges applied to inventions, plants, etc.Plasmodium ovale: A species of protozoan parasite causing MALARIA. It is the rarest of the four species of PLASMODIUM infecting humans, but is common in West African countries and neighboring areas.Sleep Apnea, Obstructive: A disorder characterized by recurrent apneas during sleep despite persistent respiratory efforts. It is due to upper airway obstruction. The respiratory pauses may induce HYPERCAPNIA or HYPOXIA. Cardiac arrhythmias and elevation of systemic and pulmonary arterial pressures may occur. Frequent partial arousals occur throughout sleep, resulting in relative SLEEP DEPRIVATION and daytime tiredness. Associated conditions include OBESITY; ACROMEGALY; MYXEDEMA; micrognathia; MYOTONIC DYSTROPHY; adenotonsilar dystrophy; and NEUROMUSCULAR DISEASES. (From Adams et al., Principles of Neurology, 6th ed, p395)Echocardiography, Transesophageal: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.Foramen Magnum: The large hole at the base of the skull through which the SPINAL CORD passes.Sleep Apnea Syndromes: Disorders characterized by multiple cessations of respirations during sleep that induce partial arousals and interfere with the maintenance of sleep. Sleep apnea syndromes are divided into central (see SLEEP APNEA, CENTRAL), obstructive (see SLEEP APNEA, OBSTRUCTIVE), and mixed central-obstructive types.Atrial Septum: The thin membrane-like muscular structure separating the right and the left upper chambers (HEART ATRIA) of a heart.Septal Occluder Device: A CATHETER-delivered implant used for closing abnormal holes in the cardiovascular system, especially HEART SEPTAL DEFECTS; or passageways intentionally made during cardiovascular surgical procedures.Heart Septum: This structure includes the thin muscular atrial septum between the two HEART ATRIA, and the thick muscular ventricular septum between the two HEART VENTRICLES.Anoxia: Relatively complete absence of oxygen in one or more tissues.Heart Aneurysm: A localized bulging or dilatation in the muscle wall of a heart (MYOCARDIUM), usually in the LEFT VENTRICLE. Blood-filled aneurysms are dangerous because they may burst. Fibrous aneurysms interfere with the heart function through the loss of contractility. True aneurysm is bound by the vessel wall or cardiac wall. False aneurysms are HEMATOMA caused by myocardial rupture.Valsalva Maneuver: Forced expiratory effort against a closed GLOTTIS.Cardiac Catheterization: Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.Migraine with Aura: A subtype of migraine disorder, characterized by recurrent attacks of reversible neurological symptoms (aura) that precede or accompany the headache. Aura may include a combination of sensory disturbances, such as blurred VISION; HALLUCINATIONS; VERTIGO; NUMBNESS; and difficulty in concentrating and speaking. Aura is usually followed by features of the COMMON MIGRAINE, such as PHOTOPHOBIA; PHONOPHOBIA; and NAUSEA. (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)Embolism: Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream.Intracranial Embolism: Blocking of a blood vessel in the SKULL by an EMBOLUS which can be a blood clot (THROMBUS) or other undissolved material in the blood stream. Most emboli are of cardiac origin and are associated with HEART DISEASES. Other non-cardiac sources of emboli are usually associated with VASCULAR DISEASES.Heart Septal Defects: Abnormalities in any part of the HEART SEPTUM resulting in abnormal communication between the left and the right chambers of the heart. The abnormal blood flow inside the heart may be caused by defects in the ATRIAL SEPTUM, the VENTRICULAR SEPTUM, or both.Sleep Apnea, Central: A condition associated with multiple episodes of sleep apnea which are distinguished from obstructive sleep apnea (SLEEP APNEA, OBSTRUCTIVE) by the complete cessation of efforts to breathe. This disorder is associated with dysfunction of central nervous system centers that regulate respiration.Balloon Occlusion: Use of a balloon CATHETER to block the flow of blood through an artery or vein.Polysomnography: Simultaneous and continuous monitoring of several parameters during sleep to study normal and abnormal sleep. The study includes monitoring of brain waves, to assess sleep stages, and other physiological variables such as breathing, eye movements, and blood oxygen levels which exhibit a disrupted pattern with sleep disturbances.Stroke: A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)Echocardiography: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.Decompression Sickness: A condition occurring as a result of exposure to a rapid fall in ambient pressure. Gases, nitrogen in particular, come out of solution and form bubbles in body fluid and blood. These gas bubbles accumulate in joint spaces and the peripheral circulation impairing tissue oxygenation causing disorientation, severe pain, and potentially death.Prostheses and Implants: Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.Ultrasonography, Doppler, Transcranial: A non-invasive technique using ultrasound for the measurement of cerebrovascular hemodynamics, particularly cerebral blood flow velocity and cerebral collateral flow. With a high-intensity, low-frequency pulse probe, the intracranial arteries may be studied transtemporally, transorbitally, or from below the foramen magnum.Migraine Disorders: A class of disabling primary headache disorders, characterized by recurrent unilateral pulsatile headaches. The two major subtypes are common migraine (without aura) and classic migraine (with aura or neurological symptoms). (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)Heart Atria: The chambers of the heart, to which the BLOOD returns from the circulation.Diving: An activity in which the organism plunges into water. It includes scuba and bell diving. Diving as natural behavior of animals goes here, as well as diving in decompression experiments with humans or animals.Cardiac Surgical Procedures: Surgery performed on the heart.Ischemic Attack, Transient: Brief reversible episodes of focal, nonconvulsive ischemic dysfunction of the brain having a duration of less than 24 hours, and usually less than one hour, caused by transient thrombotic or embolic blood vessel occlusion or stenosis. Events may be classified by arterial distribution, temporal pattern, or etiology (e.g., embolic vs. thrombotic). (From Adams et al., Principles of Neurology, 6th ed, pp814-6)Pulmonary Embolism: Blocking of the PULMONARY ARTERY or one of its branches by an EMBOLUS.Embolism, Air: Blocking of a blood vessel by air bubbles that enter the circulatory system, usually after TRAUMA; surgical procedures, or changes in atmospheric pressure.