50 Cases in Clinical Cardiology by Atul Luthra

By Atul Luthra

This booklet offers postgraduate trainees with 50 actual scientific cardiology situations. Divided into fourteen sections, numerous instances are provided below each one type protecting a number of problems of the cardiac method, together with congenital middle ailments, aortic valve ailments, pulmonary ailments, ECG abnormalities, cardiac arrhythmias, coronary artery disorder and lots more and plenty extra. starting with a short heritage and findings according to actual exam, every one case then contains analytical dialogue on bedside investigations and recommendations for therapy. Authored by way of a regarded specialist within the box, this sensible booklet is extremely illustrated with echocardiographic, radiographic and electrocardiographic information. Key issues * provides 50 actual medical cardiology situations * Covers a number of issues of the cardiac procedure * Authored by way of known heart specialist * comprises greater than 217 pictures, illustrations and tables

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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.

A heaving apex beat indicates left ventricular hypertrophy and is also observed in uncontrolled systemic hypertension and in coarctation of aorta. The low-pitched S4 sound in pre-systole, indicates forceful atrial contraction over a non-compliant left ventricle. It coincides with the a wave of the jugular vein. The S4 is always pathological in aortic stenosis, systemic hypertension and restrictive or hypertrophic cardiomyopathy. An acute rise in left ventricular enddiastolic pressure (LVEDP) as in acute coronary syndrome or acute valvular regurgitation causes acute onset of S4.

2). However, there are some fallacies associated with these calculations. The narrow jet of mild AR may extend deep into the left ventricle while the broad jet of severe AR may not extend that far if it is “eccentric” or “off-centre”. 2: Assessment of the severity of aortic regurgitation Mild Moderate Severe AR jet depth upto LVOT Mid–LV LV apex AR jet width (% of LVOT) <25 25-65 >65 AR volume (ml/beat) <30 30-59 >60 AR: Aortic regurgitation on Doppler LVOT: Left ventricular outflow tract The causes of aortic regurgitation can be classified into the causes of aortic valve disease and the causes of aortic root dilatation.

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