Document Detail

Management of valvular heart disease: an illustrative cases approach.
MedLine Citation:
PMID:  2015774     Owner:  NLM     Status:  MEDLINE    
As indicated by the 22 illustrative cases included in this monograph, a stepwise approach to the assessment of valvular heart disease provides the information necessary to make good clinical decisions. The ECG and chest x-ray add useful information to the history and physical examination. Echocardiography, Doppler, and color flow Doppler techniques have an important role in defining the presence and severity of valvular stenosis and regurgitation. Nuclear techniques provide useful information about global biventricular systolic function, regional wall motion, and myocardial perfusion. Exercise testing is most valuable in confirming objectively the patient's functional status and exercise tolerance. Newer imaging techniques, such as cine CT and MRI, are capable of displaying and measuring cardiac chamber size and myocardial thickness; however, visualization of the cardiac valves and demonstration of flow abnormalities are difficult, limiting the current usefulness of these techniques in patients with valvular heart disease.
A Kotlewski; D Kawanishi; S H Rahimtoola
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Current problems in cardiology     Volume:  16     ISSN:  0146-2806     ISO Abbreviation:  Curr Probl Cardiol     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-05-22     Completed Date:  1991-05-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7701802     Medline TA:  Curr Probl Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1-88     Citation Subset:  IM    
Department of Medicine LAC/USC Medical Center.
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MeSH Terms
Aortic Valve Insufficiency / diagnosis*,  physiopathology,  surgery
Aortic Valve Stenosis / diagnosis*,  physiopathology,  surgery
Coronary Disease / diagnosis,  physiopathology,  surgery
Endocarditis, Bacterial / diagnosis,  physiopathology,  surgery
Follow-Up Studies
Heart Catheterization
Heart Valve Prosthesis
Heart Valves / physiopathology
Heart Ventricles / physiopathology
Middle Aged
Mitral Valve Insufficiency / diagnosis*,  physiopathology,  surgery
Mitral Valve Prolapse / diagnosis,  physiopathology,  surgery
Mitral Valve Stenosis / diagnosis*,  physiopathology,  surgery
Ventricular Function, Left / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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