Pocket Guide to Echocardiography -  - E-Book

Pocket Guide to Echocardiography E-Book

0,0
35,99 €

-100%
Sammeln Sie Punkte in unserem Gutscheinprogramm und kaufen Sie E-Books und Hörbücher mit bis zu 100% Rabatt.

Mehr erfahren.
Beschreibung

With its easy accessibility, low cost, and ability to deliver, essential bedside information about the cardiac structure and function, echocardiography has become one of the most relied-upon diagnostic tools in clinical medicine. As a result, more clinicians than ever before must be able to accurately interpret echocardiographic information in order to administer appropriate treatment.

Based on the authors’ experience teaching echocardiography in busy clinical settings, this new pocketbook provides reliable guidance on everyday clinical cardiac ultrasound and the interpretation of echocardiographic images. It has been designed to help readers develop a stepwise approach to the interpretation of a standard transthoracic echocardiographic study and teach how to methodically gather and assemble the most important information from each of the standard echocardiographic views in order to generate a complete final report of the study performed.

What’s included:

• A summary of TTE examination protocol and a comprehensive listing of useful formulas and normal values

• Atrial and ventricular dimensions, LV and RV systolic function, LV diastolic patterns

• Echocardiographic findings in the most commonly encountered cardiac diseases and disorders, including various cardiomyopathies, cardiac tamponade, constrictive pericarditis, valvular heart disease, pulmonary hypertension, infective endocarditis, and congenital heart disease

• Companion website with video clips and over 70 self-assessment questions


Packed with essential information and designed for quick look-up, this pocketbook will be of great assistance for anyone who works in busy clinical settings and who needs a ready and reliable guide to interpreting echocardiographic information to help deliver optimal patient care.

Sie lesen das E-Book in den Legimi-Apps auf:

Android
iOS
von Legimi
zertifizierten E-Readern

Seitenzahl: 100

Veröffentlichungsjahr: 2012

Bewertungen
0,0
0
0
0
0
0
Mehr Informationen
Mehr Informationen
Legimi prüft nicht, ob Rezensionen von Nutzern stammen, die den betreffenden Titel tatsächlich gekauft oder gelesen/gehört haben. Wir entfernen aber gefälschte Rezensionen.



Contents

Cover

Companion Website

Title Page

Copyright

Foreword by Navin C. Nanda

Preface

Abbreviations

Chapter 1: Comprehensive Transthoracic Echocardiographic Examination Protocol

Parasternal Long-axis view (Fig. 1)

RA/RV view

Parasternal Short-axis view (Fig. 2 and Fig. 3)

Apical 4-chambers view (Fig. 4)

Apical 5-chambers view

Apical 2-chambers view (Fig. 1.5)

Apical 3-chambers view

Subcostal View

Suprasternal Notch View

Chapter 2: Indications, Contraindications and Endpoints of Dobutamine and Exercise Stress Echocardiography

Indications for DSE/ESE

Contraindications

Types of Stress Echo

Chapter 3: Types of Stress Echocardiography and Reading Template

Additional Information

Chapter 4: Useful Formulas and Normal Values

Useful Formulas

Normal Values

Chapter 5: Guidelines for the Safe use of Echocardiography Contrast

Contraindications

Clinical applications

Chapter 6: Atrial and Ventricular Dimensions

LV Hypertrophy

RV Dilatation

LA Volume Index (LA volume/BSA)

Chapter 7: Coronary Artery Disease

Chapter 8: Left Ventricular Systolic Function and Left Ventricular Diastolic Patterns

Left Ventricular Systolic Function

Left Ventricular Diastolic Patterns

Chapter 9: Right Ventricular Systolic Function and Right Ventricular Diastolic Patterns

Right Ventricular Diastolic Patterns

Right Ventricular Systolic Function

Chapter 10: Dilated, Hypertrophic and Restrictive Cardiomyopathies

Dilated Cardiomyopathy

Hypertrophic Cardiomyopathy

Restrictive Cardiomyopathy

Chapter 11: Pericardial Effusion, Cardiac Tamponade, Constrictive Pericarditis

Pericardial Effusion

Cardiac Tamponade

Constrictive Pericarditis

Chapter 12: Mitral Stenosis

Chapter 13: Mitral Valvuloplasty score

Chapter 14: Recommendations for Data Recording and Measurement for Mitral Stenosis

