Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Cardiology


Answer 3
  1. Echocardiogram. Of the tests listed, the one that would provide the most information in this patient is echocardiography.1 This test allows assessment of the size and function of the heart chambers, the morphology and function of the heart valves, congenital anomalies, and diastolic function. Echocardiography also allows hemodynamic estimates of stroke volume, pulmonary artery pressure, right atrial pressure, and left atrial pressure (a surrogate for left ventricular diastolic pressure). General practitioners underutilize this modality and often do not evaluate left ventricular function in patients with a diagnosis of CHF.

    REFERENCE
    1.
     Hunt SA, Baker DW, Chin MH, et al. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines, 2001. Available at http://www.acc.org/clinical/guidelines/failure/hf_index.htm. Accessed 21 April 2003.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj