Fundamentals of Pediatric Cardiology 1st edition by David Driscoll – Ebook PDF Instant Download/Delivery: 0781785006 , 978-0781785006
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ISBN 10: 0781785006
ISBN 13: 978-0781785006
Author: David Driscoll
Based on Dr. Driscoll’s thirty years of successful bedside teaching at the Mayo Clinic, Fundamentals of Pediatric Cardiology is the ideal textbook for residents in pediatrics, family medicine, internal medicine, and pediatric and adult cardiology. This concise, well-organized, and easy-to-understand text can be read cover-to-cover during a pediatric cardiology rotation and focuses sharply on what primary care physicians need to know for initial evaluation and management of patients.
Dr. Driscoll explains the many types of congenital heart defects, focusing on the most frequent cardiac problems in infants, children, and adolescents. Emphasis is on use of new diagnostic tools in conjunction with the physical examination.
Fundamentals of Pediatric Cardiology 1st Table of contents:
CHAPTER 1: Cardiovascular Physiology
BASIC CARDIOVASCULAR PHYSIOLOGY
CARDIAC OUTPUT AND ITS DETERMINANTS
OHM’S LAW
POISEUILLE’S LAW
FICK PRINCIPLE
FIGURE 1.1
LAPLACE’S LAW
FIGURE 1.2
RESISTANCE AND COMPLIANCE
SELECTED REFERENCES
CHAPTER 2: Clinical Evaluation
HISTORY AND PHYSICAL EXAMINATION
HISTORY
PHYSICAL EXAMINATION
Inspection
FIGURE 2.1
FIGURE 2.2
FIGURE 2.3
Palpation
FIGURE 2.4
FIGURE 2.5
Percussion
Auscultation
General principles.
FIGURE 2.6
Heart sounds
Heart murmurs.
Intensity or Loudness
Frequency or Pitch
Temporal Location Within the Cardiac Cycle
Location in the Chest
Effect of Maneuvers and Position Change
SELECTED REFERENCE
CHAPTER 3: Basic Diagnostic Studies
ELECTROCARDIOGRAPHY
CARDIAC RHYTHM
FIGURE 3.1
FIGURE 3.2
FIGURE 3.3
FIGURE 3.4
FIGURE 3.5
FIGURE 3.6
FIGURE 3.7
FIGURE 3.8
FIGURE 3.9
FIGURE 3.10
FIGURE 3.11
FIGURE 3.12
FIGURE 3.13
FIGURE 3.14
FIGURE 3.15
CARDIAC ENLARGEMENT AND HYPERTROPHY
CHEST RADIOGRAPHY
FIGURE 3.16
FIGURE 3.17
FIGURE 3.18
ECHOCARDIOGRAPHY
CARDIAC CATHETERIZATION
SELECTED REFERENCES
CHAPTER 4: Pediatric Exercise Testing
DETERMINANTS OF EXERCISE PERFORMANCE
FIGURE 4.1
WORK, POWER, AND MAXIMAL AEROBIC POWER
FIGURE 4.2
FIGURE 4.3
CARDIAC RESPONSES TO EXERCISE
HEART RATE
FIGURE 4.4
BLOOD PRESSURE
FIGURE 4.5
CARDIAC OUTPUT AND STROKE VOLUME
VENTILATORY RESPONSES TO EXERCISE
FITNESS
TABLE 4.1: Changes That Occur with Increased Fitness
METHODOLOGY OF EXERCISE TESTING
TYPES OF EXERCISE AND ERGOMETERS
MEASUREMENT TECHNIQUES
HEART RATE AND ELECTROCARDIOGRAM
BLOOD PRESSURE
CARDIAC OUTPUT AND STROKE VOLUME
MEASUREMENTS OF VENTILATION
CLINICAL APPLICATIONS OF EXERCISE TESTING IN PEDIATRIC CARDIOLOGY
AORTIC STENOSIS
COARCTATION OF THE AORTA
PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT
SINGLE VENTRICLE
PECTUS EXCAVATUM
SELECTED REFERENCES
CHAPTER 5: Innocent Murmurs
FIGURE 5.1
FIGURE 5.2
PULMONARY FLOW MURMUR
STILL’S MURMUR
VENOUS HUM
CAROTID BRUIT
PHYSIOLOGIC PULMONARY BRANCH STENOSIS
ASSESSMENT OF INNOCENT MURMURS
SELECTED REFERENCES
CHAPTER 6: Chest Pain
TABLE 6.1: Percentage Distribution of Causes of Chest Pain in Children and Adolescents
COSTOCHONDRITIS
TIETZE SYNDROME
NONSPECIFIC CHEST WALL PAIN (IDIOPATHIC CHEST PAIN)
PRECORDIAL CATCH SYNDROME
SLIPPING RIB SYNDROME
HYPERSENSITIVE XIPHOID SYNDROME
TRAUMA AND MUSCLE STRAIN
SICKLE CELL DISEASE
LESS COMMON CAUSES OF CHEST PAIN
ASTHMA
INFECTION
PERICARDITIS
GASTROINTESTINAL DISEASES
PNEUMOTHORAX
CARDIAC CAUSES OF CHEST PAIN
MEDICAL EVALUATION
TREATMENT
OUTCOME
SELECTED REFERENCES
CHAPTER 7: Syncope and Sudden Death
SYNCOPE IN CHILDREN AND ADOLESCENTS
FIGURE 7.1
SUDDEN DEATH IN CHILDREN AND ADOLESCENTS
TABLE 7.1: Common Causes of Nontraumatic Death in Athletes
PREVENTION OF SUDDEN DEATH: SCREENING OF ATHLETES
ELECTROCARDIOGRAPHIC SCREENING OF CHILDREN
SCREENING ISSUES AND RECOMMENDATIONS
SELECTED REFERENCES
CHAPTER 8: Principles of Inheritance and Genetics of Congenital Heart Disease
PRINCIPLES OF INHERITANCE OF CONGENITAL HEART DISEASE
MULTIFACTORIAL INHERITANCE
FIGURE 8.1
TABLE 8.1: Recurrence Rates for Aortic Stenosis, Pulmonary Stenosis, and Ventricular Septal Defect from the Second Natural History Study of Congenital Heart Disease
SINGLE GENE DEFECTS
Marfan Syndrome
TABLE 8.2: Diagnostic Criteria for Marfan Syndrome
TABLE 8.3: Differential Diagnosis of Marfan Syndrome
Noonan Syndrome
Holt-Oram Syndrome
CHROMOSOMAL ABNORMALITIES
Aneuploidy
Down syndrome (Trisomy 21).
Turner syndrome.
Microdeletion Syndromes
22q11.2 Microdeletion (Shprintzen/DiGeorge/Velocardiofacial syndromes).
Williams syndrome.
SELECTED REFERENCES
CHAPTER 9: Left-to-Right Shunts
TABLE 9.1: Formula to Calculate the Ratio of Pulmonary and Systemic Blood Flow
ATRIAL SEPTAL DEFECTS
INCIDENCE, TYPES, AND EMBRYOLOGY
FIGURE 9.1
FIGURE 9.2
CLINICAL PRESENTATION
PHYSICAL EXAMINATION
ELECTROCARDIOGRAPHIC FEATURES
CHEST X-RAY
ECHOCARDIOGRAPHIC AND CARDIAC CATHETERIZATION ISSUES
TREATMENT
NATURAL HISTORY OF ATRIAL SEPTAL DEFECT AND OUTCOME OF TREATMENT
VENTRICULAR SEPTAL DEFECTS
INCIDENCE, TYPES, AND EMBRYOLOGY
FIGURE 9.3
FIGURE 9.4
CLINICAL PRESENTATION
PHYSICAL EXAMINATION
ELECTROCARDIOGRAPHIC FEATURES
CHEST X-RAY
ECHOCARDIOGRAPHIC AND CARDIAC CATHETERIZATION ISSUES
TREATMENT
NATURAL HISTORY OF VENTRICULAR SEPTAL DEFECT AND OUTCOME OF TREATMENT
PATENT DUCTUS ARTERIOSUS
INCIDENCE AND EMBRYOLOGY
FIGURE 9.5
CLINICAL PRESENTATION
PHYSICAL EXAMINATION
ELECTROCARDIOGRAPHIC FEATURES
CHEST X-RAY
