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Cardiology of the Horse E-Book

Cardiology of the Horse E-Book

Celia Marr | Mark Bowen

(2011)

Additional Information

Abstract

Cardiology of the Horse is a multi-author, contemporary reference on equine cardiology. The first section reviews the physiology, pathophysiology and pharmacology of the equine cardiovascular system. The second section describes diagnostic methods from basic to specialist examination skills and the third section addresses the investigation and management of common clinical problems using a problem-orientated approach. Suitable for students, general and specialist practitioners and teachers.

An up-to-date account of current clinical practice in equine cardiology covering:

  • recent developments in research and practice
  • problem-orientated approaches helpful to both general and specialist practitioners
  • clinical management of specific groups from foals and racehorses to geriatric patients
  • cardiac problems related to exercise, anaesthesia and intensive care
  • A superb companion DVD of clinical cases with extensive footage combining theory and clinical practice:
    • echocardiograms
    • heart sounds and murmurs
    • ECGs
    • radiography
    • pathology
  • Extensive linking of text to DVD, integrating fundamental principles and diagnostic data with information on clinical management of specific problems.

Table of Contents

Section Title Page Action Price
Front cover cover
Half title page i
Title page iii
Copyright page iv
Table of contents v
Contents for the DVD vii
Contributors xiii
Glossary xv
Dedication xvii
Preface xix
Section 1:\rPhysiology, pathophysiologyand pharmacology 1
Chapter 1: Introduction to cardiac anatomy and physiology 3
ANATOMY OF THE HEART AND GREAT VESSELS ( ET) 3
ELECTRICAL PROPERTIES OF THE HEART 9
THE CARDIAC CYCLE 10
NORMAL HEART SOUNDS ( EA) 11
VENTRICULAR FUNCTION 11
ATRIAL FUNCTION 13
ASSESSMENT OF VENTRICULAR FUNCTION AND CARDIAC PERFORMANCE 13
REFERENCES 18
Chapter 2:\rNeuroendocrine control of cardiovascular function: 21
INTRODUCTION 21
NEURONAL REGULATION OF THE CARDIOVASCULAR SYSTEM 21
HORMONAL CONTROL OF THE CARDIOVASCULAR SYSTEM 24
LOCAL REGULATION OF THE CARDIOVASCULAR SYSTEM BY THE ENDOTHELIUM 28
CONCLUSIONS 30
REFERENCES 30
Chapter 3:\rCardiac responses to exercise and training 35
INTRODUCTION 35
CARDIAC RESPONSES TO EXERCISE 35
CARDIAC RESPONSES TO TRAINING 40
RESTING CARDIAC RHYTHM IN HORSES 41
ATRIOVENTRICULAR VALVE REGURGITATION 41
ROLE OF THE HEART IN DETERMINING ATHLETIC PERFORMANCE 42
REFERENCES 44
Chapter 4:\rCardiac disease and pathology 49
CARDIAC PATHOLOGICAL EXAMINATION 49
PRIMARY MYOCARDIAL PATHOLOGIES ( VMD) 50
MYOCARDIAL REMODELLING 51
VALVULAR PATHOLOGY ( IE, RCT, VMD) 52
REFERENCES 52
Chapter 5: Pathophysiology of heart failure 55
DEFINITIONS 55
MECHANISMS OF HEART FAILURE 55
ONSET OF CLINICAL SIGNS OF HEART FAILURE 56
SECONDARY COMPENSATORY MECHANISMS 56
VENTRICULAR HYPERTROPHY 57
REFERENCES 57
Chapter 6:\rElectrophysiology and arrhythmogenesis 59
INTRODUCTION 59
RECORDING ELECTRICAL EVENTS IN CELLS 59
CELLULAR PHYSIOLOGY 60
RECORDING OF CARDIAC ELECTRICAL ACTIVITY 63
CLASSIFICATION AND MECHANISMS OF DYSRHYTHMOGENESIS 66
REFERENCES 72
Chapter 7: Pharmacology of drugs used to treat cardiac disease 75
DRUGS USED IN THE TREATMENT OF MYOCARDIAL FAILURE 75
ANGIOTENSIN-CONVERTING ENZYME INHIBITORS 76
HYDRALAZINE 76
DRUGS USED IN THE TREATMENT OF CARDIAC DYSRHYTHMIAS 80
REFERENCES 85
Section 2:\rDiagnostic methods 89
Chapter 8:\rAuscultation 91
INTRODUCTION 91
AETIOLOGY OF CARDIAC MURMURS 91
IDENTIFICATION OF NORMAL HEART SOUNDS ( EA) 92
