• Clinical Cardiology Made Ridiculously Simple
  • Clinical Cardiology Made Ridiculously Simple
  • Clinical Cardiology Made Ridiculously Simple - MedMaster
  • Clinical Cardiology Made Ridiculously Simple - MedMaster

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Clinical Cardiology Made Ridiculously Simple

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Description

NEW EDITION!!!

The new edition includes thoroughly revised and updated information about the latest clinical trials and guidelines in Cardiology.

For medical students, house officers, cardiac fellows, practicing physicians, nurses, nurse practitioners, physician associates and other health care professionals.

A clear, concise, highly practical and enjoyable overview of all of clinically relevant cardiology. History, physical, ECG (ECG interpretation taught in just 40 pages), radiology, noninvasive and invasive diagnostic tests, and therapy (both pharmacologic and non-pharmacologic). For medical students, house officers, cardiac fellows, practicing physicians, nurses, nurse practitioners, physician assistants and other health care professionals.

Companion Digital Download of Heart Sounds & Images program (Win/Mac) with heart sounds, ECG interpretation, chest x-rays, echocardiography, cases, and quiz.  

Rated #1 of the Best Cardiology Books of All Time, by Bookauthority: https://bookauthority.org/books/best-cardiology-books

Author(s)

Michael A. Chizner, M.D.
Michael A. Chizner, M.D., renowned cardiologist, Founder and former Chief Medical Director of The Heart Center of Excellence of Broward Health, was recently named in the Top 1% in the Nation in the first Top Doctors List compiled by U.S. News & World Report. Dr. Chizner graduated with highest honors from Cornell University Medical College. He received his medical residency training at the New York Hospital-Cornell Medical Center, and his cardiology training at Georgetown University, where he received the Distinguished Alumnus Award. He is Board Certified in Internal Medicine and Cardiology, and is a Fellow of the American College of Physicians, American College of Cardiology, and American Heart Association. He is a Clinical Professor of Medicine at the University of Florida College of Medicine, the University of Miami Miller School of Medicine, Nova Southeastern University College of Osteopathic Medicine, the Charles E. Schmidt College of Medicine at Florida Atlantic University, and Barry University. Dr. Chizner has served as Chairman and Vice Chairman of the Florida Board of Medicine. He has also served on the Editorial Advisory Boards of national cardiology journals, and has been Director and Keynote Speaker at national and regional medical education conferences. He has written and edited numerous articles and books in cardiology. His widely read textbook, Clinical Cardiology Made Ridiculously Simple is currently being used in medical schools throughout the U.S. and abroad. Dr. Chizner spearheaded the establishment of the Heart Center of Excellence at Broward General Medical Center, overseeing an exceptional roster of experienced cardiologists and cardiovascular surgeons, whose clinical expertise, superior outcomes, and strongly positive patient satisfaction ratings earned Broward General Medical Center the distinction as the only high performing hospital in Broward County for cardiology and heart surgery, according to U.S. News & World Report.

Details

Pages: 384

Publication: Edition 6 (February 10, 2023)

Language: English

Digital: Includes interactive digital download of Heart Sounds and Images Program (WIN/MAC)

ISBN: 9781935660668 eISBN: 9781935660675

Table of contents

PART I. THE FIVE-FINGER APPROACH TO CARDIAC DIAGNOSIS

CHAPTER 1. THE CARDIAC HISTORY


Chest Pain or Discomfort

- Coronary Artery Disease (CAD)

  • Stable Angina Pectoris, Unstable Angina, and Acute Myocardial Infarction
  • Pertinent Past Medical History and/or Risk Factors for CAD


- Chest Pain in Other Cardiovascular Conditions

  • Pericarditis
  • Aortic Dissection
  • Mitral Valve Prolapse
  • Left Ventricular Outflow Tract Obstruction (e.g., Valvular Aortic Stenosis, Hypertrophic Cardiomyopathy)
  • Pulmonary Hypertension


Shortness of Breath


Fatigue and Weakness


Cough and Hemoptysis


Palpitations


Dizziness, Near-Syncope, and Syncope


Other Symptoms

  • Fever, Chills, and Sweats
  • Gastrointestinal Symptoms
  • Embolic Symptoms
  • Intermittent Claudication
  • Changes in Weight

CHAPTER 2. THE CARDIAC PHYSICAL EXAM
Cardiac Anatomy and Physiology

  • External Anatomy of the Heart and Great Vessels
  • Cardiac Chambers and Blood Flow through the Heart
  • The Heart Valves
  • Structure of the Heart Wall
  • Basic Cardiac Function


