Heavily Calcified Coronary Lesions
PATIENT CASE Print Section Listen A 75-year-old woman was referred to cardiology for evaluation for dizziness. She complains of intermittent dizziness for a year not related to position change, as…
Primary Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction
PATIENT CASE Print Section Listen A 72-year-old man with prior tobacco use, hypertension, and type 2 diabetes presented to the emergency department with prolonged chest pain (4 hours in duration)….
Coronary Revascularization in Stable Angina
PATIENT CASE Print Section Listen A 54-year-old man presents with a 3-month history of progressive chest pain. He describes a band-like retrosternal heaviness that is brought on by walking more…
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.”…
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,…
