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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).
The Art and Science of Cardiac Physical Examination is the latest edition of this essential guide to identifying the signs and symptoms of heart diseases. The book is divided into 14 chapters, initially covering different types of pulse and the measurement of blood pressure. A chapter on heart sounds is followed by a three-part discussion on heart murmurs, including the use of recordings of heart sounds and video recordings of jugular pulsations. The signs and symptoms of cardiac disease are covered in detail, and the manifestations of cardiovascular disease are described. The book concludes with two chapters on electrocardiography (ECG). Finally, the book provides a self-assessment chapter, with clinical scenarios which use history and clinical findings from actual patients. Enhanced by nearly 100 full colour images and illustrations and edited by a team of cardiology experts based in Toronto and Chicago, The Art and Science of Cardiac Physical Examination is ideal for cardiologists and general physicians wishing to keep their knowledge of examination for heart disease up to date. Key Points Latest edition of guide to signs and symptoms of heart diseases Previous edition published 2006 (9780673997661) Edited by a team of US and Canada based cardiology experts 97 full colour images and illustrations Includes interactive CD ROM
A practical manual to aid the management of women with heart disease who are pregnant or who are considering pregnancy, Heart Disease in Pregnancy also provides an introduction to the physiological changes of pregnancy and the relevant obstetric knowledge and processes needed for a cardiologist to successfully manage a pregnant woman.
Perfect for residents, generalists, anesthesiologists, emergency department physicians, medical students, nurses, and other healthcare professionals who need a practical, working knowledge of cardiology, Netter's Cardiology, 3rd Edition, provides a concise overview of cardiovascular disease highlighted by unique, memorable Netter illustrations. This superb visual resource showcases the well-known work of Frank H. Netter, MD, and his successor, Carlos Machado, MD, a cardiologist who has created clear, full-color illustrations in the Netter tradition. New features and all-new chapters keep you up to date with the latest information in the field. - Includes 13 all-new chapters: Basic Anatomy and Embryology of the Heart, Stem Cell Therapies for Cardiovascular Disease, Diabetes and Cardiovascular Events, Clinical Presentation of Adults with Congenital Heart Disease, Transcatheter Aortic Valve Replacement, Deep Vein Thrombosis and Pulmonary Embolism, and more. - Features new coverage of 3-D TEE imaging for structural heart procedures. - Contains color-coded diagnostic and therapeutic algorithms and clinical pathways. - Uses an easy-to-follow, templated format, covering etiology, pathogenesis, clinical presentation, diagnostic approach, and management/therapy for each topic. - Offers dependable clinical advice from Drs. George A. Stouffer, Marschall S. Runge, Cam Patterson, and Joseph S. Rossi, as well as many world-renowned chapter contributors.
This well-illustrated book provides detailed guidance on all aspects of physical examination in patients requiring emergency or intensive care. After an introductory section covering basic principles and the recognition of pre-terminal signs, the approach to examination of individual organ systems is clearly explained. Examination schemes are then presented for particular conditions or settings, including respiratory distress, shock, neurological disease, trauma, suspected infection, and cardiac arrest. The skill of physical examination has become the forgotten art of medicine in both undergraduate and postgraduate studies. Furthermore, most books on the topic have so far focused on examination practices applicable to non-critically ill patients. In emergency and intensive care medicine, however, a different approach and sometimes also different examination techniques are required due to the life-threatening disease process. In summarizing knowledge and providing guidance on physical examination in this specific subgroup of patients, this book will meet the needs of all physicians and allied health care professionals involved in the care of critically ill patients.
This book is a practical guide to the diagnosis and management of cardiovascular diseases and disorders. Presented in a step by step approach covering patient history, signs and symptoms, examination and investigation, diagnosis, and treatment methods, each chapter covers a different cardiac condition. The second edition has been fully revised and new topics added to provide clinicians with the latest advances in the field. The comprehensive text is further enhanced by more than 200 clinical photographs, diagrams and tables to assist learning. Key points Comprehensive guide to diagnosis and management of cardiovascular diseases and disorders Fully revised, second edition with new topics added Highly illustrated with clinical photographs, diagrams and tables Previous edition (9789350259856) published in 2012
Test your knowledge or prepare for Boards with this collection of unusual and challenging patient studies focused on detecting valvular, congenital or vascular disease. Contains over 90 case histories with self-test questions designed to test the reader’s knowledge and reinforce clinical best practices Focuses on diseases of valvular, vascular or congenital origin, and on comparatively rare disorders/diseases, rather than coronary artery disease, to help readers improve their skills at interpreting and making decisions based on physical examination and basic, non-invasive imaging modalities Each case is paired with original materials - e.g. x-rays, echocardiograms, lab reports, charts – so readers can work through their diagnosis using the same information as the physician who treated the patient originally An ideal companion for those approaching board review or recertification or who want to improve skills in physical diagnosis of cardiovascular disease
The book is titled as “Bedside approach to clinical cardiology”. The real problem in evaluating clinical history for cardiac cases have been observed by the author during his long clinical work experience of 36 years. As such the heart ailments are on the rise globally. India shares most young population with this disease. Hence each and every clinician should have basic knowledge in clinical cardiology to address these cases at the bedside. This book comprises the very basic art of history taking, its critical analysis, coordination of symptoms with the hypothesized heart disease and their immediate management at the bedside itself. This book has unique presentation of some case studies and intra-cardiac devices like pacemakers, ICD and CRT-D. As of now no clinical method book in cardiology contains such a large spectrum for a complete solution of cardiac cases at the bedside. The book has been targeted for undergraduate and postgraduate students of MD (Medicine) and DM (Cardiology) and clinicians practicing medicine and cardiology including the internees.
This brief guide to visual diagnosis helps the novice develop -- and the veteran refresh -- crucial skills that can spare the patient unnecessary testing and bring the physician one step closer to an accurate diagnosis. Dr Saksena draws on his years of experience in teaching and training to show you the physical signs of cardiovascular disease that can be spotted by visual examination. For each sign, a color photograph is paired with explanatory text that: describes the significant features of the sign explains its use in diagnosis identifies the likeliest causes The book provides corroboration of physical signs and other diagnostic information whenever possible and offers extensive references for further study. After an opening chapter on general observations, the author describes signs that can be found in the face, ear, mouth and nose, neck, hand, upper extremity, thorax and back, abdomen, and lower extremity. An appendix covers rarer syndromes associated with cardiovascular disease. Whether you are just developing your diagnostic skills or want to be better able to identify signs of cardiovascular disease, you can count on this atlas for dependable advice.
Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. - Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. - Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. - Online access features heart sounds and murmurs to accompany the chapter on history and physical examination, videos of clinical images and key procedures, frequently updated information on late-breaking clinical trials, reviews of new research publications, and more. - Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. - Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. - Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices and contains an up to date collection of all relevant ACC/AHA and ESC guidelines.