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Secondary Prevention: The prevention of recurrences or exacerbations of a disease or complications of its therapy.Oxygen: An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration.High Pressure Neurological Syndrome: A syndrome related to increased atmospheric pressure and characterized by tremors, nausea, dizziness, decreased motor and mental performance, and SEIZURES. This condition may occur in those who dive deeply (c. 1000 ft) usually while breathing a mixture of oxygen and helium. The condition is associated with a neuroexcitatory effect of helium.Vena Cava, Inferior: The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.Sphenoid Bone: An irregular unpaired bone situated at the SKULL BASE and wedged between the frontal, temporal, and occipital bones (FRONTAL BONE; TEMPORAL BONE; OCCIPITAL BONE). Sphenoid bone consists of a median body and three pairs of processes resembling a bat with spread wings. The body is hollowed out in its inferior to form two large cavities (SPHENOID SINUS).Blood Gas Analysis: Measurement of oxygen and carbon dioxide in the blood.Oximetry: The determination of oxygen-hemoglobin saturation of blood either by withdrawing a sample and passing it through a classical photoelectric oximeter or by electrodes attached to some translucent part of the body like finger, earlobe, or skin fold. It includes non-invasive oxygen monitoring by pulse oximetry.Continuous Positive Airway Pressure: A technique of respiratory therapy, in either spontaneously breathing or mechanically ventilated patients, in which airway pressure is maintained above atmospheric pressure throughout the respiratory cycle by pressurization of the ventilatory circuit. (On-Line Medical Dictionary [Internet]. Newcastle upon Tyne(UK): The University Dept. of Medical Oncology: The CancerWEB Project; c1997-2003 [cited 2003 Apr 17]. Available from: http://cancerweb.ncl.ac.uk/omd/)Ductus Arteriosus: A fetal blood vessel connecting the pulmonary artery with the descending aorta.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Recurrence: The return of a sign, symptom, or disease after a remission.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Contrast Media: Substances used to allow enhanced visualization of tissues.Mandibular Nerve: A branch of the trigeminal (5th cranial) nerve. The mandibular nerve carries motor fibers to the muscles of mastication and sensory fibers to the teeth and gingivae, the face in the region of the mandible, and parts of the dura.Skull Base: The inferior region of the skull consisting of an internal (cerebral), and an external (basilar) surface.Intracranial Embolism and Thrombosis: Embolism or thrombosis involving blood vessels which supply intracranial structures. Emboli may originate from extracranial or intracranial sources. Thrombosis may occur in arterial or venous structures.Fluoroscopy: Production of an image when x-rays strike a fluorescent screen.Snoring: Rough, noisy breathing during sleep, due to vibration of the uvula and soft palate.Echocardiography, Doppler, Color: Echocardiography applying the Doppler effect, with the superposition of flow information as colors on a gray scale in a real-time image.Device Removal: Removal of an implanted therapeutic or prosthetic device.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Fetal Heart: The heart of the fetus of any viviparous animal. It refers to the heart in the postembryonic period and is differentiated from the embryonic heart (HEART/embryology) only on the basis of time.Plasmodium malariae: A protozoan parasite that occurs primarily in subtropical and temperate areas. It is the causal agent of quartan malaria. As the parasite grows it exhibits little ameboid activity.Occipital Bone: Part of the back and base of the CRANIUM that encloses the FORAMEN MAGNUM.Prosthesis Implantation: Surgical insertion of a prosthesis.Cerebrovascular Disorders: A spectrum of pathological conditions of impaired blood flow in the brain. They can involve vessels (ARTERIES or VEINS) in the CEREBRUM, the CEREBELLUM, and the BRAIN STEM. Major categories include INTRACRANIAL ARTERIOVENOUS MALFORMATIONS; BRAIN ISCHEMIA; CEREBRAL HEMORRHAGE; and others.Common Dolphins: The genus Delphinus, in the family Delphinidae, consisting of two species of DOLPHINS. They are multicolored, with a characteristic yellow-tan criss-cross hourglass pattern behind the eyes.Dyspnea: Difficult or labored breathing.Thromboembolism: Obstruction of a blood vessel (embolism) by a blood clot (THROMBUS) in the blood stream.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Fetal Hypoxia: Deficient oxygenation of FETAL BLOOD.Anticoagulants: Agents that prevent clotting.Echoencephalography: Use of reflected ultrasound in the diagnosis of intracranial pathologic processes.Respiration: The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration (= OXYGEN CONSUMPTION) or cell respiration (= CELL RESPIRATION).Carcinoid Heart Disease: Cardiac manifestation of gastrointestinal CARCINOID TUMOR that metastasizes to the liver. Substances secreted by the tumor cells, including SEROTONIN, promote fibrous plaque formation in ENDOCARDIUM and its underlying layers. These deposits cause distortion of the TRICUSPID VALVE and the PULMONARY VALVE eventually leading to STENOSIS and valve regurgitation.Oxygen Inhalation Therapy: Inhalation of oxygen aimed at restoring toward normal any pathophysiologic alterations of gas exchange in the cardiopulmonary system, as by the use of a respirator, nasal catheter, tent, chamber, or mask. (From Dorland, 27th ed & Stedman, 25th ed)Respiratory Paralysis: Complete or severe weakness of the muscles of respiration. This condition may be associated with MOTOR NEURON DISEASES; PERIPHERAL NERVE DISEASES; NEUROMUSCULAR JUNCTION DISEASES; SPINAL CORD DISEASES; injury to the PHRENIC NERVE; and other disorders.Embolectomy: Surgical removal of an obstructing clot or foreign material which has been transported from a distant vessel by the bloodstream. Removal of a clot at its original site is called THROMBECTOMY.Neurosurgical Procedures: Surgery performed on the nervous system or its parts.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Brain Ischemia: Localized reduction of blood flow to brain tissue due to arterial obstruction or systemic hypoperfusion. This frequently occurs in conjunction with brain hypoxia (HYPOXIA, BRAIN). Prolonged ischemia is associated with BRAIN INFARCTION.Magnetic Resonance Imaging: Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.Tooth Apex: The tip or terminal end of the root of a tooth. (Jablonski, Dictionary of Dentistry, 1992, p62)Foreign-Body Migration: Migration of a foreign body from its original location to some other location in the body.Cardiac Tamponade: Compression of the heart by accumulated fluid (PERICARDIAL EFFUSION) or blood (HEMOPERICARDIUM) in the PERICARDIUM surrounding the heart. The affected cardiac functions and CARDIAC OUTPUT can range from minimal to total hemodynamic collapse.Heart Valves: Flaps of tissue that prevent regurgitation of BLOOD from the HEART VENTRICLES to the HEART ATRIA or from the PULMONARY ARTERIES or AORTA to the ventricles.Plasmodium: A genus of protozoa that comprise the malaria parasites of mammals. Four species infect humans (although occasional infections with primate malarias may occur). These are PLASMODIUM FALCIPARUM; PLASMODIUM MALARIAE; PLASMODIUM OVALE, and PLASMODIUM VIVAX. Species causing infection in vertebrates other than man include: PLASMODIUM BERGHEI; PLASMODIUM CHABAUDI; P. vinckei, and PLASMODIUM YOELII in rodents; P. brasilianum, PLASMODIUM CYNOMOLGI; and PLASMODIUM KNOWLESI in monkeys; and PLASMODIUM GALLINACEUM in chickens.Thrombosis: Formation and development of a thrombus or blood clot in the blood vessel.Heart Diseases: Pathological conditions involving the HEART including its structural and functional abnormalities.Positive-Pressure Respiration: A method of mechanical ventilation in which pressure is maintained to increase the volume of gas remaining in the lungs at the end of expiration, thus reducing the shunting of blood through the lungs and improving gas exchange.Infant, Newborn: An infant during the first month after birth.Equipment Design: Methods of creating machines and devices.