Inspection
- General Appearance

  • Cutaneous Manifestations (Skin Color, Temperature, Texture)
  • Voice

- Jugular Venous Pressure (JVP) and Pulse

  • Estimating JVP
  • Abdominojugular Test
  • Abnormalities of the Venous Wave Form

Palpation
-Blood Pressure and Arterial Pulse

  • Abnormalities of Blood Pressure
  • Abnormalities of Arterial Pulse


-Precordial Movements and Palpation

Auscultation: "The Music of the Heart"
-The Cardiac Cycle
-Proper Use of the Stethoscope
-Dynamic Auscultation
-Heart Sounds: Normal and Abnormal

  • First and Second heart sounds (S1 and S2)
  • Auscultation of S1 ("Lub")
  • Loud S1
  • Faint S1
  • Variable Intensity of S1
  • Auscultation of S2 ("Dub")
  • Intensity and Splitting of S2
  • Sounds in Systole
  • Ejection Sounds and Systolic Clicks
  • Sounds in Diastole
  • Third and Fourth Heart Sounds (S3 and S4)
  • Other Diastolic Sounds

Heart Murmurs: Systolic, Diastolic, and Continuous

  • Systolic Murmurs -- Innocent vs Significant ("Guilty")
  • Early-mid Systolic (Ejection) Murmurs
    -Innocent Murmurs
    -Aortic Stenosis
    -Pulmonic Stenosis
    -Hypertrophic Obstructive Cardiomyopathy
    -Atrial Septal Defect
  • Holosystolic Murmurs
    -Mitral Regurgitation
    -Tricuspid Regurgitation
    -Ventricular Septal Defect
  • Late Systolic Murmurs
    -Mitral Valve Prolapse
  • Diastolic Murmurs
    -Early Diastolic Murmurs
    -Aortic Regurgitation
    -Pulmonic Regurgitation
    -Middiastolic and Presystolic Murmurs
    -Mitral Stenosis
    -Tricuspid Stenosis
  • Continuous Murmurs
    -Patent Ductus Arteriosus
    -Jugular Venous Hum
    -Coronary Arteriovenous Fistula
    -Pulmonary Arteriovenous Fistula
    -Ruptured Sinus of Valsalva Aneurysm
  • Miscellaneous
    -Pericardial Friction Rubs

CHAPTER 3. ELECTROCARDIOGRAM
Basic Electrocardiography

  • Cardiac Electrical Activity and the Electrocardiogram (ECG)
  • Standard ECG Leads

Approach to ECG Interpretation

  • Rate and Rhythm
  • The P Wave
  • The QRS
  • The T Wave
  • The U Wave
  • The PR Interval
  • The ST Segment
  • The QT Interval
  • QRS Axis

Major ECG Abnormalities: Diagnostic Clues and Clinical Correlations

  • Myocardial Ischemia and Infarction
  • Cardiac Chamber Enlargement and Hypertrophy
  • Miscellaneous Patterns
  • Arrhythmias and Conduction Disturbances

CHAPTER 4. CHEST X-RAY
The Cardiovascular Silhouette, Cardiac Chambers and the Aorta
The Pulmonary Vasculature
The Lung Fields
Thoracic Cage Abnormalities

CHAPTER 5. CARDIAC DIAGNOSTIC LABORATORY TESTS
Blood Tests

  • Routine Chemistries
  • Cardiac Biomarkers

Specialized Non-invasive Tests

  • Transthoracic M-Mode and Two Dimensional Color
  • Flow Doppler
  • Echocardiography
  • Transesophageal Echocardiography
  • Ambulatory Electrocardiography; Holter Monitoring and Transtelephonic
  • ECG/Event Recording
  • Signal Averaged Electrocardiography
  • Tilt-Table Testing
  • Exercise and Pharmacologic Stress Testing, including
  • Nuclear and Echocardiographic Imaging
  • Radionuclide Studies
  • Electron Beam Computed Tomography

Specialized Invasive Techniques

  • Cardiac Catheterization: Coronary Angiography and Left Ventriculography
  • Electrophysiologic Studies (EPS)

