By Atul Luthra

ISBN-10: 9351521109

ISBN-13: 9789351521105

This e-book presents postgraduate trainees with 50 genuine medical cardiology instances. Divided into fourteen sections, numerous situations are offered less than every one class overlaying numerous issues of the cardiac process, together with congenital center illnesses, aortic valve illnesses, pulmonary ailments, ECG abnormalities, cardiac arrhythmias, coronary artery ailment and lots more and plenty extra. starting with a quick background and findings in line with actual exam, every one case then comprises analytical dialogue on bedside investigations and recommendations for therapy. Authored by means of a known professional within the box, this sensible e-book is very illustrated with echocardiographic, radiographic and electrocardiographic information. Key issues * offers 50 genuine medical cardiology situations * Covers quite a few problems of the cardiac process * Authored by way of regarded heart specialist * comprises greater than 217 pictures, illustrations and tables

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Rarely, the S2 is paradoxically split because of pre-excitation of the right ventricle caused by WPW syndrome Type B. The pansystolic murmur of tricuspid regurgitation is best audible over the lower left parasternal area and does not radiate towards the axilla or the base of the heart. 2: X-ray showing cardiomegaly due to enlargement of right atrium increases in intensity during inspiration, provided the right ventricular function is normal. In sinus rhythm, the ECG shows tall P waves (P. pulmonale) due to right atrial enlargement and wide QRS complexes due to right bundle branch block (RBBB).

Pulmonale) due to right atrial enlargement and wide QRS complexes due to right bundle branch block (RBBB). Sometimes, wide QRS complexes are due to WPW syndrome, in which case there is a short P-R interval (pre-excitation). At times, the rhythm is atrial fibrillation. On X-ray chest, the cardiac silhouette is enlarged towards the right of the midline, due to the large right atrium (Fig. 2). Superficially, this resembles a pericardial effusion. The differentiating feature is that the right lower portion of the cardiac silhouette curves inwards towards the center of the chest and not outwards, as it would in case of pericardial effusion.

MVP is far more commonly seen in females and occurs in 7% of middle-aged women. Often these women have a type A personality with history of panic attacks and migranous headaches. They may have a slender body habitus with thoracic skeletal deformities including pectus excavatum, straight back and scoliosis. The valvular abnormality is due to myxomatous degeneration leading to thickening, nodularity or redundancy of one or both mitral leaflets. 2). Mitral regurgitation may be present due to faulty coaptation of leaflets and predisposes to endocarditis.

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50 Cases in Clinical Cardiology by Atul Luthra


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