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The national bestseller and undying testament of a wife’s love for her husband as he embarks on the fight of his life. On a story assignment in France for the New York Times Magazine, Martha Weinman Lear has just escaped tourist-infested Cannes for a quiet pension in the hills behind the Riviera when she gets the call from New York. Her husband has suffered a massive heart attack and is in the hospital. Harold Lear, a fifty-three-year-old urologist and leader in the field of human sexuality research, suddenly finds himself in the helpless role of the patient. Ripping into the Lears’ lives and marriage, Hal’s coronary disease sends them on a journey through New York City’s medical maze. With bittersweet poignancy, Lear chronicles her husband’s valiant efforts to combat his sickness as more heart attacks and devastating postsurgical complications befall him. A stunning work of medical drama and journalism, Heartsounds is above all the gripping story of a passionate, enduring love.
Accompanying compact disc includes examples of pediatric heart sounds in healthy and diseased states.
Accompanying compact disc includes examples of various heart and lung sounds in healthy and diseased states.
The book contains a series of core auscultation “lessons”. All are case based and describe auscultation as it relates to a patient and in terms of the gold standard for interpretation of heart sounds. Auscultation is the term for listening to the internal sounds of the body, usually using a stethoscope. It is performed for the purposes of examining the circulatory system and respiratory system (heart sounds and breath sounds). As a topic it is one of the oldest in cardiology but its utility should never be underestimated. In this era of hugely expensive imaging tests, auscultation is a cornerstone of efficient diagnosis and therefore needs a fresh look. The core content of this book describes the search for diagnostic clues within patients’ heart sounds and as such this book provides superb practical advice in the form of a series of clinical pearls reflecting what accurate diagnosis with auscultation can mean to patient prognosis and outcome. This often subtle but ultimately simple subject often produces complex results and these must be considered in light of modern next-level diagnostic methods and patient management.
It has been our experience that instruction in physical examination of the heart in medical schools has been deteriorating since the advent of such modern diagnostic tools as two-dimensional echocardiography and nuclear imaging. At best, the teaching has been sketchy and too superficial for the student to appreciate the pathophysiological correlates. Both invasive and the noninvasive modern technologies have contributed substantially to our knowledge and understanding of cardiac physical signs and their pathophysiological correlates. However, both students and teachers alike appear to be mesmerized by technological advances to the neglect of the age-old art, as well as the substantial body of science, of cardiac physical examination. It is also sad to see reputed journals give low priority to articles related to the clinical examination. Our experience is substantiated by a nationwide survey of internal medicine and cardiology training programs, which concluded that the teaching and practice of cardiac auscultation received low emphasis, and perhaps other bedside diagnostic skills as well (1). The state of the problem is well reflected in the concerns expressed in previous publications (2–4), including the 2001 editorial in the American Journal of Medicine (Vol. 110, pp. 233–235), entitled “Cardiac auscultation and teaching rounds: how can cardiac auscultation be resuscitated?”, as well as in the rebuttal, “Selections from current literature. Horton hears a Who but no murmurs—does it matter?” (5).
"This unique resource combines a comprehensive book with innovative audio sounds to help you master cardiac auscultation. The text explains how to identify and interpret normal and common abnormal heart sounds, while the audio lets you actually hear the sounds about which you are learning." -- back cover.
This book-and-audio-CD package offers nurses, nurse practitioners, and physician assistants a solid basis for recognizing and differentiating among abnormal breath and heart sounds. Forty-six tracks of breath sounds and 50 heart sounds complement the full-color text.
One of the most time-consuming tasks in clinical medicine is seeking the opinions of specialist colleagues. There is a pressure not only to make referrals appropriate but also to summarize the case in the language of the specialist. This book explains basic physiologic and pathophysiologic mechanisms of cardiovascular disease in a straightforward manner, gives guidelines as to when referral is appropriate, and, uniquely, explains what the specialist is likely to do. It is ideal for any hospital doctor, generalist, or even senior medical student who may need a cardiology opinion, or for that ma.
Awarded The British Medical Association Student Textbook Award 2009, this short and accessible book comes with an interactive CD of heart sounds recorded from actual patients using the latest digital audio technology. Cardiac auscultation is one of the most difficult clinical skills to acquire and competence in this area is extremely variable. With the CD the user can listen to a recording and either eliminate or enhance the different components until they are confident that they have correctly identified the sounds in all phases of the cardiac cycle. This Second Edition uses the latest software and includes new features, such as the ability to slow the heart sounds down without altering their pitch. The layout of the CD has been improved to make it quicker to access. New questions and answers in both the book and the CD allow readers to monitor their knowledge and progress. The visual representation of the cardiac cycle also helps readers understand the origin of the heart sounds. This CD is suitable for use in all PC/Macs which have a tray-loading CD-ROM drive. It is not compatible with slot-loading CD-ROM drives. The book provides a simple guide to cardiac auscultation along with useful teaching points and summaries The interactive CD recordings allow the various components of each heart sound to be eliminated and restored to aid understanding Using this package of book and CD the reader can gain a full understanding of cardiac auscultation in minutes that can take years to learn in clinical practice This CD is suitable for use in all PC/Macs which have a tray-loading CD-ROM drive. It is not compatible with slot-loading CD-ROM drives Expanded content with additional information on the principles of cardiac auscultation in the context of the overall cardiac examination. Now presented in colour with additional imaging and colour diagrams to aid interpretation. The CD has been completely redesigned using the latest software. Recordings of heart sounds can now be slowed down without altering their pitch. Includes new questions and answers to test knowledge.
This audiotape reviews over 50 heart sounds encountered in patient care.