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Practical Manual of Echocardiography in the Urgent Setting

Practical Manual of Echocardiography in the Urgent Setting

9780470659977
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Description

In the acute care setting, medicine happens at full speed and with little margin for error. As echocardiography plays an ever more important role in the diagnosis of patients who present with symptoms that suggest a cardiovascular emergency, clinicians must learn to collect, process and act on echocardiographic information as quickly and effectively as possible.

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 commonlyencountered 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.

Product Details
John Wiley and Sons
78588
9780470659977
9780470659977

Data sheet

Publication date
2013
Issue number
1
Cover
paperback
Pages count
278
Dimensions (mm)
138.00 x 214.00
Weight (g)
396

  • 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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