Harrison's Online >
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-1A | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with a normal heart. A. Parasternal long-axis view. There is symmetric contraction of the ventricles, evidenced by a decrease in cavity size and increase in wall thickness during systole. Echocardiographic imaging is performed in multiple acoustic windows with different transducer rotations so that the...
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-1B | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with a normal heart. B. Parasternal short-axis view. There is symmetric contraction of the ventricles, evidenced by a decrease in cavity size and increase in wall thickness during systole. Echocardiographic imaging is performed in multiple acoustic windows with different transducer rotations so that the...
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-2A | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with a severe decrease in left ventricular systolic function. The estimated ejection fraction is 20%. A. Parasternal long-axis view.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-2B | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with a severe decrease in left ventricular systolic function. The estimated ejection fraction is 20%. B. Parasternal short-axis view.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-3A | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with hypertrophic cardiomyopathy. There is a marked increase in left ventricular wall thickness with hyperdynamic systolic function. A. Parasternal long-axis view.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-3B | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with hypertrophic cardiomyopathy. There is a marked increase in left ventricular wall thickness with hyperdynamic systolic function. B. Parasternal short-axis view.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-4 | Requires QuickTime
Real-time two-dimensional parasternal long-axis images from a patient with aortic stenosis. There is normal left ventricular cavity size with normal systolic function. The aortic valve is thickened and calcified, with restricted opening.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-5A | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with mitral stenosis. There is diastolic doming and restricted leaflet opening secondary to fusion of the commissures. A. Parasternal long-axis view.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-5B | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with mitral stenosis. There is diastolic doming and restricted leaflet opening secondary to fusion of the commissures. B. Parasternal short-axis view.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-6A | Requires QuickTime
Real-time two-dimensional echocardiographic images from the parasternal long-axis view of a patient with mitral valve prolapse. During systole, both anterior and posterior leaflet of the mitral valve prolapse into the left atrium. A. Gray-scale images demonstrate a leaflet morphology and motion. Abnormalities of the valve apparatus such as annular dilatation, prolapse,...
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-6B | Requires QuickTime
Real-time two-dimensional echocardiographic images from the parasternal long-axis view of a patient with mitral valve prolapse. During systole, both anterior and posterior leaflet of the mitral valve prolapse into the left atrium. B. Color flow imaging demonstrating late systolic blue-colored jet of mitral regurgitation. Abnormalities of the valve apparatus such as...
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-7A | Requires QuickTime
Real-time two-dimensional images with color flow Doppler imaging of a patient with mitral regurgitation due to ruptured chordae tendineae. A. Gray-scale image showing a thickened redundant posterior leaflet of the mitral valve with loss of coaptation during systole.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-7B | Requires QuickTime
Real-time two-dimensional images with color flow Doppler imaging of a patient with mitral regurgitation due to ruptured chordae tendineae. B. Color flow imaging showing severe mitral regurgitation as high velocity turbulence (mosaic pattern) extending into the left atrium during systole.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-8 | Requires QuickTime
Real-time transesophageal echocardiographic images of a patient with severe mitral regurgitation due to a flail posterior leaflet. The posterior mitral valve leaflet is completely unsupported and moves into the left atrium during systole. Transesophageal echocardiography provides high-resolution images of posterior structure such as the left atrium, mitral valve, and aorta.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-9 | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with a vegetation on the mitral valve. There is a mobile echo density attached directly to the mitral valve apparatus that intermittently appears in the left atrium.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-10 | Requires QuickTime
Real-time transesophageal echocardiographic images of a patient with a left atrial myxoma. There is a large echo-dense mass in the left atrium that is attached to the atrial septum. The mass moves across the mitral valve during diastole. Although an echocardiographic image cannot provide pathologic confirmation of the etiology of a mass, the diagnosis of atrial myxoma can be suspected from the appearance, mobility, and attachment to the atrial septum.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-11 | Requires QuickTime
Real-time two-dimensional echocardiographic images from the parasternal long-axis view of a patient with a large aneurysm of the ascending aorta.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-12 | Requires QuickTime
Real-time two-dimensional echocardiographic images of a patient with pericardial effusion. The effusion is shown as a black echo-free space surrounding the heart.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-13 | Requires QuickTime
