Download Interventional Pericardiology: Pericardiocentesis, by Bernhard Maisch MD, FESC, FACC, Arsen D. Ristić MD, PhD, PDF
By Bernhard Maisch MD, FESC, FACC, Arsen D. Ristić MD, PhD, FESC, Petar M. Seferović MD, PhD, FESC, FACC, Teresa S. M. Tsang MD, FACC (auth.)
Interventional Pericardiology provides a different and entire view on a frequently overlooked yet clinically extremely important a part of heart problems: The pericardium and the adjoining myocardium or epicardium. The authors of this up to date compendium on pericardial sickness etiology, diagnostics and therapy, Professors Bernhard Maisch (Marburg), Arsen Ristic (Belgrade), Petar Seferovic (Belgrade) and Teresa Tsang (Rochester) concentrate on contemporary advances to the hot window that has been opened to the center through versatile and video-assisted pericardioscopy, sleek biochemical, immunohistological and molecular instruments for the research of epicardial and pericardial biopsies, which were received accurately lower than pericardioscopic regulate by means of the interventional pericardiologist. Their e-book provides brand-new info to the hot and to date simply directions world-wide via the ecu Society of Cardiology at the administration of pericardial illnesses. This task-force has been chaired by means of the lead writer B. Maisch. therefore “Interventional Pericardiology” belongs in each clinical library and at the table of each heart specialist, cardiological interventionalist, and trainee with an curiosity in pericardial diseases.
Read or Download Interventional Pericardiology: Pericardiocentesis, Pericardioscopy, Pericardial Biopsy, Balloon Pericardiotomy and Intrapericardial Therapy PDF
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Extra info for Interventional Pericardiology: Pericardiocentesis, Pericardioscopy, Pericardial Biopsy, Balloon Pericardiotomy and Intrapericardial Therapy
Sample text
In severe cases, it may disappear altogether. Usually, pulsus paradoxus is detectable at the radial pulse, but before deciding that pulsus paradoxus is absent, the larger arteries such as the brachial or femoral should be checked. Clinically meaningful pulsus paradoxus is apparent when the patient is breathing normally. Caution in interpretation is needed if the sign is present only when the patient breathes very deeply. Pulsus paradoxus is absent in: 1. tamponade complicating a large atrial septal defect [12] (shunt flow is not influenced by respiration); and 2.
In this study, low QRS voltage persisted immediately after successful pericardiocentesis, but QRS amplitude recovered within one week [18]. However, QRS voltage also recovered after successful anti-inflammatory treatment, without pericardiocentesis (Fig. 4). Classic studies on cardiovascular dynamics have shown that the epicardial circumference shortens proportionally less than the endocardial circumference, resulting in different tension distributions [19], with the strong impact of these electrical inhomogeneities on the surface ECG [20].
Physiology of cardiac tamponade. In: Spodick DH (ed) The pericardium: a comprehensive textbook. Marcel Dekker, New York, 1997, pp 180–190 7. Reddy PS, Curtiss EI, Uretsky BF. Spectrum of hemodynamic changes in cardiac tamponade. Am J Cardiol 1990; 66: 1487–1491 31 References 8. Delgado C, Barturen F. Atrial tamponade causing acute ischemic hepatic injury after cardiac surgery. Clin Cardiol 1999; 22(3): 242–244 9. Ramsaran EK, Benotti JR, Spodick DH. Exacerbated tamponade: Deterioration of cardiac function by lowering excessive arterial pressure in hypertensive cardiac tamponade.