{"id":9647,"date":"2012-10-19T09:31:46","date_gmt":"2012-10-19T14:31:46","guid":{"rendered":"http:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/?p=9647"},"modified":"2019-02-26T19:50:51","modified_gmt":"2019-02-27T00:50:51","slug":"systolic-anterior-motion-chordae-david-adams-md","status":"publish","type":"post","link":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2012\/10\/19\/systolic-anterior-motion-chordae-david-adams-md\/","title":{"rendered":"Heart Valve Summit Video #3: &#8220;What Is The Likely Progression of Systolic Anterior Motion of the Chordae?&#8221; Asks Jim"},"content":{"rendered":"<p>Leading up to the Heart Valve Summit, I received an interesting question from Jim. He asked,\u00a0 &#8220;Adam &#8211; What is the likely progression of systolic anterior motion of the chordae?&#8221;<\/p>\n<p>To answer Jim&#8217;s question, I met with Doctor David Adams, MD, one of the Program Directors of the Heart Valve Summit and the Chairman of Cardiothoracic Surgery at <a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/mount-sinai-heart-valve-clinic\">Mount Sinai Medical Center<\/a>. The highlights of our discussion are featured in this video. Also, for the patients and caregivers in our community who are hearing impaired, I have provided a written transcript of this conversation below.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/-EP2IYB-7kM\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p><!--more--><\/p>\n<p>Thanks to Jim for his question and a special thanks to Dr. David Adams for all of his incredible clinical work, research and ongoing support of our community!<\/p>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. Here is the written transcript of our discussion.<\/p>\n<p>Adam Pick:\u00a0 Hi everybody, it\u2019s Adam with HeartValveSurgery.com, and I\u2019m here today at the Heart Valve Summit in Chicago, Illinois, and I\u2019m happy to be joined by one of the program directors of the conference, in addition to the Chairman of the Cardiothoracic Surgery at Mount Sinai Medical Center.\u00a0 This is David Adams.\u00a0 Nice to have you here today.<\/p>\n<p>Dr. David Adams:\u00a0 Adam, good to see you again.<\/p>\n<p>Adam Pick: As you may know, we\u2019re answering patient questions that were submitted at the website.\u00a0 And Dr. Adams, a question came in from Jim, and he writes, \u201cAdam, my echochardiogram says I have a systolic anterior motion of the chordae.\u00a0 What is the likely progression of that condition?\u201d<\/p>\n<p>David Adams, MD:\u00a0 Well, he\u2019s describing something that\u2019s not uncommon. The mitral valve which is the valve that controls inflow from our lungs toward our pumping chamber and the aortic valve which controls the outflow from our pumping chamber to our body share a certain space in the heart.\u00a0 These valves share this continuity, so that these two valves in a certain three-dimensional plain interact with each other.\u00a0 And what systolic anterior motion means is as the heart is squeezing, some part of the mitral apparatus &#8212; which should be closing and getting out of the way of the blood exiting the heart &#8212; is getting caught up in this turbulence that\u2019s going out, and that\u2019s why it\u2019s called systolic motion.<\/p>\n<p>Chordae is the structure that supports the leaflets of the mitral valve much like a parachute.\u00a0 They\u2019re attached in the ventricle.\u00a0 So the chordae which should be moving posteriorly and out of the way during systole \u2013 and systole is just the medical term for when the heart squeezes. I think the good news for this patient is that that\u2019s actually \u2013 at this point, after mitral valve repair, if he\u2019s healthy enough to write us and ask us about it, that typically means that it\u2019s not causing a substantial problem.\u00a0 If you had systolic motion that was really critical, in most circumstances, that\u2019s recognized intraoperatively and dealt with.<\/p>\n<p>Minor chordal SAM is something that you can see &#8212; or systolic motion &#8212; is something you can see. The good news is this that we believe &#8212; that in most cases, the ventricle remodels, and as the ventricle changes its shape, this condition resolves. In fact, it\u2019s really not something that often progresses.\u00a0 I would say much commonly, it every day progresses.<\/p>\n<p>Adam Pick: \u00a0Well, Jim, I hope that helped you learn a little bit more.\u00a0 I know it helped me.\u00a0 And Dr. Adams, once again, as always, thanks for taking the time to organize this incredible event and for all your continuous work to getting the cardiologists and the surgeons and the nurses and the PAs together to really enhance valvular therapy.\u00a0 The patients out there really appreciate what you\u2019re doing.<\/p>\n<p>Doctor. David Adams:\u00a0 Thanks again for coming to support the meeting.\u00a0 Thanks.<\/p>\n<p>Adam Pick:\u00a0 You\u2019re welcome. To learn more about Dr. Adams, <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-David-Adams-New+York-New%20York.php\">click here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":22823,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-9647","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mitral-valve-repair"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/9647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/comments?post=9647"}],"version-history":[{"count":0,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/9647\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media\/22823"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media?parent=9647"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/categories?post=9647"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/tags?post=9647"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}