Summary: Non-invasive and Invasive Test Indications and Applications

PART II. CARDIOVASCULAR THERAPEUTICS

CHAPTER 6. CARDIOVASCULAR THERAPY: AN OVERVIEW

General Considerations and Treatment Goals

Evidence-Based Medicine and Clinical Practice Guidelines

CHAPTER 7. CARDIAC DRUGS
Beta blockers
Calcium Channel Blockers
Nitrates
Angiotensin-Converting Enzyme (ACE) Inhibitors
Angiotensin Receptor Blockers (ARBs)

Angiotensin Receptor Neprilysin Inhibitors (ARNI)
Inotropic Agents

  • Digitalis Glycosides
  • Sympathomimetic Amines
  • Phosphodiesterase Inhibitors

Diuretics

  • Thiazides
  • Loop Diuretics
  • Potassium Sparing Diuretics

Antiplatelet Agents

  • Aspirin
  • Adenosine Diphosphate (ADP) Receptor Antagonist
  • Glycoprotein (GP) IIb/IIIa Receptor Inhibitors
  • Thrombin Receptor (PAR-1) Antagonist

Thrombolytics and Anticoagulants

  • Thrombolytic Agents
  • Unfractionated and Low Molecular Weight Heparin, Direct Thrombin Inhibitors, and Factor Xa Inhibitors
  • Vitamin K Antagonists and Novel Oral Anticoagulants (NOACs)

Lipid Controlling Agents

  • HMG CoA Reductase Inhibitors (Statins)
  • Nicotinic Acid (Niacin)
  • Bile Acid Sequestrants (Resins)
  • Fibric Acid Derivatives (Fibrates)
  • Cholesterol Absorption Inhibitors (e.g., Ezetimibe)
  • Proprotein Convertase Subtilisin-Kexin type 9 (PKSK9) Inhibitors

Antiarrhythmic Agents
-Class I Agents
-Class II Agents
-Class III Agents
-Class IV Agents
-Other Agents (e.g., Digitalis, Adenosine)

CHAPTER 8. CARDIAC NONPHARMACOLOGIC AND INTERVENTIONAL TECHNIQUES

  • Percutaneous Coronary Intervention (PCI): Percutaneous Transluminal Coronary
    Angioplasty (PTCA) and Stenting
  • Percutaneous Balloon Valvuloplasty, Valve Replacement and/or repair
  • Catheter Ablation
  • Electrical Cardioversion and Defibrillation

CHAPTER 9. CARDIAC DEVICE THERAPY
- Cardiac Pacemakers
- Implantable Cardioverter Defibrillator

CHAPTER 10. CARDIAC SURGERY
- Coronary Artery Bypass Grafting
- Valvular Repair and/or Replacement
- Cardiac Transplantation

PART III. PUTTING IT ALL TOGETHER

CHAPTER 11. APPROACH TO THE PATIENT WITH CORONARY ARTERY DISEASE
Angina Pectoris

  • Clinical Recognition of Stable Angina Pectoris
  • Clinical Recognition of Unstable Angina
  • Management of Stable Angina Pectoris
  • Management of Unstable Angina

Acute Myocardial Infarction (MI)

  • Clinical Recognition of Acute MI
  • Management of Acute MI
  • Complications of Acute MI
  • Electrical Complications of Acute MI
  • Ventricular Arrhythmias
  • Supraventricular Arrhythmias
  • Bradyarrhythmias and Conduction Disturbances
  • Mechanical Complications of Acute MI
  • Left Ventricular (LV) Systolic Dysfunction
  • Acute Ventricular Septal Defect and Papillary Muscle
  • Rupture
  • Right Ventricular Infarction
  • Left Ventricular Aneurysm
  • LV Free Wall Rupture and Pseudoaneurysm
  • Pericarditis
  • Secondary Prevention: Pharmacologic Therapy, Risk
  • Factor Modification and
    Cardiac Rehabilitation

CHAPTER 12. APPROACH TO THE PATIENT WITH HEART FAILURE
- Etiology and Pathophysiology
- Left Ventricular Systolic Dysfunction
- Dilated Cardiomyopathy
- Left Ventricular Diastolic Dysfunction
- Treatment of Chronic Heart Failure
- Treatment of Acute Pulmonary Edema

CHAPTER 13. APPROACH TO THE PATIENT WITH SYSTEMIC ARTERIAL HYERTENSION
- Primary and Secondary Forms of Hypertension
- Clinical Manifestations of Hypertension
- Therapy of Hypertension

CHAPTER 14. APPROACH TO THE PATIENT WITH DYSLIPIDEMIA
- Pathogenesis of Atherosclerosis
- Therapeutic Considerations

