A T-Wave Tight Spot

Jul 13, 2016 by in CARDIOLOGY Comments Off on A T-Wave Tight Spot

Fig. 18.1 Broad-complex tachycardia at presentation to the local emergency department The doctors in the Emergency Department identified a ‘broad-complex tachycardia’. Perhaps in view of the patient’s age and the…

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Don’t Forget the Head and Neck Vessels

Jul 13, 2016 by in CARDIOLOGY Comments Off on Don’t Forget the Head and Neck Vessels

Fig. 19.1 (a) 2D echocardiogram and colour Doppler imaging of a high parasternal short-axis view with colour Doppler showing the aortopulmonary window (*) between the ascending aorta (Ao) and main…

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The Fontan Circulation: Never Forget the Atrial Septum

Jul 13, 2016 by in CARDIOLOGY Comments Off on The Fontan Circulation: Never Forget the Atrial Septum

Fig. 13.1 Transeosophageal echocardiographic still frame shows evidence of small atrial communication on 2D and turbulent flow on colour mapping Fig. 13.2 Haemodynamic pressure tracing shows a reproducible pressure gradient…

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The Collapsing Teenager

Jul 13, 2016 by in CARDIOLOGY Comments Off on The Collapsing Teenager

Fig. 16.1 Admission ECG demonstrating widespread ST segment changes Echocardiogram demonstrated mild left ventricular hypertrophy (interventricular septum in diastole 1.7 cm, posterior wall 1.2 cm). Inspection of his coronary arteries…

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The Woes Lie Below

Jul 13, 2016 by in CARDIOLOGY Comments Off on The Woes Lie Below

Fig. 8.1 Subcostal 5-chamber view showing a doming aortic valve (red arrow) and moderate pericardial effusion (blue arrow) Fig. 8.2 Parasternal short-axis view of the aortic valve showing a unicuspid…

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Syncope: It’s All in the History

Jul 13, 2016 by in CARDIOLOGY Comments Off on Syncope: It’s All in the History

Fig. 5.1 Baseline 12-lead ECG showing sinus bradycardia An exercise test was performed, and she exercised for 11 min and 59 s on the Bruce protocol. Her resting heart rate…

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A Neonatal Dilemma

Jul 13, 2016 by in CARDIOLOGY Comments Off on A Neonatal Dilemma

Fig. 15.1 First chest x-ray soon after intubation and ventilation. This was thought to be in keeping with surfactant deficient respiratory distress syndrome Fig. 15.2 Chest and abdominal x-ray showing…

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Mind the Gap

Jul 13, 2016 by in CARDIOLOGY Comments Off on Mind the Gap

Fig. 3.1 High parasternal short-axis image at the level of ascending aorta demonstrating a large proximal AP window Cardiac catheterisation is reserved for those patients with suspected pulmonary vascular disease…

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