Researchers: Hole In Heart

There are even instances when fixing a hole in the heart in adulthood can harm the organ, which will be thrown by the changed hemodynamics, or blood circulation, says Professor Richard Harvey, head of developmental biology at the Victor Chang Institute at Sydney's St Vincent's Hospital....http://www.smh.com.au/news/Health/Theres-a-hole-in-my-heart/2005/04/28/1114635664338.html?from=moreStories

How Findings Apply to Patients with PFO
Due to the lack of association between PFO and later stroke found in this study, the Mayo Clinic investigators indicate that closure surgery should not be reflexive..... http://www.sciencedaily.com/releases/2005/12/051209113618.htm

People with AF are often given anticoagulants such as warfarin to protect them from stroke.

Cardiovascular health

"We now see that a hole in the heart leading to stroke is not borne out in our study, the largest transesophageal echocardiogram-based study of the general population," says Dr. Khandheria. "Just because you have a hole, you don't automatically need to have it closed. You don't need to panic."

Dr. Meissner agrees. "More people are now getting PFOs repaired unnecessarily," she says. "Some don't need to be fixed. For patients who know they have a PFO and have not had neurologic symptoms, I'd advise them to sit tight. They don't need heart surgery to close the PFO."

Mali defekti tipa sekundum se mogu sami spontano zatvoriti. Veći defekti moraju se hiruški ili perkutano zatvoriti. Ukoliko je došlo do Ajzemengerovog sindroma (reakcije) defekt se ne sme korigovati operativno.

U oba slučaja je povećan rizik od endokrditisa, pa je i profilaksa bitna.....>>>

Razvoj plućne hipertenzije ovisi o veličini i trajanju abnormalnog protoka krvi kroz ASD te o nepoznatim individualnim čimbenicima. Plućna hipertenzija je opisana i kod pacijenata nakon kirurškog zatvaranja srčanog defekta koji su u vrijeme operacije imali uredan protok krvi kroz pluća, ali ovakvi su slučajevi vrlo rijetki..... http://www.medicina.hr/clanci/atrijski_septalni_defekt.htm

In some circumstances, closure either by surgery or catheter-delivered occluder is not recommended. In these situations, medical management is important to decrease the risk of complications of the atrial septal defect or to reduce symptoms.

When an ASD is associated with high pulmonary pressures, closing the defect may not be appropriate. Early detection and regular evaluation are very important to avoiding high pulmonary pressures....source: http://www.mayoclinic.org/atrial-septal-defect/treatment.html

Surgery Atrial Septal Defect ... http://www.mayoclinic.org/atrial-septal-defect/surgery.html

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   NB If vomiting occurs less than two hours after you take a dose of emergency contraception you should take another dose. If vomiting occurs MORE than two hours after either dose, it is thought that the emergency contraception will remain effective, so there is no need to take another dose. http://www.fpahealth.org.au/sex-matters/factsheets/76.html