CHAPTER 15. APPROACH TO THE PATIENT WITH VALVULAR HEART DISEASE
Aortic Stenosis (AS)

  • Clinical Recognition of AS
  • Management of AS

Aortic Regurgitation (AR)

  • Chronic AR
  • Clinical Recognition of Chronic AR
  • Acute AR
  • Clinical Recognition of Acute AR
  • Management of Chronic and Acute AR

Mitral Regurgitation (MR)

  • Chronic MR
  • Clinical Recognition of Chronic MR
  • Management of Chronic MR
  • Acute MR
  • Clinical Recognition and Management of Acute MR

Mitral Valve Prolapse (MVP)

  • Clinical Recognition of MVP
  • Management of MVP

Rheumatic Mitral Stenosis (MS)

  • Clinical Recognition of Rheumatic MS
  • Management of Rheumatic MS

Tricuspid Regurgitation (TR)

  • Clinical Recognition of TR
  • Management of TR

CHAPTER 16. APPROACH TO THE PATIENT WITH HYPERTROPHIC CARDIOMYOPATHY
- Clinical Recognition of Hypertrophic Obstructive - Cardiomyopathy (HOCM)
- Treatment Options for HOCM
- Risk of Sudden Death

CHAPTER 17. APPROACH TO THE PATIENT WITH INFECTIVE ENDOCARDITIS
- Etiology and Risk Factors
- Clinical Presentation of Infective Endocarditis
- Therapy of Infective Endocarditis

CHAPTER 18. APPROACH TO THE PATIENT WITH AORTIC DISSECTION
- Classification and Pathogenesis
- Clinical Manifestations of Aortic Dissection
- Medical and Surgical Considerations in Aortic Dissection

CHAPTER 19. APPROACH TO THE PATIENT WITH PERICARDIAL DISEASE
- Acute Pericarditis
- Cardiac Tamponade
- Constrictive Pericarditis

CHAPTER 20. APPROACH TO THE PATIENT WITH PULMONARY HYPERTENSION
- Pathophysiologic Mechanisms
- Clinical Recognition of Primary Pulmonary Hypertension
- Management of Pulmonary Hypertension

CHAPTER 21. APPROACH TO THE PATIENT WITH A HEART MURMUR
- Evaluation of a Heart Murmur: An Integrated Approach

  • When to Order a Doppler-Echo
  • Clues from the Cardiac Clinical Exam

CHAPTER 22. APPROACH TO THE PATIENT WITH CARDIAC ARRHYTHMIAS AND CONDUCTION DISTURBANCES


- General Considerations
- Atrial Fibrillation
- Supraventricular Tachycardias
- Ventricular Tachycardia
- Bradyarrhythmias and Conduction Abnormalities

CHAPTER 23. APPROACH TO THE PATIENT WITH ADULT CONGENITAL HEART DISEASE


- Bicuspid Aortic Valve
- Pulmonic Valve Stenosis
- Atrial Septal Defect
- Ventricular Septal Defect
- Coarctation of the Aorta
- Patent Ductus Arteriosus
- Marfan's Syndrome

CHAPTER 24. APPROACH TO THE PATIENT WITH HEART DISEASE UNDERGOING NONCARDIAC SURGERY
Preoperative Assessment of Risk

  • Clinical Predictors of Risk
  • Surgery Specific Markers of Risk

Perioperative Evaluation and Management

CHAPTER 25. APPROACH TO THE PATIENT WITH NEOPLASTIC HEART DISEASE
Primary Tumors of the Heart

  • Atrial Myxoma
  • Angiosarcoma

Secondary Tumors of the Heart and the Effects of Treatment
Carcinoid Syndrome

CHAPTER 26. APPROACH TO THE PATIENT WITH "FALSE" HEART DISEASE
Pitfalls in the Clinical Recognition and Management of Heart Disease
Misleading Clues in the Clinical Cardiovascular Evaluation

  • Misinterpretation of Symptoms and Signs
  • Misinterpretation of ECG, CXR, and Diagnostic Laboratory Data

The Athlete's Heart
Iatrogenic Heart Disease

CHAPTER 27. APPROACH TO THE PATIENT WITH AN ACUTE CARDIAC EMERGENCY
- General Considerations
- Universal Approach to Adult Emergency Cardiac Care
- Ventricular Fibrillation/Pulseless Ventricular -Tachycardia
- Pulseless Electrical Activity
- Asystole
- Bradycardia
- Tachycardia
- Shock
Selected Reading
Index

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