Hemodynamic Rounds: Interpretation of Cardiac Pathophysiology from Pressure Waveform Analysis / Edition 3

Hemodynamic Rounds: Interpretation of Cardiac Pathophysiology from Pressure Waveform Analysis / Edition 3

by Morton J. Kern, Michael J. Lim, James A. Goldstein
     
 

ISBN-10: 0470085762

ISBN-13: 9780470085769

Pub. Date: 06/09/2009

Publisher: Wiley

This is the only book on the market that specifically addresses cardiac blood flow findings, reviewing blood pressure tracings collected from the cardiac catheterization lab on all aspects of cardiovascular disease, as well as normal cardiac function. This edition includes revised and updated chapters on mitral stenosis and pulse alterations, low-gradient aortic

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Overview

This is the only book on the market that specifically addresses cardiac blood flow findings, reviewing blood pressure tracings collected from the cardiac catheterization lab on all aspects of cardiovascular disease, as well as normal cardiac function. This edition includes revised and updated chapters on mitral stenosis and pulse alterations, low-gradient aortic valve stenosis, pulmonary balloon valvuloplasty, coronary hemodynamics for angioplasty and stenting after myocardial infarction, and more. It is an indispensable tool for physicians, nurses, and students measuring and interpreting cardiac waveforms in cardiac diagnosis and monitoring.

Product Details

ISBN-13:
9780470085769
Publisher:
Wiley
Publication date:
06/09/2009
Edition description:
New Edition
Pages:
496
Product dimensions:
8.40(w) x 10.90(h) x 1.00(d)

Table of Contents

CONTRIBUTORS xiii

PREFACE xv

INTRODUCTION xvii

SECTION I: FUNDAMENTALS AND CLINICAL APPLICATIONS OF HEMODYNAMICS 1

PART 1: HEMODYNAMIC WAVEFORMS: NORMAL AND PATHOPHYSIOLOGIC 7

1 Pressure Wave Artifacts: Measurement Systems and Artifacts 9
Morton J. Kern and Steven Appleby

2 Pitfalls of Right-Heart Hemodynamics 17
Morton J. Kern and Steven Appleby

3 The Tricuspid Valve 23
Morton J. Kern and Steven Appleby

4 The Left-Sided V Wave 33
Morton J. Kern and Steven Appleby

5 The LVEDP 43
Morton J. Kern and Steven Appleby

6 Simultaneous Left and Right Ventricular Pressure Measurements 49
Morton J. Kern and Steven Appleby

7 Effects of Nitroglycerin 55
Morton J. Kern and Steven Appleby

8 Pulsus Alternans 63
Morton J. Kern and Steven Appleby

PART 2: VALVULAR HEART DISEASE 69

9 Aortic Stenosis 71
Abhay Laddu and Michael J. Lim

10 Aortic Regurgitation 89
Robert H. Neumayr and Michael J. Lim

11 Aortic Regurgitation—Case Presentations 97
Morton J. Kern

12 Abnormal Hemodynamics After Prosthetic Aortic Root Reconstruction: Aortic Stenosis or Insufficiency? 105
Morton J. Kern, Frank V. Aguirre, and Marco Guerrero

13 Acute Aortic Insufficiency—Case Presentation 111
Krystof J. Godlewski, J. David Talley, and Glenn T. Morris

14 Multivalvular Regurgitant Lesions 117
Morton J. Kern, Frank V. Aguirre, Thomas J. Donohue, and Richard G. Bach

15 The Hemodynamic Dilemma of Combined Mitral and Aortic Stenosis 123
William M. Suh and Morton J. Kern

16 Determination of the Source and Severity of a Transvalvular Left Ventricular Outflow Tract Gradient in Patients with a Prosthetic Aortic Valve 129
Michael Ragosta, D. Scott Lim, and James Bergin

17 Mitral Valve Gradients—Section I 135
Morton J. Kern and Frank V. Aguirre

18 Mitral Valve Gradients—Section II: Mitral Stenosis and Pulsus Alternans 143
Morton J. Kern

19 Mitral Valve Gradients—Section III 149
Elie Azrak, Morton J. Kern, Richard G. Bach, and Thomas J. Donohue

20 Mitral Valve Gradients—Section IV: Left Ventricular Puncture for Hemodynamic Evaluation of Double Prosthetic Valve Stenosis 155
Morton J. Kern

