Download e-book for kindle: 50 cases in clinical cardiology : a problem solving approach by M.D. Luthra Atul, JPS Sawhney

By M.D. Luthra Atul, JPS Sawhney

ISBN-10: 9351521109

ISBN-13: 9789351521105

This publication presents postgraduate trainees with 50 actual scientific cardiology circumstances. Divided into fourteen sections, numerous instances are provided below every one class protecting a variety of problems of the cardiac approach, together with congenital middle illnesses, aortic valve illnesses, pulmonary illnesses, ECG abnormalities, cardiac arrhythmias, coronary artery illness and masses extra. starting with a quick heritage and findings in keeping with actual exam, each one case then comprises analytical dialogue on bedside investigations and recommendations for remedy. Authored by means of a acknowledged professional within the box, this sensible e-book is very illustrated with echocardiographic, radiographic and electrocardiographic information. Key issues provides 50 genuine scientific cardiology situations Covers various issues of the cardiac procedure Authored through known heart specialist contains greater than 217 pictures, illustrations and tables

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Sample text

She complained of exertional shortness of breath and had a cardiac murmur. She was a known case of hypertension, adequately controlled by medication. Her breathlessness had been felt since the last 4 months but had significantly worsened over the preceding 2 weeks. There was no history of exertional chest pain or of palpitation and fainting. She did not smoke or consume alcohol but she seldom exercised and did not follow the diet-plan suggested by her physician. On examination, she was overweight without any clinical signs of cortisol excess or hypothyroidism.

Anxiolytic drugs during the day with a mild tranquilizer at night are useful for those having overt anxiety and disturbed sleep. A beta-blocker such as propranolol has multiple benefits in these patients. It controls tachycardia and ectopic beats, reduces the degree of leaflet prolapse, treats the associated tremor and serves as a prophylactic drug against migraine. Low-dose aspirin is prescribed to prevent thrombo-embolism. Patients of MVP with mitral regurgitation (MR) and not those without demonstrable MR, require antibiotic prophylaxis against infective endocarditis, prior to a dental, endoscopic or surgical procedure.

Complications of AS are left ventricular hypertrophy with diastolic dysfunction earlier on and systolic heart failure in the later stages. Syncopal episodes are due to tachyarrhythmias or LVOT obstruction. Angina may occur because of coronary ostial stenosis or the increased oxygen demand of the hypertrophied myocardium. PERTINENT INVESTIGATIONS Exercise ECG testing and Dobutamine stress ECHO may be undertaken in asympto­matic patients of aortic stenosis, to assess their functional capacity. The characteristic response is a drop in blood pressure during the test due to vasodilatation and failure of the cardiac output to rise.

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50 cases in clinical cardiology : a problem solving approach by M.D. Luthra Atul, JPS Sawhney


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