Essential Echocardiography , livre ebook

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This book is a step-by-step manual for the complete echo-novice. It should be the only book needed to become a proficient echocardiographer. The text focuses on the practicalities of performing an examination, and the interpretation of images. Avoiding unnecessary technicalities, it places particular emphasis on the diagnostic features of sample cases and covers the entire breadth of adult cardiology. The majority of the echo images are also available in a dynamic form on the Expert Consult platform. Also included is access to 100 case scenarios and images for self-assessment interpretation. The combination of the book and the website materials provides an unparalleled learning experience for people who do not routinely practise echocardiography.

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  • The text covers the basic concepts of how ultrasound works and looks at practical aspects of how to perform an echo.
  • It examines both normal function as well as the whole range of pathologies encountered in day-to-day clinical practice.
  • There is particular emphasis on how to report your interpretation of the echo findings.
  • The book is highly illustrated throughout with real examples many of which are available to view in dynamic form on the Expert Consult platform, thus offering a comprehensive library of echo movies.
  • The text is fully up to date with the latest recommendations of the American Society of Echocardiography as well as equivalents from the British Society of Echocardiography
  • 100 self-assessment cases on the Expert Consult platform test knowledge and interpretation skills and are aimed at BSE accreditation exam level
  • The full text of the book is available on the Expert Consult platform
  • There are new chapters on 3D echo and right ventricular pathologies.
  • The text has been fully updated and there are more than 200 new images to illustrate state-of-the-art echo.
  • The presentation of the echo images has been simplified with the addition of a fold-out flap on the book referencing the key areas of anatomical detail.
  • The text now includes the latest recommendations of the American Society of Echocardiography as well as the equivalents from the British Society of Echocardiography
Trainees in cardiology, echocardiography/cardiac physiology, anaesthetics, intensive care, general medicine, acute medicine, accident and emergency and cardiothoracic surgery.
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Publié par

Date de parution

02 avril 2013

Nombre de lectures

4

EAN13

9780702045547

Langue

English

Poids de l'ouvrage

5 Mo

Essential Echocardiography
Second Edition

Alisdair Ryding, BSc(Med Sci) Hons, MBChB(Hons), MRCP (UK), PhD
Consultant Cardiologist, Norfolk and Norwich University Hospital; Honorary Consultant Cardiologist, James Paget University Hospital, Norwich, UK
Table of Contents
Cover image
Title page
Dedication
Copyright
Preface
Acknowledgements
Abbreviations
Section A: Getting started
Chapter 1: What is echocardiography?
Basic principles
Echocardiographic modes
Chapter 2: Views of the heart
The anatomy of the heart
Standard echocardiographic windows
Positioning yourself and holding the probe
Standard views
Putting it all together
Chapter 3: Optimising the picture
Patient optimisation
Examination environment
Echo optimisation
Section B: The cardiac chambers
Chapter 4: The left ventricle
The anatomy of the left ventricle
Left ventricular structure
Left ventricular mass
Left ventricular hypertrophy
Left ventricular systolic function
Chapter 5: Diastolic function and dyssynchrony
Left ventricular diastolic function
Diastolic dysfunction
Pulse wave Doppler assessment of diastolic function
Classifying diastolic function
Ventricular synchrony
Echocardiographic assessment of ventricular dyssynchony
Chapter 6: The right ventricle
The anatomy of the right ventricle
Assessing the right ventricle
Chapter 7: The atria
Anatomy of the atria
Normal variants
Atrial diseases
Chapter 8: Myocardial infarction
Introduction
Acute complications
Chronic complications
Chapter 9: The cardiomyopathies
Hypertrophic cardiomyopathy
Dilated cardiomyopathy
Restrictive cardiomyopathy
Chapter 10: Right ventricular pathologies
Right ventricular myocardial infarction
Arrhythmogenic right ventricular dysplasia (ARVD)
Cor pulmonale
Section C: The valves
Chapter 11: Principles of valve disease
Introduction
Estimating pressure gradients: the Bernoulli equation
Measuring volumes and flow
Chapter 12: The aortic valve
The normal aortic valve
Aortic valve sclerosis
Aortic valve stenosis
Aortic valve regurgitation
Congenital abnormalities
Chapter 13: The mitral valve
The normal mitral valve
Diseases of the mitral valve
Assessing severity of mitral regurgitation
Mitral stenosis
Chapter 14: The right heart valves
The normal tricuspid and pulmonary valves
Tricuspid regurgitation
Tricuspid stenosis
Pulmonary stenosis
Pulmonary regurgitation
Diseases of the right heart valves
Pulmonary artery systolic pressure
Pulmonary artery diastolic pressure
Chapter 15: Infective endocarditis
Diagnosis
Complications
Detection of a predisposing condition
Chapter 16: Prosthetic valves
Types of prosthetic valve
Normal function
Abnormal prosthetic valve function
Thrombus
Percutaneous valve treatments
Section D: Inside and outside the heart
Chapter 17: Pericardial disease
Introduction
Pericarditis, pericardial effusion and tamponade
Constrictive pericarditis
Pericardial tumours
Chapter 18: Cardiac masses
Introduction
Primary neoplasms
Secondary neoplasms
Thrombus
Intravascular devices
Normal variants and artefact
Chapter 19: The aorta
Introduction
Diseases of the aorta
Congenital aortic disease
Chapter 20: Congenital septal abnormalities
Atrial septal defects
Ventricular septal defects
Quantitative assessment of intracardiac shunts
Percutaneous device closure
Chapter 21: 3D echocardiography
Introduction
Principles of 3D echo
Imaging protocol
Clinical applications
Summary
Future directions
Section E: Approach to examining and reporting
Chapter 22: The comprehensive examination
Integrating information
The echo examination
Chapter 23: The focused examination
Introduction
Cardiac arrest (pulseless electrical activity)
Acute chest pain
Acute breathlessness
Hypotension
Ventricular arrhythmia
Systemic embolism
Blunt trauma
Chapter 24: Reporting an echo study
Figure labels
Section F: Appendices
Appendix 1: Normal values
Appendix 2: Useful formulae
Index
Dedication
For Christine, Grace, Eleanor, Beatrix and my parents
Copyright

© 2013 Elsevier Ltd All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the publisher (other than as may be noted herein).
First edition 2008
Second edition 2013
ISBN 9780702045523
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the publisher nor the authors, contributors, or editors assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Printed in China
Preface
Echocardiography is an immensely powerful tool, providing a wealth of information about cardiac structure and function. Unlike other imaging modalities this can be achieved painlessly, quickly, safely and at low cost. Echo machines are increasingly portable, and easily used in a wide range of emergency and community settings. No wonder there is huge interest and demand for training in echo by a wide spectrum of healthcare providers.
Echocardiography is a daunting skill to learn, and there are many potential pitfalls for the unsuspecting. How do you get good pictures? How do you distinguish normal and abnormal? Are you making the right measurements and have you made the correct diagnosis? Essential Echocardiography was written to provide answers to these questions. It is a practical guide that allows the beginner to become a confident and independent practitioner. The first chapters cover the principles of ultrasound and focus on the practical aspects of performing and optimising an echo. Subsequent chapters systematically look at the various cardiac chambers, valves and extra-cardiac structures in health and disease. There are new chapters on 3D echo and right ventricular pathologies, with more than 200 new images to illustrate state-of-the-art echo.
Particular emphasis has been placed on the knowledge and skills required for image interpretation, reporting and diagnosis: there are over 300 on-line videos to allow you to develop this expertise. Finally I have written 100 on-line interactive self-assessment questions to test your knowledge, understanding and diagnostic skills.
Alisdair Ryding, Norwich, UK
Acknowledgements
I am very grateful to my patients, without whom this book would not exist. I am also indebted to my colleagues, particularly:

Second edition
Dr Heeraj Bullock, Mrs Sarah Butcher, Mrs Karen Clifton, Mr Charles Graham, Dr Cairistine Grahame-Clarke, Dr Simon Hansom, Mr Darren Hardy-Shepherd, Miss Emma Lakey, Miss Angela Merrick, Mrs Ruth Mixer, Dr J Newton, Dr Helen Oxenham, Miss Sam Peck, Miss Hayley Reeve, Miss Natalie Sales, Mr Seamus Walker, Mrs Sheila Wood.

First edition
Dr K Asrress, Prof H Becher, Dr S Hussain, Dr P Leeson, Dr A Mitchell, Dr J Newton, Mrs M Priest, Mrs S Ramsay, Dr N Sabharwal, Mrs D Smith, Dr D Sprigings, Mr D Tetley, Dr J Timperley, D

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