The essential resource on cardiac hemodynamics-now in a newedition Hemodynamic Rounds, Third Edition is intended to helpcardiologists and other members of the medical community enhancetheir understanding of cardiac physiology and its associatedhemodynamic presentations in health and disease, including thebasic principles of flow and pressure measurements; systemic aswell as coronary hemodynamics in normal and diseased states; andchanges in hemodynamics following interventional procedures rangingfrom valvuloplasty to stent placement. Like its popular predecessors, this new edition draws on casestudies to illustrate characteristic cardiac hemodynamic findingsand discuss the essential methods used in interpreting pressurewaveforms as a diagnostic and monitoring tool. The text is organized into chapters on specific areas of theheart, common cardiac anomalies, and hemodynamic situationsresulting from different therapeutic procedures, and includes bothnormal and abnormal pressure waveforms. This new edition includesthoroughly revised and updated chapters on specific topics,including: * Mitral stenosis and mitral valvuloplasty * Low-gradient aortic valve stenosis * Pitfalls of right heart hemodynamics * Aortic and pulmonary balloon valvuloplasty * Coronary hemodynamics for angioplasty and stenting * Hemodynamic evaluation of stenotic bioprosthetic mitralvalves * Evaluation of hypertrophic obstructive cardiomyopathies * Understanding cardiac pathophysiology from bedside hemodynamicstudy Hemodynamic Rounds, Third Edition, is the only book onthe market that specifically addresses comprehensive cardiachemodynamic findings, reviewing blood pressure tracings collectedfrom the cardiac catheterization lab on all aspects ofcardiovascular disease, as well as normal cardiac function. It isan indispensable tool for all physicians, nurses, and studentsmeasuring and interpreting cardiac waveforms in cardiac diagnosisand monitoring.
Autorentext
Bruce R. Hopkins is a senior partner with the firm Polsinelli Shughart PC. He is also the author or coauthor of more than twenty-five books, all published by Wiley, including The Law of Tax-Exempt Organizations, Ninth Edition; The New Form 990; and Nonprofit Law Made Easy. Hopkins earned his juris doctorate and master of laws degrees at The George Washington University. He has practiced law for forty years and is a member of the District of Columbia and Missouri bars.
Virginia C. Gross is a shareholder of Polsinelli Shughart PC. Ms. Gross concentrates her practice in the field of nonprofit law and is a frequent writer and speaker on nonprofit issues. She is listed in The Best Lawyers in America for nonprofit organizations/charity law for 2008 and 2009. She is a coauthor of The New Form 990, published by Wiley. Ms. Gross earned her juris doctorate at the University of Texas. She is a member of the District of Columbia, Texas, Missouri, and Kansas bars.
Klappentext
The essential resource on cardiac hemodynamics-now in a new edition
Hemodynamic Rounds, Third Edition is intended to help cardiologists and other members of the medical community enhance their understanding of cardiac physiology and its associated hemodynamic presentations in health and disease, including the basic principles of flow and pressure measurements; systemic as well as coronary hemodynamics in normal and diseased states; and changes in hemodynamics following interventional procedures ranging from valvuloplasty to stent placement.
Like its popular predecessors, this new edition draws on case studies to illustrate characteristic cardiac hemodynamic findings and discuss the essential methods used in interpreting pressure waveforms as a diagnostic and monitoring tool.
The text is organized into chapters on specific areas of the heart, common cardiac anomalies, and hemodynamic situations resulting from different therapeutic procedures, and includes both normal and abnormal pressure waveforms. This new edition includes thoroughly revised and updated chapters on specific topics, including:
- Mitral stenosis and mitral valvuloplasty
- Low-gradient aortic valve stenosis
- Pitfalls of right heart hemodynamics
- Aortic and pulmonary balloon valvuloplasty
- Coronary hemodynamics for angioplasty and stenting
- Hemodynamic evaluation of stenotic bioprosthetic mitral valves
- Evaluation of hypertrophic obstructive cardiomyopathies
- Understanding cardiac pathophysiology from bedside hemodynamic study
Hemodynamic Rounds, Third Edition, is the only book on the market that specifically addresses comprehensive cardiac hemodynamic findings, reviewing blood pressure tracings collected from the cardiac catheterization lab on all aspects of cardiovascular disease, as well as normal cardiac function. It is an indispensable tool for all physicians, nurses, and students measuring and interpreting cardiac waveforms in cardiac diagnosis and monitoring.
Inhalt
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 RegurgitationCase 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 InsufficiencyCase 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 GradientsSection I 135
Morton J. Kern and Frank V. Aguirre
18 Mitral Valve GradientsSection II: Mitral Stenosis and Pulsus Alternans 143
Morton J. Kern
19 Mitral Valve GradientsSection III 149
Elie Azrak, Morton J. Kern, Richard G. Bach, and Thomas J. Donohue
20 Mitral Valve GradientsSection 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 Af…