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Ultrasonography, Prenatal: The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves directed into the body. The procedure may be applied with reference to the mother or the fetus and with reference to organs or the detection of maternal or fetal disease.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Radiography, Interventional: Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Cardiac-Gated Imaging Techniques: Timing the acquisition of imaging data to specific points in the cardiac cycle to minimize image blurring and other motion artifacts.Posture: The position or attitude of the body.Hypercapnia: A clinical manifestation of abnormal increase in the amount of carbon dioxide in arterial blood.Gelatin: A product formed from skin, white connective tissue, or bone COLLAGEN. It is used as a protein food adjuvant, plasma substitute, hemostatic, suspending agent in pharmaceutical preparations, and in the manufacturing of capsules and suppositories.Echocardiography, Three-Dimensional: Echocardiography amplified by the addition of depth to the conventional two-dimensional ECHOCARDIOGRAPHY visualizing only the length and width of the heart. Three-dimensional ultrasound imaging was first described in 1961 but its application to echocardiography did not take place until 1974. (Mayo Clin Proc 1993;68:221-40)Hypoventilation: A reduction in the amount of air entering the pulmonary alveoli.Heart Defects, Congenital: Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Equipment Safety: Freedom of equipment from actual or potential hazards.Intellectual Property: Property, such as patents, trademarks, and copyright, that results from creative effort. The Patent and Copyright Clause (Art. 1, Sec. 8, cl. 8) of the United States Constitution provides for promoting the progress of science and useful arts by securing for limited times to authors and inventors, the exclusive right to their respective writings and discoveries. (From Black's Law Dictionary, 5th ed, p1014)Catheterization: Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.Malaria: A protozoan disease caused in humans by four species of the PLASMODIUM genus: PLASMODIUM FALCIPARUM; PLASMODIUM VIVAX; PLASMODIUM OVALE; and PLASMODIUM MALARIAE; and transmitted by the bite of an infected female mosquito of the genus ANOPHELES. Malaria is endemic in parts of Asia, Africa, Central and South America, Oceania, and certain Caribbean islands. It is characterized by extreme exhaustion associated with paroxysms of high FEVER; SWEATING; shaking CHILLS; and ANEMIA. Malaria in ANIMALS is caused by other species of plasmodia.Respiratory Mechanics: The physical or mechanical action of the LUNGS; DIAPHRAGM; RIBS; and CHEST WALL during respiration. It includes airflow, lung volume, neural and reflex controls, mechanoreceptors, breathing patterns, etc.Sleep: A readily reversible suspension of sensorimotor interaction with the environment, usually associated with recumbency and immobility.Mandible: The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Hypertension, Pulmonary: Increased VASCULAR RESISTANCE in the PULMONARY CIRCULATION, usually secondary to HEART DISEASES or LUNG DISEASES.Arnold-Chiari Malformation: A group of congenital malformations involving the brainstem, cerebellum, upper spinal cord, and surrounding bony structures. Type II is the most common, and features compression of the medulla and cerebellar tonsils into the upper cervical spinal canal and an associated MENINGOMYELOCELE. Type I features similar, but less severe malformations and is without an associated meningomyelocele. Type III has the features of type II with an additional herniation of the entire cerebellum through the bony defect involving the foramen magnum, forming an ENCEPHALOCELE. Type IV is a form a cerebellar hypoplasia. Clinical manifestations of types I-III include TORTICOLLIS; opisthotonus; HEADACHE; VERTIGO; VOCAL CORD PARALYSIS; APNEA; NYSTAGMUS, CONGENITAL; swallowing difficulties; and ATAXIA. (From Menkes, Textbook of Child Neurology, 5th ed, p261; Davis, Textbook of Neuropathology, 2nd ed, pp236-46)Hypoplastic Left Heart Syndrome: A condition caused by underdevelopment of the whole left half of the heart. It is characterized by hypoplasia of the left cardiac chambers (HEART ATRIUM; HEART VENTRICLE), the AORTA, the AORTIC VALVE, and the MITRAL VALVE. Severe symptoms appear in early infancy when DUCTUS ARTERIOSUS closes.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Prosthesis Design: The plan and delineation of prostheses in general or a specific prosthesis.Palate, Soft: A movable fold suspended from the posterior border of the hard palate. The uvula hangs from the middle of the lower border.Carbon Dioxide: A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.Esophagus: The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Parietal Bone: One of a pair of irregularly shaped quadrilateral bones situated between the FRONTAL BONE and OCCIPITAL BONE, which together form the sides of the CRANIUM.Hepatopulmonary Syndrome: A syndrome characterized by the clinical triad of advanced chronic liver disease, pulmonary vascular dilatations, and reduced arterial oxygenation (HYPOXEMIA) in the absence of intrinsic cardiopulmonary disease. This syndrome is common in the patients with LIVER CIRRHOSIS or portal hypertension (HYPERTENSION, PORTAL).Absorbable Implants: Implants constructed of materials designed to be absorbed by the body without producing an immune response. They are usually composed of plastics and are frequently used in orthopedics and orthodontics.Case-Control Studies: Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.Uvula: A fleshy extension at the back of the soft palate that hangs above the opening of the throat.Echocardiography, Doppler: Measurement of intracardiac blood flow using an M-mode and/or two-dimensional (2-D) echocardiogram while simultaneously recording the spectrum of the audible Doppler signal (e.g., velocity, direction, amplitude, intensity, timing) reflected from the moving column of red blood cells.Syringomyelia: Longitudinal cavities in the spinal cord, most often in the cervical region, which may extend for multiple spinal levels. The cavities are lined by dense, gliogenous tissue and may be associated with SPINAL CORD NEOPLASMS; spinal cord traumatic injuries; and vascular malformations. Syringomyelia is marked clinically by pain and PARESTHESIA, muscular atrophy of the hands, and analgesia with thermoanesthesia of the hands and arms, but with the tactile sense preserved (sensory dissociation). Lower extremity spasticity and incontinence may also develop. (From Adams et al., Principles of Neurology, 6th ed, p1269)Mandibular Advancement: Moving a retruded mandible forward to a normal position. It is commonly performed for malocclusion and retrognathia. (From Jablonski's Dictionary of Dentistry, 1992)Pulmonary Atelectasis: Absence of air in the entire or part of a lung, such as an incompletely inflated neonate lung or a collapsed adult lung. Pulmonary atelectasis can be caused by airway obstruction, lung compression, fibrotic contraction, or other factors.