Google

Monday, September 29, 2008

Medical instruments

Instrument

parametre

Reference / explanation

Swan ganz catheter

Pulmonary capillary wedge pressure

Bailey 23 rd edition page 105 of 2809 next page shown

Two-dimensional echocardiography

four chamber sizes, regional and global systolic function, and chamber wall thickness

valve motion, intracardiac masses, abnormal or absent cardiac structures, and pericardial fluid

Cmdt 2008 go there and search for this in cardiology section

PulsedDoppler ultrasound

semiquantitative or qualitative estimation of the severity of transvalvular gradients, RV systolic pressure, PA pressure, valvular regurgitation, and intracardiac shunts

CMDT 2008 go there and search for this in cardiology section

Color flow Doppler ultrasound

visual pattern of blood flow velocities superimposed over the anatomic two-dimensional echocardiographic image thus demonstration of turbulence from stenotic or regurgitant valves, and for the visualization of intracardiac defects

CMDT 2008 go there and search for this in cardiology section

Transesophageal echocardiography (TEE) with Doppler ultrasound

to derive information about posterior structures (especially the atria and AV valves), prosthetic heart valves, and intracardiac masses not seen on chest wall echocardiography (eg, vegetations in endocarditis or thrombi on pacemaker leads), and to monitor patients during surgery

confirm the location of the pulmonary veins and define septal defects or the presence of a patent foramen ovale (PFO)

superior to surface echocardiography in diagnosing LA appendage thrombi and regurgitant lesions associated with prosthetic valves

quite sensitive in detecting aortic dissection and severe atherosclerosis of the ascending aorta,

CMDT 2008 go there and search for this in cardiology section

Stress echocardiography

used in valvular as well as ischemic heart disease.

CMDT 2008 go there and search for this in cardiology section

Cardiac MRI

useful for defining myocardial diseases such as sarcoidosis or amyloidosis.

Flow measurements, valve orifice sizes, and shunt sizes can all be determined

Contrast-enhanced images can provide accurate measurement of myocardial infarction size and location

to screen for renal artery stenosis in patients with hypertension. However, patients with metal pacemakers or defibrillators are not candidates for MRI.

CMDT 2008 go there and search for this in cardiology section

Cardiac multislice CT (fast CT)

it is an excellent test to confirm normal coronaries

used to screen patients for CAD.

the effective dose equivalent is around 20 milliSieverts, about the same as a rest and exercise thallium study

CMDT 2008 go there and search for this in cardiology section

No comments: