Read e-book online Cardiology Secrets, Third Edition PDF

By Glenn N. Levine

ISBN-10: 0323045251

ISBN-13: 9780323045254

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Extra resources for Cardiology Secrets, Third Edition

Example text

Giant cell myocarditis is an uncommon but often fulminant form of myocarditis characterized by multinucleated giant cells and myocyte destruction. 61. Initial therapy for patients with non–ST-segment-elevation acute coronary syndrome (NSTEACS) should include antiplatelet therapy with aspirin and with clopidogrel or glycoprotein IIb/IIIa inhibitor, and antithrombin therapy with either unfractionated heparin, enoxaparin, fondaparinux, or bivalirudin (depending on the clinical scenario). 62. Important complications in heart transplant recipients include infection, rejection, vasculopathy (diffuse coronary artery narrowing), arrhythmias, hypertension, renal impairment, malignancy (especially skin cancer and lymphoproliferative disorders), and osteoporosis (caused by steroid use).

Auscultation—Decrescendo diastolic murmur along left sternal border; M1 and A2 are increased. P2 Tricuspid Regurgitation Expiration S3 S1 SM Usually secondary to pathology elsewhere in heart. Precordium—Right ventricular parasternal lift; systolic thrill at tricuspid area. Auscultation—Holosystolic murmur increasing with inspiration; other: V wave in jugular venous pulse; systolic liver pulsation. S2 S3 Expiration P2 DM S SM Atrial Septal Defect DM A2 P2 S1 Normal pulse; break parasternal life; lift over pulmonary artery; normal jugular pulse; systolic ejection murmur in pulmonic area; low pitched diastolic rumble over tricuspid area (at times); persistent wide splitting of S2.

What ECG findings may be present in pulmonary embolus? & Sinus tachycardia (the most common ECG finding) & Right atrial enlargement (P pulmonale)—tall P waves in the inferior leads & Right axis deviation & T wave inversions in leads V1-V2 & Incomplete right bundle branch block (IRBBB) & S1Q3T3 pattern—an S wave in lead I, a Q wave in lead III, and an inverted T wave in lead III. Although this is only occasionally seen with pulmonary embolus, it is said to be quite suggestive that a pulmonary embolus has occurred.

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Cardiology Secrets, Third Edition by Glenn N. Levine


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