Professional Documents
Culture Documents
Pkm/2011
REVIEW OF ANATOMY & PHYSIOLOGY
Class discussion
• Anatomy (structure)
• Physiology (function)
• Regulation
• Failure of Regulation
• Associated conditions
INVESTIGATIONS IN CARDIAC DISORDERS
1. Chesty X-ray
• Aids to determine heart size in relation to the
thorax. Maximum transverse diameter is compared
with the maximum transverse diameter of the
thorax measured from inside the ribs.
(cardiothoracic ratio)
• The transverse diameter of the heart should be less
that 50% of the thoracic diameter, except in
neonates infants, athletes and patients with funnel
chest.
INVESTIGATIONS IN CARDIAC DISORDERS
2. Electrocardiography (ECG)
A graphic record of the heart’s electrical
activities. (Normal electrocardiogram).
Electrocardiography
• Certain conditions result in abnormalities of
the ECG. Examples-
• Atrial fibrillations common in mitral stenosis,
rheumatic heart and infarction of atrial
myocardium- seen as depressed P wave
• Ventricular fibrillations due to ventricular
myocardial infarction, seen as complete
disruption of normal rhythm and depressed
QRS complex.
INVESTIGATIONS IN CARDIAC DISORDERS
3. Echocardiograpy
Non-invasive technique for evaluating the
internal structures and motion of the heart
and great vessels through ultra sound.
(ultrasound-imaging technique in which high
frequent sound waves are reflected off tissue
to form an image).
Echocardiograpy
4. Cardiac catheterization.
• Introduction of a thin radio-opague catheter into
circulation, used to measure pressure within the
heart chambers.
• Right heart is catheterized using a peripheral
vein eg femoral or internal jugular vein advancing
through the right atrium and ventricle.
• Left heart is catheterized via right femoral artery.
INVESTIGATIONS IN CARDIAC DISORDERS