By Atul Luthra
This ebook offers postgraduate trainees with 50 genuine medical cardiology circumstances. Divided into fourteen sections, a number of situations are offered lower than each one class overlaying numerous issues of the cardiac method, together with congenital center illnesses, aortic valve illnesses, pulmonary ailments, ECG abnormalities, cardiac arrhythmias, coronary artery illness and masses extra. starting with a short heritage and findings according to actual exam, each one case then comprises analytical dialogue on bedside investigations and suggestions for therapy. Authored by way of a recognized professional within the box, this useful e-book is extremely illustrated with echocardiographic, radiographic and electrocardiographic info. Key issues * provides 50 genuine medical cardiology circumstances * Covers quite a few problems of the cardiac process * Authored through regarded heart specialist * comprises greater than 217 photographs, illustrations and tables
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Extra info for 50 Cases in Clinical Cardiology
The patient was conscious, cooperative and in no distress. The JVP was not raised but there was minimal pitting edema over both his ankles. The apex beat was slightly displaced towards the axilla and heaving in character. Systolic pulsations were observed over the aortic area and in the suprasternal notch. The S1 was normal, A2 was loud but no gallop was audible. A harsh systolic murmur was heard over the upper left sternal edge that radiated towards the neck. The murmur was not preceded by an ejection click or accompanied by a palpable thrill.
While auscultating the chest of the child, the pediatrician incidentally heard a loud murmur over the upper precordium. Although the child had been taken to several doctors in the past for consultation and vaccination, nobody had noticed the murmur. The boy was born after normal vaginal delivery, without any intervention and was not cyanosed at birth. His mother had experienced no difficulty in nursing him. The boy’s growth milestones of early childhood were not delayed. On examination, the child was irritable because of his respiratory catarrhe but not tachypneic.
PERTINENT INVESTIGATIONS It is not unusual for patients of mitral valve prolapse to undergo a battery of sophisticated cardiac investigations, in the search for the diagnosis of a serious heart disease. Besides ECG and ECHO which do show some typical abnormalities, exercise stress test is done which is more often false-positive. Ambulatory 24-hour Holter monitoring frequently shows supraventricular and sometimes ventricular ectopic beats and rarely if ever reveals life-threatening arrhythmias. Myocardial perfusion imaging and coronary angiography expectedly do not show any significant abnormality.