A Practical Approach to Clinical Echocardiography Jagdish C Mohan
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1A Practical Approach to Clinical Echocardiography2
3A Practical Approach to Clinical Echocardiography
Jagdish C Mohan MD DM FASE Director of Cardiac Sciences Fortis Hospital Shalimar Bagh, New Delhi, India Foreword Bijoy K Khandheria
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A Practical Approach to Clinical Echocardiography
First Edition: 2014
9789351521402
Printed at:
5Dedicated to
Vineet, my soul-mate for the last thirty-six years
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7Foreword
The field of cardiovascular ultrasound continues to explode with an increase in applications and rapid explosion in technological advances. It was not too long that the world celebrated the 50th anniversary of cardiac ultrasound. The remarkable progress continues, and the evolution to revolution has yet to see a stop.
With ever-increasing applications and explosion of technology comes the need to transmit this information in an easy-to-understand, easy-to-digest manner. To this end, Prof Jagdish C Mohan has exploited the method of making difficult things easy in this book. The book is eminently readable. Strength, weakness and caveats of every important echo-Doppler observation have been provided. The images and the illustrations are excellent with extensive labeling for easy understanding. There is less emphasis on bibliography and more on practical tips. Although there are no separate chapters on transesophageal echocardiography and real-time 3D imaging, these have been well covered in individual sections wherever appropriate. The same principle has been applied to contrast echocardiography.
There is little doubt that cardiovascular ultrasound will continue its revolution, and play an important role in the practice of cardiology as well as medicine. This book compiled by Prof Jagdish C Mohan is a welcome addition to the various sources of education in this field. It is a must-read book for those wishing to practice the art and science of cardiovascular ultrasound.
Bijoy K Khandheria md facp faha facc fesc fase
Adjunct Clinical Professor of Medicine
University of Wisconsin, School of Medicine and Public Health
Director, Echocardiography Services
Aurora St Luke's Medical Center, Milwaukee, Wisconsin, USA
Director, Echocardiography Center for Research and Innovation
Aurora Research Institute, Milwaukee, Wisconsin, USA
Past President, American Society of Echocardiography
Former Chair of Cardiovascular Disease, Mayo Clinic, Arizona
Former Professor of Medicine, Mayo Medical School
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9Preface
Echocardiography is the most commonly used imaging technique at bedside, in OR, in outpatients and in community screening. It is highly portable, noninvasive, repeatable, inexpensive and easily accessible. When used appropriately after some experience, it has inherent internal validation unlike many other imaging modalities. Clinicians using this technique transcend boundaries of specialties. More and more physicians want to learn and practice it. Despite these obvious advantages, this modality remains incompletely utilized. There are several learning modules in capsule form and a multitude of books which claim to make a person expert in short time. In these, either there is over-simplification or meaningless convoluted and complicated equations and biophysical complexity. At fringes, are clinicians who have used this technique year after year for assessment of left ventricular function only. Echocardiography represents a strange mixture of several features which have proven prime-time use and an equally numerous techniques which have yet to show clinical utility despite extensive research work spanning decades. There is an urgent need to promote that part of science which has robust validation. What clinicians require needs to be emphasized with clarity. Novices often get unnerved by the available applications on the systems which are more to stand up to the competition rather than of tangible clinical value. However, extensive research has shown applicability of a lot of echocardiographic knowledge and information in day-to-day evidence-based medicine. Quantitative and semi-quantitative protocols are gaining ground because these make serial follow-up easily. This book is an attempt to make echocardiography simple, practical and easily usable with reproducible data. Unnecessary and impractical details have been omitted. I would welcome suggestions to make it more readable and meaningful.
Jagdish C Mohan
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11Acknowledgments
I appreciate the contribution of M/s Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, India, in making this project a success. In particular, Ms Chetna Malhotra Vohra (Senior Manager–Business Development) for her belief in our groups' ability to deliver and Saima Rashid (Development Editor) who did very well in making sure we catch-up with the deadline.