21 Simplified Mitral Valve Gradient Calculation by Cui et al. 161
Morton J. Kern

22 Invasive Assessment of Mitral Regurgitation: Comparison of Hemodynamic Parameters 163
Morton J. Kern

23 The Pulmonary Valve 167
Morton J. Kern

24 Percutaneous Balloon Valvuloplasty 173
Zoltan Turi and Morton J. Kern

PART 3: VALVULOPLASTY 197

25 Mitral Valve Gradients and Valvuloplasty 199
Morton J. Kern and Frank V. Aguirre

26 Reduction of Mitral Regurgitation After Aortic Valvuloplasty 205
Ted Feldman

27 Aortic Valvuloplasty in a Very Elderly Woman 211
Ted Feldman

28 Mitral Valve Gradient with Dobutamine Stress Testing 217
Ted Feldman

29 Left-Heart Catheterization and Mitral Balloon Valvuloplasty in a Patient with a Mechanical Aortic Valve 223
Douglas L. Kosmicki and Andrew D. Michaels

PART 4: HEMODYNAMICS OF PERICARDIAL CONSTRAINT, MYOCARDIAL RESTRICTION, AND TAMPONADE 229

30 Constrictive Physiology 231
Stuart T. Higano, Elie Azrak, Naeem K. Tahirkheli, and Morton J. Kern

31 Post-Cardiac Surgical Constrictive Pericardial Disease 247
Elie Azrak and Morton J. Kern

32 Pericardial Compressive Hemodynamics 253
Morton J. Kern and Frank V. Aguirre

33 Unusual Hemodynamics of Constrictive Physiology 261
Morton J. Kern and Frank V. Aguirre

34 Cardiac Tamponade 269
Morton J. Kern and Frank V. Aguirre

35 Tamponade in a Patient with AIDS-Related Non-Hodgkin’s Lymphoma 277
Elie Azrak, Morton J. Kern, and Richard G. Bach

36 A Novel Assessment for Constrictive Pericarditis in a Complex Patient 283
Justin A. Strote, Larry S. Dean, Steven L. Goldberg, Eric V. Krieger, and Douglas K. Stewart

37 Why Does Kussmal’s Sign and Pulsus Paradoxus Occur? 289
Morton J. Kern

PART 5: ARRYTHMIAS 293

38 Cardiac Arrhythmias 295
Morton J. Kern, Thomas J. Donohue, Richard G. Bach, and Frank V. Aguirre

39 Pacemaker Hemodynamics 301
Morton J. Kern and Ubeydullah Deligonul

PART 6: HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY 307

40 Hypertrophic Cardiomyopathy 309
Morton J. Kern, Steven Appleby, and Ted Feldman

PART 7: CORONARY HEMODYNAMICS 337

41 Coronary Hemodynamics 339
Morton J. Kern

42 Hemodynamic and Intravascular Ultrasound Assessment of an Ambiguous Left Main Coronary Artery Stenosis 367
Massoud A. Leesar and Garry S. Mintz

43 Renal Hemodynamics: Theory and Practical Tips 379
Tariq S. Siddiqui, Ziad Elghoul, Syed T. Reza, and Massoud A. Leesar

PART 8: ADULT CONGENITAL ANOMALIES 387

44 Adult Congenital Anomalies 389
Morton J. Kern, Robin Abdulmalek, Frank V. Aguirre, Thomas J. Donohue, and Richard G. Bach

45 Case Studies in Congenital Cardiac Anomalies 399
Ralf J. Holzer and Ziyad M. Hijazi

PART 9: EXTRA HEARTS 409

46 Extra Hearts: Unusual Hemodynamics of Heterotopic Transplant and Ventricular Assist Devices 411
Morton J. Kern, Ubeydullah Deligonul, and Leslie Miller

PART 10: RIGHT VENTRICULAR DYSFUNCTION 427

47 Hemodynamic Manifestations of Ischemic Right-Heart Dysfunction 429
James A. Goldstein

SECTION II: CLINICAL AND BEDSIDE APPLICATIONS OF HEMODYNAMICS 437

48 Hemodynamic Evaluation of Dyspnea 445
James A. Goldstein

49 Bedside Evaluation of Low-Output Hypotension 449
James A. Goldstein

50 Hemodynamic Evaluation of Right-Heart Failure 455
James A. Goldstein

INDEX 459

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