Real-time two-dimensional echocardiographic images from a subcostal view showing a large secundum atrial septal defect. There is a "drop out" in the region of the mid atrial septum. The right ventricle is enlarged from right ventricular volume overload.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-14A | Requires QuickTime
Real-time two-dimensional echocardiographic images showing a close-up view of the atrial septum in a patient with the question of an atrial septal defect. A. Gray-scale image showing a questionable "drop out" in the atrial septum.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-14B | Requires QuickTime
Real-time two-dimensional echocardiographic images showing a close-up view of the atrial septum in a patient with the question of an atrial septal defect. B. Color flow imaging confirms left to right flow across the atrial septum.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-15A | Requires QuickTime
Real-time two-dimensional stress echocardiogram in a normal subject. The studies at rest are shown on the left and the studies during peak exercise are shown on the right. A. Parasternal long-axis (top) and short-axis (bottom) views. At rest, there is contraction of all segments of the myocardium. During exercise, there is an increase in contractility and in the thickening of all segments of the myocardium with a decrease in end-systolic volume.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-15B | Requires QuickTime
Real-time two-dimensional stress echocardiogram in a normal subject. The studies at rest are shown on the left and the studies during peak exercise are shown on the right.B. Apical four-chamber (top) and two-chamber (bottom) views. At rest, there is contraction of all segments of the myocardium. During exercise, there is an increase in contractility and in the thickening of all segments of the myocardium with a decrease in end-systolic volume.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-16A | Requires QuickTime
Real-time two-dimensional stress echocardiogram of a patient with coronary artery disease. The studies at rest are shown on the left and studies during peak exercise are shown on the right. A. Parasternal long-axis (top) and short-axis (bottom) views. The images during peak exercise show regional wall motion abnormalities in the anteroseptal distribution...
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >
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Video e29-16B | Requires QuickTime
Real-time two-dimensional stress echocardiogram of a patient with coronary artery disease. The studies at rest are shown on the left and studies during peak exercise are shown on the right. B. Apical four-chamber (top) and two-chamber (bottom) views. The images during peak exercise show regional wall motion abnormalities in the anteroseptal distribution...
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > MRI/CT Images >
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Video e29-17 | Requires QuickTime
MRI scan in real time of a patient with a large left ventricular apical aneurysm. The long axis-view demonstrates a thin dyskinetic apical aneurysm with a preserved systolic function of the basal anterior and basal inferior wall. MRI scanning allows excellent visualization of endocardial border.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > MRI/CT Images >
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Video e29-18 | Requires QuickTime
Cine MRI scan of a patient with a dilated ascending aorta (annulo-aortic ectasia). There is a central jet of aortic regurgitation entering the left ventricular outflow tract.
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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > MRI/CT Images >
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Video e29-19 | Requires QuickTime
CT coronary angiogram showing a normal right coronary artery. The movie highlights multiple thin slices through the right coronary artery.
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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >
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Video e32-1 | Requires QuickTime
Pulse pressure. Considerable evidence suggests that pulse pressure serves as an important risk factor for future cardiovascular events. This video clip explains the derivation of pulse pressure and some of the pathophysiology that determines this parameter. (Animation by Animation MD; with permission.)
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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >
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Video e32-2 | Requires QuickTime
Plaque instability. Most coronary thromboses result from a physical disruption of the atherosclerotic plaque. This animation explains some of the current concepts of the pathophysiology of atherosclerotic plaque disruption and how it triggers arterial thrombosis.
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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >
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Video e32-3 | Requires QuickTime
Lipoprotein menagerie. The lipid profile confers important information regarding cardiovascular risk and the effects of therapies; understanding lipoprotein metabolism provides insight into the pathophysiology of arterial disease. This animation presents the rudiments of lipoprotein metabolism that are important in clinical medicine.
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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >
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Video e32-4 | Requires QuickTime
Formation and complication of atherosclerotic plaques. Physicians now understand the generation of atherosclerotic plaques as a dynamic process involving an interchange between cells of the artery wall, inflammatory cells recruited from blood, and risk factors such as lipoproteins. This animation reviews current thinking about how risk factors alter the biology of the artery...
