Hemodynamic Rounds : Interpretation of Cardiac Pathophysiology from Pressure Waveform Analysis.

Intro -- Title Page -- Copyright Page -- Contents -- List of Contributors -- Preface to the Fourth Edition -- Introduction -- Approach to Hemodynamic Waveform Interpretation -- Methodologies Involved in Hemodynamic Data Collection -- Initiating the Study of Pressure Waveforms -- References -- Part One Normal Waveforms -- Chapter 1 Principles of Normal Physiology and Pathophysiology -- Cardiac Mechanical Function and Hemodynamics -- Fundamentals of Hemodynamic Waveforms: The Wiggers Diagram -- Valve Hemodynamics -- Systolic and Diastolic Performance -- Cardiac Mechanics, Atrial Waveforms, and the Venous Circulations -- Hemodynamics and Exercise/Stress -- Ventricular Interactions -- Fundamentals of Right‐Heart Hemodynamics -- Pressure Wave Artifacts -- A Hemodynamic Data Collection Method -- Case of a Transiently Wide Pulse Pressure: Artifact or Episodic Aortic Insufficiency? -- Case of a Late-Rising Central Aortic Pressure: Artifact or Pathology? -- Transducer Disequilibration -- Key Points -- References -- Chapter 2 Left Atrial Hemodynamics -- Normal A and V Wave Patterns -- Correspondence of Pulmonary Capillary Wedge and Left Ventricular End-Diastolic Pressures -- Factors Influencing the Size of the V Wave -- The Large V Wave and Mitral Regurgitation -- Contribution of Atrial Systole to Left-Sided V Waves -- V Wave Morphology -- V Wave Alternans -- Key Points -- References -- Chapter 3 Left Ventricular End-Diastolic Pressure (LVEDP) -- LVEDP: Clues to Unsuspected Conditions -- Factors Influencing Left Ventricular End-Diastolic Pressure -- Key Points -- References -- Chapter 4 Left and Right Ventricular Pressure: Interactions and Influencing Factors -- Hemodynamic Measurement Technique -- Right and Left Ventricular Pressures in a Patient with Hypertension -- Effects of Conduction on Right and Left Ventricular Pressures.

Pacemaker Pressure Responses -- Ventricular Pressures in a Patient with Mitral Stenosis -- Pulsus Alternans -- Nitroglycerin and Ventricular Unloading -- Key Points -- References -- Chapter 5 Hemodynamics during Arrhythmias -- Premature Contractions -- Irregular Rhythms -- Misleading Atrial Waveforms during Arrhythmias -- Rhythm with Wide QRS Patterns -- Pacemaker Hemodynamics -- Key Points -- References -- References -- Part Two Valvular Hemodynamics -- Chapter 6 Aortic Stenosis -- Doppler Hemodynamics of Aortic Stenosis -- Role of Invasive Hemodynamic Assessment -- Calculating the Aortic Valve Area -- Low-Flow, Low-Gradient, Paradoxically Severe Aortic Stenosis -- Disappearing Gradients during Data Collection -- Cardiac Rhythms and Aortic Pressure Gradients -- Aortic Stenosis with Low Aortic-Left Ventricular Gradients and Low Aortic Flow -- Aortic Regurgitation Complicating Aortic Stenosis -- Hemodynamic Artifacts of Aortic and Left Ventricular Pressures -- Peripheral Arterial Wave Summation and Zero Drift -- Prosthetic Aortic Valve and Left Ventricular Outflow Tract Gradients -- Key Points -- References -- Chapter 7 Aortic Regurgitation -- Chronic Aortic Insufficiency -- Acute Aortic Insufficiency -- Angiographic Determination of Aortic Regurgitation -- Calculation of Aortic Valve Area in Patients with Aortic Regurgitation -- Different Presentations of Aortic Regurgitation -- Acute Aortic Insufficiency with Large A Wave: A Rare Finding -- Combined Aortic Stenosis/Aortic Insufficiency after Prosthetic Aortic Root Reconstruction -- Key Points -- References -- Chapter 8 Mitral Valve Stenosis -- Mitral Stenosis and V Waves -- Technical Notes for Mitral Valve Area Calculation -- Pathophysiology of Mitral Stenosis -- Mitral Stenosis and Regurgitation -- Alternative Methods for Valve Area Calculations.

