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SECTION 1 Cardiovascular Anatomy and Physiology Review 1
1 Cardiac Anatomy 2
2 Cardiac Vascular Connections, Anatomy, and Ultrasound Imaging 5
3 Cardiac Physiology 17
SECTION 2 Handheld Echocardiography Devices and Cardiac Imaging
Techniques 21
4 Handheld Echocardiographic Devices and Imaging Features 22
5 How to Perform Ultrasound of the Heart and its Arterial
and Venous Connections 25
6 Normal Echocardiogram 33
SECTION 3 Cardiovascular Case Studies Diagnosed With Handheld
Echocardiography 43
7 Case 1—A 70-Year-Old Man With Postoperative Atrial Fibrillation 44
Case 2—Tight Wedding Ring on a 68-Year-Old Man With Dilated
Cardiomyopathy and New Onset Atrial Fibrillation 50
Case 3—Resuscitated Cardiac Arrest After Coronary Artery Bypass Graft (CABG)
Surgery and Mitral Valve Repair for Ischemic Mitral Regurgitation (MR) 56
8 Case 1—A 72-Year-Old Man With Dysphagia, Dyspnea, and Ankle Edema 60
Case 2—A 78-Year-Old Man With Dysphagia and Known Coronary Artery
Disease 66
9 Case 1—A 75-Year-Old Woman With Known Advanced Cardiomyopathy
Presents to the Emergency Department With Recurrent Dyspnea 70
Case 2—78-Year-Old Man With Lower Extremity Edema, Dyspnea, and Weight
Gain During a Long Cruise 76
Case 3—A 53-Year-Old Female With New Onset Heart Failure 83
Case 4—A 56 year old woman with dyspnea and chest pain 90
10 Case 1—62-Year-Old Man for General Medical Evaluation 97
Case 2—An 81-Year-Old Man Undergoing Workup for Transcutaneous Aortic
Valve Replacement (TAVR) for Severe Aortic Stenosis Presents With Severe
Dyspnea 104
Case 3—Incidental Finding on CT Chest Screening for Lung Cancer in a
56-Year-Old Woman 110
11 Case 1—An 85-Year-Old Man With Remote Aortic Valve Replacement
Presents With Dyspnea 117
Case 2—A 65-Year-Old Man With Dyspnea Status Post TAVR and TMVR 124
Case 3—An 86-Year-Old Man Post TAVR Presents With Dyspnea 131
12 Case 1—A 72-Year-Old Man With Fatigue After Mitral Valve Replacement 137
13 Case 1—Cardiology Consult Before Noncardiac Surgery for Brain Tumor 144
Index 150
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