Easy-to-use, handheld echocardiographic equipment has recently become a reliable, faster, lower-cost initial assessment option for cardiologists and other healthcare providers. Point-of-Care Echocardiography: A Case-Based Visual Guide clearly explains and demonstrates how to incorporate and effectively employ this new technology in your practice. Real-life images from actual outpatient consultations and in-patient evaluations provide step-by-step guidance on using handheld echo to arrive at a definitive diagnosis and/or to exclude other possible diagnoses. - Focuses on the use and application of the latest handheld echocardiography devices for screening and initial diagnosis at point of care. - Includes clinical case studies with history, physical exam, a wide range of normal and abnormal laboratory, ECG and imaging findings along with multiple images and video clips obtained with handheld system by an expert cardiologist. - Features 169 echocardiographic images and 48 videos depicting use of point-of-care echo and its cardiovascular imaging findings. - Provides an overview of cardiac and vascular anatomy and physiology and imaging techniques, tips, nuances, and limitations of handheld systems. - Covers normal and abnormal findings and when to refer for further study. - Discusses and demonstrates how to perform transthoracic echocardiography for assessment of cardiac and valve function, intravascular volume, ultrasound imaging to detect pericardial and pleural effusion, during pericardiocentesis and imaging assessment of vascular connections to the heart. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures and videos from the book on a variety of devices.
Table of Contents
SECTION 1 Cardiovascular Anatomy and Physiology Review 11 Cardiac Anatomy 2
2 Cardiac Vascular Connections, Anatomy, and Ultrasound Imaging 5
3 Cardiac Physiology 17
SECTION 2 Handheld Echocardiography Devices and Cardiac Imaging
Techniques 21
4 Handheld Echocardiographic Devices and Imaging Features 22
5 How to Perform Ultrasound of the Heart and its Arterial
and Venous Connections 25
6 Normal Echocardiogram 33
SECTION 3 Cardiovascular Case Studies Diagnosed With Handheld
Echocardiography 43
7 Case 1-A 70-Year-Old Man With Postoperative Atrial Fibrillation 44
Case 2-Tight Wedding Ring on a 68-Year-Old Man With Dilated
Cardiomyopathy and New Onset Atrial Fibrillation 50
Case 3-Resuscitated Cardiac Arrest After Coronary Artery Bypass Graft (CABG)
Surgery and Mitral Valve Repair for Ischemic Mitral Regurgitation (MR) 56
8 Case 1-A 72-Year-Old Man With Dysphagia, Dyspnea, and Ankle Edema 60
Case 2-A 78-Year-Old Man With Dysphagia and Known Coronary Artery
Disease 66
9 Case 1-A 75-Year-Old Woman With Known Advanced Cardiomyopathy
Presents to the Emergency Department With Recurrent Dyspnea 70
Case 2-78-Year-Old Man With Lower Extremity Edema, Dyspnea, and Weight
Gain During a Long Cruise 76
Case 3-A 53-Year-Old Female With New Onset Heart Failure 83
Case 4-A 56 year old woman with dyspnea and chest pain 90
10 Case 1-62-Year-Old Man for General Medical Evaluation 97
Case 2-An 81-Year-Old Man Undergoing Workup for Transcutaneous Aortic
Valve Replacement (TAVR) for Severe Aortic Stenosis Presents With Severe
Dyspnea 104
Case 3-Incidental Finding on CT Chest Screening for Lung Cancer in a
56-Year-Old Woman 110
11 Case 1-An 85-Year-Old Man With Remote Aortic Valve Replacement
Presents With Dyspnea 117
Case 2-A 65-Year-Old Man With Dyspnea Status Post TAVR and TMVR 124
Case 3-An 86-Year-Old Man Post TAVR Presents With Dyspnea 131
12 Case 1-A 72-Year-Old Man With Fatigue After Mitral Valve Replacement 137
13 Case 1-Cardiology Consult Before Noncardiac Surgery for Brain Tumor 144
Index 150
Authors
Tasneem Z. Naqvi Professor of Medicine, Mayo College of Medicine, Consultant, Department of Cardiovascular Disease, Mayo Clinic, Scottsdale, Arizona, USA. Director of Echocardiography, Professor of Medicine, Consultant, Department of Cardiovascular DiseasesDepartment of Cardiovascular Diseases,
Mayo Clinic Scottsdale
13400 E Shea Blvd
Scottsdale, AZ 85259
(480) 301-4040
Mayo Clinic, Scottsdale, AZ, US