IDENTIFICATION OF MURMURS 93
DIAGNOSIS OF SPECIFIC MURMURS 96
REFERENCES 102
Chapter 9:\rEchocardiography 105
INTRODUCTION 105
PHYSICS AND PRINCIPLES 105
ECHOCARDIOGRAPHIC EQUIPMENT 109
THE ECHOCARDIOGRAPHIC EXAMINATION 111
INTERPRETATION OF BLOOD POOL DOPPLER ECHOCARDIOGRAMS 117
IDENTIFICATION OF DISEASE-INDUCED CHANGES IN CARDIAC ANATOMY AND FUNCTION 120
REFERENCES 124
Chapter 10:\rAmbulatory electrocardiography and heart rate variability 127
INTRODUCTION 127
ELECTRODE PLACEMENT FOR AMBULATORY ELECTROCARDIOGRAPHY 128
RESTING AMBULATORY ELECTROCARDIOGRAPHY 129
EXERCISING AMBULATORY ELECTROCARDIOGRAPHY 130
HEART RATE VARIABILITY 130
CONCLUSIONS 135
REFERENCES 136
Chapter 11:\rExercise and stress testing 139
INTRODUCTION 139
ELECTROCARDIOGRAPHY 140
ECHOCARDIOGRAPHY 145
CARDIAC OUTPUT AND DIRECT PRESSURE MEASUREMENTS 148
REFERENCES 148
Chapter 12:\rBiochemical markers of cardiovascular disease 151
INTRODUCTION 151
CATECHOLAMINES 151
RENIN–ANGIOTENSIN–ALDOSTERONE SYSTEM 152
NATRIURETIC PEPTIDES 152
CARDIAC TROPONIN, CREATINE KINASE AND LACTATE DEHYDROGENASE ( AF, PC, VT) 153
REFERENCES 153
Section 13:\rClinical problems 157
Chapter 13: Dysrhythmias: assessment and medical management 159
INTRODUCTION 159
IDENTIFICATION AND ASSESSMENT OF DYSRHYTHMIAS 159
CLASSIFICATION OF DYSRHYTHMIAS 161
REFERENCES 176
Chapter 14: Dysrhythmias: cardiac pacing and electrical cardioversion 179
INTRODUCTION 179
CARDIAC PACING 179
ELECTRODES 180
THERAPEUTIC USE OF PACING 182
NONTHERAPEUTIC USE OF PACING 184
ELECTRICAL DEFIBRILLATION/CARDIOVERSION 185
REFERENCES 190
Chapter 15: Cardiac murmurs: congenital heart disease 193
PREVALENCE OF CONGENITAL CARDIAC DISEASE 193
NORMAL AND ABNORMAL DEVELOPMENT OF THE HEART 193
ADAPTATION FROM FETAL TO NEONATAL CIRCULATION 194
CLINICAL ASSESSMENT OF THE CARDIOVASCULAR SYSTEM IN FOALS 195
SPECIFIC CONGENITAL CARDIAC DEFECTS 196
OTHER CONGENITAL CARDIAC DISEASE ( CCD) 202
REFERENCES 203
Chapter 16: Cardiac murmurs: valvular regurgitation and insufficiency 207
INTRODUCTION 207
PATHOLOGICAL AND PHYSIOLOGICAL REGURGITATION 207
CLINICAL ASSESSMENT OF HORSES WITH MURMURS 208
AORTIC VALVULAR REGURGITATION AND INSUFFICIENCY ( AR) 208
MITRAL REGURGITATION AND INSUFFICIENCY ( SFP, VMD) 212
TRICUSPID REGURGITATION AND INSUFFICIENCY ( VMD) 214
PULMONIC REGURGITATION AND INSUFFICIENCY ( AF, ET) 215
REFERENCES 215
Chapter 17: Fever: endocarditis and pericarditis 217
INFECTIVE ENDOCARDITIS 217
PERICARDITIS 220
REFERENCES 223
Chapter 18:\rCollapse and syncope 227
DEFINITIONS 227
INTRODUCTION 227
CARDIOVASCULAR AND CIRCULATORY CAUSES OF COLLAPSE 228
CLINICAL INVESTIGATION OF THE COLLAPSING HORSE 235
REFERENCES 236
Chapter 19:\rHeart failure 239
INTRODUCTION 239
CLINICAL SIGNS OF HEART FAILURE 239
DIFFERENTIAL DIAGNOSIS OF HEART FAILURE 241
DIAGNOSTIC APPROACH IN HEART FAILURE 242
SPECIFIC FORMS OF HEART FAILURE 243
TREATMENT AND MANAGEMENT OF CONGESTIVE HEART FAILURE 248
REFERENCES 250
Chapter 20:\rCardiovascular emergencies associated with anaesthesia 253
INTRODUCTION 253
RISK FACTORS 253
PREOPERATIVE EVALUATION AND PREMEDICATION 253
INDUCTION OF ANAESTHESIA 255
MAINTENANCE OF ANAESTHESIA 255
CARDIOVASCULAR MONITORING IN THE ANAESTHETIZED PATIENT 255
INTRAOPERATIVE CARDIOVASCULAR COMPLICATIONS 257
MONITORING HYPP PATIENTS 261
CONCLUSIONS 263
REFERENCES 263
Chapter 21:\rCardiovascular complications in the intensive care patient 267
INTRODUCTION 267
PREVALENCE AND RISK FACTORS FOR CARDIOVASCULAR COMPLICATIONS IN THE ICU 267
CARDIOVASCULAR MONITORING IN THE ICU 268
SPECIFIC FORMS OF CARDIAC COMPLICATIONS IN INTENSIVE CARE PATIENTS 269
REFERENCES 274
Appendix: DVD Index 277
Glossary of Abbreviations 287
Index 289