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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.
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Seitenzahl: 100
Veröffentlichungsjahr: 2012
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
This edition first published 2012, © 2012 by John Wiley & Sons, Ltd.
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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