Chapter 15: Mitral Regurgitation

Chapter 16: Aortic Regurgitation

Chapter 17: Aortic Stenosis

Chapter 18: Recommendations for Data Recording and Measurement for Aortic Stenosis

Chapter 19: Resolution of Apparent Discrepancies in Measures of Aortic Stenois Severity

Chapter 20: Pulmonic Stenosis, Pulmonic Regurgitation, Pulmonary Hypertension

Pulmonic Stenosis

Pulmonic Regurgitation

Pulmonary Hypertension

Estimation of RA Pressure

Chapter 21: Tricuspid Regurgitation and Tricuspid Stenosis

Tricuspid Regurgitation

Tricuspid Stenosis

Chapter 22: Infective Endocarditis

Duke Criteria

When to Perform TEE in Patients Suspected of Infective Endocarditis

Chapter 23: ACC/ASE Recommendations for Echocardiography in Ineffective Endocarditis

Chapter 24: Prosthetic Valves

Bioprosthetic

Mechanical

Chapter 25: Normal Echocardiographic Values for Prosthetic Valves

Prosthetic Valves in the Aortic Position

Prosthetic Valves in the Mitral Position

Annular Rings in the Mitral Position

Chapter 26: Congenital Heart Disease

VSD

ASD

Chapter 27: Miscellaneous

Chapter 28: Aortic Diseases

Aortic atherosclerosis (Katz's classification)

Chapter 29: Indication for Surgery in Aortic Diseases

The Indications for Surgery for Thoracic Aneurysm Include:

The Indications for Surgery for Abdominal Aneurysm Include:

Chapter 30: Transthoracic Echocardiographic and Doppler Protocols for Assessment of Ventricular Dyssynchrony

Two Methods of Diagnosing Cardiac Intraventricular Dyssynchrony with Tissue Doppler Imaging

Chapter 31: Indications, Contraindications and Complications of Transesophageal Echocardiographic Examination

Indications for TEE

Contraindication

Complications

Chapter 32: Routine Approach to any Transesophageal Echocardiographic and Recommended Views for Evaluation of Aorta

Routine Approach to any TEE view

Recommended Tomographic views in TEE Evaluation of the Aorta

Chapter 33: Terminology used to Describe Manipulation of the Probe and Transducer During Image Acquisition

Chapter 34: Diagrams of Standard Transesophageal Echocardiographic Views

Chapter 35: Transesophageal Echocardiographic Measurements

Chapter 36: Transesophageal Echocardiographic Diagram of the Regional Blood Supply to Cardiac Wall Segments

Chapter 37: Transesophageal Echocardiographic Orientation for Assessment of the Mitral Valve

Chapter 38: Diagrams of Transesophageal Echocardiographic views in the Evaluation of the Mitral Valve

Chapter 39: References and Recommended Literature

Supplement to Pocket Guide of Echocardiography

Companion Website
This book is accompanied by a companion website:
www.wiley.com/go/kacharava/echocardiography
The website includes:
64 Multiple-choice questions68 Videos

This edition first published 2012, © 2012 by John Wiley & Sons, Ltd.

Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley's global Scientific, Technical and Medical business with Blackwell Publishing.

Registered office: John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

Editorial offices: 9600 Garsington Road, Oxford, OX4 2DQ, UK

The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

111 River Street, Hoboken, NJ 07030–5774, USA

For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell

The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.

Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by physicians for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom.

A catalogue record for this book is available from the British Library.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

Foreword

I am most pleased to write this Foreword for the book entitled “Pocket Guide of Echocardiography,” first edition, authored by Andro Kacharava, Alexander Gedevanishvili, Guram Imnadze, Dimitri Tsverava, and Craig Brodsky. The book begins with a summary of the TTE examination protocol and a comprehensive listing of useful formulas and normal values. These are followed by atrial and ventricular dimensions, LV and RV systolic function, LV diastolic patterns and their usefulness in evaluating diastolic heart failure and echocardiographic findings in various types of cardiomyopathies, cardiac tamponade, and constrictive pericarditis. Valvular heart disease, pulmonary hypertension, infective endocarditis, prosthetic valves, congenital heart disease, and clinically useful aspects of transesophageal echocardiography are also covered. The book ends with a list of references useful to the reader. The book is supplemented by several excellent diagrams, illustrations and tables, as well as short video clips and self-assessment questions. This pocketbook book will prove a handy asset not only to students and medical residents but also practicing cardiologists and echocardiographers.