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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >
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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >
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Video e32-6 | Requires QuickTime
Metabolic syndrome. A number of important cardiovascular risk factors tend to cluster in a pattern that has been described by some as the metabolic syndrome. Although controversy persists regarding whether cardiovascular risk due to these factors is additive or synergistic, their clinical importance is growing. This animation discusses some of the metabolic derangements that underlie the metabolic syndrome.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >
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Video e33-2 | Requires QuickTime
Attempts to cross the total occlusion in the LCx using a hydrophilic wire and an antegrade approach were not successful, with the wire tracking to the right of the trajectory.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >
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Video e33-3 | Requires QuickTime
The LAD septal collateral is accessed with a guidewire and directed toward the distal LCx to cross the total occlusion retrograde.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >
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Video e33-4 | Requires QuickTime
The total occlusion is crossed retrograde. The wire is snared in the guide, exteriorized, and used to provide antegrade access to the LCx.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >
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Video e33-6 | Requires QuickTime
Following stenting of the total occlusion, blood flow in the distal vessel is improved and a second significant stenosis is seen.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Video e33-8 | Requires QuickTime
Baseline angiogram of the left coronary circulation shows the significant stenosis in the mid-LAD and the bifurcation lesion involving a large diagonal branch.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial InfarctionThrombus and Manual Thrombectomy >
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Video e33-17 | Requires QuickTime
The right coronary artery (RCA) is totally occluded with filling defects in the vessel after contrast injection, indicating thrombus is present in the vessel.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial InfarctionThrombus and Manual Thrombectomy >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial InfarctionThrombus and Manual Thrombectomy >
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Video e33-19 | Requires QuickTime
Result after manual thrombectomy and thrombus extraction. The "culprit" ruptured plaque and residual thrombus are now apparent in the vessel.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial InfarctionThrombus and Manual Thrombectomy >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial InfarctionThrombus and Manual Thrombectomy >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial InfarctionThrombus and Manual Thrombectomy >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 4. Saphenous Vein Graft Intervention with Distal Protection >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 4. Saphenous Vein Graft Intervention with Distal Protection >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 4. Saphenous Vein Graft Intervention with Distal Protection >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 4. Saphenous Vein Graft Intervention with Distal Protection >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >
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Video e33-27 | Requires QuickTime
Baseline left coronary artery injection in right anterior oblique (RAO) cranial projection shows a high-grade calcified stenosis in the left main coronary artery and a significant stenosis in the proximal LAD.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >
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Video e33-28 | Requires QuickTime
In the left anterior oblique (LAO) caudal view, the left main coronary artery lesion can be seen to extend into the ostia of both the LCx and the LAD.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >
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Video e33-29 | Requires QuickTime
Guide wires were placed into both the LCx and LAD. After the left main coronary artery and LCx are dilated with balloon angioplasty, the proximal LAD is dilated and a long drug-eluting stent is placed to cover a lesion dissection that occurred with wiring of the vessel.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >
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Video e33-30 | Requires QuickTime
The bifurcation lesion in the left main coronary artery extending into the LCx and LAD ostia is treated using a "culotte" technique. First, a drug-eluting stent is placed in the left main coronary artery and into the proximal LCx.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >
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Video e33-31 | Requires QuickTime
Next, the LAD wire is removed and passed through the stent into the distal LAD. A second drug-eluting stent is deployed through the struts of the left main coronary artery/LCx stent.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >
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Video e33-35 | Requires QuickTime
Baseline angiogram of the left coronary circulation in the RAO view shows the total occlusion of the second obtuse marginal branch with delayed retrograde filling via collateral vessels and a high-grade stenosis in the ramus intermedius.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >
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Video e33-37 | Requires QuickTime
Following placement of a drug-eluting stent in the lesion, the vessel is widely patent. A third obtuse marginal vessel, not previously seen, now fills faintly (TIMI 1 flow) with contrast but was not treated.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >