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Airway Obstruction: Any hindrance to the passage of air into and out of the lungs.Pharynx: A funnel-shaped fibromuscular tube that conducts food to the ESOPHAGUS, and air to the LARYNX and LUNGS. It is located posterior to the NASAL CAVITY; ORAL CAVITY; and LARYNX, and extends from the SKULL BASE to the inferior border of the CRICOID CARTILAGE anteriorly and to the inferior border of the C6 vertebra posteriorly. It is divided into the NASOPHARYNX; OROPHARYNX; and HYPOPHARYNX (laryngopharynx).Single-Blind Method: A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.Gestational Age: The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.Cerebral Infarction: The formation of an area of NECROSIS in the CEREBRUM caused by an insufficiency of arterial or venous blood flow. Infarcts of the cerebrum are generally classified by hemisphere (i.e., left vs. right), lobe (e.g., frontal lobe infarction), arterial distribution (e.g., INFARCTION, ANTERIOR CEREBRAL ARTERY), and etiology (e.g., embolic infarction).Syndrome: A characteristic symptom complex.Partial Pressure: The pressure that would be exerted by one component of a mixture of gases if it were present alone in a container. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)Comorbidity: The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.Cerebral Arteries: The arterial blood vessels supplying the CEREBRUM.Intention to Treat Analysis: Strategy for the analysis of RANDOMIZED CONTROLLED TRIALS AS TOPIC that compares patients in the groups to which they were originally randomly assigned.Blood Flow Velocity: A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.Platelet Aggregation Inhibitors: Drugs or agents which antagonize or impair any mechanism leading to blood platelet aggregation, whether during the phases of activation and shape change or following the dense-granule release reaction and stimulation of the prostaglandin-thromboxane system.Electrocardiography: Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.Coronary Circulation: The circulation of blood through the CORONARY VESSELS of the HEART.Pulmonary Ventilation: The total volume of gas inspired or expired per unit of time, usually measured in liters per minute.Pulmonary Gas Exchange: The exchange of OXYGEN and CARBON DIOXIDE between alveolar air and pulmonary capillary blood that occurs across the BLOOD-AIR BARRIER.Fibrinolytic Agents: Fibrinolysin or agents that convert plasminogen to FIBRINOLYSIN.Zolazepam: A pyrazolodiazepinone with pharmacological actions similar to ANTI-ANXIETY AGENTS. It is commonly used in combination with TILETAMINE to obtain immobilization and anesthesia in animals.Maxillary Nerve: The intermediate sensory division of the trigeminal (5th cranial) nerve. The maxillary nerve carries general afferents from the intermediate region of the face including the lower eyelid, nose and upper lip, the maxillary teeth, and parts of the dura.Glomus Jugulare Tumor: A paraganglioma involving the glomus jugulare, a microscopic collection of chemoreceptor tissue in the adventitia of the bulb of the jugular vein. It may cause paralysis of the vocal cords, attacks of dizziness, blackouts, and nystagmus. It is not resectable but radiation therapy is effective. It regresses slowly, but permanent control is regularly achieved. (From Dorland, 27th ed; Stedman, 25th ed; DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, pp1603-4)Skull: The SKELETON of the HEAD including the FACIAL BONES and the bones enclosing the BRAIN.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Tiletamine: Proposed anesthetic with possible anticonvulsant and sedative properties.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Palate, Hard: The anteriorly located rigid section of the PALATE.Atrial Function: The hemodynamic and electrophysiological action of the HEART ATRIA.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Respiration, Artificial: Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).Chin: The anatomical frontal portion of the mandible, also known as the mentum, that contains the line of fusion of the two separate halves of the mandible (symphysis menti). This line of fusion divides inferiorly to enclose a triangular area called the mental protuberance. On each side, inferior to the second premolar tooth, is the mental foramen for the passage of blood vessels and a nerve.Disorders of Excessive Somnolence: Disorders characterized by hypersomnolence during normal waking hours that may impair cognitive functioning. Subtypes include primary hypersomnia disorders (e.g., IDIOPATHIC HYPERSOMNOLENCE; NARCOLEPSY; and KLEINE-LEVIN SYNDROME) and secondary hypersomnia disorders where excessive somnolence can be attributed to a known cause (e.g., drug affect, MENTAL DISORDERS, and SLEEP APNEA SYNDROME). (From J Neurol Sci 1998 Jan 8;153(2):192-202; Thorpy, Principles and Practice of Sleep Medicine, 2nd ed, p320)PatentsCervical Atlas: The first cervical vertebra.Ventilation-Perfusion Ratio: The ratio of alveolar ventilation to simultaneous alveolar capillary blood flow in any part of the lung. (Stedman, 25th ed)Ultrasonography, Interventional: The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.Blood Pressure: PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.
... patent foramen ovale, and atrial septal defects or ventricular septal defects. These states are when blood from the right side ... a state of decreased carbon dioxide in the blood Central sleep apnea. During sleep, the breathing centers of the brain can ... Hypoxemia (or hypoxaemia in British English) is an abnormally low level of oxygen in the blood. More specifically, it is oxygen ... Hypoxemia refers to low oxygen in the blood, and the more general term hypoxia is an abnormally low oxygen content in any ...
Blood shift. *Patent foramen ovale. *Perfusion. *Systemic circulation. *Cold shock response. *Diving reflex ... Hypoxemia or hypoxemic hypoxia, a deficiency of oxygen in arterial blood. *Hypoxic hypoxia, a result of insufficient oxygen ... Dynamic apnea without fins (DNF). *Free immersion (FIM). *No-limits apnea (NLT) ... Lactic acid build up (in tissues and blood) is a sign of inadequate mitochondrial oxygenation, which may be due to hypoxemia, ...
Impact Of Closure Of Patent Foramen Ovale On Apnoea-Hypopnoea-Index, Nocturnal Hypoxemia And Systemic Vascular Function In...
Patent Foramen Ovale Closure in Obstructive Sleep Apnea Improves Blood Pressure and Cardiovascular Function. Hypertension. 2015 ... Apnea. Sleep Apnea Syndromes. Sleep Apnea, Obstructive. Hypoxia. Foramen Ovale, Patent. Respiration Disorders. Respiratory ... Impact Of Closure Of Patent Foramen Ovale On Apnoea-Hypopnoea-Index, Nocturnal Hypoxemia And Systemic Vascular Function In ... Impact Of Closure Of Patent Foramen Ovale On Apnoea-Hypopnoea-Index, Nocturnal Hypoxemia And Systemic Vascular Function In ...
Paradoxical worsening of hypoxemia in a patient treated by noninvasive positive pressure ventilation for obesity...
... both to reassess the hypercapnia and to look for worsening hypoxemia due to a patent foramen ovale. ... after which the ventilator software recorded a normal residual apnea/hypopnea index and the blood gas values improved. ... a paradoxical worsening of hypoxemia may reveal the existence of a patent foramen ovale. ... pressure can induce or worsen a right-to-left shunt through a patent foramen ovale associated with systemic hypoxemia. Thus, in ...
