She expected the worst then; she seemed to be staring out for it greedily, her heart straining.
It is a thunderbolt that will crash into some brain -- a dull, dead, remorseless weight that will full upon some heart, straining it to breaking.
Unfortunately, this is not necessarily indicative of RSV-directed myocardial injury, but more likely the result of (right) heart strain secondary to severe lung parenchymal disease [ 10].
Electrocardiographic signs of right heart strain such as right axis deviation, clockwise rotation, and evidence of right ventricular hypertrophy may be observed in acute, severe asthma and usually resolve within hours of effective treatment [ 30].
Carbon monoxide from cigarettes, gas cookers and heaters is singled out as causing drowsiness, headaches and heart strain, while nitrogen dioxide from unvented gas appliances has been blamed for respiratory problems.
Catheter-directed interventions for the treatment of patients with submassive pulmonary embolism (sPE) have shown promise in rapidly improving right-sided heart strain and preventing decompensation to massive pulmonary embolism.
The simulator also generated various pathological states (pericardial effusion, cardiac standstill, right heart strain), and participants were asked to interpret the images generated throughout their skill assessment.
A transesophageal echocardiography demonstrated markedly worsened dilation of the right ventricle with a very small left ventricle indicative of severe right heart strain.
Pulmonary hypertension causing right heart strain, leading to release of BNP from the right ventricular myocardium has been the most commonly implicated mechanism [21, 22].
In this article, we will review several abnormal contrast enhancement and flow patterns that are encountered in thoracic CTA, including severe abnormalities such as right heart strain, cardiac asystole, and cardiac tamponade.
