Atul Luthra's 50 Cases in Clinical Cardiology PDF

By Atul Luthra

ISBN-10: 9351521109

ISBN-13: 9789351521105

This publication presents postgraduate trainees with 50 genuine scientific cardiology circumstances. Divided into fourteen sections, numerous instances are awarded lower than each one classification protecting quite a few problems of the cardiac approach, together with congenital middle illnesses, aortic valve illnesses, pulmonary ailments, ECG abnormalities, cardiac arrhythmias, coronary artery sickness and lots more and plenty extra. starting with a quick historical past and findings in line with actual exam, each one case then comprises analytical dialogue on bedside investigations and recommendations for remedy. Authored via a known specialist within the box, this functional publication is very illustrated with echocardiographic, radiographic and electrocardiographic facts. Key issues * provides 50 genuine scientific cardiology circumstances * Covers a variety of issues of the cardiac method * Authored by way of recognized heart specialist * contains greater than 217 photographs, illustrations and tables

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Also, presystolic accentuation is lost due to lack of atrial contribution to ventricular filling. Presystolic accentuation is also absent in a calcified valve and after commissurotomy. Severe mitral stenosis may be silent due to low cardiac output and the fact that the right ventricle underlies most of the precordium because of clockwise cardiac rotation. The opening snap heralds the onset of ventricular diastolic filling and the end of isovolumic relaxation. It indicates pliability of the valve, suitability for valvotomy and is absent in a heavily calcified valve or after commissurotomy.

The murmur started well after the S1 and had a typical honking character. It was associated with a sharp clicking sound in mid-systole. The lung fields were clear on auscultation. CLINICAL DISCUSSION From the history and physical examination, this young anxious lady had atypical cardiac symptoms with a mid-systolic click and a mid-systolic murmur. The most likely diagnosis in this case is mitral valve prolapse (MVP). The mid-systolic click is a high-pitched sharp sound produced by sudden tensing of the redundant mitral leaflet.

Cardiac surgeons are increasingly encountering complications of prior surgical correction, as these children survive into their teens. Complications after surgery include residual shunt, residual stenosis or, post-valvotomy pulmonary regurgitation and right ventricular enlargement as in our case. Pulmonary valve replacement with tricuspid annular repair would be the best course of action in this case. RECENT ADVANCES Prior cardiac surgery often distorts the anatomy of the heart to an extent that the information obtained from transthoracic echocardiography is generally skewed and inconclusive.

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50 Cases in Clinical Cardiology by Atul Luthra

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