By Atul Luthra

This publication presents postgraduate trainees with 50 genuine medical cardiology circumstances. Divided into fourteen sections, a number of situations are awarded less than every one classification overlaying a number of problems of the cardiac procedure, together with congenital middle illnesses, aortic valve ailments, pulmonary ailments, ECG abnormalities, cardiac arrhythmias, coronary artery affliction and masses extra. starting with a short historical past and findings in response to actual exam, each one case then contains analytical dialogue on bedside investigations and suggestions for remedy. Authored by way of a acknowledged specialist within the box, this useful e-book is extremely illustrated with echocardiographic, radiographic and electrocardiographic info. Key issues * offers 50 genuine medical cardiology circumstances * Covers a number of problems of the cardiac method * Authored by means of acknowledged heart specialist * comprises greater than 217 photos, illustrations and tables

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Extra resources for 50 Cases in Clinical Cardiology

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There was no history of exertional chest pain or of palpitation and fainting. She did not smoke or consume alcohol but she seldom exercised and did not follow the diet-plan suggested by her physician. On examination, she was overweight without any clinical signs of cortisol excess or hypothyroidism. The pulse was regular, good in volume at a rate of 92 beats/min. The BP was 136/88 mm Hg in the right arm. There was no sign of heart failure. The apex beat was hyperdynamic, ill-sustained heaving in nature and displaced towards the left axilla.

The high adrenergic activity increases the heart rate and shortens diastole. The wide excursion of the myxomatous, redundant valve leaflet increases the force of mitral valve closure. Finally, merger of the non-ejection click with the S1 , increases the intensity of the latter. 1: ECHO showing buckling of mitral leaflets, above the plane of mitral annulus ECG of the patient showed sinus rhythm at the rate of 92 with few atrial ectopic beats and T wave inversion in leads LIII, aVF, V5, V6. The X-ray chest was unremarkable.

Aortic root repair or replacement may be combined with AVR, if there is a significant degree of aortic dilatation. AVR may be combined with coronary artery bypass graft (CABG) surgery, if the latter is indicated. 4: Indications for surgery in aortic regurgitation • Symptomatic acute moderate to severe AR • Symptomatic chronic moderate to severe AR • A  symptomatic chronic AR of any degree with left ventricular dysfunction and dilatation LV dilatation : LV dysfunction : end-systolic diameter >55 mm end-diastolic diameter >75 mm LV ejection fraction <50% Case 10 Aortic Regurgitation RECENT ADVANCES Aortic valve replacement with a mechanical or a bioprosthetic valve is associated with either the need for a long-term anticoagulant (requires monitoring and carries risk of bleeding) or the late failure of a bioprosthetic valve.

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