Patent Foramen Ovale Workup: Approach Considerations, Imaging Studies
Foramen ovale has been known since the time of Galen. ... Patent foramen ovale (PFO) is an anatomical interatrial ... Patent foramen ovale closure in obstructive sleep apnea improves blood pressure and cardiovascular function. Hypertension. 2015 ... A rare and overlooked cause of dyspnoea and hypoxaemia. Scand Cardiovasc J. 2015 Dec. 49(6):357-60. [Medline]. ... Effect of medical treatment in stroke patients with patent foramen ovale: patent foramen ovale in Cryptogenic Stroke Study. ...
Patent Foramen Ovale Clinical Presentation: History and Physical Examination
Foramen ovale has been known since the time of Galen. ... Patent foramen ovale (PFO) is an anatomical interatrial ... Patent foramen ovale closure in obstructive sleep apnea improves blood pressure and cardiovascular function. Hypertension. 2015 ... In unexperienced divers, PFO can worsen hypoxemia at great depth leading to death. ... Effect of medical treatment in stroke patients with patent foramen ovale: patent foramen ovale in Cryptogenic Stroke Study. ...
Paradoxical worsening of hypoxemia in a patient treated by noninvasive positive pressure ventilation for obesity...
Prevalence of patent foramen ovale and its contribution to hypoxemia in patients with obstructive sleep apnea. Chest. 1998;113: ... The passage of blood from the venous blood into the left arterial blood without lung oxygenation is named right-to-left shunt. ... HypoxemiaObstructive sleep apneaHypoventilationNoninvasive ventilationObesity. Background. The foramen ovale is a congenital ... Bancal C, Arnoult F, Krapf L, Bonay M. Patent foramen ovale and hypoxaemia with or without elevated right heart pressures. Rev ...
Ingela Schnittger, MD | Stanford Medicine Profiles
Patent foramen ovale is associated with unexplained systemic embolic events or persistent hypoxemia. The diagnosis of a patient ... Continuous non-invasive blood pressure monitoring was performed in two older children. Three of the six children demonstrated a ... ECHOCARDIOGRAPHIC STUDIES IN ADULTS AND CHILDREN PRESENTING WITH OBSTRUCTIVE SLEEP-APNEA OR HEAVY SNORING SYMP ON SLEEP AND ... we assessed the value of the vertical versus the horizontal plane in the diagnosis of a patent foramen ovale. The patent ...
Diagnosing Patent Foramen Ovale | JACC: Cardiovascular Imaging
... refractory hypoxemia, and sleep apnea syndrome (4,5). ... such as changes in gas solubility in the blood or opening of ... 2006) Patent foramen ovale: echocardiographic evaluation and clinical implications. Isr Med Assoc J 8:793-797. ... 1988) Patent foramen ovale in patients with strokes. N Engl J Med 318:1148-1152. ... 2008) Patent foramen ovale: clinical manifestations and treatment. Rev Cardiovasc Med 9:168-173. ...
Diagnostic Considerations in Infants and Children with Cyanosis
It is a clinical manifestation of desaturation of arterial or capillary blood and may indicate serious hemodynamic abnormality ... If there is no patent ductus arteriosus, right to left shunt at the patent foramen ovale (PFO) leads to uniform desaturation in ... The hypoxemia in such a physiology presents immediately at birth, unlike the cases with decreased pulmonary blood flow.8. ... Clubbing of the fingers suggests chronic hypoxemia. Central hypoventilation presents with shallow breathing/apnea, pulmonary ...
Barak O[au] - PubMed - NCBI
Characterization of blood flow through intrapulmonary arteriovenous anastomoses and patent foramen ovale at rest and during ... Resting arterial hypoxaemia in subjects with chronic heart failure, pulmonary hypertension and patent foramen ovale. ... Competitive apnea and its effect on the human brain: focus on the redox regulation of blood-brain barrier permeability and ... Blood pooling in extrathoracic veins after glossopharyngeal insufflation.. Mijacika T, Frestad D, Kyhl K, Barak O, Drvis I, ...
Free Respiratory Therapy Flashcards about Neonatal - Ch. 31
foramen ovale and the ductus arteriosus the intrauterine total pulmonary blood flow is ____.. low. ... removal of underlying cause, hypoxemia w/ O2 and surfactant for RDS. what if correction does not correct hypoxemia?. needs ... what should be managed in infants with apnea? and what can terminate apnea periods in infants?. underlying cause if identified ... what is patent ductus arteriosus treated with?. indomethacin (pharmacologic) or ligation (surgical). ...
Hypoxemia - Wikipedia
... patent foramen ovale, and atrial septal defects or ventricular septal defects. These states are when blood from the right side ... a state of decreased carbon dioxide in the blood Central sleep apnea. During sleep, the breathing centers of the brain can ... Hypoxemia (or hypoxaemia in British English) is an abnormally low level of oxygen in the blood. More specifically, it is oxygen ... Hypoxemia refers to low oxygen in the blood, and the more general term hypoxia is an abnormally low oxygen content in any ...
cardiac.pptx | Congenital Heart Defect | Heart
... defects allow mixing of blood so that some desaturated blood makes it to the lungs Most common defect is patent foramen ovale s ... 1. Cyanosis & hypoxemia Fully saturated 2. Tachycardia, dyspnea, systemic blood tachypnea mixes w/ 3. Cardiac murmur, HF ... Monitor infants receiving prostaglandin E for apnea, hypotension, hypothermia 4. Cluster care 5. Admin O2 6. Prevent crying & ... Closure due to increased O2 in blood & decreased prostaglandins & acidosis Foramen ovale closes soon after birth, the ductus ...
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Acid-base homeostasis & disorders of energy and protein needs with pn via a patent foramen ovale. female sexual inhancer viagra ... including hypoxemia, arrhythmia, bradycardia, asystole, laryngospasm, bronchospasm, and apnea. Lung cancer and facilitates the ... and small joints which improve to some extent affected by both physical examinations born to hiv-infected blood or lymph ... Those with moderate to severe obstructive sleep apnea syndrome. The brain interprets the intensity of treatment is delayed. ...
Circulatory, Vascular and Cardiac sub-cluster 67
An intracardiac embolus wedged at a patent foramen ovale was successfully removed by resecting the atrial septum along with a ... We document the case of a 67-year-old woman who presented with a history of right upper quadrant anopia, dyspnea, hypoxemia, ... A short cut review was carried out to establish the diagnostic utility of arterial blood gas analysis in patients with ... CASE: One day after an uneventful cesarean delivery, a woman developed cardiac asystole and apnea due to pulmonary embolism. ...
Significance of Patent Foramen Ovale in Patients with GOLD Stage II Chronic Obstructive Pulmonary Disease (COPD)<...
Significance of patent foramen ovale in patients with GOLD Stage II chronic obstructive pulmonary disease (COPD). ... Patent foramen ovale in severe obstructive sleep apnea: clinical features and effects of closure. Chest. 2013; 143(1):56-63. ... Patent foramen ovale is not associated with hypoxemia in severe chronic obstructive pulmonary disease and does not impair ... Arterial versus capillary blood gases: a meta-analysis. Respir Physiol Neurobiol. 2007; 155(3):268-279. doi: 10.1016/j.resp. ...
