Download e-book for kindle: Cardiovascular Imaging: A Handbook for Clinical Practice by Jeroen J. Bax, Christopher M. Kramer, Thomas H. Marwick,

By Jeroen J. Bax, Christopher M. Kramer, Thomas H. Marwick, William Wijns

ISBN-10: 1405131314

ISBN-13: 9781405131315

;Cardiovascular Imaging: A instruction manual for scientific perform КНИГИ ;ЗДОРОВЬЕ Название: Cardiovascular Imaging: A guide for medical perform // Методы визуализации ССС Автор: Jeroen J. Bax (Editor), Christopher M. Kramer (Editor), Thomas H. Marwick (Editor), William Wijns (Editor) Издательство: Wiley-Blackwell Год: 2005 Формат: PDF Размер: 4.80 Mб Качество: ХорошееКнига основана на применении неинвазивных методик визуализации в клинической кардиологии. Основной посыл заключается в использовании различных диагностических комплексов, основанных на методах визуализации, в обычной практике врача-кардиолога. Затронуты многие проблемы патологии сердца, такие как болезни клапанного аппарата, ИБС, болезни миокарда и перикарда и их диагностика с помощью эхокардиографии, компьютерной томографии и магнитно-резонансной томографии.Скачать c Скачать c Скачать c .com zero

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Damage to the subvalvular apparatus: typical examples are (degenerative or endocarditic) chordal or (ischemic) papillary muscle rupture, leading to a flail leaflet or scallop with severe regurgitation. In rheumatic heart disease, the subvalvular apparatus, in particular the chordae, are thickened, calcified, and shortened. Morphologic assessment should include not only the type of damage, but also the location of the lesion (Fig. 4). The posterior leaflet can be subdivided into three scallops, and the anterior leaflet can also be divided in three corresponding segments, although these are anatomically less well-defined than the posterior leaflet scallops.

The electrocardiogram (ECG) showed left ventricular hypertrophy and chest X-ray left ventricular enlargement. The patient was referred to the cardiac outpatient department for further evaluation. Diagnosis and grading of severity In general, aortic regurgitation (AR) is detected by physical examination or incidentally by echocardiography. Clinical presentation includes a characteristic decrescendo diastolic murmur and — as soon as moderate to severe — increased systolic pressure, widened pulse pressure, and bounding pulses.

MRI at this time may be seen as an alternative technique if echocardiography cannot provide the necessary data. MRI can be safely performed in the presence of prosthetic valves, but is hazardous in the presence of a pacemaker. Echocardiography in mitral regurgitation Mitral valve morphology Severe MR is always accompanied by morphologic abnormalities of the mitral BCI2 6/17/05 18 10:04 PM Page 18 Chapter 2 valve structure or configuration. Specific morphologic assessment of the mitral valve apparatus includes the following: • Leaflet morphology: leaflets are thickened in myxomatous (classic) mitral valve prolapse, degenerative disease, and rheumatic disease.

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Cardiovascular Imaging: A Handbook for Clinical Practice by Jeroen J. Bax, Christopher M. Kramer, Thomas H. Marwick, William Wijns

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