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Video e33-39 | Requires QuickTime
A drug-eluting stent is placed across the ramus lesion and deployed. The final result shows no residual stenosis in either the ramus or second obtuse marginal vessels.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 7: Very Late Stent Thrombosis of a Proximal Lad Drug-Eluting Stent >
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Video e33-43 | Requires QuickTime
Baseline angiogram showing a total occlusion of the proximal LAD within the drug-eluting stent and a significant stenosis at the origin of the LCx.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 7: Very Late Stent Thrombosis of a Proximal Lad Drug-Eluting Stent >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 7: Very Late Stent Thrombosis of a Proximal Lad Drug-Eluting Stent >
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Video e33-45 | Requires QuickTime
The LAD lesion was crossed with a guidewire, which resulted in slow filling of the mid-LAD (TIMI 2 flow), and revealed thrombus filling the stent.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 7: Very Late Stent Thrombosis of a Proximal Lad Drug-Eluting Stent >
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Video e33-46 | Requires QuickTime
The final result after LAD and LCx stenting. The LAD lesion was pretreated with balloon angioplasty and a bare metal stent was deployed to cover the proximal lesion. The LCx ostial lesion was dilated with balloon angioplasty and a bare metal stent was placed using a "V stenting" technique.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 8: Transcatheter Aortic Valve Implantation >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 8: Transcatheter Aortic Valve Implantation >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 8: Transcatheter Aortic Valve Implantation >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 8: Transcatheter Aortic Valve Implantation >
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Video e33-50 | Requires QuickTime
Aortogram after valve deployment shows a functional valve with mild aortic insufficiency and without impingement of the coronary ostia.
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 9: Atrial Septal Defect Closure >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 9: Atrial Septal Defect Closure >
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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 9: Atrial Septal Defect Closure >
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CURRENT Medical Dx & Tx > Chapter 9. Pulmonary Disorders > Disorders of the Pulmonary Circulation > Pulmonary Hypertension > Clinical Findings > Imaging and Special Examinations >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Pulmonary Examination >
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Audio | Requires QuickTime
Recording of a person with early congestive heart failure. The lung sounds of early congestive heart failure are very similar to those of pulmonary fibrosis. The fine end-inspiratory rales of the two diseases are difficult to distinguish. (Reproduced, with permission, from Murphy RLH Jr: A Simplified Introduction to Lung Sounds [audio tape], 1977.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
Atrial septal defect (ASD) and pulmonary hypertension. Note S1 followed by a rough systolic murmur and fixed close splitting of A2-P2. P2 is louder than A2. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
Pulmonary hypertension. Note the rough mid-systolic murmur followed by a split S2 with a lout P2. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
Congestive heart failure due to valvular dysfunction. Note the holosystolic murmur and S2 followed by S3. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
An S4 precedes S1 and is an abnormal finding in this pregnant patient. Peripartum cardiomyopathy must be considered. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
Mitral valve prolapse with S1, non-ejection click, late systolic murmur, and S2. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
Mitral regurgitation causing heart failure. Note the holosystolic murmur heard best at the apex, followed by S2 and an S3. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
Tricuspid regurgitation due to tricuspid valve endocarditis. A blowing holosystolic murmur is preceded by S1, followed by S2, and increases in loudness with inspiration. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
Ventricular septal defect (VSD). Blowing to rough grade 4/6 holosystolic murmur. A VSD may cause a loud rough murmur rather than a more characteristic blowing murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Audio | Requires QuickTime
Pulmonary regurgitation due to primary pulmonary hypertension. Note the loud P2 followed by a rapidly attenuating early diastolic murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Diagnostic Testing > Noninvasive Diagnostic Imaging for Noncoronary Heart Disease > Echocardiography & Doppler Ultrasound Imaging >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Diagnostic Testing > Noninvasive Diagnostic Imaging for Noncoronary Heart Disease > Echocardiography & Doppler Ultrasound Imaging >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Diagnostic Testing > Noninvasive Diagnostic Imaging for Noncoronary Heart Disease > Echocardiography & Doppler Ultrasound Imaging >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Diagnostic Testing >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Pulmonary Stenosis > Clinical Findings > Symptoms and Signs >
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Audio | Requires QuickTime
Pulmonary valve stenosis. S1 followed by a click, then a rough systolic murmur and a single S2. The click would disappear with inspiration due to early opening of the pulmonary valve. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Pulmonary Stenosis > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Pulmonary Stenosis > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Pulmonary Stenosis > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Atrial Septal Defect & Patent Foramen Ovale > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Ventricular Septal Defect > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Patent Ductus Arteriosus > Clinical Findings > Symptoms and Signs >
