Hemodynamic Rounds (eBook)

Bruce R. Hopkins is a senior partner with the firmPolsinelli Shughart PC. He is also the author or coauthor of morethan twenty-five books, all published by Wiley, including The Lawof Tax-Exempt Organizations, Ninth Edition; The New Form 990; andNonprofit Law Made Easy. Hopkins earned his juris doctorate andmaster of laws degrees at The George Washington University. He haspracticed law for forty years and is a member of the District ofColumbia and Missouri bars. Virginia C. Gross is a shareholder of Polsinelli ShughartPC. Ms. Gross concentrates her practice in the field of nonprofitlaw and is a frequent writer and speaker on nonprofit issues. Sheis listed in The Best Lawyers in America for nonprofitorganizations/charity law for 2008 and 2009. She is a coauthor ofThe New Form 990, published by Wiley. Ms. Gross earned herjuris doctorate at the University of Texas. She is a member of theDistrict of Columbia, Texas, Missouri, and Kansas bars.

SECTION I: FUNDAMENTALS OF HEMODYNAMIC WAVEFORMS.

PART 1: HEMODYNAMIC WAVEFORMS: NORMAL AND PATHOLOGIC.

1.1 Pressure Waves: Measurement systems and Artifacts.

1.2 Right Heart Hemodynamics.

1.3 The Tricuspid V Wave.

1.4 Left-Sided V Wave.

1.5 The LVEDP.

1.6 Simultaneous RV and LV pressure.

1.7 The effects of NTG.

1.8 Pulsus Alternans.

PART 2: VALVULAR HEMODYNAMICS.

2.1 Aortic Valve.

2.1.1 The Stenotic Aortic Valve.

2.1.2 Low-Gradient Aortic Valve Stenosis.

2.1.3 The Regurgitant Aortic Valve.

2.1.4 Aortic Regurgitation.

2.1.5 Prosthetic Aortic Root And Valve.

2.1.6 Acute Aortic Insufficiency.

2.2 The Mitral Valve.

2.2.1 Mitral Valve Gradients.

2.2.2 Multivalvular Regurgitant Lesions.

2.3 The Pulmonary Valve.

PART 3: VALVULOPLASTY.

3.1.1 Percutaneous Aortic Balloon Valvuloplasty.

3.1.2 Percutaneous Mitral Balloon Valvuloplasty.

3.1.3 Percutaneous Pulmonic Balloon Valvuloplasty.

PART 4: CONSTRICTIVE PHYSIOLOGY.

4.1 Pericardial Compressive Hemodynamics.

4.2 Dynamics of Ventricular Pressure Interactions.

4.3 Criteria of Constrictive Physiology.

4.4 Cardiac Tamponade.

PART 5: ARRHYTHMIAS.

5.1 Cardiac Arrhythmias.

5.2 Pacemaker Arrhythmias.

PART 6: HOCM.

PART 7: CORONARY HEMODYNAMICS.

PART 8: ADULT CONGENTIAL ANOMALIES AND HEMODYANMICS.

PART 9: EXTRA HEARTS.

PART 10: RIGHT VENTRICULAR INFARCTION.

SECTION II: CLINICAL AND BEDSIDE APPLICATIONS OF HEMODYNAMICS.

1. Evaluation of Dyspnea.

2. Evaluation of Edema and Anasarca.

3. Evaluation of Syncope.

4. Evaluation of Hypotension, low cardiac output.