Cardiology To Impress: The Ultimate Guide For Students And Junior Doctors

by Kathie A Wong, Edith A Ubogagu, Darrel P Francis

Overview

Cardiology to Impress is the ultimate guidebook for medical students preparing for the clinical experience. It is written in collaboration with top teaching consultants and newly qualified doctors who are familiar with the pitfalls of clinical attachments, and understand the fears and apprehensions when students are thrown into difficult exams and the hospital setting. This pocket-size handbook specifically outlines what medical students are to expect, and what is expected of them in clinics, theatres and in exam settings. It teaches how to be competent in front of senior doctors and provides useful tips on how to answer questions on ward rounds. This book does not mindlessly regurgitate facts, rather it tailors the facts to the clinical setting, thus bridging the gap between textbook knowledge and clinical practice in a way that enables the student to understand, and appreciate the clinical relevance of medical knowledge.

Product Details

ISBN-13:	9781848165380
Publisher:	Imperial College Press
Publication date:	05/05/2010
Series:	Clinical Talk
Pages:	288
Product dimensions:	5.90(w) x 8.90(h) x 0.60(d)

Table of Contents

Preface vii

List of Abbreviations xiii

Chapter 1 Clerking Patients 1

1.1 History Taking 1

1.2 Chest Pain 3

1.3 Dyspnoea 6

1.4 Palpitations 8

1.5 Syncope 10

1.6 Oedema 11

1.7 Assessment of Cardiac Risk Factors 12

1.8 Social Circumstances 17

1.9 Implications in Primary Care 17

1.10 Examination of a Patient 18

1.11 Worked Example 30

1.12 Presenting Patients 34

1.13 Summarising Your History 34

Chapter 2 Bedside Teaching 37

2.1 Tackling Murmurs 37

2.2 Systolic Murmurs 40

2.3 Diastolic Murmurs 46

2.4 Valve Replacement 50

2.5 Other Common Murmurs 52

2.6 Other Bedside Conditions 55

Chapter 3 Investigations 63

3.1 Blood Tests 63

3.2 Electrocardiography (ECG) 71

3.3 Anatomical Localisation of Myocardial Infarction 86

3.4 ECG Examples 90

3.5 Exercise Tolerance Test (ETT) 90

3.6 Cardiac Imaging 91

3.7 Echocardiography (ECHO) 92

3.8 Stress Echocardiography 95

3.9 Transoesophageal Echocardiography (TOE) 96

3.10 Myocardial Perfusion Scan (Thallium or MIBI Scan) 97

3.11 MUGA - Multi Gated Acquisition Scan 97

3.12 Coronary Angiography 97

3.13 CT Coronary Angiogram 102

Chapter 4 Commonly Encountered Conditions 107

4.1 Atherosclerosis 107

4.2 Angina 110

4.3 Acute Coronary Syndromes (ACS) 115

4.4 ST-Elevation Myocardial Infarction (STEMI) 115

4.5 Non-ST-Elevation Myocardial Infarction (NSTEMI) 117

4.6 Unstable Angina (UA) 118

4.7 Atrial Fibrillation (AP) 120

4.8 Other Arrhythmias 131

4.9 Hypertension 139

4.10 Heart Failure 148

4.11 Cardiac Resynchronisation Therapy (CRT) 156

4.12 Cardiomyopathy (CM) 158

4.13 Dilated Cardiomyopathy (DCM) 158

4.14 Hypertrophic Cardiomyopathy (HCM) 161

4.15 Restrictive Cardiomyopathy (RCM) 163

4.16 Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) 164

4.17 Implantable Cardiac Defibrillator (ICD) 166

4.18 Cardiac Pacing 168

Chapter 5 Cardiovascular Drugs 177

5.1 Antiplatelet Agents 177

5.2 Anticoagulants 184

5.3 Beta-Blockers 191

5.4 Calcium Channel Blockers (CCB) 197

5.5 Statins 201

5.6 Diuretics 207

5.7 Ace Inhibitors 212

5.8 Angiotensin II Receptor Antagonists 216

5.9 Anti-arrhythmics 218

5.10 Nitrates 225

5.11 Potassium Channel Openers 226

Chapter 6 In Theatre 229

6.1 Anatomy of the Heart 229

6.2 Patients Having Coronary Artery Bypass Graft (CABG) 231

Chapter 7 Management Cribsheets 235

7.1 Management of Acute Pulmonary Oedema 235

7.2 Management of Acute Coronary Syndromes 239

7.3 Management of NSTEMI and Unstable Angina 243

7.4 Management of Arrhythmias 244

7.5 Management of Bradyarrhythmias 245

7.6 Management of Tachyarrhythmias 246

Chapter 8 Appendix 249

8.1 ECG Examples 249

8.2 How to Measure Blood Pressure 256

8.3 Some Important Principles in Cardiology 256

8.4 Brugada Syndrome 258

8.5 Dietary Approaches to Stop Hypertension (DASH) 258

8.6 Jervell and Lange-Nielsen Syndrome 258

8.7 Romano-Ward Syndrome 259

References 261

Index 267

Editorial Reviews

Reviewer: Vinod S. Kudagi, MD (Ochsner Clinic Foundation)
Description: This is a pocket reference for cardiovascular conditions.
Purpose: The authors aim to help readers understand the basics of cardiovascular medicine.
Audience: The book is written for medical students and house officers who can use this pocket guide for quick reference during clinical rotations.
Features: The first two chapters cover history taking and physical examination. The authors have made good use of figures, flow diagrams, and tables in each chapter, which are easy to understand, and they have highlighted the areas that are important to remember. Some sections have a paragraph called "To impress" which contains vital information from that section, and all chapters have multiple mnemonics. Chapter 7 outlines flow diagrams for management of important cardiovascular conditions, which is very helpful during clinical rotations. Chapter 8 contains important EKGs, which every medical student should know prior to starting residency. A small reference list is provided at the end of the book, although it's inadequate.
Assessment: The authors have done a good job of covering the major topics in cardiology in a concise way. The information is presented in an easy to understand, user-friendly format.

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