By Atul Luthra
This e-book offers postgraduate trainees with 50 actual scientific cardiology instances. Divided into fourteen sections, a number of instances are awarded lower than every one class overlaying a number of problems of the cardiac process, together with congenital middle ailments, aortic valve ailments, pulmonary ailments, ECG abnormalities, cardiac arrhythmias, coronary artery sickness and masses extra. starting with a quick background and findings in keeping with actual exam, every one case then contains analytical dialogue on bedside investigations and recommendations for remedy. Authored by means of a regarded specialist within the box, this sensible booklet is extremely illustrated with echocardiographic, radiographic and electrocardiographic information. Key issues * offers 50 actual scientific cardiology circumstances * Covers a variety of problems of the cardiac process * Authored by way of recognized heart specialist * comprises greater than 217 pictures, illustrations and tables
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Extra info for 50 Cases in Clinical Cardiology
The toes get more cyanosed and clubbed than the fingers. The reason for this differential cyanosis is that the ductus is distal to the left subclavian artery and predominantly the lower limbs get deoxygenated blood. Other complication of PDA are endarteritis, aneurysm formation and rarely rupture of the ductus. MANAGEMENT ISSUES Percutaneous device closure of patent ductus arteriosus was one of the earliest non-surgical interventions in cardiology. All PDAs of significant size and shunt should be ligated, except in ductus dependent complex congenital cyanotic heart diseases of infancy.
Breathing was vesicular and no rhonchi or crepts were heard over the lung fields. CLINICAL DISCUSSION From the history and physical examination, this patient had paroxysmal tachycardia with clinical signs of tricuspid valve regurgitation. ECG showed tall P waves (P. pulmonale) with normal P-R interval and right bundle branch block (RBBB). X-ray chest finding was an enlarged cardiac silhouette, more so towards the right of the midline. ECHO revealed normal sized left ventricle with normal ejection fraction.
Surgical operations for MR are mitral valve repair and valve replacement. Repair of the valve or annuloplasty is preferable if the valvular anatomy is suitable, since it preserves left ventricular geometry and spares the patient from the problems of anticoagulation. Replacement of the valve is indicated if the valvular anatomy is severely distorted. RECENT ADVANCES Mitral regurgitation in the context of ischemic heart disease is a clinical challenge. The MR is not due to an intrinsic valvular abnormality, but the result of ventricular dilatation with annular enlargement, papillary muscle dysfunction and dysfunctional ventricular remodeling with increased sphericity.
50 Cases in Clinical Cardiology by Atul Luthra