By Atul Luthra
This ebook presents postgraduate trainees with 50 genuine medical cardiology circumstances. Divided into fourteen sections, numerous instances are offered less than every one type protecting numerous problems of the cardiac process, together with congenital middle ailments, aortic valve ailments, pulmonary illnesses, ECG abnormalities, cardiac arrhythmias, coronary artery disorder and lots more and plenty extra. starting with a short historical past and findings in response to actual exam, each one case then comprises analytical dialogue on bedside investigations and suggestions for remedy. Authored by means of a recognized specialist within the box, this useful ebook is extremely illustrated with echocardiographic, radiographic and electrocardiographic information. Key issues * offers 50 genuine medical cardiology instances * Covers various issues of the cardiac method * Authored through recognized heart specialist * comprises greater than 217 photos, illustrations and tables
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Additional info for 50 Cases in Clinical Cardiology
X-ray chest findings were cardiomegaly with left ventricular contour and a prominent main pulmonary artery with pulmonary plethora ( Fig. 1). On ECHO, the left ventricle was dilated with normal systolic function. The left atrium was also dilated and all cardiac valves were structurally normal. On colour flow mapping, there was a retrograde mosaic jet extending from the left pulmonary artery to the dilated main pulmonary artery (Fig. 2). 2: ECHO showing retrograde jet from left branch to main pulmonary artery Case 5 Patent Ductus Arteriosus On pulsed-wave Doppler, with the sample volume moving distally from the right ventricular outflow tract and across the pulmonary valve, increased velocity was detected in the pulmonary artery.
MANAGEMENT ISSUES As far as the medical management of AR is concerned, diuretics and vasodilators are the mainstay of therapy. The diuretics reduce blood pressure, left ventricular volume and the symptoms of heart failure. Vasodilators reduce afterload, increase forward flow and decrease the regurgitant volume. Additionally, they control systolic blood pressure which is nearly always an issue in these patients. 4). Aortic root repair or replacement may be combined with AVR, if there is a significant degree of aortic dilatation.
80% of cases are women in the 2nd or 3rd decade of life, from the developing countries. 2). Complications of MS are pulmonary congestion, respiratory infections, hemoptysis, right heart failure and systemic thrombo-embolism due to atrial fibrillation associated with left atrial thrombus. 2: Causes of mitral stenosis • Rheumatic heart disease (commonest) • Congenital parachute valve • Mitral annular calcification • Connective tissue disorder • Hurler’s mucopolysaccharidosis 27 28 Section 2 Mitral Valve Diseases PERTINENT INVESTIGATIONS Since rheumatic heart disease is the predominant cause of mitral stenosis, all patients who are febrile should be investigated for rheumatic fever, infective endocarditis and respiratory tract infection.