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Cardiovascular Imaging: A Handbook for Clinical Practice by Jeroen J. Bax, Christopher M. Kramer, Thomas H. Marwick,

By Jeroen J. Bax, Christopher M. Kramer, Thomas H. Marwick, William Wijns

;Cardiovascular Imaging: A guide for scientific perform КНИГИ ;ЗДОРОВЬЕ Название: Cardiovascular Imaging: A guide for medical perform // Методы визуализации ССС Автор: Jeroen J. Bax (Editor), Christopher M. Kramer (Editor), Thomas H. Marwick (Editor), William Wijns (Editor) Издательство: Wiley-Blackwell Год: 2005 Формат: PDF Размер: 4.80 Mб Качество: ХорошееКнига основана на применении неинвазивных методик визуализации в клинической кардиологии. Основной посыл заключается в использовании различных диагностических комплексов, основанных на методах визуализации, в обычной практике врача-кардиолога. Затронуты многие проблемы патологии сердца, такие как болезни клапанного аппарата, ИБС, болезни миокарда и перикарда и их диагностика с помощью эхокардиографии, компьютерной томографии и магнитно-резонансной томографии.Скачать c Скачать c Скачать c .com zero

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8). Dynamic changes in valve area In patients with aortic stenosis and severe left ventricular systolic dysfunction, it may be difficult to distinguish whether reduced valve leaflet opening is a result of severe valve stenosis or primary myocardial disease with only mild to moderate stenosis. In these rare patients, evaluation of valve area at different flow rate, with exercise or dobutamine infusion, may be helpful. If AVA increases significantly, the principal problem is myocardial dysfunction, not aortic stenosis.

On the other hand, severely impaired left ventricular function (ejection fraction less than 30%) carries a high surgical risk for valve replacement. • Amenability of mitral pathology to repair surgery, especially if sinus rhythm can likely be preserved. These issues can almost always be resolved by careful clinical and echocardiographic evaluation of the patient. In a few cases, contrast ventriculography, together with right heart catheterization, or MRI may be helpful. References 1 Croft CH, Lipscomb K, Mathis K, et al.

12 With state-of-the-art echocardiographic equipment most if not all these data can be acquired from the transthoracic echo. In patients difficult to image or with questionable results, transesophageal echocardiography is the next diagnostic step. Confirmation of the underlying mitral pathology and its location by transesophageal echocardiography, especially if the patient is a surgical candidate, will usually be sought to give the surgeon as much preoperative information as possible. g. monoplane or biplane disk summation method), and day-to-day variability, the latter mostly resulting from changes in loading conditions such as arterial blood pressure.

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