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EACVI Echo Handbook - sample

Discover the EACVI Echo Handbook

Chapter 7 Heart Valve

Chapter 7 Heart Valve Disease 7.1 Aortic valve stenosis 201 Role of echo 201 Assessment of AS severity 202 Measurement of LVOT diameter 203 LVOT velocity 204 AS jet velocity 206 Should aortic valve area be indexed? 208 What to do in the presence of arrhythmia? 208 Discrepancy between echo and cath lab 209 Aortic valve area planimetry 210 Velocity ratio (dimensionless index: DI) 211 Modified continuity equation (CE) 211 Grades of AS severity 212 Consequences of AS 212 Associated features 213 Exercise echocardiography 214 Monitoring 215 Discordant AS grading 216 7.2 Pulmonary stenosis (PS) 220 Role of echo 220 Assessment of PS severity 220 Grades of PS severity 223 7.3 Mitral stenosis (MS) 224 Role of echo 224 Morphology assessment in rheumatic MS 225 Assessment of MS severity 228 Grades of MS severity 235 Consequences of MS 235 Stress echocardiography 236 Echo criteria for PMC 237 Evaluation after PMC (before hospital discharge) 238 7.4 Tricuspid stenosis (TS) 240 Role of echo 240 Assessment of TS severity 241 Grades of TS severity 243 7.5 Aortic regurgitation (AR) 244 Role of echo 244 Aortic valve anatomy/imaging 246 Mechanism of dysfunction (Carpentier's classification) 247 Assessment of AR severity 249 Integrating indices of AR severity 261 Monitoring of asymptomatic patients with AR 262 Chronic/acute AR: differential diagnosis 263 7.6 Mitral regurgitation (MR) 264 Role of echo 264 Mechanism: lesion/deformation resulting in valve dysfunction 265 Dysfunction (Carpentier's classification): leaflet motion abnormality 267 199

Chapter 8 Cardiomyopathies Introduction 354 Primary cardiomyopathies aetiologies 354 8.1 Dilated cardiomyopathy (DCM) 355 Role of echocardiography 355 Diagnostic findings 355 Associated findings 356 Prognostic role of echocardiography 357 Echocardiographic role in CRT 357 8.2 Hypertrophic cardiomyopathy (HCM) 358 Diagnostic findings 358 Associated findings 360 Obstruction 361 Increased filling pressures in HCM 363 Diagnostic accuracy 368 Risk stratification 368 Clinical profiles and evolution: role of echo 368 Echo treatment guidance 369 Surgical myectomy 370 DDD pacing 370 8.3 Arrhythmogenic RV cardiomyopathy (ARVC) 371 Diagnostic findings 371 8.4 Left ventricular non-compaction (LVNC) 373 Diagnostic findings 373 8.5 Myocarditis 374 Diagnostic findings 374 8.6 Takotsubo cardiomyopathy 375 Diagnostic findings 375 Complications 375 8.7 Restrictive cardiomyopathy (RCM) 376 Diagnostic findings 376 Specific causes 377 Differential diagnosis with constrictive pericarditis 377 Suggested reading 378 353

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