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Audio | Requires QuickTime
Patent ductus arteriosus (PDA). Continuous murmur. S2 is obliterated by the waxing and waning of the murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Mitral Stenosis > Clinical Findings > Symptoms and Signs >
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Audio | Requires QuickTime
Moderate mitral stenosis with a typical presystolic murmur, loud S1, and S2 followed by a late opening snap and soft, barely audible mid-diastolic murmur. Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Mitral Stenosis > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Mitral Stenosis > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Mitral Stenosis > Treatment & Prognosis >
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Video | Requires QuickTime
Percutaneous transvenous mitral commissurotomy (PTMC) with Inoue balloon catheter. The balloon inflates distally and then proximally to allow proper positioning across the mitral valve. The mean pressure gradient across the mitral valve is proportionate to the area between the pressure curves and is markedly reduced after PTMC. (Courtesy of T Amidon and T Chou.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Aortic Stenosis > Clinical Findings > Symptoms and Signs >
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Audio | Requires QuickTime
Subaortic stenosis (subvalvular aortic stenosis). A typical to-and-fro murmur which does not overlap S2. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Aortic Stenosis > Clinical Findings > Symptoms and Signs >
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Audio | Requires QuickTime
Aortic stenosis in a man presenting with angina, syncope, and dyspnea on exertion. Note S1 and an ejection sound followed by a rough systolic murmur and a single S2 (P2). (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Aortic Stenosis > Prognosis & Treatment >
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Video | Requires QuickTime
Percutaneous balloon valvuloplasty of calcific aortic stenosis. Hemodynamic tracings of simultaneously recorded aortic and left ventricular pressure waveforms are depicted. The mean pressure gradient across the aortic valve is proportionate to the area between the pressure curves and is markedly reduced after valvuloplasty. (Courtesy of T Amidon and T Chou.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Aortic Regurgitation > Clinical Findings > Symptoms and Signs >
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Audio | Requires QuickTime
Severe aortic regurgitation due to aortic valve endocarditis. Note the rough 3/6 mid-systolic murmur, then S2, a musical early diastolic murmur, and a mid-diastolic Austin-Flint murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Choice & Management of Prosthetic Valves >
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Audio | Requires QuickTime
Prosthetic mitral valve sounds. Note the loud closing click of the mitral valve, a second sound and a softer closing click. This sound is heard at the apex of the heart in the mitral area and signifies the presence of non-biological prosthetic mitral valve.” (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Choice & Management of Prosthetic Valves >
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Audio | Requires QuickTime
Prosthetic aortic valve. Note the crisp click of a prosthetic non-biological valve. A2 is the loudest portion of the second heart sound (S2), consistent with a prosthetic aortic valve.” (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Clinical Findings > Signs >
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Audio | Requires QuickTime
Hypertrophic obstructive cardiomyopathy (HOCM). A mid-systolic rough 3/6 murmur and S2 is heard with the patient supine. This murmur is louder when the patient stands, performs a Valsalva maneuver, or inhales amyl nitrite. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Clinical Findings > Coronary Angiography >
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Video | Requires QuickTime
Coronary angiography revealing high-grade stenosis in the proximal left anterior descending coronary artery. (Courtesy of T Amidon and T Chou.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Clinical Findings > Coronary Angiography >
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Video | Requires QuickTime
Coronary angiography revealing high-grade stenosis in the proximal right coronary artery. (Courtesy of T Amidon and T Chou.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >
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Video | Requires QuickTime
Coronary angiography revealing high-grade stenosis in the proximal right coronary artery. (Courtesy of T Amidon and T Chou.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >
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Video | Requires QuickTime
Percutaneous transluminal coronary angioplasty (PTCA) of the high-grade stenosis in the proximal right coronary artery. (Courtesy of T Amidon and T Chou.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >
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Video | Requires QuickTime
Coronary angiography reveals serial high-grade stenoses in the left circumflex coronary artery. (Courtesy of T Amidon and T Chou.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >
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Video | Requires QuickTime
Deployment of coronary stents to stenoses in left main and left circumflex coronary arteries. (Courtesy of T Amidon and T Chou.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Clinical Findings > Signs > Chest >
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Audio | Requires QuickTime
