By M.D. Luthra Atul, JPS Sawhney
This e-book presents postgraduate trainees with 50 actual scientific cardiology situations. Divided into fourteen sections, numerous circumstances are provided less than each one class masking numerous issues of the cardiac procedure, together with congenital center ailments, aortic valve ailments, pulmonary illnesses, ECG abnormalities, cardiac arrhythmias, coronary artery ailment and lots more and plenty extra. starting with a quick background and findings in keeping with 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 sensible booklet is very illustrated with echocardiographic, radiographic and electrocardiographic facts. Key issues provides 50 genuine medical cardiology situations Covers quite a few problems of the cardiac process Authored by way of recognized heart specialist contains greater than 217 pictures, illustrations and tables
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Additional resources for 50 cases in clinical cardiology : a problem solving approach
SECTION 3 Aortic Valve Diseases C A S E 9 Aortic Stenosis CASE PRESENTATION A 52-year old man presented to the out-patient cardiology clinic with easy fatiguability and breathlessness on exertion for the last 1 year. In the preceding month, he had experienced three distinct episodes of dizziness, followed by fainting. The syncopal episodes were unrelated to exercise and were not preceded by palpitation or chest pain. There was no history of prolonged febrile illness or joint pains during childhood.
3) with some restriction of leaflet excursion, but no systolic doming. The posterior segment of the mitral valve annulus and the base of the posterior leaflet also showed high echogenicity. On colour flow mapping, a mosaic jet was seen entering the left atrium across the mitral valve. 5 m/sec was seen across the aortic valve with a calculated pressure gradient (PG) of 25 mm Hg.
The S2 is widely split due to delayed pulmonary closure (P2) because of the RBBB. Sometimes, the S2 is single because of soft P2 due to low pulmonary ejection volume. Rarely, the S2 is paradoxically split because of pre-excitation of the right ventricle caused by WPW syndrome Type B. The pansystolic murmur of tricuspid regurgitation is best audible over the lower left parasternal area and does not radiate towards the axilla or the base of the heart. 2: X-ray showing cardiomegaly due to enlargement of right atrium increases in intensity during inspiration, provided the right ventricular function is normal.
50 cases in clinical cardiology : a problem solving approach by M.D. Luthra Atul, JPS Sawhney