Hemodynamic Rounds / Edition 1

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As an expanded edition of Catheterization and Cardiovascular Diagnosis, Hemodynamic Rounds, 2nd Edition is a collection of brief case examples incorporating different hemodynamic tracings--normal and abnormal pressure waveforms--that considers individual factors responsible for producing those waveforms. The book illustrates characteristic hemodynamic findings and discusses the essential methods used in interpreting pressure waveforms as a diagnostic and monitoring tool for invasive cardiologists.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Eric D. Grassman, M.D., Ph.D.(Loyola University Stritch School of Medicine)
Description: This book discusses interpretation of cardiac pathophysiology from pressure waveform analysis in a case example format.
Purpose: The purpose is to provide illustrations and discussions of characteristic hemodynamic findings to assist in hemodynamic waveform interpretation. This excellent objective is accomplished.
Audience: The audience is physicians-in-training, cardiologists, nurses, and technical personnel. This was specified by the author, who is a very credible authority on this subject.
Features: The illustrations are well reproduced, clear, and informative. The references are short, concise, and pertinent. One of the relatively unique features of the book is its case example format. The index is very thorough; it is quite easy to locate a topic. I appreciate the overall simplicity of the appearance of the book.
Assessment: This is an excellent addition to the library of most cardiologists and cardiology fellows. It reemphasizes an important, but somewhat neglected, aspect of cardiac catheterization. Its case example format makes it easy to read and informative. I particularly like the inclusion of new technology such as the Doppler flow wire.
John F. Moran
In this book the pathophysiology of cardiac pressure wave forms are covered—not only valvular hemodynamics pre- and post-valvuloplasty, but also coronary hemodynamics, constriction physiology, and hemodynamics of cardiac arrhythmias. Almost all of these chapters originally appeared in the Journal of Catheterization and Cardiovascular Diagnosis. The purpose is to expand the use of the case management format for the interpretation of hemodynamics and offer a study in various patient problems of pressure waves associated with various pathologic states. The editor's objectives are well met. The book is really directed towards any student of cardiac hemodynamics, from cardiovascular trainees to physiologists and practicing cardiologists, as well as cardiologists specializing in the techniques of cardiac catheterization. The editor is a nationally recognized authority in this area. Hemodynamics is covered by the case method in each chapter. There are black-and-white pressure tracings that are well done and well discussed on each patient problem. The editor opens the discussion with two important chapters on the recording pitfalls of right heart hemodynamics and a chapter on artifacts especially when dealing with cardiac arrhythmias. There is an excellent discussion on low gradient aortic stenosis and the importance of simultaneous pressure recordings. There is a particularly well written section on the hemodynamics of constrictive physiology. This second edition expands the text from 29 chapters to 42 chapters, all previously published in the Journal from 1990-1998. References in the text go back to classic papers on hemodynamics and proceed to more currentmaterial. This might include the use and limitations of coronary vasodilatory reserve and the fractional flow reserve of the myocardium, and the section on coronary hemodynamics. This is a very worthwhile collection of articles that are conveniently grouped in one place. They provide must reading for all students of hemodynamics.
In a case-study format, explains to cardiovascular trainees and practicing cardiologists how to use the interpretation of hemodynamics for clinical decision making. Arranged by specific areas of the heart, common cardiac anomalies, and hemodynamic situations resulting from different therapeutic procedures. Includes both normal and abnormal pressure waveforms. No date is mentioned for the first edition; the second includes new case studies and new sections on mitral stenosis and pulsus alterations, low-gradient aortic valve stenosis, pitfalls of right heart hemodynamics, and other topics. Annotation c. Book News, Inc., Portland, OR (booknews.com)

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780471588252
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 11/6/1992
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 230
  • Product dimensions: 8.29 (w) x 11.00 (h) x 0.38 (d)