This is one of the best books of its type that I have seen and I would recommend it highly.

Navin C. Nanda, MDProfessor of Medicine and DirectorHeart Station/Echocardiography LaboratoriesUniversity of Alabama at Birmingham, Birmingham, AlabamaPresident, International Society of Cardiovascular UltrasoundEditor-in-Chief, Echocardiography: a journal of cardiovascularultrasound and allied techniques

Preface

More than half a century has passed since, on October 29, 1953, Inge Edler (a Swedish cardiologist) and Carl Helmut Hertz (a German physicist) recorded the first moving picture of the heart using a Siemens Ultrasound Reflectoscope, thus inaugurating the field of “ultrasound cardiography.” Due to its easy accessibility, low cost, and fantastic ability to provide rapid quantitative information about the cardiac structure and function at the bedside, echocardiography has developed rapidly within the last 30 years. These qualities make it one of the major diagnostic tools in clinical cardiology.

This pocket guide does not attempt to provide a comprehensive review of echocardiography, as that is not its goal; instead we strongly recommended that young cardiologists should obtain detailed information on echocardiography topics from the many excellent major echocardiography textbooks available. The Pocket Guide to Echocardiography is primarily designed to provide a compact, yet practical, pocket guide addressing the key aspects in the field of everyday clinical cardiac ultrasound, and we hope that the condensed format will be particularly helpful during the routine daily interpretation of echocardiographic images. The pocket guide and its companion will help novice cardiologists to develop a stepwise approach in their interpretation of a standard transthoracic echocardiographic study, teach them how to, methodically, gather and assemble the important pieces of information from each of the standard echocardiographic views in order to generate a complete final report of the study performed. We also hope that the pocket guide will be of great assistance during busy night calls while performing emergent/urgent echocardiography studies.

In order to improve the visual comprehension of the echocardiographic images of different cardiac pathologies, a companion web site is included containing more than 60 video clips, each with a short description, demonstrating a wide range of cardiovascular pathology. In addition, the site also lists 68 multiple-choice questions, with subsequent correct answers, to help to consolidate the theoretical knowledge in the field of adult clinical echocardiography.

We would like to thank our teachers and colleagues for their support, encouragement, and work revising this manual. Many thanks to West Georgia Health cardiology department and the cardiology division of the Emory University School of Medicine. Our special thanks go to Dr. Navin C. Nanda who agreed to review our pocket guide and write a foreword to the book. We hope that the Pocket Guide to Echocardiography will be well recieved and prove useful to cardiac specialists, emergency medicine physicians, and anesthesiologists alike. We also hope that it will contribute to an improved standard of cardiac care for our patients.

Andro G. KacharavaAlexander T. GedevanishviliGuram G. ImnadzeDimitri M. TsveravaCraig M. Brodsky

Abbreviations

A′Annular diastolic A waveA2CApical 2 ChambersA4CApical 4 ChambersAAAortic AreaAOAortaARAortic RegurgitationASDAtrial Septal DefectATAcceleration TimeAVAortic Valve alsoAVAAortic Valve AreaAVRFAortic Valve Regurgitant FractionAVRVAortic Valve Regurgitant VolumeBSABody Surface AreaCABGCoronary Artery Bypass GraftCADCoronary Artery DiseaseCOCardiac OutputCSCoronary SinusCWContinuous WaveDBPDiastolic Blood PressureDSEDobutamine Stress EchocardiographyDTDeceleration TimeDTiDoppler Tissue imagingE′Annular Diastolic E WaveEFEjection FractionEROEffective Regurgitant OrificeESEExercise Stress EchocardiographyETEjection TimeFSFractional ShorteningHctHematocritHgbHemoglobinHRHeart rateHTNHypertensionHVHepatic VeinIASInteratrial SeptumIVCInferior Vena CavaIVRTIsovolumic Ventricular Relaxation TimeIVSInterventricular SeptumLALeft AtriumLAALeft Atrial AppendageLADLeft Atrial DiameterLAPLeft Atrial PressureLAXLong AxisLPALeft Pulmonary ArteryLUPVLeft Upper Pulmonary VeinLV dp/dtLeft Ventricular dp/dtLVLeft VentricleLVEDDLeft Ventricular End Diastolic DiameterLVEDPLeft Ventricular End Diastolic PressureLVESDLeft Ventricular End Systolic DiameterLVOTLeft Ventricular Outflow TractLVPWLeft Ventricular Posterior WallMAC