By Dmitriy Kireyev, Judy Hung
This booklet offers a concise consultant to echocardiography, SPECT, CT and MRI, together with either the fundamentals of cardiac imaging in addition to tables of normal/abnormal values and guidelines.
With advances in know-how, cardiac CT and MRI have gotten extra well known yet are frequently restricted to greater clinical facilities. via together with the fundamentals of those modalities, this publication presents a finished consultant for quite a lot of doctors. As physicians outdoors of cardiology usually wouldn't have enough publicity to nuclear tension assessments, this publication includes SPECT and rigidity attempt protocols as a way to facilitate decision-making whilst ordering assessments and analyzing results.
Cardiac Imaging in scientific Practice is a short reference consultant and may be helpful at a number of degrees of educating, allowing the publication for use as a easy and complex reference resource. As such, it truly is applicable for college students, citizens, fellows and employees attendings who need a functional and convenient connection with the diagnostic ideas open to them.
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Extra resources for Cardiac Imaging in Clinical Practice
2) Left ventricular systolic function parameters  Normal Mildly decreased Moderately enlarged Severely decreased Men 52–74 41–51 30–40 <30 Women 54–74 41–53 30–40 <30 Ejection fraction (%) 22 D. Kireyev and J. 1 left panel: parasternal long axis view end-systole; right panel: parasternal long axis view end-diastole. LV internal dimensions (green line) are measured at mitral leaflet tips. The posterior wall (PW) and septal wall (SW) thickness are measured at end diastole. The left column shows end systolic apical four and two chamber views, respectively.
1988;11(6):1227–34. 4. Otto CM, Pearlman AS, Comess KA, Reamer RP, Janko CL, Huntsman LL. Determination of the stenotic aortic valve area in adults using Doppler echocardiography. J Am Coll Cardiol. 1986;7(3):509–17. 5. Thomas JD, Weyman AE. Doppler mitral pressure half-time: a clinical tool in search of theoretical justification. J Am Coll Cardiol. 1987;10(4):923–9. 6. Zoghbi WA, Enriquez-Sarano M, Foster E, Grayburn PA, Kraft CD, Levine RA, Nihoyannopoulos P, Otto CM, Quinones MA, Rakowski H, Stewart WJ, Waggoner A, Weissman NJ, American Society of Echocardiography.
Tissue Doppler imaging –– –– –– –– Tricuspid annulus and basal free wall can be assessed. Limited data in elderly S’ < 10 cm/s is abnormal  Color coded Doppler S’ is lower (uses mean velocities) 3. 2D fractional area change: (end diastolic area-end systolic area)/end diastolic area 100 % –– RV FAC < 35 % is abnormal  4. RIMP – Myocardial performance index (or Tei index). MPI = isovolumic time/ejection time Pulsed Doppler vs. tissue Doppler methods –– Doppler method: measure time (T1) from tricuspid valve opening to closing (either by tricuspid jet – onset to end or tricuspid inflow – end of A wave to beginning of E), ejection time (ET) – measure in RVOT (onset to cessation of flow).
Cardiac Imaging in Clinical Practice by Dmitriy Kireyev, Judy Hung