Cardiology Explained (Remedica Explained) by Euan Ashley, Josef Niebauer

By Euan Ashley, Josef Niebauer

This article explains simple physiologic and pathophysiologic mechanisms of heart problems in an easy and diagrammatic demeanour, giving guidance as to whilst referral to expert colleagues is acceptable whereas extra delivering rationalization of what the expert is probably going to do. particular sections specialize in realizing cardiology expert exams (as defined in health center or discharge letters), conquering the ECG, cardiology acronyms, and explaining the elemental technological know-how so usually mentioned with no creation in seminars and lectures. This paintings is designed to have extensive charm, geared toward the hosptal general practitioner, generalist or maybe senior clinical scholar who may have a cardiology opinion.

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Extra resources for Cardiology Explained (Remedica Explained)

Sample text

Although it is sometimes described as the first artificial pacing, the stimulation was of the phrenic nerve and not the myocardium. ECG abnormalities This section discusses the most important and most frequently encountered ECG abnormalities. Normal variations • Small Q waves and inverted T waves in lead III often disappear on deep inspiration. Occasional septal Q waves can be seen in other leads. • ST elevation following an S wave (“high take off”) is common in leads V2–V4 and is quite normal.

And when injected intravenously can be seen as opacification in the echo window. They are normally seen on the right side of the heart before being trapped and absorbed by the pulmonary capillaries, so have no route to the left side of the heart. The contrast created by the bubbles allows a left-to-right shunt to be seen as a jet “interrupting” the opacification of the right atrium. However, there is a theoretical risk of systemic air embolism with a right-to-left shunt. Applications Echo is the cheapest and least invasive method available for screening cardiac anatomy.

It is particularly useful for imaging posterior cardiac structures. The key indications for TEE are: • infective endocarditis – if vegetations are not seen on transthoracic echo, but suspicion is high, or with prosthetic valves • to rule out an embolic source (especially in atrial fibrillation) • acute dissection • mitral valve (MV) disease preoperatively Contrast echocardiography Contrast echo can be useful for confirming a diagnosis of atrial septal defect (ASD). Agitating saline or synthetic contrast create microbubbles.

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