Practical Echocardiography of Congenital Heart Disease

David T. Linker, MD, FACC, FESC, FASE Associate Professor Medicine Attending Physician, University of Washington Medical Center Dr. David T. Linker is the Director of the Inpatient Cardiology Consultation Service at University of Washington Medical Center, and a University of Washington associate professor of medicine and bioengineering. In addition to general cardiology, he is an expert in congenital heart disease and echocardiography. His research focuses on new methods for cost-effective diagnosis of asymptomatic atrial fibrillation to prevent stroke. In addition, he has helped make the Seattle Heart Failure Model a practical tool to help physicians and patients understand the potential benefits of therapies. Dr. Linker earned his bachelor's and M.D. degrees from Stanford University, as well as a master's in bioengineering from the University of Washington. He first came to the UW as a resident in internal medicine and then pediatrics before completing a fellowship in cardiology. He also completed a fellowship in pediatric cardiology at Stanford University. He has 30 years of experience in cardiology. He is board certified in internal medicine, cardiology and pediatrics. He is a fellow of the American College of Cardiology, the American Society of Echocardiography and the European Society of Cardiology.

The Clinical Presentation. The Integrated Examination: Imaging: Two Dimensional Imaging, M-Mode: Doppler: Continuous Wave, Pulsed (HPRF and LPRF), Two Dimensional Flow Mapping. Method of Examination: Fetus, Newborn, Younger Child, Older Child SIMPLIFIED NOMENCLATURE and PHYSIOLOGY of CONGENITAL HEART DISEASE: Solated Defects: Holes, Stenoses, Hypoplasia/Atresia. Syndromes: Endocardial Cushion Defects, Truncus Division and Position, Cascades Due to Absence of Flow, Physiology: Volume Versus Pressure Loads, Direction of Shunts, Consequences of Shunts the FETUS: Routine Screening: Four Chamber View. Minimum Requirements, Arterial Connections. Pregnancy with High Risk of Heart Disease: Risk of Recurrence in a Family, Other Special Situations. Diagnosis of Abnormality: Inventory of Anatomy, Segmental Approach, Putting It Together, Arrhythmia: Distribution and Significance of Arrhythmias, Ways to Diagnose, Related Defects and Heart Failure, Effects on the Heart of Other Disease the NEWBORN: Respiratory Failure: Pulmonary Versus Cardiac Disease, Evaluation of an Open Ductus Arteriosus. Cyanosis: Pulmonary Versus Cardiac Disease, Ruling Out Cardiac Causes of Cyanosis. Shock or Heart Failure: Different Profiles of Cardiac Versus Noncardiac Shock, Cardiac Diagnosis When the Cause Is Cardiac. Asymptomatic Murmur: Functional Sources of Murmur in the Newborn, Cardiac Causes, Caveats (What You Could Miss). Syndromes: What to Look for in Various Syndromes, When You Find One Abnormality, Look for Others. Effects onthe Heart of Other Disease the CHILD: Asymptomatic Murmur: What Is Most Likely, What Is Unlikely, But Potentially Dangerous, What Is a Sufficient Exam to Rule Out a Cardiac Defect. Chest Pain or Fatigue: What Are Potentional Cardiac Causes, How CanThey Be Ruled Out (Or In)?. Hypertension: Consequences of Hypertension on the Heart. Effects on the Heart of Other Disease: Muscular Dystrophy , Viral Myocarditis, Cystic Fibrosis and Other Lung Disease, Cancer Chemotherapy, Others FOLLOWUP of HEART DISEASE: Ventricular Septal Defect. Atrial Septal Defect. Open Ductus Arteriosus. Coarctation of the Aorta. Atrioventricular Septal Defect. Tetralong of Fallot. Effects on the Heart of Other Disease