50 Cases in Clinical Cardiology - download pdf or read online

By Atul Luthra

ISBN-10: 9351521109

ISBN-13: 9789351521105

This ebook offers postgraduate trainees with 50 genuine scientific cardiology circumstances. Divided into fourteen sections, a number of circumstances are offered below each one type protecting a variety of issues of the cardiac procedure, together with congenital center illnesses, aortic valve illnesses, pulmonary ailments, ECG abnormalities, cardiac arrhythmias, coronary artery affliction and lots more and plenty extra. starting with a quick historical past and findings in response to actual exam, every one case then comprises analytical dialogue on bedside investigations and suggestions for therapy. Authored through a regarded professional within the box, this useful ebook is very illustrated with echocardiographic, radiographic and electrocardiographic facts. Key issues * offers 50 genuine medical cardiology circumstances * Covers quite a few problems of the cardiac procedure * Authored by means of known heart specialist * comprises greater than 217 photographs, illustrations and tables

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Strict echocardiographic criteria must be used to diagnose MVP because needless anxiety may be created by over-reporting this abnormality. Minor “technical” MVP may be observed in normal women due to high transducer position and caudal angulation. Conversely, true MVP may be missed due to low transducer position and cranial angulation. 1: Classification of mitral valve prolapse Type 1: AML and PML move upto the annulus Type 2: Large AML bows into the left atrium Type 3: Both AML and PML enter left atrium Mitral valve prolapse is known as “floppy valve” or “myxomatous valve” or “billowing valve” and the condition is also designated as “Barlow’s syndrome”.

On ECHO, the left ventricular cavity was small in size, with a good ejection fraction. There was concentric thickening of the interventricular septum (IVS) and the left ventricular posterior wall (LVPW). The aortic valve leaflets were thickened and calcific with restricted excursion and reduced opening of the valve. Due to fusion at the leaflet tips, there was systolic doming of leaflets. On colour flow mapping, a mosaic jet was observed in the proximal aorta (Fig. 3) with an increased systolic velocity across the valve on CW Doppler.

On examination, the child was irritable because of his respiratory catarrhe but not tachypneic. He was febrile but not anemic or icteric and there was no cyanosis or clubbing of the fingers or toes. The extremities were warm but not sweaty and his radial pulse was bounding in nature at a rate of 110 beats/min. The thyroid gland was not enlarged and there was no sign of congestive heart failure. The BP over the right arm in the supine position was 160/60 mm Hg and similar in the left arm. The child’s mother was quite sure that his blood pressure had never been checked earlier.

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50 Cases in Clinical Cardiology by Atul Luthra

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