Bedside Cardiology by coll.

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With gradual rise of RBCmass, it becomes a maladaptive situation, which include increased viscosity, both pulmonary and systemic vascular resistance. Most importantly, increased viscosity leads to reduced tissue oxygenation and hyperviscosity syndrome (Table 6-1). Out of all these, symptoms due to erythorcytosis are related to hyperviscosity syndrome. An iron-depleted state produces more severe cerebro vascular hyperviscosity syndrome. As iron-depleted RBCs become more rigid in the microcirculation, tissue oxygenation becomes more affected.

Premature ovarian failure Absence of pubertal development or early menopause and increased level of gonadotrophins Congenital heart diseases Bicuspid aortic valve Coarctation of aorta Fig. 7-4: Turner syndrome Chromosomal studies: The responsible gene is yet to be known and most cases are sporadic in nature. It is mostly inherited from mother, because fertility of males with this syndrome is decreased. Though recurrence rate is supposed to be 50%, actual figure is far less. Syndrome and Measurements Fig.

Studies are coming up, comparing the efficacy of bedside clinics vs bedside echocardiography. In one study, 6 thirty-six subjects had a complete cardiovascular examination by four board-certified cardiologists. They subsequently imaged each patient by portable echocardiogram. The results of clinical examination 47 48 Bedside Cardiology Fig. 8-1: Hand-held echocardiogram and bedside echocardiography were compared using a complete echocardiographic study as the gold standard. Cardiac examination failed to detect 59% of the overall cardiovascular findings.

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