Table of Contents

Pt. I Valvular Hemodynamics 1
Ch. 1 Pressure Wave Artifacts 3
Ch. 2 Pitfalls of Right-Heart Hemodynamics 11
Ch. 3 The Stenotic Aortic Valve 17
Ch. 4 Low-Gradient Aortic Valve Stenosis 27
Ch. 5 Aortic Regurgitation 33
Ch. 6 Abnormal Hemodynamics After Prosthetic Aortic Root Reconstruction: Aortic Stenosis or Insufficiency? 43
Ch. 7 Acute Aortic Insufficiency 49
Commentary 53
Ch. 8 Multivalvular Regurgitant Lesions 55
Ch. 9 Mitral Valve Gradients - Section I 61
Ch. 10 Mitral Valve Gradients - Section II 69
Ch. 11 Mitral Valve Gradients - Section III: Mitral Stenosis and Pulsus Alternans 75
Ch. 12 Mitral Valve Gradients - Section IV: Hemodynamic Evaluation of a Stenotic Bioprosthetic Mitral Valve 81
Ch. 13 Mitral Valve Gradients - Section V: Left Ventricular Puncture for Hemodynamic Evaluation of Double Prosthetic Valve Stenosis 87
Ch. 14 The Left-Sided V Wave 93
Ch. 15 The Tricuspid Valve 101
Ch. 16 The Pulmonary Valve 111
Pt. II Valvuloplasty 117
Ch. 17 Percutaneous Balloon Valvuloplasty 119
Ch. 18 Pulmonic Balloon Valvuloplasty 129
Pt. III Constrictive Physiology 137
Ch. 19 Hemodynamics of Constrictive Physiology - Section I: Pericardial Compressive Hemodynamics 139
Ch. 20 Hemodynamics of Constrictive Physiology - Section II: Pericardial Compressive Hemodynamics 147
Ch. 21 Hemodynamics of Constrictive Physiology - Section III: Pericardial Compressive Hemodynamics 155
Ch. 22 Hemodynamics of Constrictive Physiology - Section IV: Influence of Respiratory Dynamics on Ventricular Pressures 163
Ch. 23 Hemodynamics of Constrictive Physiology - Section V: Evaluating New Hemodynamic Criteria of Constrictive Physiology: Respiratory Dynamics 177
Ch. 24 Hemodynamics of Constrictive Physiology - Section VI: Hemodynamics of Cardiac Tamponade in Patients with AIDS-Related Non-Hodgkin's Lymphoma 183
Pt. IV Arrhythmias 189
Ch. 25 Cardiac Arrhythmias 191
Ch. 26 Pacemaker Hemodynamics 197
Pt. V Hypertrophic Obstructive Cardiomyopathy 203
Ch. 27 Intraventricular Pressure Gradients 205
Ch. 28 Hemodynamics of Dual-Chamber Pacing and Valsalva Maneuver in a Patient with Hypertrophic Obstructive Cardiomyopathy 213
Ch. 29 Hemodynamic Effects of Alcohol-Induced Septal Infarction for Hypertrophic Obstructive Cardiomyopathy 219
Pt. VI Coronary Hemodynamics 227
Ch. 30 Coronary Hemodynamics - Section I: Coronary Catheter Pressures 229
Ch. 31 Coronary Hemodynamics - Section II: Patterns of Coronary Flow Velocity 233
Ch. 32 Coronary Hemodynamics - Section III: Coronary Hyperemia 241
Ch. 33 Coronary Hemodynamics - Section IV: Coronary Hemodynamics for Angioplasty and Stenting after Myocardial Infarction: Use of Absolute, Relative Coronary Velocity, and Fractional Flow Reserve 249
Pt. VII Unusual Hemodynamics 259
Ch. 34 The LVEDP 261
Ch. 35 Simultaneous Left and Right Ventricular Pressure Measurements 267
Ch. 36 Hemodynamic Manifestations of Ischemic Right Heart Dysfunction 273
Commentary 278
Ch. 37 Effects of Nitroglycerin 281
Ch. 38 Pulsus Alternans 289
Ch. 39 Extra Hearts - Section I 295
Ch. 40 Extra Hearts - Section II 303
Ch. 41 Extra Hearts - Section III 309
Ch. 42 Adult Congenital Anomalies 313
Index 321
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