Hemodynamic Rounds (eBook)

MORTON J. KERN, MD, MFSCAI, FAHA, FACC, Chief of Medicine, Veterans Administration Long Beach Health Care System; Professor of Medicine, University of California, Irvine, CA, USA. MICHAEL J. LIM, MD, Chief of Cardiology, St. Louis University, St. Louis, MO, USA. JAMES A. GOLDSTEIN, MD, Director, Cardiovascular Research, William Beaumont Hospital, MI, USA.

List of Contributors ix

Preface to the Fourth Edition xi

Introduction xiii
Morton J. Kern and James A. Goldstein

Part One Normal Waveforms 1

1 Principles of Normal Physiology and Pathophysiology 3
James A. Goldstein and Morton J. Kern

2 Left Atrial Hemodynamics 35
Morton J. Kern

3 Left Ventricular End-Diastolic Pressure (LVEDP) 43
Morton J. Kern

4 Left and Right Ventricular Pressure: Interactions and Influencing Factors 49
Morton J. Kern

5 Hemodynamics during Arrhythmias 67
Morton J. Kern, Thomas J. Donahue, and Richard G. Bach

Part Two Valvular Hemodynamics 79

6 Aortic Stenosis 81
Michael J. Lim and Morton J. Kern

7 Aortic Regurgitation 101
Morton J. Kern and Michael J. Lim

8 Mitral Valve Stenosis 119
Morton J. Kern and Michael J. Lim

9 Multivalvular Regurgitant Lesions 143
Morton J. Kern

10 The Pulmonary Valve 159
Morton J. Kern

11 Hypertrophic Obstructive Cardiomyopathy (HOCM) 165
Morton J. Kern

Part Three Constriction and Tamponade 195

12 Introduction to Pericardial Disease 197
James A. Goldstein

13 Restrictive Cardiomyopathy: Differentiating Constrictive Pericarditis and Restriction 219
James A. Goldstein

14 Hemodynamic Manifestations of Ischemic Right-Heart Dysfunction 235
James A. Goldstein

Part Four Hemodynamics of Structural Heart Disease 249

15 Percutaneous Balloon Aortic Valvuloplasty and Transaortic Valve Replacement 251
Williams M. Suh, Morton J. Kern, and Zoltan Turi

16 Percutaneous Balloon Mitral Valvuloplasty 275
Morton J. Kern, Paul Sorajja, and Zoltan Turi

17 The Pulmonary Valve and Valvuloplasty 295
Morton J. Kern

Part Five Coronary, Renal, Congenital, and Left Ventricular Support Hemodynamics 309

18 Coronary Hemodynamics: The Basics of Pressure and Flow Measurements, Coronary Vasodilatory Reserve, and Fractional Flow Reserve 311
Morton J. Kern and Crystal Medina

19 Renal Artery Stenosis 349
Morton J. Kern

20 Adult Congenital Anomalies 361
Morton J. Kern, Ralf J. Holzer, and Ziyad M. Hijazi

21 Extra Hearts: Unusual Hemodynamics of Heterotopic Transplant and Ventricular Assist Devices 379
Morton J. Kern

22 Invasive Hemodynamic Assessment of Shock and Use of Mechanical Support for Acute Left and Right Ventricular Failure 401
Ivan D. Hanson and James A. Goldstein

Part Six Clinical and Bedside Applications of Hemodynamics 409

23 An Anatomic-Pathophysiologic Approach to Hemodynamic Assessment 411
James A. Goldstein

Appendix: Hemodynamic Rounds, Fourth Edition, 2018 427

Index 431