By Leszek Rutkowski, Jörg Siekmann, Ryszard Tadeusiewicz, Lotfi A. Zadeh
This textbook covers all of the major subspecialties in cardiology, together with a wide share of case reviews that illustrate the foundations of scientific perform. Self trying out questions accompany each one case. Authored by means of prime cardiologists, this can be an up-to-the-minute, good illustrated, middle cardiological textual content for these getting ready for the professional examinations.
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Extra info for Cardiology Core Curriculum: A Problem Based Approach
8 Chronic aortic regurgitation. S1, first heart sound; S2, second heart sound; S3, third heart sound; SEM, systolic ejection flow murmur; EDM, early diastolic decrescendo murmur; LSE, left sternal edge; MDM, Austin–Flint middiastolic murmur diastolic, decrescendo murmur6 beginning with A2 (best heard using the diaphragm of the stethoscope at the left sternal edge, or base, with the patient leaning forward during expiration).
LSE . . . . . . . . . . . . . . . . . . . . . . . 6 Obstructive hypertrophic cardiomyopathy. 6), S1 is normal and S2 is split normally on inspiration. There is a prominent S4. A mid to late systolic ejection murmur is heard at the left sternal edge and apex. The murmur typically increases with Valsalva maneuver. When mitral regurgitation is present, an apical, holosystolic murmur is heard and may be accompanied by an S3. The chest and abdominal examinations are normal.
On auscultation, S1 is soft (with premature mitral valve closure). With regard to S2, P2 is often accentuated. There is gallop rhythm, with S3 and S4. There is a short, soft, early diastolic murmur of aortic regurgitation (patient leaning forward in expiration) and an ejection flow murmur in the aortic area. Chest examination reveals rales. Abdominal examination is normal. There is no peripheral edema. Peripheral arterial pulses are possibly absent or unequal if aortic dissection is the cause of acute aortic regurgitation.
Cardiology Core Curriculum: A Problem Based Approach by Leszek Rutkowski, Jörg Siekmann, Ryszard Tadeusiewicz, Lotfi A. Zadeh