Influence of Heart Rate on Determination of Valve Area -- Mitral Stenosis with Pulsus Alternans -- Left Atrial versus Pulmonary Capillary Wedge Pressure -- A Simplified Mitral Valve Gradient -- Hemodynamic Evaluation of a Stenotic Bioprosthetic Mitral Valve -- Valve Areas -- Mechanisms of Prosthetic Valve Failure -- Methods to Assess Valve Dysfunction -- Hemodynamics of Prosthetic Valve Dysfunction -- Pulmonary Capillary Wedge versus Left Atrial Pressure -- Exercise Hemodynamics -- Hemodynamics of Mitral Regurgitation -- Key Points -- References -- Chapter 9 Multivalvular Regurgitant Lesions -- Multiple Heart Murmurs after Mitral Valve Replacement -- Combined Native Mitral and Aortic Stenosis -- Double Prosthetic Valve Stenosis Assessment by Left Ventricular Puncture -- Complications of Left Ventricular Puncture -- Key Points -- References -- Chapter 10 The Pulmonary Valve -- Pulmonary Stenosis: Valvular or Nonvalvular? -- Pulmonary Stenosis and ECG Abnormalities -- Combined Pulmonary Stenosis and Insufficiency -- Diastolic Murmur and Elevated Right Ventricular End‐Diastolic Pressure -- Key Points -- References -- Chapter 11 Hypertrophic Obstructive Cardiomyopathy (HOCM) -- Disappearing Aortic Stenosis? -- Methods to Provoke Intracavitary Pressure Differences in HOCM -- Preload Alterations and Intraventricular Gradients -- Dynamic Left Ventricular Outflow Tract Gradients from Other Causes -- Intramyocardial Pressure as a Cause of Intraventricular Pressure Gradient -- Left Ventricular Diastolic Waveform Abnormalities: Relaxation Impairment -- Hemodynamics of Dual‐Chamber Pacing and Valsalva Maneuver in a Patient with Hypertrophic Obstructive Cardiomyopathy -- Hemodynamic Effects of Alcohol‐Induced Septal Infarction for Hypertrophic Obstructive Cardiomyopathy -- Key Points -- References -- Part Three Constriction and Tamponade.

Chapter 12 Introduction to Pericardial Disease -- Pericardial Anatomy -- Cardiac Tamponade -- Atypical Pericardial Compression Syndromes -- Assessment and Management of Pericardial Effusions: Clinical Algorithms -- Pericardiocentesis -- Case: Pericardial Fluid after Cardiac Transplantation and Early Tamponade -- Case: Pulsus Paradoxus -- Case: Malignant Tamponade -- Case: Low-Pressure Tamponade -- Key Points -- References -- Chapter 13 Restrictive Cardiomyopathy: Differentiating Constrictive Pericarditis and Restriction -- Pathophysiology of Restrictive Cardiomyopathy -- Differentiating Restrictive Cardiomyopathy from Constrictive Pericarditis -- Case: Limitations of Traditional Hemodynamic Criteria -- Constriction versus Restriction: Value of Dynamic Respiratory Hemodynamics -- Case: RCM from Systemic Illness -- Case: Amyloidosis Suspected by Echocardiography, Affirmed by MRI, Confirmed by Hemodynamics, and Proven by Biopsy -- Algorithm to Differentiate Constriction from Restriction -- Importance of Advanced Imaging before Invasive Evaluation -- Key Points -- Note -- References -- Chapter 14 Hemodynamic Manifestations of Ischemic Right-Heart Dysfunction -- Ischemic Right Ventricular Dysfunction -- Determinants of Right Ventricular Performance with Acute Right Ventricular Dysfunction -- Compensatory Contributions of Augmented Right Atrial Contraction and Deleterious Effects of Right Atrial Ischemic Dysfunction -- Hemodynamic Impact of Rhythm Disorders and Reflexes Associated with Right Ventricular Infarction -- Impact of Reperfusion -- Mechanical Complications Associated with Right Ventricular Infarction -- Right Ventricular Infarction Associated with Severe Left Ventricular Systolic Dysfunction -- Mechanical Support for Acute Right Ventricular Infarction -- Differential Diagnosis of Hemodynamically Severe Right Ventricular Infarction.

Case: Occlusion of the Mid-Right Coronary Artery-Right Ventricular Ischemic Dysfunction with Augmented Right Atrial Function -- Case: Proximal Right Coronary Artery Occlusion-Right Ventricular and Right Atrial Ischemic Dysfunction -- Summary -- Hemodynamic Manifestations of Ischemic Right Heart Dysfunction (Morton J. Kern) -- Key Points -- References -- Part Four Hemodynamics of Structural Heart Disease -- Chapter 15 Percutaneous Balloon Aortic Valvuloplasty and Transaortic Valve Replacement -- Percutaneous Balloon Aortic Valvuloplasty -- Case: Aortic Valvuloplasty in a Very Elderly Woman -- Case: Reduction of Mitral Regurgitation after Aortic Valvuloplasty -- Transcatheter and Doppler Waveforms before and after Transaortic Valve Replacement -- Key Points -- References -- Chapter 16 Percutaneous Balloon Mitral Valvuloplasty -- Hemodynamic Screening for Mitral Stenosis -- Balloon Dilatation -- Cases: Percutaneous Balloon Mitral Valvuloplasty -- Mitral Regurgitation and Percutaneous Balloon Mitral Valvuloplasty -- Mitral Stenosis and Valvuloplasty -- Mitral Regurgitation after Balloon Valvuloplasty -- Use of the Pulmonary Capillary Wedge during Valvuloplasty -- Mitral Valve Gradient with Dobutamine Stress Testing -- Balloon Mitral Valvuloplasty in a Patient with a Mechanical Aortic Valve -- Key Points -- References -- Chapter 17 The Pulmonary Valve and Valvuloplasty -- Pulmonary Stenosis: Valvular or Nonvalvular? -- Pulmonic Stenosis and ECG Abnormalities -- Combined Pulmonary Stenosis and Insufficiency -- A Diastolic Murmur and Elevated Right Ventricular End‐Diastolic Pressure -- Pulmonary Balloon Valvuloplasty -- Case Studies -- Clinical Outcomes of Pulmonary Valvuloplasty -- Residual Transpulmonic Gradients -- Complications of Pulmonic Valvuloplasty -- Key Points -- References.

Five Coronary, Renal, Congenital, and Left Ventricular Support Hemodynamics.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.