By M.D. Luthra Atul, JPS Sawhney
This booklet presents postgraduate trainees with 50 actual scientific cardiology circumstances. Divided into fourteen sections, a number of situations are awarded below each one classification masking quite a few issues of the cardiac approach, together with congenital center illnesses, aortic valve ailments, pulmonary illnesses, ECG abnormalities, cardiac arrhythmias, coronary artery affliction and lots more and plenty extra. starting with a quick background and findings according to actual exam, every one case then comprises analytical dialogue on bedside investigations and recommendations for remedy. Authored through a acknowledged professional within the box, this sensible booklet is very illustrated with echocardiographic, radiographic and electrocardiographic facts. Key issues provides 50 genuine scientific cardiology circumstances Covers a variety of problems of the cardiac procedure Authored via recognized heart specialist comprises greater than 217 photographs, illustrations and tables
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Extra resources for 50 cases in clinical cardiology : a problem solving approach
On M-Mode scan, there was abrupt posterior displacement of both leaflets in systole, giving a “hammock-like” appearance (Fig. 2). On colour flow mapping, an eccentric regurgitant jet was seen entering the left atrium. 1). In type 1, the anterior leaflet only moves upto the annulus while in type 2, it bows into the left atrium. In type 3, both the leaflets enter the left atrium. Strict echocardiographic criteria must be used to diagnose MVP because needless anxiety may be created by over-reporting this abnormality.
Pre-excitation syndrome (WPW syndrome) may be responsible for paroxysmal tachyarrhythmia but the ECG did not show short P-R interval or delta waves on the QRS complex. Mitral valve prolapse (MVP) and atrial septal defect (ASD) are structural cardiac abnormalities that are responsible for tachyarrhythmias. However, in our case the mitral valve was normal and there was no septal defect. Ebstein’s anomaly is an uncommon congenital acyanotic heart disease characterized by abnormal tricuspid valve architecture, tricuspid regurgitation and association with paroxysmal supraventricular tachyarrhythmias.
Strict echocardiographic criteria must be used to diagnose MVP because needless anxiety may be created by over-reporting this abnormality. Minor “technical” MVP may be observed in normal women due to high transducer position and caudal angulation. Conversely, true MVP may be missed due to low transducer position and cranial angulation. 1: Classification of mitral valve prolapse Type 1: AML and PML move upto the annulus Type 2: Large AML bows into the left atrium Type 3: Both AML and PML enter left atrium Mitral valve prolapse is known as “floppy valve” or “myxomatous valve” or “billowing valve” and the condition is also designated as “Barlow’s syndrome”.
50 cases in clinical cardiology : a problem solving approach by M.D. Luthra Atul, JPS Sawhney