Textbook of Clinical Hemodynamics, 2e

Description

A highly clinical focus and clear, vibrant illustrations make Textbook of Clinical Hemodynamics, 2nd Edition, by Dr. Michael Ragosta, the resource of choice for accurately analyzing hemodynamic waveforms generated in cardiac catheterization labs. This easy-to-use, disease-oriented reference―ideal for physicians, nurses, and technicians―offers the unparalleled detail and visual support you need for interpreting the findings you encounter in practice. New coverage throughout keeps everyone on the cardiac team up to date with the latest concepts and skills, ensuring more effective monitoring and treatment of patients with cardiac disease. Provides a disease-oriented assessment of waveform data that demonstrates how both qualitative and quantitative interpretation can affect clinical decision making. Expert Consult™ eBook version included with purchase, which allows you to search all of the text, figures, and references from the book on a variety of devices. Features extensive updates throughout, with expanded coverage of aortic valve and mitral valve disorders, including new percutaneous valve treatments (TAVR, mitral clip); comparison of hemodynamic support devices; a new chapter on pulmonary hypertension; and expanded coverage of coronary hemodynamics. More than 100 brand-new, full-color images provide clear visuals for a more complete understanding of complex concepts. Includes a new Easy Reference Appendix with clinically useful formulas and data. Content: Front Cover IFC TEXTBOOK OF CLINICAL HEMODYNAMICS TEXTBOOK OF CLINICAL HEMODYNAMICS Copyright CONTRIBUTORS PREFACE CONTENTS 1 -- INTRODUCTION TO HEMODYNAMIC ASSESSMENT IN THE CARDIAC CATHETERIZATION LABORATORY A BRIEF HISTORY OF HEMODYNAMIC ASSESSMENT HEMODYNAMIC ASSESSMENT IN MODERN CLINICAL PRACTICE EQUIPMENT CATHETERIZATION PROTOCOLS FOR HEMODYNAMIC ASSESSMENT References 2 -- NORMAL WAVEFORMS, ARTIFACTS, AND PITFALLS GENERATION OF PRESSURE WAVEFORMS CALIBRATION, BALANCING, AND ZEROING NORMAL PHYSIOLOGY AND WAVEFORM CHARACTERISTICS Right-Atrial Waveform Right-Ventricular WaveformPulmonary Artery Waveform Novel Methods of Measuring Pulmonary Artery Pressure in the Heart-Failure Patient Pulmonary Capillary Wedge Pressure Waveform Left-Ventricular Waveform Central-Aortic Pressure Waveform MEASUREMENT OF SIMULTANEOUS PRESSURES IN TWO OR MORE CHAMBERS COMBINATION LEFT-VENTRICULAR AND RIGHT-VENTRICULAR PRESSURES COMBINATION PULMONARY CAPILLARY WEDGE (OR LEFT-ATRIAL) AND LEFT-VENTRICULAR PRESSURE COMBINATION CENTRAL-AORTIC AND LEFT-VENTRICULAR PRESSURE COMMON ERRORS AND ARTIFACTS EFFECT OF ARRHYTHMIA ON HEMODYNAMIC MEASUREMENTS EFFECT OF OBESITY ON HEMODYNAMIC MEASUREMENTSEFFECT OF PULMONARY DISEASE ON HEMODYNAMICS References 3 -- CARDIAC OUTPUTS AND SHUNTS MEASUREMENT OF CARDIAC OUTPUT Fick Method for Cardiac Output Determination Indicator-Dilution Method for Cardiac Output Determination Thermodilution Method for Cardiac Output Determination Angiographic Method for Cardiac Output Determination CALCULATION OF SHUNTS Screening for Intracardiac Shunts and Performance of a "Shunt Run" Calculation of Shunt Size Indicator-Dilution Method of Shunt Detection and Calculation References 4 -- MITRAL VALVE DISORDERS MITRAL STENOSISPathophysiology of Mitral Stenosis Hemodynamics of Mitral Stenosis Calculation of Mitral Valve Area Using the Gorlin Formula Prosthetic Mitral Valves Hemodynamics of Mitral Balloon Valvuloplasty MITRAL REGURGITATION Pathophysiology of Mitral Regurgitation Hemodynamics of Mitral Regurgitation Percutaneous Mitral Valve Repair for Mitral Regurgitation References 5 -- AORTIC VALVE DISEASE AORTIC VALVE REGURGITATION Chronic Versus Acute Aortic Regurgitation Hemodynamic Findings Angiography in Aortic Regurgitation AORTIC STENOSIS Physiology of Aortic Valve Stenosis Determination of the Severity of Aortic Valve StenosisThe Gorlin Formula for Estimation of Aortic Valve Area Application of the Gorlin Formula for Estimation of Aortic Valve Area Measurement of the Transvalvular Pressure Gradient Hemodynamic Findings in Aortic Stenosis Low Gradient-Low Output Aortic Stenosis Coexisting Aortic Regurgitation Prosthetic Aortic Valves Aortic Balloon Valvuloplasty Transcatheter Aortic Valve Replacement References 6 -- HYPERTROPHIC CARDIOMYOPATHY AND RELATED CONDITIONS PATHOPHYSIOLOGY HEMODYNAMIC ABNORMALITIES Diastolic Dysfunction