• metastatic
  • In this context, perioperative management of patients with CaHD may pose 2 challenges: the potential acute onset of a carcinoid crisis (vasodilation, cardiac arrhythmias, bronchospasm, and facial hyperemia) and the identification and management of low cardiac output syndrome (hemodynamically significant RV failure vs. profound hypotension secondary to severe systemic vasodilation vs. terminal metastatic disease). (onlinejacc.org)
  • We tested the hypothesis that there is a single best scoring system for the detection and evaluation of CHD by applying and comparing them in our population of patients with metastatic carcinoid disease attending a specialist neuroendocrine clinic in a university hospital. (ahajournals.org)
  • Failure
  • Presentation may be subtle, but will eventually progress to right-predominant features of heart failure 2 . (radiopaedia.org)
  • These problems are mostly mild and don't cause problems, but can cause chest pain , breathing trouble, or heart failure , and may need to be treated or fixed. (healthtap.com)
  • neuroendocrine
  • However, in the presence of liver metastases from these tumours, the vasoactive neuroendocrine substances are able to bypass the liver and affect the right side of the heart 2,3 . (radiopaedia.org)
  • Although the exact mechanism is unclear, the main consequences of these vasoactive neuroendocrine substances reaching the heart are characteristic plaque-like deposits of fibrous tissue, most commonly affecting the tricuspid valve apparatus and the pulmonary valve 2,3 . (radiopaedia.org)
  • occur
  • Furthermore, in the presence of an intracardiac right-to-left shunt (e.g. patent foramen ovale ) or a primary bronchial carcinoid tumour , left-sided disease can also occur, although this occurs in fewer than 10% of all affected patients 2,3 . (radiopaedia.org)
  • oxygen
  • Angina generally refers to pain resulting from insufficient blood or oxygen supply to the heart muscle. (healthtap.com)
  • This can result from an obstruction to blood flow, increased demand for oxygen because of a overworking heart or insufficient blood ( anemia ). (healthtap.com)
  • Blood
  • Heart valves are structures in the heart that open to let blood pass and then close, for example between beats, to keep blood moving in the right direction. (healthtap.com)
  • condition
  • Heart disease is a condition in which a person has problems within his or her vascular system and heart, which includes both congenital birth defects and problems acquired later. (healthtap.com)
  • significant
  • At the time of progression of carcinoid heart disease, compared to the previous 6 months, there was a significant increase in median levels of 5-HIAA (791 umols/24hr vs 460.5 umols/24hr) and flushing episodes (4.5 episodes per day vs 2 episodes per day). (ahajournals.org)