Librería Servicio Médico

Author : Fridman / Garcia

Language: English

Finishing : Paperback, 278 pages

ISBN : 978-0-470-65997-7

Edition Number: 2013

Description:

Practical Manual of Echocardiography in the Urgent Setting covers the essentials of echocardiography in the acute setting, from ultrasound basics to descriptions of all pertinent echocardiographic views to clear stepwise advice on basic calculations and normal/abnormal ranges.

This compact new reference:

•             Provides step-by-step guidance to acquiring the correct views and making the necessary calculations to accurately diagnose cardiac conditions commonly encountered in urgent settings.

•             Presents information organized by complaint/initial presentation so that readers can work from this first knowledge of the patient through the steps required to pinpoint a diagnosis.

•             Covers echo basics, from sound wave characteristics/properties to common device settings to basic ultrasound formulas.

•             Includes diagnostic algorithms fitted to address the differential diagnosis in the most commonly-encountered clinical scenarios.

Designed and written by frontline clinicians with extensive experience treating patients, Practical Manual of Echocardiography in the Urgent Setting is the perfect pocket-sized guide for residents in cardiology, emergency medicine, and hospital medicine; trainees in echocardiography; medical students on cardiology or emergency medicine rotations; technicians, nurses, attending physicians -- anyone who practices in the urgent setting and who needs reliable guidance on echocardiographic views, data and normal/abnormal ranges to aid rapid diagnosis and decision-making at the point of care.

Table Of Contents:

• Contributors, x
• Preface, xiv
• 1 Ultrasound physics, 1
• Vladimir Fridman
• Ultrasound generation, 7
• Image formation, 9
• Doppler ultrasound, 15
• Summary and key points, 22
• References, 22
• 2 The transthoracic examination, 23
• Vladimir Fridman and Dennis Finkielstein
• Performing the echocardiogram, 33
• Using the transducer, 35
• Steps involved in a comprehensive transthoracic echocardiogram, 37
• References, 40
• 3 Transesophageal echocardiography, 41
• Salim Baghdadi and Balendu C. Vasavada
• Preparation of the patient, 42
• Acoustic windows and standard views, 45
• Clean-up and maintenance, 54
• References, 56
• 4 Ventricles, 57
• Deepika Misra and Dayana Eslava
• Left ventricle, 57
• Right ventricle, 66
• Atria, 72
• Contrast echocardiography, 74
• References, 77
• 5 Left-sided heart valves, 79
• Muhammad M. Chaudhry, Ravi Diwan, Yili Huang, and Furqan H. Tejani
• Aortic valve, 79
• Mitral valve, 94
• References, 111
• 6 Right-sided heart valves, 113
• Michael J. Levine and Vladimir Fridman
• Tricuspid valve, 113
• Pulmonic valve, 122
• Qp/Qs: Pulmonary to systemic flow ratio, 127
• References, 127
• 7 Prosthetic heart valves, 129
• Karthik Gujja and Vladimir Fridman
• Echocardiographic approach to prosthetic heart valves, 132
• Approach to suspected valve dysfunction, 134
• References, 140
• 8 The great vessels, 141
• Vladimir Fridman and Hejmadi Prabhu
• Aorta, 141
• Pulmonary artery, 147
• D-septal shift, 151
• References, 152
• 9 Evaluation of the pericardium, 153
• Chirag R. Barbhaiya
• Pericardial effusions, 153
• Cardiac tamponade, 154
• Echo-guided pericardiocentesis, 159
• Constrictive pericarditis, 161
• Differentiation of constrictive pericarditis and restrictive cardiomyopathy, 163
• Effusive–constrictive pericarditis, 165
• References, 165
• 10 Specialty echocardiographic examinations, 167
• Cesare Saponieri
• TTE in a VAD patient, 167
• Intracardiac echocardiography, 169
• TEE in the operating room, 171
• Echocardiography to guide percutaneous closure devices placement, 172
• References, 173
• 11 Common artifacts, 174
• Padmakshi Singh, Moinakhtar Lala, and Sapan Talati
• References, 182
• 12 Hypotension and shock, 183
• Sheila Gupta Nadiminti
• Determination of central venous pressure, stroke volume, cardiac output, and vascular resistance, 183
• Hypovolemia, 184
• Septic shock, 188
• Cardiogenic shock due to left ventricular failure, 189
• Cardiogenic shock due to right ventricular failure, 189
• Cardiogenic shock due to acute valvular insufficiency or shunt, 190
• Acute pulmonary hypertension/pulmonary embolism, 190
• References, 193
• 13 Chest pain syndrome, 195
• Sandeep Dhillon and Jagdeep Singh
• Myocardial Infarction, 195
• Aortic dissection, 198
• Pulmonary embolus, 199
• Other causes, 201
• References, 202
• 14 Cardiac causes of syncope and acute neurological events, 204
• Erika R. Gehrie
• Hypovolemia, 205
• Arrhythmias, 205
• Aortic stenosis, 207
• Cardiac tamponade, 207
• Pacemaker malfunction, 207
• Endocarditis, 207
• Pulmonary embolism, 208
• Stroke and transient ischemic attacks, 208
• Cardiac masses, 212
• References, 215
• 15 Acute dyspnea and heart failure, 216
• Mariusz W. Wysoczanski
• Echocardiogram in “heart failure”, 216
• Intracardiac pressures, 217
• Echocardiographic approach to dyspnea with hypoxemia, 222
• Differential diagnosis for cardiac induced dyspnea, 223
• Algorithm for treatment, 223
• References, 225
• 16 Evaluation of a new heart murmur, 226
• Vinay Manoranjan Pai
• Acute valvular regurgitation, 226
• Intracardiac shunts, 231
• Pericardial effusion, 232
• Post myocardial infarction, 232
• References, 233
• 17 Infective endocarditis, 234
• Luis Aybar
• Diagnosis and diagnostic accuracy, 234
• Guidelines for use of echocardiography to diagnose endocarditis, 236
• Appearance on echocardiography, 236
• Complications and risk stratification, 238
• Prosthetic valve endocarditis, 239
• Cardiac device-related infective endocarditis, 240
• References, 241
• 18 Post-procedural complications, 244
• Vladimir Fridman
• Noncardiac procedures, 244
• Cardiac procedures, 245
• References, 247
• 19 “Quick echo in the emergency department”: What the EM physician needs to know and do, 248
• Dimitry Bosoy and Alexander Tsukerman
• Goal of FOCUS, 248
• Clinical use of FOCUS, 250
• References, 252
• Index, 253

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