extracellular amyloid
transthyretin
heart failure with reduced ejection fraction
40%
liver necrosis pattern in left-sided heart failure
centrilobular necrosis
gene involved in DiGeorge
TBX1 deletion - regulates neural crest migration
4th branchial arch, 3rd and 4th pharyngeal pouches
ch 22q11.2
gene in bicuspid aortic valve
in TOF
NOTCH1
JAG1, NOTCH2
bony changes in tips of fingers and toes in right-to-left shunts
hypertrophic osteoarthropathy
dev’t of atrial septum
septum primum
osteum primum
ostium secundum
septum secundum (90% of ASD)
foramen ovale
when and percent of closing of foramen ovale
2yrs, 80%
VSD types and percent
membranous interventricular 90%
infundibular below pulmo valve 10%
PDA becomes
ligamentum arteriosum
hypoplastic left heart syndrome
aortic stenosis causes hypoplasia of left ventricle and ascending aorta
irreversible cell injury
20-40 min
full extent of infarct
6-12 hrs
early coag necrosis
4-12 hrs
pyknosis of nuclei, hyper eosinophilia
12-24 hrs
mottling w/ yellow tan infarct, brisk neutrophils
1-3 days
hyperemic border, macrophages
3-7 days
well-developed phagocytosis, granulation at margins
7-10 days
new vessels and collagen
10-14 days
gray white scar, inc. collagen
2-8 wks
complete scar, dense collagenous scar
> 2 mos
stain to assess necrosis
triphenyl tetrazolium chloride
irreversible damaged myocytes after reperfusion
contraction band necrosis
troponins rise, peak, elevated
2-4 hrs
24-48 hrs
7-10 days