Cardiac Magnetic Resonance (CMR) Imaging

Jul 10, 2016 by in CARDIOLOGY Comments Off on Cardiac Magnetic Resonance (CMR) Imaging

Advantages Disadvantages Non invasive Contraindicated in patients with certain brain aneurysm clips, ferromagnetic shrapnel in eyes, pacemakers and ICDs No ionizing radiation (useful for serial follow up studies especially in…

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Chamber Dimensions

Jul 10, 2016 by in CARDIOLOGY Comments Off on Chamber Dimensions

  Normal Mildly enlarged Moderately enlarged Severely enlarged LVEDD (cm) 4.2–5.8 5.9–6.3 6.4–6.8 >6.8 LVEDD/BSA(cm/m2) 2.2–3.0 3.1–3.3 3.4–3.6 >3.6 LVESD (cm) 2.5–4.0 4.1–4.3 4.4–4.5 >4.5 LVESD/BSA (cm/m2) 1.3–2.1 2.2–2.3 2.4–2.5…

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Nuclear Cardiology Imaging

Jul 10, 2016 by in CARDIOLOGY Comments Off on Nuclear Cardiology Imaging

Figure 17.1 Most common protocols for stress tests and viability evaluation [1] The stress test images consist of (Figs. 17.2, 17.3, 17.4, and 17.5): Figure 17.2 Raw images showing the…

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Echocardiography in Systemic Diseases

Jul 10, 2016 by in CARDIOLOGY Comments Off on Echocardiography in Systemic Diseases

Figure 14.1 Parasternal long (left) and apical four chamber (right) views of a patient with Amyloidosis. Please notice thickened walls of both ventricles, speckled appearance of myocardium (better seen in…

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Echocardiographic Assessment of Aortic Disease

Jul 10, 2016 by in CARDIOLOGY Comments Off on Echocardiographic Assessment of Aortic Disease

Figure 15.1 Transesophageal echo (mid-esophageal view) showing ascending aortic aneurysm (7.28 cm) Acute aortic dissection starts with a tear in the aortic intima following which blood enters the tear separating…

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Basics of Ultrasound Physics

Jul 10, 2016 by in CARDIOLOGY Comments Off on Basics of Ultrasound Physics

, where c – speed of sound λ – wavelength, υ – frequency Speed in media is proportional to density and elasticity (which is proportional to temperature). Thus sound travels…

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Evaluation of Prosthetic Valves

Jul 10, 2016 by in CARDIOLOGY Comments Off on Evaluation of Prosthetic Valves

Figure 6.1 Shows types of prosthetic valves. (a) Bovine pericardial stented valves; (b) Mechanical Bileaflet (St Jude Medical Regent, Carbomedics Standard, Medtronic Advantage); (c) Single tilting disk (Bjork Shirley, Medtronic-Hall);…

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Positron Emission Tomography

Jul 10, 2016 by in CARDIOLOGY Comments Off on Positron Emission Tomography

Perfusion Glucose metabolism Category Preserved Preserved Viable Reduced Preserved Mismatch (viable hibernation) Reduced Reduced Match (non-viable) Preserved Reduced Reverse mismatch (altered regional glucose metabolism) References 1. Shaw LJ, Min JK,…

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Pericardial Disease

Jul 10, 2016 by in CARDIOLOGY Comments Off on Pericardial Disease

Figure 8.1 Subcostal view showing heart with significant pericardial thickening (arrow) Pericardial Effusion (Fig. 8.1) Determine: Size (Size criteria differ between publications). Measure in diastole: trivial 1–5 mm, small 5…

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