D-Transposition of the Great Arteries | JACC: Journal of the American College of Cardiology
3. Echocardiography helps to identify risk factors such as commissural misalignment, restrictive patent foramen ovale, coronary ... PGE can cause apnea, hypotension, and fever (especially in neonates with lower birth weight) as well as produce a false sense ... 2012) Arterial switch operation in the first hours of life using autologous umbilical cord blood. Ann Thorac Surg 93:1571-1576. ... Eliminating hypoxemia earlier may help improve motor outcomes and brain growth in certain subgroups (35). ...
Physoc - Physiology Taxonomy: Respiratory physiology, Hypoxia
... pulmonary hypertension and patent foramen ovale Authors:. Andrew T. Lovering, Mislav Lozo, Otto Barak, James T. Davis, Mihajlo ... Research Paper Free Cerebral oxidative metabolism is decreased with extreme apnoea in humans; impact of hypercapnia Authors:. ... not O2 content, increases blood flow through intrapulmonary arteriovenous anastomoses at rest Authors:. Joseph W. Duke, James T ... Original Research Open Access Increased hemoglobin-oxygen affinity ameliorates bleomycin‐induced hypoxemia and pulmonary ...
Nouvelles publications à la Faculté de Pharmacie de Paris (octobre 2018)
Cerebral infarction following cyanoacrylate endoscopic therapy of duodenal varices in a patient with a patent foramen ovale. ... Persistent organochlorine pollutants: genetic variations associated with p,p-DDE and PCB153 blood levels among women in France ... Understanding hypoxemia on ECCO2R: back to the alveolar gas equation. Intensive Care Med. https://doi.org/10.1007/s00134-018- ... Clinical characteristics of obstructive sleep apnea in bipolar disorders. J Affect Disord 245, 1-7. https://doi.org/10.1016/j. ...
Medical Home Portal - Premature Infant Follow-Up
In response, the heart may shunt blood across the ductus arteriosus and the foramen ovale, and may lead to hypoxemia. ... Infections and metabolic conditions can worsen apnea. Infants typically must demonstrate several days of no apnea off xanthine ... Patent Ductus Arteriosus (PDA) The ductus arteriosus, an essential structure for fetal circulation, typically closes ... Use blood pressure norms for premature infants up to 44 weeks post-conception age. [Dionne: 2012] Use blood pressure norms for ...
Congestive heart failure and Hepatitis, related diseases and genetic alterations | MENDELIAN.CO
Dilatation of the cerebral artery Hashimoto thyroiditis Pulmonary embolism Autoimmune hemolytic anemia Patent foramen ovale ... immune dysregulation with pulmonary and blood-borne bacterial infections, and fungal infections (chronic mucocutaneous ... hypoplasia Abnormality of eye movement Lethargy Corneal opacity Bilateral ptosis Ectropion Amenorrhea Limb hypertonia Hypoxemia ... Ragged-red muscle fibers External ophthalmoplegia Ventricular tachycardia Portal fibrosis Increased serum pyruvate Apnea ...
February | 2018 | mirna mimics and inhibitors
... a large patent foramen ovale in the heart may contribute to exaggerated arterial hypoxemia and facilitate HAPE at high altitude ... concluded that those who developed dementia had higher systolic blood pressure in early life, but that blood pressure then fell ... to revolving sleep apneas. Between 4,500 and 5,500 m altitudes, periodic breathing is replaced by high-frequency breathing ... A first series, named simultaneous RNA/DNA, consisted of plasma and blood cell samples collected on the same day from 220 ...
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... and death in tof patients is needed urgently in a poor pulse signal is passed through the still-patent foramen ovale or ... Are used in cases of cephamycin therapy, testing for cocaine in blood pressure of arterial hypoxemia and repetitive behaviors ... B. Central medication flagyl 400mg tabs sleep apnea syndrome. ... Whole blood whole blood donation dietary deficiency poor- ... Blood lost intraoperatively results in a supine radi-ograph, there is substantial evidence that some progestin-containing ...
Regurgitant lesions - Cancer Therapy Advisor
The presence of an ASD or patent foramen ovale is required for desaturation to occur. The classical jugular pulse findings can ... and the child is dependent on a patent ductus arteriosus or a shunt for pulmonary blood flow until a more definitive repair is ... Cardiomyopathy and tricuspid regurgitation arise as a result of chest crises, chronic hypoxemia and pulmonary hypertension. ... 22q11del and similar syndromes with facial anomalies are at increased risk of airway obstruction and obstructive sleep apnea. ...
Respiratory Physiology & Respiratory Function During Anesthesia | Exhalation | Vasodilation
Patent foramen ovale Increased right side pressure Administration of inhaled NO decrease PVR & functionally close the PFO ... Hypoxemia Causes localized pulmonary vessel vasoconstriction (HPV) Causes systemic blood vessel vasodilatation 200 µm ... and bronchoconstriction is produced VA/Q abnormalities Passive hypocapnia promotes apnea ... Ventilation Diffusion of o2 to blood Chemical reaction of o2 with Hb QT of arterial blood Distribution of blood to tissue and ...
Pulmonary Flashcards by Nicole Sanders | Brainscape
Clot goes through patent foramen ovale (especially if high pressure in right side of heart). (paradoxical pulmonary embolism) ... What is the treatment for central sleep apnea (sleep apnea due to inadequate ventilatory drive)? ... 1. persistent hypoxemia. 2. hypercapnia in asthma. 3. upper-airway burn injuries. 4. neuromuscular disease involving diaphragm ... What is the formula for A-a gradient (partial pressure of oxygen in alveoli versus blood)? ...
High Altitude Pulmonary Hypertension ~ JPEEI CLINIC
Patent foramen ovale. Patent foramen ovale may predispose an individual to high-altitude pulmonary edema (HAPE). The size of ... Blood viscosity increases with the hematocrit, which in turn decreases cerebral blood flow. The worsened hypoxemia due to ... The lowered oxygen levels are associated with an elevated incidence of periodic breathing and apnea. Oxygen administration ... It is plausible that right-to-left shunting occurs across a large patent foramen ovale in the setting of increased pulmonary ...
Search | Global Index Medicus
Diagnosis was confirmed by 2-D echocardiogram visualization with right to left shunt through the foramen ovale or patent ductus ... CONCLUSION: Inhalation of nitric oxide increased the blood oxygen tension of infants with PPHN without using a surfactant and ... with respect to incidence of apnea (41.7% in nsNIMV vs. 62.5% in NCPAP), abdominal distensions (8.3% in nsNIMVvs. 16.7% in ... and near term infants is often associated with persistent pulmonary hypertension of the newborn and contributes to hypoxemia in ...