ECHOCARDIOGRAPHIC AND CARDIAC CATHETERIZATION ISSUES
TREATMENT
NATURAL HISTORY OF PATENT DUCTUS ARTERIOSUS AND OUTCOME OF TREATMENT
ATRIOVENTRICULAR SEPTAL DEFECTS
INCIDENCE, TYPES, AND EMBRYOLOGY
FIGURE 9.6
CLINICAL PRESENTATION AND PHYSICAL EXAMINATION
ELECTROCARDIOGRAPHIC FEATURES
CHEST X-RAY
ECHOCARDIOGRAPHIC AND CARDIAC CATHETERIZATION ISSUES
TREATMENT
NATURAL HISTORY OF ATRIOVENTRICULAR SEPTAL DEFECTS AND OUTCOME OF TREATMENT
AORTICOPULMONARY WINDOW
FIGURE 9.7
ORIGIN OF ONE PULMONARY ARTERY FROM THE AORTA
TRUNCUS ARTERIOSUS
ARTERIOVENOUS FISTULA
SELECTED REFERENCES
CHAPTER 10: Right-to-Left Shunts
TABLE 10.1: Tissue Oxygenation and Blood Oxygen Content
FIGURE 10.1
FIGURE 10.2
FIGURE 10.3
TABLE 10.2: Pulmonary Causes of Cyanosis
APPROACH TO DIAGNOSIS
HISTORY
PHYSICAL EXAMINATION
CHEST RADIOGRAPH
FIGURE 10.4
ELECTROCARDIOGRAM
FIGURE 10.5
d-TRANSPOSITION OF THE GREAT ARTERIES
MANAGEMENT OF d-TRANSPOSITION OF THE GREAT ARTERIES WITH NO VENTRICULAR SEPTAL DEFECT
Arterial Switch (Jatene) Procedure
FIGURE 10.6
Atrial Switch (Senning or Mustard) Procedure
FIGURE 10.7
MANAGEMENT OF d-TRANSPOSITION OF THE GREAT ARTERIES WITH VENTRICULAR SEPTAL DEFECT
MANAGEMENT OF d-TRANSPOSITION OF THE GREAT ARTERIES WITH VENTRICULAR SEPTAL DEFECT AND PULMONARY STENOSIS OR ATRESIA
OUTCOME OF TREATMENT OF d-TRANSPOSITION OF THE GREAT ARTERIES
TETRALOGY OF FALLOT
FIGURE 10.8
FIGURE 10.9
MANAGEMENT OF TETRALOGY OF FALLOT
TABLE 10.3: Stepwise Treatment of Hypercyanotic Spells
OUTCOME OF TREATMENT OF TETRALOGY OF FALLOT
PULMONARY ARTERY ATRESIA WITH VENTRICULAR SEPTAL DEFECT
FIGURE 10.10
OUTCOME OF TREATMENT OF PULMONARY ATRESIA AND VENTRICULAR SEPTAL DEFECT
TRUNCUS ARTERIOSUS
FIGURE 10.11
FIGURE 10.12
OUTCOME OF TREATMENT OF TRUNCUS ARTERIOSUS
TRICUSPID ATRESIA
FIGURE 10.13
TRICUSPID ATRESIA WITH NORMALLY RELATED GREAT ARTERIES
TRICUSPID ATRESIA WITH TRANSPOSED GREAT ARTERIES
TRICUSPID ATRESIA WITH PULMONARY ARTERY ATRESIA
DEFINITIVE TREATMENT OF TRICUSPID ATRESIA
FIGURE 10.14
OUTCOME OF TREATMENT OF TRICUSPID ATRESIA
TABLE 10.4: Factors that May Adversely Affect Outcome after Fontan Operation
FIGURE 10.15
UNIVENTRICULAR HEART
OUTCOME OF TREATMENT OF UNIVENTRICULAR HEART
TOTALLY ANOMALOUS PULMONARY VENOUS RETURN
OUTCOME OF TREATMENT OF TOTALLY ANOMALOUS PULMONARY VENOUS RETURN
THE HYPOPLASTIC LEFT HEART SYNDROME
OUTCOME OF TREATMENT OF HYPOPLASTIC LEFT HEART SYNDROME
EBSTEIN ANOMALY
FIGURE 10.16
FIGURE 10.17
OUTCOME OF TREATMENT OF EBSTEIN ANOMALY
PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM
OUTCOME OF TREATMENT OF PULMONARY ATRESIA AND INTACT VENTRICULAR SEPTUM
CARDIOVASCULAR SHOCK
SELECTED REFERENCES
CHAPTER 11: Obstructive and Regurgitant Lesions
AORTIC STENOSIS AND INSUFFICIENCY
INCIDENCE AND TYPES
