By M.D. Luthra Atul, JPS Sawhney
This ebook offers postgraduate trainees with 50 genuine scientific cardiology instances. Divided into fourteen sections, numerous circumstances are provided below each one class masking a number of problems of the cardiac approach, together with congenital center illnesses, aortic valve ailments, pulmonary ailments, ECG abnormalities, cardiac arrhythmias, coronary artery sickness and masses extra. starting with a short historical past and findings in accordance with actual exam, each one case then contains analytical dialogue on bedside investigations and suggestions for therapy. Authored through a regarded professional within the box, this sensible ebook is extremely illustrated with echocardiographic, radiographic and electrocardiographic facts. Key issues provides 50 genuine scientific cardiology situations Covers a variety of issues of the cardiac method Authored through acknowledged heart specialist comprises greater than 217 photographs, illustrations and tables
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Additional info for 50 cases in clinical cardiology : a problem solving approach
These patients can be offered restrictive annuloplasty, which involves insertion of an undersized annular ring to improve leaflet apposition. Therefore, patients who are to undergo coronary artery bypass graft (CABG) surgery should be adequately assessed preoperatively for mitral regurgitation. C A S E 8 Mitral Valve Prolapse CASE PRESENTATION A 26-year old married woman visited a renowned cardiologist for coronary angiography, with the complaints of episodic chest pain and palpitation. The chest pain was precordial in location and described as sharp and pricking.
On examination, the pulse was of low volume with a slow upstroke, at a rate of 84 beats/min. with a BP of 96/72 mm Hg. There was no anemia, cyanosis or icterus and the thyroid gland was not enlarged. The JVP was not raised and there was no ankle edema. The apex beat was normal in position and heaving in nature. The S1 was normal, S2 appeared single and S4 was audible in pre-systole. An ejection systolic murmur was audible over the aortic area, that was preceded by an ejection click and associated with a palpable thrill.
C A S E 4 Ebstein’s Anomaly CASE PRESENTATION A 26-year old married woman visited a cardiologist’s chamber, with the complaint of occasional fluttering sensation in the chest of 2 years duration. The episodes of palpitation were associated with some light-headedness, but she had never fainted. Her palpitation was at times related to some emotional upset or undue physical exercise, but there was no history of exertional fatigue, chest pain or breathlessness. There was also no history of tremor of the hands or weight loss.