By Leszek Rutkowski, Jörg Siekmann, Ryszard Tadeusiewicz, Lotfi A. Zadeh
This textbook covers all of the major subspecialties in cardiology, together with a wide share of case reviews that illustrate the rules of medical perform. Self checking out questions accompany every one case. Authored by means of prime cardiologists, this is often an up-to-the-minute, good illustrated, center cardiological textual content for these getting ready for the expert examinations.
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Additional info for Cardiology Core Curriculum: A Problem Based Approach
Two echocardiographic measurements that have proved to be of prognostic value in restrictive cardiomyopathy due to cardiac amyloidosis and of diagnostic value are left ventricular wall thickness and the duration of passive filling. 8 Apical five chamber view demonstrating asymmetric septal hypertrophy with systolic anterior motion of the mitral valve in (a) early and (b) late systole. The mitral apparatus (arrow) is seen to move toward the left ventricular outflow tract (between the left ventricle and aortic valve), and as systole progresses the mitral valve moves further into the outflow tract, resulting in mechanical obstruction to flow 45 Cardiology Core Curriculum Mid-anterior septum Basal anterior septum Inferior apex Anterior apex 2C Midinferior Midanterior PLAX Basal anterior Basal inferior Midposterior Basal posterior Basal anterior septum Septal apex Lateral apex Mid-anterior septum 4C Midseptum Midlateral Basal septum Midseptum Septal apex Basal lateral SAX Ant.
When mitral regurgitation is demonstrated by color flow Doppler velocity mapping or thickened valves are seen, antibiotic prophylaxis against endocarditis is recommended for dental treatment. 2 Parasternal long axis view demonstrating thickened leaflets and mobile vegetation (arrow) adherent to the mitral valve in a patient with infectious endocarditis. This patient developed endocarditis after a routine dental procedure without antibiotic prophylaxis in the setting of antecedent mitral valve prolapse.
Chest and abdominal examinations are normal. Peripheral arterial pulses are all normal volume and equal. Carotid pulses are slow rising and sustained. A transmitted ejection systolic murmur, from the aortic valve, is often heard over the right carotid. On electrocardiography, left ventricular hypertrophy is found in the majority of patients with severe aortic stenosis. Chest x ray film appearances are often normal. 19 Cardiology Core Curriculum S1 S2 single . . . . . . . . S4 Systole . .
Cardiology Core Curriculum: A Problem Based Approach by Leszek Rutkowski, Jörg Siekmann, Ryszard Tadeusiewicz, Lotfi A. Zadeh