FIGURE 11.1
CLINICAL PRESENTATION
FIGURE 11.2
PHYSICAL EXAMINATION
ELECTROCARDIOGRAPHIC FEATURES
CHEST X-RAY
ECHOCARDIOGRAPHY AND CARDIAC CATHETERIZATION
TREATMENT
COARCTATION OF THE AORTA
INCIDENCE AND ASSOCIATED ANOMALIES
FIGURE 11.3
FIGURE 11.4
CLINICAL PRESENTATION
PHYSICAL EXAMINATION
ELECTROCARDIOGRAPHIC FEATURES
CHEST X-RAY
ECHOCARDIOGRAPHIC, MAGNETIC RESONANCE IMAGING, AND CARDIAC CATHETERIZATION ISSUES
TREATMENT
NATURAL HISTORY AND OUTCOME OF TREATMENT
PULMONARY VALVE STENOSIS AND INSUFFICIENCY
INCIDENCE AND TYPES
FIGURE 11.5
CLINICAL PRESENTATION
PHYSICAL EXAMINATION
ELECTROCARDIOGRAPHIC FEATURES
CHEST X-RAY
ECHOCARDIOGRAPHIC AND CARDIAC CATHETERIZATION ISSUES
TREATMENT
NATURAL HISTORY AND OUTCOME OF TREATMENT
MITRAL VALVE STENOSIS AND INSUFFICIENCY
INCIDENCE AND TYPES
CLINICAL PRESENTATION
PHYSICAL EXAMINATION
ELECTROCARDIOGRAPHIC FEATURES
CHEST X-RAY
ECHOCARDIOGRAPHIC AND CARDIAC CATHETERIZATION ISSUES
TREATMENT AND OUTCOME OF TREATMENT
SELECTED REFERENCES
CHAPTER 12: Acquired Heart Diseases
RHEUMATIC FEVER
EPIDEMIOLOGY
STREPTOCOCCUS
PATHOGENESIS
CLINICAL MANIFESTATIONS
TABLE 12.1: Differential Diagnosis of Rheumatic Fever
TABLE 12.2: Diagnosis of Rheumatic Fever
TREATMENT
SEQUELAE
PREVENTION
KAWASAKI DISEASE
TABLE 12.3: Clinical Features of Kawasaki Disease
INFECTIOUS ENDOCARDITIS
PRESENTING SIGNS AND SYMPTOMS
PHYSICAL FINDINGS
DIAGNOSIS
TABLE 12.4: Duke Criteria for Diagnosis of Infective Endocarditis
TABLE 12.5: Duke Clinical Criteria for Diagnosis of Infective Endocarditis
TREATMENT
COMPLICATIONS
PROPHYLAXIS
SELECTED REFERENCES
CHAPTER 13: Cardiomyopathy
HYPERTROPHIC CARDIOMYOPATHY
FIGURE 13.1
ETIOLOGY AND GENETICS
HISTORY
PHYSICAL EXAMINATION
ELECTROCARDIOGRAM
CHEST X-RAY
ECHOCARDIOGRAPHY
NATURAL HISTORY AND TREATMENT
DILATED OR CONGESTIVE CARDIOMYOPATHY
FIGURE 13.2
ETIOLOGY AND GENETICS
TABLE 13.1: Mutations Associated with Dilated Cardiomyopathy
HISTORY
PHYSICAL EXAMINATION
ELECTROCARDIOGRAM
CHEST X-RAY
ECHOCARDIOGRAM
NATURAL HISTORY AND TREATMENT
RESTRICTIVE CARDIOMYOPATHY
VENTRICULAR NONCOMPACTION
SELECTED REFERENCES
CHAPTER 14: Coronary Artery Anomalies
NORMAL CORONARY ARTERY ANATOMY
FIGURE 14.1
FIGURE 14.2
ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY
FIGURE 14.3
ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE RIGHT SINUS OF VALSALVA
FIGURE 14.4
ANOMALOUS ORIGIN OF THE RIGHT CORONARY ARTERY FROM THE LEFT SINUS OF VALSALVA
CONGENITAL CORONARY OSTIA WEB
SINGLE CORONARY ARTERY
CORONARY ARTERY FISTULA
CORONARY ARTERY PATTERNS ASSOCIATED WITH CONGENITAL HEART DEFECTS
TETRALOGY OF FALLOT
d-TRANSPOSITION OF THE GREAT ARTERIES
l-TRANSPOSITION OF THE GREAT ARTERIES
SELECTED REFERENCES
Back Matter
Index
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