Transradial Coronary Procedures
PATIENT CASE Print Section Listen A 48-year-old male hypertensive smoker with no previous heart disease but a strong family history of coronary artery disease developed epigastric discomfort similar to “indigestion.”…
Wide QRS Complex Tachycardia
Figure 5-1: Explanation Print Section Listen Figure 5–1A A 33-year-old man with a history of recurrent palpitations and documented wide QRS tachycardia undergoes electrophysiologic evaluation. His 12-lead ECG is normal….
Narrow QRS Tachycardia
Figure 4-1: Explanation Print Section Listen Figure 4–1A A 35-year-old woman with a history of palpitations and supraventricular tachycardia was noted to be in this rhythm after catheters were placed…
Catheter Ablation
Figure 6-1: Explanation Print Section Listen Figure 6–1A The patient had electrophysiologic assessment for WPW and recurrent SVT. AVRT over a posteroseptal AP was found with earliest atrial activation during…
Hemodynamics: Normal and Valvular Heart Disease
INTRODUCTION Print Section Listen A thorough understanding of the cardiovascular hemodynamics of valvular heart disease is essential to the medical, interventional, and/or surgical management of patients with heart valve disease….
Diastolic Heart Failure
PATIENT CASE Print Section Listen A 71-year-old woman with a history of longstanding hypertension, diabetes mellitus, and obesity presents for evaluation of dyspnea on exertion. Her symptoms started about 3…
Hemodynamics of Pericardial Disease
PATIENT CASE Print Section Listen A 53-year-old man presents with lower extremity swelling, shortness of breath, and abdominal fullness. He has a past medical history of non-Hodgkin lymphoma, hypertension, and…
Right Heart Catheterization in Heart Failure
PATIENT CASE Print Section Listen A 62-year-old man with a history of nonischemic cardiomyopathy presents with worsening shortness of breath, orthopnea, lower extremity edema, and weight gain. He is diagnosed…
The Hemodynamics of Right Ventricular Function
PATIENT CASE Print Section Listen A 52-year-old woman with a history of recurrent pulmonary emboli presents with jugular venous distention, ascites, and lower extremity edema. Laboratory studies reveal a mild…
Intracardiac Shunts
PATIENT CASE Print Section Listen A 28-year-old woman presents to her obstetrician-gynecologist (OB-GYN) for routine management of her first pregnancy. She was diagnosed with a heart murmur at age 2,…
