TAILIEUCHUNG - Ebook Challenging concepts in cardiovascular medicine - A case based approach with expert commentary: Part 2

(BQ) Part 2 the book "Challenging concepts in cardiovascular medicine - A case based approach with expert commentary" presents the following contents: Heart rhythm disturbances, adult congenital heart disease, general cardiovascular medicine. | Paroxysmal atrial fibrillation Shouvik Haldar Expert commentary Professor John Camm Case history A 55-year-old man was referred to cardiology outpatients by his general practitioner GP with a 2-month history of intermittent palpitations. He was taking ramipril for hypertension and had no other relevant medical history. He drank 30 units of alcohol per week and was a lifelong non-smoker. There was no significant family history. He described four recent episodes of self-terminating palpitations. They were of sudden onset occurring both at rest and during mild exertion and had each lasted between 15 and 60 minutes. The first episode had occurred after he had returned from a party having consumed a significant amount of alcohol. The others had occurred whilst at work. On each occasion he had felt his heart pounding fast and chaotically and during the more prolonged attacks he had felt dizzy and breathless. Clinical examination revealed a regular pulse of 75 beats per minute bpm with a blood pressure BP of 145 80 mmHg. He had normal heart sounds with no signs of cardiac failure. His 12-lead electrocardiogram ECG confirmed a normal sinus rhythm with a normal electrical axis. Transthoracic echocardiography TTE confirmed a normal cardiac structure and function with a mildly dilated left atrial size of 40 mm normal 27-38 mm . Exercise stress testing did not induce any arrhythmias and was negative for ischaemia. Routine blood tests including thyroid function were normal. At this stage there was a high clinical suspicion of paroxysmal atrial fibrillation PAF . However in the absence of ECG evidence to confirm this diagnosis treatment was not commenced. He was advised to reduce his alcohol and caffeine intake and an outpatient 7-day event recorder was requested with subsequent follow-up arranged. By the time of his 6-week follow-up he had had a further two symptomatic episodes. Neither of these had occurred during his 7-day event recorder which had not documented any .

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• Challenging concepts in cardiovascular medicine
• Cardiovascular medicine
• Heart rhythm disturbances
• Adult congenital heart disease
• General cardiovascular medicine
• Paroxysmal atrial fibrillation
• Coronary heart disease
• The endocardium
• Valvular heart disease
• The myocardium and cardiomyopathy
• The myocardium
• Abstract of medical phd thesis
• Electrophysiological properties
• The efficacy of catheter
• Radio frequency ablation
• Atrial fibrillation
• Pulmonary vein isolation
• Cryoballoon ablation
• Phrenic nerve palsy
• Compound motor action potential
• Hypertrophic cardiomyopathy
• Follow up
• Radiofrequency Catheter Ablation
• Transseptal puncture
• Paroxysmall artrial fibrillation
• Mechanical heart valve
• Aortic mechanical valves
• Valvular heart surgery
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• công trình nghiên cứu về y học
• tài liệu về y học
• cách trình bày báo cáo