By Atul Luthra
This e-book offers postgraduate trainees with 50 actual medical cardiology circumstances. Divided into fourteen sections, numerous situations are offered below each one type masking a number of problems of the cardiac process, together with congenital center illnesses, aortic valve illnesses, pulmonary illnesses, ECG abnormalities, cardiac arrhythmias, coronary artery illness and lots more and plenty extra. starting with a quick heritage and findings in keeping with actual exam, every one case then contains analytical dialogue on bedside investigations and recommendations for therapy. Authored through a regarded professional within the box, this sensible booklet is very illustrated with echocardiographic, radiographic and electrocardiographic information. Key issues * provides 50 genuine medical cardiology instances * Covers various problems of the cardiac process * Authored by means of acknowledged heart specialist * contains greater than 217 photos, illustrations and tables
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Additional info for 50 Cases in Clinical Cardiology
His exertional dyspnea started about 8 months back and progressed to the extent that he found it difficult to climb even one flight of stairs. His throbbing headache was a daily feature and he also felt some pulsations over the neck. There was no history of exertional chest pain, palpitation or syncopal episodes. The patient had visited an orthopedician for a still back with difficulty in bending forward. On X-ray of the lumbo-sacral spine, it was diagnosed as ankylosing spondylitis. He was taking oral steroids prescribed by an ophthalmologist for iridocyclitis, in addition to his antihypertensive medication.
Valvular diseases are congenital bicuspid aortic valve, rheumatic heart disease and connective tissue disorders. Aortic root dilatation occurs in uncontrolled hypertension, Marfan’s syndrome and ankylosing spondylitis. 3). 3: Causes of aortic regurgitation Valvular AR • Bicuspid aortic valve • Rheumatic heart disease • Connective tissue disorder Root dilatation • Marfan syndrome • Ankylosing spondylitis • Systemic hypertension Acute AR • Chest wall trauma • Dissection of aorta • Infective endocarditis PERTINENT INVESTIGATIONS In addition to echocardiography, cardiac computed tomography (CT) or magnetic resonance imaging (MRI) may be required for the detailed assessment of the aortic valve as well as the proximal aorta.
The reason for this differential cyanosis is that the ductus is distal to the left subclavian artery and predominantly the lower limbs get deoxygenated blood. Other complication of PDA are endarteritis, aneurysm formation and rarely rupture of the ductus. MANAGEMENT ISSUES Percutaneous device closure of patent ductus arteriosus was one of the earliest non-surgical interventions in cardiology. All PDAs of significant size and shunt should be ligated, except in ductus dependent complex congenital cyanotic heart diseases of infancy.
50 Cases in Clinical Cardiology by Atul Luthra