Cardiology and Cardiovascular System on the Move

Swati Gupta, Alexandra Marsh, David Dunleavy, Swati Gupta, Alexandra Marsh, David Dunleavy

• Publisher: CRC Press
• Year: 2015
• ISBN:
  9780429586125
• Edition: 1
• Topic: Medicina
• Subtopic: Cardiología

The Medicine on the Move series provides fully-flexible access to subjects across the curriculum, in this cardiology and cardiovascular medicine, in a unique combination of print and mobile formats. The books are ideal for the busy medical student and junior doctor, irrespective of individual learning style and whether they are studying a subject f

Part I

Cardiology and the cardiovascular system

1. A guide to cardiac history

1.1 Presenting complaint

1.2 Past medical history

1.3 Drug history

1.4 Family history

1.5 Social history

2. A guide to cardiac examination

2.1 General inspection

2.2 Peripheral signs of cardiovascular disease

2.3 Examination of the precordium

2.4 Completing the cardiac examination

3. Coronary artery disease

3.1 Anatomy of the coronary arteries

3.2 Pathology of CAD: Atherosclerosis

3.3 Primary prevention

3.4 Presentations and pathophysiology of CAD

3.5 Complications of myocardial infarction

3.6 Long-term management

4. Acute heart failure

4.1 Aetiology

4.2 Symptoms and signs

4.3 Investigations

4.4 Management of acute heart failure

4.5 Cardiogenic shock

5. Chronic heart failure

5.1 Classification

5.2 Pathophysiology and presentation of CHF

5.3 Investigation of CHF

5.4 Management of CHF

5.5 Devices

5.6 Surgery for heart failure

5.7 Additional management

6. the myocardium

6.1 Structure and function

6.2 Myocarditis

6.3 Cardiomyopathies

7. Pericardial disease

7.1 The pericardial SAC

7.2 Acute pericarditis

7.3 Pericardial effusion and cardiac tamponade

7.4 Constrictive pericarditis

8. the cardiac valves

8.1 Structure of valves

8.2 Infective endocarditis

8.3 Aetiology of valve disease

8.4 Aortic valve

8.5 Mitral valve

8.6 Tricuspid valve

8.7 Pulmonary valve

8.8 Valve replacement

9. Congenital heart disease

9.1 Early circulation

9.2 Pathology

9.3 Communications

9.4 Cyanotic

9.5 Obstructive

9.6 Complex

10. Hypertension

10.1 Measuring blood pressure

10.2 Classification of hypertension

11. Diseases of the aorta

11.1 Acute aortic dissection

11.2 Aortic aneurysms

11.3 Aortic trauma

12. A guide to ECG interpretation

12.1 ECG interpretation

13. Bradycardia

13.1 Sinus node-related bradycardia

13.2 Heart block

13.3 Bundle branch block

14. Tachycardias

14.1 Narrow complex tachycardia

14.2 Broad complex tachycardias

14.3 Cardiac arrest rhythms

15. Cardiac pacemakers

15.1 Types of pacemakers

15.2 Additional features of a permanent pacemaker

15.3 International coding system

15.4 Examples of indications

15.5 Complications

16. Cardiac imaging and investigations

16.1 Plain chest radiograph (chest X-ray, CXR)

16.2 Echocardiography

16.3 Cardiac CT

16.4 Cardiac MRI

16.5 Nuclear imaging

16.6 Angiography

16.7 Electrophysiology

17. Cardiac pharmacology

17.1 Anti-anginal

17.2 Anti-hypertensives

17.3 Anti-arrhythmics

17.4 Anti-coagulants and thrombolytic agents

17.5 Anti-platelet agents

1	A guide to cardiac history

1.1 PRESENTING COMPLAINT

CHEST PAIN

Site

• Cardiac pain is most commonly central in the chest, retro-sternal or epigastric.

• Pain that is felt in the sides of the chest or well-localized pain is more likely to be mechanical.

Onset

• Sudden (usual) or gradual.

• What was the patient doing when the pain started?

Character

• Crushing, squeezing or a sensation of pressure may represent cardiac ischaemia.

• Severe or ‘tearing’ pain may be associated with aortic dissection.

• Stabbing pain may be associated with pericarditis or pleurisy.

MICRO-facts

Levine’s sign (a clenched fist held over the sternum to describe pain character) is associated with ischaemic pain but has a low positive predictive value. The strongest predictive features of cardiac pain are an association with exercise and radiation to the shoulders or arms. Tenderness in the chest wall does not preclude cardiac chest pain but may be a useful negative predictor.

Radiation

• Radiation to the jaw, arm and hand may occur in ischaemic pain.

Associated features

• Autonomic symptoms: sweating, clamminess, anxiety, nausea and b...

Table of contents

• Cover
• Half Title
• Title Page
• Copyright Page
• Table of Contents
• Preface
• List of abbreviations
• An explanation of the text
• PART I CARDIOLOGY AND THE CARDIOVASCULAR SYSTEM
• PART II QUESTIONS AND ANSWERS