By Sara Thorne, Paul Clift
To the grownup heart specialist, the language of congenital middle affliction should be complicated and the spectrum of illness bewildering. Many locate the chance of assembly an grownup with complicated congenital center ailment within the emergency division demanding, and rightly so. This e-book goals to dispel confusion and equip cardiology trainees, basic cardiologists, and acute drugs physicians with a valid knowing of the rules of the body structure and administration of grownup congenital center illness, which will deal with emergencies and realize the necessity for referral to a consultant unit.
With easy-to-understand diagrams and key scientific issues, this guide presents either speedy reference to be used whilst the scientific desire arises and in addition an perception into the fundamental ideas of congenital center ailment, giving the reader a great grounding within the care of the grownup with congenital center ailment.
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Extra info for Adult Congenital Heart Disease
Identiﬁcation of PVs. • 3D assessment of valvular structure and function, particularly in Ebstein’s anomaly. TRANSTHORACIC ECHOCARDIOGRAPHY (TTE) Fig. 8 Doppler assessment of mild (L) pulmonary regurgitation and severe (R) pulmonary regurgitation in patients with repaired tetralogy of Fallot. Fig. 9 Apical 4-chamber—secundum ASD with dilated RV. 19 20 CHAPTER 2 Non-invasive imaging Transoesophageal echo (TOE) • Requires experienced hands for congenital heart disease patients— operator dependent.
This page intentionally left blank 30 CHAPTER 2 Non-invasive imaging Computed tomography (CT) • Provides very high resolution imaging particularly of coronary arteries, collateral vessels, aorta, lung, pericardial calciﬁcation. g. pacemakers, ICDs. g. coarctation stent, spinal rods. Disadvantages • The ionizing radiation dose limits repeated usage. • Caution if using contrast in patients with impaired renal function. Particular uses • Anomalous coronary arteries • Coarctation stent follow-up (see Plate II).
BP. • O2 saturation. Reports The cardiopulmonary exercise report in adult congenital heart disease should contain the following information: • Diagnosis/indication for testing. • Exercise protocol used duration of exercise. • Comments regarding lung function (normal/limited). • ECG. • Maximum HR, HR at 1 and 2min post exercise. • Rhythm. • BP. • At peak exercise or immediately post exercise. • O2 saturation (start and at peak/immediately after exercise). • Exercise ﬂow and metabolic gas exchange.
Adult Congenital Heart Disease by Sara Thorne, Paul Clift