Patients with congestive heart failure may develop pulmonary edema. When this occurs, more extensive rales or diffuse wheezing is heard. (Reproduced, with permission, from Murphy RLH Jr: A Simplified Introduction to Lung Sounds [audio tape], 1977.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Clinical Findings > Signs > Heart >
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Audio | Requires QuickTime
Viral pericarditis with effusion and pericardial friction rub. Note the three component rub, two in diastole, and one in systole. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Complications > Myocardial Dysfunction > Hypotension and shock >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Complications > Myocardial Dysfunction > Hypotension and shock >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Complications > Myocardial Rupture >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Complications > LV Aneurysm >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congestive Heart Failure > Pathophysiology >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congestive Heart Failure > Clinical Findings > Additional Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Myocarditis & the Cardiomyopathies > Hypertrophic Cardiomyopathy > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Myocarditis & the Cardiomyopathies > Hypertrophic Cardiomyopathy > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Myocarditis & the Cardiomyopathies > Hypertrophic Cardiomyopathy > Clinical Findings > Diagnostic Studies >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Myocarditis & the Cardiomyopathies > Restrictive Cardiomyopathy > General Considerations >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Rheumatic Fever > General Considerations >
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Pulmonary Hypertension & Pulmonary Heart Disease > Pulmonary Heart Disease (Cor Pulmonale) > Clinical Findings > Symptoms and Signs >
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Audio | Requires QuickTime
A summation gallop in heart failure. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Neoplastic Diseases of the Heart >
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Audio | Requires QuickTime
Left atrial myxoma. Note the presystolic murmur, S1 followed by S2 and a tumor plop, and a soft diastolic murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)
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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Neoplastic Diseases of the Heart >
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CURRENT Medical Dx & Tx > Chapter 11. Systemic Hypertension > Clinical Findings > Signs > Heart >
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Audio | Requires QuickTime
Fourth heart sound. The fourth heart sound immediately precedes the first heart sound and is heard best over the left sternal border. (Reproduced, with permission, from Cardionics, Inc., Houston, Texas.)
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CURRENT Medical Dx & Tx > Chapter 12. Blood Vessel & Lymphatic Disorders > Arterial Aneurysms > Aortic Dissection > Clinical Findings > Symptoms and Signs >
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Audio | Requires QuickTime
Aortic regurgitation: The key features of aortic regurgitation are a blowing, early diastolic, decrescendo murmur, heard best over the upper left sternal border, with radiation to the cardiac apex. (Reproduced, with permission, from Cardionics, Inc., Houston, Texas.)
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CURRENT Medical Dx & Tx > Chapter 12. Blood Vessel & Lymphatic Disorders > Arterial Aneurysms > Aortic Dissection > Clinical Findings > Imaging >
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Video | Requires QuickTime
Aortic dissection as demonstrated by transesophageal echocardiography. (Courtesy of B. Macrum and E Foster.)
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CURRENT Medical Dx & Tx > Chapter 22. Kidney Disease > Chronic Kidney Disease > Complications > Cardiovascular Complications > Pericarditis >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Principles of Cardiac Electrophysiology >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Principles of Cardiac Electrophysiology >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Principles of Cardiac Electrophysiology >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 28. Pharmacotherapy of Congestive Heart Failure > Pharmacotherapy of Congestive Heart Failure: Introduction >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Anti-Arrhythmic Drugs >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs > Antiplatelet Drugs >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs > Parenteral Anticoagulants >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs > Fibrinolytic Drugs >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs > Oral Anticoagulants >
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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Mechanisms of Cardiac Arrhythmias >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 3. Myocardial Perfusion Single Photon Emission Computed Tomography and Positron Emission Tomography > SPECT Technique > Gated SPECT and Electrocardiogram Triggering >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 3. Myocardial Perfusion Single Photon Emission Computed Tomography and Positron Emission Tomography > SPECT Technique > Gated SPECT and Electrocardiogram Triggering >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 3. Myocardial Perfusion Single Photon Emission Computed Tomography and Positron Emission Tomography > SPECT Technique > Gated SPECT and Electrocardiogram Triggering >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Transthoracic Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Transesophageal Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Moving Image 8-8B | Requires QuickTime
Bright blood magnetic resonance imaging in oblique views to visualize the region of anomalous pulmonary vein connection to the superior right atrium / superior vena cava.
