By Eugene Toy, Michael D. Faulx
ENHANCE YOUR serious considering abilities AND increase sufferer CARE WITH THIS CONCISE CASE-BASED REVIEW
Experience with scientific instances is essential to gaining knowledge of the paintings and technology of drugs and finally to offering sufferers with useful scientific care. Case records: Cardiology presents 30 real-life situations that illustrate crucial techniques in cardiac care. every one case contains an easy-to-understand dialogue correlated to key recommendations, definitions of key phrases, medical pearls, and board-style evaluate inquiries to strengthen your studying. With Case Files, you will research rather than memorize.
- Learn from 30 high-yield instances, every one with board-style questions
- Master key strategies with medical pearls
- Sharpen your scientific problem-solving and sufferer care skills
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Additional info for Case Files Cardiology
Deep, symmetric T wave inversions across the anterior precordial leads in a patient with chest pain are highly suggestive of proximal left anterior descending artery disease; this association is commonly referred to as Wellens’ syndrome, after the physician who first described it (Figure I-17). As in ST segment depression, the causes of T wave abnormalities are numerous and asymmetric T wave abnormalities in otherwise asymptomatic patients are a common and nonspecific finding on many ECGs. Prior myocardial infarction can be demonstrated by the presence of a pathologic Q wave on the ECG.
Lead II represents the potential difference between the left leg (positive pole) and the right arm and is located at 60°. Lead III represents the potential difference between the left leg (positive pole) and left arm and is located at 120°. There are three additional limb leads referred to as augmented leads. The augmented leads represent the potential difference between electrodes on the right arm (aVR), left arm (aVL), and left foot (aVF), and a common reference electrode 24 CASE FIl ES: CAr d IO l Og y Limb le a ds Bipola r Pre cordia l le a ds Augme nte d I a VR V1 V4 II a VL V2 V5 III a VF V3 V6 Rhythm s trips V1 II V5 25 mm/s 10 mm/mV 100Hz Figure I-9 Stan a 005E a 12S L 237 CID: 227 EID: Unconfirme d EDT: ORDE ea ance o a 12- ea e ect oca io am.
Diastolic mitral regurgitation occurs when left ventricular diastolic pressure exceeds left atrial pressure due to high-volume regurgitation, resulting in reversal of flow from the left ventricle to the left atrium. In chronic severe aortic regurgitation, this same phenomenon can occur in late systole as the left ventricle dilates in response to chronic volume overload. The late systolic murmur of diastolic mitral regurgitation caused by severe chronic aortic regurgitation is commonly referred to as the Austin-Flint murmur.