Cardiovascular Hemodynamics for the Clinician, Third Edition is a concise, straightforward handbook to help practicing clinicians and physicians in training better understand and interpret hemodynamic data. This book contains useful and practical information that will be helpful in making specific diagnoses, determining prognosis, and guiding therapy. The text provides a basic overview of cardiac and circulatory physiology followed by detailed discussion of pathophysiological changes in various disease states.
Topics covered include the basics of hemodynamics, nuts and bolts of right heart catheterization, coronary artery disease, cardiomyopathies, cardiogenic shock, valvular heart disease, arrhythmias, mechanical circulatory support devices, and pericardial disease. Numerous pressure tracings and comprehensive information on other hemodynamic data including cardiac output, intracardiac shunts, and coronary hemodynamics are included throughout the book. The book has a large number of case examples which reinforce the text by demonstrating what is seen in daily practice.
New content for the third edition includes expanded discussion of transcatheter valves, ventricular assist devices, ECMO, assessment of coronary microvasculature, use of resting coronary indices to determine hemodynamic significance of atherosclerotic coronary artery disease, acute right heart strain in pulmonary embolus, and interventions for tricuspid and mitral valve disease.
Written by a group of highly qualified authors with significant academic and practitioner experience, Cardiovascular Hemodynamics for the Clinician, Third Edition includes information on specific sample topics including: - Basics of hemodynamics- Nuts and bolts of right heart catheterization and PA catheter placement, the atrial waveform, cardiac output, and detection, localization, and quantification of intracardiac shunts- Hemodynamics of valvular disease including aortic and mitral stenosis and regurgitation, pulmonary valve disease, and tricuspid valve disease- Hypertrophic and restrictive cardiomyopathy- Acute and chronic heart failure - Pericardial disease including constrictive pericarditis, effusive-constrictive pericarditis, and cardiac tamponade- Cardiogenic shock- Hemodynamics of mechanical circulatory support devices including ECHO, Impella, Tandem Heart, and intra-aortic balloon counterpulsation- Coronary hemodynamics, fractional flow reserve, and coronary microvascular dysfunction- Hemodynamics of right ventricular myocardial infarction- Pulmonary hypertension- Hemodynamics of arrhythmias and pacemakers
Cardiovascular Hemodynamics for the Clinician, Third Edition is an essential reference for cardiologists, intensivists, anesthesiologists, cardiovascular surgeons, advanced practice providers working in the ICU, Cath Lab or CV surgery service, medical and surgical residents, cardiology fellows, intensive care unit nurses, and cath lab nurses and techs.
Table of Contents
List of Contributors, ix
Part I: Basics of hemodynamics
1 Introduction to basic hemodynamic principles, 3
James E. Faber and George A. Stouffer
2 The nuts and bolts of right heart catheterization and PA catheter placement, 17
Vickie Strang and George A. Stouffer
3 Normal hemodynamics, 41
Revised and updated by George A. Stouffer
4 Arterial pressure, 61
George A. Stouffer
5 The atrial waveform, 75
David P. McLaughlin and George A. Stouffer
6 Cardiac output, 89
George A. Stouffer
7 Detection, localization, and quantification of intracardiac shunts, 99
Frederick M. Costello and George A. Stouffer
Part II: Valvular heart disease
8 Aortic stenosis, 111
David P. McLaughlin and George A. Stouffer
9 Hemodynamics of transcatheter and surgical aortic valve replacement, 129
John P. Vavalle, Michael Yeung, Thomas G. Caranasos and Cassandra J. Ramm
10 Mitral stenosis, 139
George A. Stouffer Copyrighted Material
11 Aortic regurgitation, 155
George A. Stouffer
12 Mitral regurgitation, 167
Akhil Reddy and Matt Cavender
13 The tricuspid valve, 183
Tamari Papidze and Matt Cavender
14 Hemodynamic findings in pulmonic valve disease, 195
Cynthia Zhou, Anand Shah and George A. Stouffer
Part III: Cardiomyopathies
15 Hypertrophic cardiomyopathy, 209
Jayadeep S. Varanasi and George A. Stouffer
16 Chronic heart failure, 225
William C. Mostertz III and Patricia P. Chang
17 Restrictive cardiomyopathy, 243
David P. McLaughlin and George A. Stouffer
Part IV: Pericardial disease
18 Constrictive pericarditis, 251
David P. McLaughlin and George A. Stouffer
19 Cardiac tamponade, 267
Siva B. Mohan and George A. Stouffer
20 Effusive- constrictive pericarditis, 281
George A. Stouffer, Sidney C. Smith, Jr. and Faisal F. Syed
Part V: Acute heart failure and hemodynamic support
21 Hemodynamics of cardiogenic shock, 289
Michael Sola, Sayyad Kyazimzade, Jason N. Katz and George A. Stouffer
22 Hemodynamics of intra- aortic balloon counterpulsation, 305
Richard A. Santa- Cruz and George A. Stouffer
23 Hemodynamics of left ventricular assist device implantation, 317
Mason G. Sanders, Jason N. Katz and Mirnela Byku
24 Extracorporeal Life Support, 329
Brian Kelley and Joseph S. Rossi
Part VI: Coronary hemodynamics
25 Basics of coronary blood flow, 345
David P. McLaughlin, Samuel S. Wu and George A. Stouffer
26 Fractional flow reserve, 357
Paul M. Johnson, Shriti Mehta, Prashant Kaul and George A. Stouffer
27 Assessment of coronary microvasculature, 369
George A. Stouffer
Part VII: Miscellaneous
28 Right ventricular myocardial infarction, 377
Robert V. Kelly, Mauricio G. Cohen and George A. Stouffer
29 Acute right ventricular strain, 387
Kevin A. Friede
30 Pulmonary hypertension, 399
Taylor R. Holmes and Lisa J. Rose- Jones
31 Hemodynamics of arrhythmias and pacemakers, 411
Revised and updated by George A. Stouffer
32 Systematic evaluation of hemodynamic tracings, 433
George A. Stouffer
Index, 451