Glossary of Terms - Children's Heart Center Nevada
Patent foramen ovale. An opening in the atrial septum (wall between the right and left atria) that is present in all infants, ... Hypoxemia. Abnormally low oxygen content in the blood.. Hypoxia. Abnormally low oxygen content in the organs and tissues of the ... Apnea. Cessation of breathing.. Arrhythmia (Also called dysrhythmia). A fast, slow, or irregular heartbeat. ... Blood clot. A thick, gelled mass of blood.. Blood pressure. The force or pressure exerted by the heart when pumping blood; the ...
Dr David Liu - FutureMake.io
S/E: fever, apnoea, flushing, hypotension, tachycardia *Surgery: *Atrial septostomy: threads a wire through foramen ovale. May ... 4 limb blood pressures *A difference of systolic pressure of 10mmHg between upper and lower limbs indicates coarctation of ... Hypoxemia can be caused by cardiac, respiratory, and - rarely - hemoglobin disorders. Both cardiac causes and respiratory ... If the ductus arteriosus (PDA) is NOT patent, then the baby cannot survive. ...
Case Reports - Reviews sub-cluster 20
... and syncope secondary to an acute pulmonary embolism complicated by a patent foramen ovale with straddling thrombus and ... We report the rare case of an 11-year-old boy who presented with intractable hypoxaemia and a pulmonary mass. Investigations ... Recently it is identified as a major cause of sleep apnea syndrome. Several isolated case reports of pulmonary hypertension and ... We report a neonate-boy with pulmonary infiltrates and peripheral blood eosinophilia. He was noted to have abnormal pulmonary ...
Size of patent foramObstructive sleep apAtrialDuctus ArteriosusCentral sleep apneaIntracardiacArterial bloCause hypoxemiaAcidosisHypopneaHypercapniaOccurCardiacNocturnalRight atriumVascularAssessAortaOxygen deficiencyHemoglobinPulmonary blood flowDeficiencyShuntThromboembolismPeriodsHeartDisadvantagesDiseaseLungsSignificanceDisorderLungClinicallyAbdominalSystemic bloodPressureRenal
Size of patent foram2
Obstructive sleep ap1
- Right atrial pressures are elevated in patients with pulmonary hypertension (PH), which may be primary or secondary to another condition such as chronic obstructive pulmonary disease (COPD) or obstructive sleep apnea syndrome (OSAS) [ 2 ], and enhance the chance of a right-to-left intracardiac shunt through the foramen ovale. (biomedcentral.com)
- In the absence of right atrial pressure elevation, right-to-left shunt through the foramen ovale may occur intermittently, sometimes in relation to body position (platypnea-orthodeoxia syndrome). (biomedcentral.com)
- Patent foramen ovale (PFO), usually a benign and silent lesion ( Fig. 1 ), can cause hypoxemia and embolic phenomena under circumstances when right atrial (RA) pressure exceeds left atrial (LA) pressure or when preferential flow from the inferior vena cava (IVC) toward the PFO persists, as in the prenatal circulation (1-3) . (lww.com)
- Finally, there is a rare defect called coronary sinus ASD, which is a failure of development of the separation of the coronary sinus from the left atrium, which allows left atrial blood to enter the right atrium through the orifice of the coronary sinus. (renalandurologynews.com)
- Blood & nutrients enters via umbilical vein liver, rest goes to inferior vena cava via Ductus arteriosus RA from RA, Blood shunts through the foramen ovale into the LA (due to higher pressures in RA) LV and pumped through the aorta to the head & upper extremities Blood from head & upper extremities entering RA RV pulmonary artery, where major portion shunted through the Ductus arteriosus into the descending aorta (sm. (scribd.com)
- blood flows aorta pulmonary artery (L-R Patent Ductus Arteriosus shunt)increased vol & pressure R. ventricle hypertrophy & pulmonary congestion increased work L. heart. (scribd.com)
- If the ductus arteriosus (PDA) is NOT patent, then the baby cannot survive. (futuremake.io)
- Collateral circulation to lungs necessary: patent ductus arteriosus (PDA) and/or aortopulmonary collaterals. (renalandurologynews.com)
- A cardiopulmonary disorder characterized by systemic arterial hypoxemia secondary to pulmonary hypertension and extrapulmonary right to left shunting across the foramen ovale and ductus arteriosus. (fpnotebook.com)
- The newborn patient exhibits CYANOSIS and ACIDOSIS due to the persistence of fetal circulatory pattern of right-to-left shunting of blood through a patent ductus arteriosus (DUCTUS ARTERIOSUS, PATENT) and at times a patent foramen ovale (FORAMEN OVALE, PATENT). (fpnotebook.com)
Central sleep apnea2
- A decreased respiratory drive can also be the result of metabolic alkalosis, a state of decreased carbon dioxide in the blood Central sleep apnea. (wikipedia.org)
- In 2015, a multinational randomized controlled phase IV clinical trial of adaptive servoventilation for the management of heart failure with central sleep apnea was halted in progress because more patients in the study group were dying than in the control group. (readbyqxmd.com)
- It may be associated with hypoxemia, defined in terms of reduced oxygen pressure in the systemic arterial blood (PaO 2 ), as detected by an arterial blood gas (ABG) measurement at rest. (biomedcentral.com)
- While there is general agreement that an arterial blood gas measurement which shows that the partial pressure of oxygen is lower than normal constitutes hypoxemia, there is less agreement concerning whether the oxygen content of blood is relevant in determining hypoxemia. (wikipedia.org)
- After 30 min of dissection and OLV, the patient remains hemodynamically stable, but the SpO 2 has decreased to 85% on 100% inspired oxygen, and the arterial blood gas now reads pH 7.21, pCO 2 68 mmHg, pO 2 51 mmHg, bicarbonate 22 mmol/L, and base excess −2 mmol/L. (springer.com)
- The arterial blood gas analyzes the gasses in arterial blood. (studystack.com)
- All patients should undergo pulmonary function address the underlying cause (e.g., positive pressure testing with arterial blood gas analysis, an assessment ventilation for sleep apnea, optimization of heart of exercise capacity using the 6-minute walk test and failure therapy in left heart failure).9 For patients assignment to a New York Heart Association (NYHA) with PAH, there is a growing array of medical and functional class (Table 2). (pharmapdf.com)
- Thus any cause that influences the rate or volume of air entering the lungs (ventilation) or any cause that influences the transfer of air from the lungs to the blood may cause hypoxemia. (wikipedia.org)
- This can cause hypoxemia even if the lungs are normal, as the cause is in the brainstem's control of ventilation or in the body's inability to breathe effectively. (wikipedia.org)
- This finding prompted a decrease in expiratory and inspiratory positive airway pressures, after which the ventilator software recorded a normal residual apnea/hypopnea index and the blood gas values improved. (physiciansweekly.com)
- Obstructive sleep apnea-hypopnea and stroke]. (readbyqxmd.com)
- Stroke, one of the main causes of disability and death worldwide, is frequently associated to the obstructive sleep apnea-hypopnea syndrome. (readbyqxmd.com)
- The foramen ovale is a congenital opening between the two cardiac atria that usually closes shortly after birth but may remain patent. (biomedcentral.com)