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >
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Moving Image 8-9C | Requires QuickTime
Bright blood magnetic resonance imaging in double oblique views to visualize the region of anomalous pulmonary vein connection to the superior right atrium / superior vena cava.
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Ablation and Impedance Mapping >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Transesophageal Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Transesophageal Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Transesophageal Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >
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Moving Image 8-23A | Requires QuickTime
Doppler analysis across the atrial septum demonstrating right to left shunting after sheath removal from the left atrium in a patient with pulmonary hypertension.
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >
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Moving Image 8-24 | Requires QuickTime
ICE with ICE probe in the left atrium for visualization of mapping catheter contact with the pulmonary vein antrum and assessment of position in relation to structures of importance such as the esophagus.
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Contact Mapping >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Contact Mapping >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Voltage Mapping (Three-Dimensional Contact Mapping System) >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Voltage Mapping (Three-Dimensional Contact Mapping System) >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Voltage Mapping (Three-Dimensional Contact Mapping System) >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Activation and Propagation Mapping (Three-Dimensional Contact Mapping System) >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Electroanatomic Mapping (Three-Dimensional Noncontact Mapping System) >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Postprocedure Evaluation > Cardiac PET >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Postprocedure Evaluation > Cardiac PET >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 10. Optical Mapping of Electrical Activity > Arrhythmogenesis during Acute Ischemia and Reperfusion >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 10. Optical Mapping of Electrical Activity > Arrhythmogenesis during Acute Ischemia and Reperfusion >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 10. Optical Mapping of Electrical Activity > Spontaneous Arrhythmias in Tissues Recovered from Ischemia >
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Moving Image 10-5 | Requires QuickTime
Prior ischemia promoted spontaneous early afterdepolarizations (EADs) and ventricular tachyarrhythmia (VT) in a canine left ventricular tissue having anemone toxin II (ATX-II)–induced long QT syndrome.
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Imaging of the Atrioventricular Valve Function >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Imaging of the Atrioventricular Valve Function >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Introduction >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Selected Noninvasive RV Imaging Techniques > Echocardiography > Two-Dimensional Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Selected Noninvasive RV Imaging Techniques > Echocardiography > Two-Dimensional Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Selected Noninvasive RV Imaging Techniques > Echocardiography > Three-Dimensional Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Selected Noninvasive RV Imaging Techniques > Multidetector Cardiac Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Specific RV Cardiomyopathies > Congenital Heart Disease > Tetralogy of Fallot with Pulmonary Regurgitation >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Specific RV Cardiomyopathies > Congenital Heart Disease > Tetralogy of Fallot with Pulmonary Regurgitation >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Specific RV Cardiomyopathies > Arrhythmogenic RV Cardiomyopathy/Dysplasia >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Magnetic Resonance Imaging >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Magnetic Resonance Imaging >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Magnetic Resonance Imaging >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Magnetic Resonance Imaging >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Atheromatous Disease > Aortic Atheromatous Plaques and Atheroembolization >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Atheromatous Disease > Aortic Atheromatous Plaques and Atheroembolization >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Atheromatous Disease > Aortic Penetrating Atherosclerotic Ulcers >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Atheromatous Disease > Aortic Penetrating Atherosclerotic Ulcers >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Epidemiology and Classification >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Epidemiology and Classification >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Imaging > Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Imaging > Echocardiography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Imaging > CT and MRI >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Imaging > CT and MRI >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 24. Pulmonary Vascular Disease > Idiopathic Pulmonary Arterial Hypertension > Imaging > Chest Radiograph >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 24. Pulmonary Vascular Disease > Idiopathic Pulmonary Arterial Hypertension > Imaging > Computed Tomography >
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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 24. Pulmonary Vascular Disease > Idiopathic Pulmonary Arterial Hypertension > Imaging > Computed Tomography >
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