Mitral Regurgitation

Jul 10, 2016 by in CARDIOLOGY Comments Off on Mitral Regurgitation

Fig. 16.1 Echocardiography, four-chamber view. From left to right: two-dimensional imaging shows thickened mitral leaflet with posterior leaflet prolapse (arrow). Color Doppler shows severe eccentric mitral regurgitation swirling toward interatrial…

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Sinoatrial Exit Block

Jul 10, 2016 by in CARDIOLOGY Comments Off on Sinoatrial Exit Block

Fig. 22.1 The figure shows the patient’s ECG when he arrived at the emergency room: it was characterized by type II sinoatrial block; biphasic T waves were present in V4,…

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Chronic Heart Failure

Jul 10, 2016 by in CARDIOLOGY Comments Off on Chronic Heart Failure

Fig. 8.1 (a, b) Routine EKG at rest. Despite correct biventricular pacing (axis directed upper right), the QRS complex is wide. Several lead configurations have been tried assessing EKG and…

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Intracranial Bleeding

Jul 10, 2016 by in CARDIOLOGY Comments Off on Intracranial Bleeding

Fig. 4.1 Brain axial CT showing left temporal focal bleeding Vital Signs Heart rate: 80 bpm Blood pressure: 108/80 mmHg Oxygen saturation: 98 % Physical Examination General: traumatic scalp wound…

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Arrhythmogenic Right Ventricular Cardiomyopathy

Jul 10, 2016 by in CARDIOLOGY Comments Off on Arrhythmogenic Right Ventricular Cardiomyopathy

Fig. 14.1 ECG sinus rhythm (heart rate 56 bpm), first-degree atrioventricular block, anterior fascicular block, incomplete right ventricular block, characteristic epsilon waves in leads V1–V4, and also inverted T-waves in…

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Early Repolarization Pattern

Jul 10, 2016 by in CARDIOLOGY Comments Off on Early Repolarization Pattern

Fig. 6.1 EKG at rest while the patient was asymptomatic Echocardiography (Not Shown) Normal both atria size (LA diameter M-mode = 3.6 cm; area 4c = 18 cm2, RA area 4c = 16 cm2). Normal size…

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Pericarditis

Jul 10, 2016 by in CARDIOLOGY Comments Off on Pericarditis

Fig. 3.1 Rest ECG showing diffuse ST elevation Cardiac echocardiography (Fig. 3.2) showed circumferential pericardial effusion and normal dimensions and function of the cardiac chambers, mild mitral regurgitation, and mild…

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Acute Heart Failure and Pulmonary Edema

Jul 10, 2016 by in CARDIOLOGY Comments Off on Acute Heart Failure and Pulmonary Edema

Precipitants and causes of acute heart failure syndromes (AHFSs) Rapid deterioration Gradual deterioration Rapid arrhythmias Arrhythmias Acute coronary syndromes (ACSs) Infections (including endocarditis) Mechanical complications of ACS Exacerbation of COPD/asthma…

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