- Our diagnostic armamentarium includes cardiac catheterization, which can show the PFO by the path of the venous catheter from the right to the left atrium, and Doppler echocardiography, which can show the blood flow across the PFO. (onlinejacc.org)
- A procedure usually done in the cardiac catheterization laboratory that uses a catheter (tube) with a balloon in the tip to open up a narrowed valve or blood vessel. (childrensheartcenter.com)
- Long-standing hypoxemia and polycythemia can cause persistent cardiac muscle blood flow abnormalities, leading to myocardial dysfunction. (renalandurologynews.com)
- Nitric oxide (NO), a crucial regulator of vascular tone and blood pressure, is regarded as a cardiac protector [ 4 ]. (biomedcentral.com)
- Factors influencing the direction and degree of shunting include (1) the size of the shunt orifice, (2) the pressure gradient between the chambers or vessels involved in the shunt, and (3) the "downstream" resistance to flow that is determined by the ratio of pulmonary vascular resistance (PVR) to systemic vascular resistance (SVR), the relative compliance of the right and left ventricles, and the blood viscosity (hematocrit). (renalandurologynews.com)
- Obstructive sleep apnoea (OSA) is associated with peripheral vascular dysfunction and vascular events. (readbyqxmd.com)
- The curved portion of the aorta (the large blood vessel that carries oxygen-rich blood away from the heart to the body). (childrensheartcenter.com)
- Backwards leakage of blood from the aorta, through a weakened aortic valve, and into the left ventricle, sometimes resulting in stress in the left heart and inadequate blood flow to the body. (childrensheartcenter.com)
- Narrowing of the opening of the aortic valve (the valve that regulates blood flow from the left ventricle into the aorta). (childrensheartcenter.com)
- The valve that regulates blood flow from the heart into the aorta. (childrensheartcenter.com)
- Hypoxemia is usually defined in terms of reduced partial pressure of oxygen (mm Hg) in arterial blood, but also in terms of reduced content of oxygen (ml oxygen per dl blood) or percentage saturation of hemoglobin (the oxygen binding protein within red blood cells) with oxygen, which is either found singly or in combination. (wikipedia.org)
- Under these conditions the body develops a number of adaptive mechanisms, including reflex intensification of respiration and blood circulation, increase in the number of red blood cells as a result of their escaping from the blood depots, and increased hemoglobin content of red blood cells. (thefreedictionary.com)
- In the blood, oxygen is bound to hemoglobin, a protein in red blood cells . (wikipedia.org)
Pulmonary blood flow2
- The pathophysiology is determined by the degree of obstruction to pulmonary blood flow. (renalandurologynews.com)
- The timing of surgery usually depends on the degree of obstruction to pulmonary blood flow, the response to medical therapy, and the presence of coexisting anomalies. (renalandurologynews.com)
- However, mechanical ventilation with a positive end-expiratory pressure can induce or worsen a right-to-left shunt through a patent foramen ovale associated with systemic hypoxemia. (physiciansweekly.com)
- The passage of blood from the venous blood into the left arterial blood without lung oxygenation is named right-to-left shunt. (biomedcentral.com)
- A shunt is an abnormal communication between the right and left sides of the heart or between the systemic and pulmonary vessels, allowing blood to flow directly from one circulatory system to the other. (renalandurologynews.com)
- A right-to-left shunt allows deoxygenated systemic venous blood to bypass the lungs and return to the body. (renalandurologynews.com)
- During sleep, the breathing centers of the brain can pause their activity, leading to prolonged periods of apnea with potentially serious consequences. (wikipedia.org)
- Alcohol's general depressant effects can increase the duration of periods of apnea, worsening any preexisting OSA. (neurologyadvisor.com)
- Periods of ventilation alternate with periods of laser resection/apnea. (apsf.org)
- expansion of lungs (on that first breath) inspired O2 dilating pulmonary vessels ( blood begins flow to lungs) decrease in pressure on R. heart & pulmonary arteries. (scribd.com)
- Additionally, a large patent foramen ovale in the heart may contribute to exaggerated arterial hypoxemia and facilitate HAPE at high altitude. (mirnamimics.com)
- A thin, weakened area in a blood vessel or area of the heart. (childrensheartcenter.com)
- The largest artery in the body and the primary blood vessel which carries oxygenated blood out of the left side of the heart to the rest of the body. (childrensheartcenter.com)
- A blood vessel that carries oxygenated blood away from the heart to the body. (childrensheartcenter.com)
- Endothelin-1 is a powerful substance that may be involved in causing hemodynamic instability (problems related to unstable blood pressure) during and after open heart surgery. (stanford.edu)
- This blood is delivered to the right side of the heart, but it needs to get to the left side so it can be delivered to the body. (myheart.net)
- Rarely the PFO can be made an issue by the presence of other conditions such as critical illness, chronic lung disease, obstructive sleep apnea , or right-sided heart failure. (myheart.net)
- In these cases, the increased pressures on the right side of the heart may potentially cause increased amounts of blood to travel through the PFO to the left side of the heart. (myheart.net)
- One of the suggested reasons is that substances in the blood that are normally filtered out on the right side of the heart and the lungs, are able to get to the left side of the heart and therefore to the brain, through the PFO. (myheart.net)
- The compensation may cause symptoms to be overlooked initially, however, further disease or a stress such as any increase in oxygen demand may finally unmask the existing hypoxemia. (wikipedia.org)
- Finally, if the ascent is made faster than the body can adapt to the stress of hypobaric hypoxemia, altitude-related disease states can result. (clinicalgate.com)
- Partial collapse of the diaphragm and central pooling of blood in the chest both help to mitigate the decrease in lung volume and protect against the development of a lung squeeze. (dansa.org)
- The physical manifestations of lung squeeze include breathlessness, coughing up blood and chest pain. (dansa.org)
- Spinal Cord Disruption Is Associated with a Loss of Cushing-Like Blood Pressure Interactions. (nih.gov)
- also used to lower blood pressure. (childrensheartcenter.com)
- A medication that lowers blood pressure. (childrensheartcenter.com)
- A medication that limits the activity of epinephrine (a hormone that increases blood pressure). (childrensheartcenter.com)
- the pressure of blood in the arteries. (childrensheartcenter.com)
- A device usually placed around the upper portion of the arm to measure blood pressure. (childrensheartcenter.com)
- Studies of the effects of chronic hypoxemia can be performed in the laboratory by decreasing either the concentration of inspired oxygen or the barometric pressure in a hypobaric chamber. (blogspot.com)
- Oxygen diffuses from the breathed air, mixed with water vapour, to arterial blood, where its partial pressure is around 100 mmHg (13.3 kPa). (wikipedia.org)