Cardiac Imaging in Clinical Practice by Dmitriy Kireyev, Judy Hung

By Dmitriy Kireyev, Judy Hung

This e-book offers a concise advisor to echocardiography, SPECT, CT and MRI, together with either the fundamentals of cardiac imaging in addition to tables of normal/abnormal values and guidelines.

With advances in know-how, cardiac CT and MRI have gotten extra well known yet are frequently constrained to bigger scientific facilities. by means of together with the fundamentals of those modalities, this e-book offers a entire advisor for quite a lot of doctors. As physicians open air of cardiology usually shouldn't have adequate publicity to nuclear pressure exams, this publication includes SPECT and pressure try protocols with a view to facilitate decision-making whilst ordering assessments and examining results.

Cardiac Imaging in scientific Practice is a short reference advisor and may be invaluable at a number of degrees of educating, allowing the e-book for use as a easy and complicated reference resource. As such, it's acceptable for college students, citizens, fellows and employees attendings who desire a useful and convenient connection with the diagnostic innovations open to them.

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9 Left panel shows color Doppler image of aortic regurgitant jet in parasternal long axis view. Vena contracta is narrowest portion of jet as the level of the aortic leaflets (arrows); Proximal jet width is width of jet just as it exits the leaflets and enters the LVOT (solid line). 10 Pressure half time of aortic regurgitant flow. LA left atrium, LV left ventricle, RV right ventricle, RA right atrium (a) Width of regurgitant jet relative to LVOT width (Fig. 9) 42 D. Kireyev and J. 11 Diastolic flow reversal in the descending thoracic aorta (white line) Smallest area of the flow, effective regurgitant orifice area (EROA) approximation.

5 cm RV Function 1. TAPSE (Fig. 6 cm is abnormal [3] Chapter 3. 7 Tricuspid annular plane systolic excursion (TAPSE) measurement (arrow) 2. Tissue Doppler imaging –– –– –– –– Tricuspid annulus and basal free wall can be assessed. Limited data in elderly S’ < 10 cm/s is abnormal [3] Color coded Doppler S’ is lower (uses mean velocities) 3. 2D fractional area change: (end diastolic area-end systolic area)/end diastolic area 100 % –– RV FAC < 35 % is abnormal [5] 4. RIMP – Myocardial performance index (or Tei index).

2 (a) Shows unicupsid aortic valve. 02 % incidence) Chapter 5. Valvular Pathology 53 Bicuspid aortic valve (Fig. 2b) –– Anatomy: two leaflets and two commissures from cusp fusion of right and left – 86 %, cusp fusion of right and non-coronary – 12 %, left and non-­coronary – 3 % [2] –– Associated lesions: coarctation of aorta, dilatation of aortic root, ascending aorta, sinus of Valsalva aneurysm, sub and supra valvular aortic stenosis, Shone’s complex, Turners Syndrome, ventricular septal defect [3, 4].

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