A Guide to Interpretation of Hemodynamic Data in the Coronary Care Unit

A Guide to Interpretation of Hemodynamic Data in the Coronary Care Unit
by Scott W. Sharkey

Since 1970, when the pulmonary artery catheter was introduced into clinical medicine, the technique of hemodynamic monitoring has expanded rapidly. The use of this essential procedure now encompasses the coronary care unit, the medical intensive care unit, the surgical intensive care unit, and the operating room; and an entire spectrum of physicians require this skill, including anesthesiologists, trauma surgeons, pulmonologists, nephrologists, critical care specialists, and cardiologists. Learning the proper performance of invasive techniques is essential for providing high quality patient care. This easy-to-use guide provides every important aspect of hemodynamic monitoring, and presents it in a straightforward and organized format.

Table of Contents:

Normal Physiology, Respiration, Cardiac Output, Arrhythmias, Acute Mitral Regurgitation and the V Wave, Tricuspid Regurgitation, Acute Left Ventricular Infarction, Right Ventricular Infarction, Acute Left Ventricular Ischemia, Chronic Congestive Heart Failure, Pericardial Tamponade, Pericardial Constriction & Restrictive Cardiomyopathy, Pulmonary Embolism, Trouble, App. A: Normal Values, App. B: Techniques Used in this Book

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Hemodynamic Rounds: Interpretation of Cardiac Pathophysiology from Pressure Waveform Analysis

Intended to help cardiologists intensify their understanding of human hemodynamics through the use of brief case examples incorporating different hemodynamic tracings. Also considers the factors responsible for normal and abnormal waveforms. Organized into chapters that focus on specific areas of the heart, new insight can be gained into how such conditions as changing cardiac rhythm, unusual contractile events, and the placement of catheters can affect intracardiac blood pressure.

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Research Articles:

Acute mitral valve regurgitation with severe calcification of aorta
by P I Praeger and E D Somberg

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Mitral Valve Regurgitation Causing Right Upper Lobe Pulmonary Edema
by Andrew L. Young, MD, Charles S. Langston, MD, Robert L. Schiffman, MD, and Michael J. Shortsleeve, MD

When radiography is performed in patients with mitral regurgitation, cardiogenic pulmonary edema is a typical finding; however, asymmetric pulmonary edema has also been reported. We describe the case of a patient in whom mitral valve regurgitation caused isolated pulmonary edema in the right upper lung. We include a discussion of pulmonary edema in conjunction with mitral regurgitation.
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