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Cardiology Board Review: ECG, Hemodynamic and Angiographic Unknowns

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Cardiology Board Review: ECG, Hemodynamic and Angiographic Unknowns

George A. Stouffer (Editor)

ISBN: 978-1-119-42324-9 June 2019 Wiley-Blackwell 264 Pages

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Description

An accessible and engaging review of board exam essentials

Cardiology Board Review lays the groundwork for board exam success with its instructive and easy-to-read explanations of the pathophysiology, diagnosis, and treatment of patients with cardiovascular disease. Breaking topics down into case ‘unknowns,’ this innovative revision aid provides examples of everyday cardiological issues and then explains how best to address the problem at hand. All content is complemented by clinical images and illustrations, as well as helpful summaries and key points.

Featuring 56 different cases, this essential text:

  • Places learning in a practical context. Information about disease states is presented in case-based format which leads to better retention.
  • Covers topics including congenital heart disease, coronary artery disease, cardiomyopathies, valvular heart disease, arrhythmias, heart failure, peripheral vascular disease, and more
  • Designed to present important concepts and information in a unique way to complement textbook learning
  • Features electrocardiograms, angiograms, and pressure tracings
  • Is applicable to those working towards certification in Cardiovascular Disease from the American Board of Internal Medicine or preparing for board examinations in other countries
  • Is also suitable for those requiring MOC recertification
  • Features cases on aortic insufficiency, atrial fibrillation, Brugada syndrome, carotid artery disease, myocardial bridging, congenital heart disease, electrolyte abnormalities, apical HCM, mitral regurgitation, RV outflow tract tachycardia, pulmonary hypertension, arrhythmogenic right ventricular dysplasia, aortic stenosis, atrial myxoma, atrial tachycardia, pulmonic insufficiency, Takotsubo, tricuspid regurgitation, Wolfe-Parkinson-White syndrome, pulmonic stenosis, coronary anomalies, ECG changes of hypothermia, endocarditis, pulmonary embolus, ventricular septal defect, hemodynamics of hypertrophic cardiomyopathy, complete heart block, heart failure, coronary artery disease, atrial septal defect, constrictive pericarditis, fractional flow reserve, dextrocardia, STEMI, early repolarization, giant cell myocarditis, peripheral arterial disease, pericardial tamponade, peripheral arterial disease, pericarditis, myocarditis, long QT syndrome, mitral stenosis, tetralogy of Fallot, and supraventricular tachycardia among others.

Cardiology Board Review offers fellows a fresh and engaging approach to the information required to achieve success in board examinations.

Cases compiled with contributions from xi

Preface xiii

Case 1: A 31-Year-Old Man with Fever and Rapidly Progressive Dyspnea 1

Case 2: A Young Man with Palpitations After a Party 5

Case 3: A 45‐Year‐Old Man with Chest Pain After an Automobile Accident 9

Case 4: A 67‐Year‐Old Man with Left‐Sided Weakness 13

Case 5: A 54‐Year‐Old Woman with Exertional Angina But No Atherosclerotic Coronary Artery Disease 19

Case 6: A 34‐Year‐Old Woman with Fatigue 23

Case 7: An Elderly Woman with a Loud Murmur 31

Case 8: A Middle‐Aged Woman Who Passes out While Running after her Grandchildren 35

Case 9: A 31‐Year‐Old Man with Palpitations and Dizziness 39

Case 10: An Unexpected Finding on a Coronary Angiogram 43

Case 11: A 26‐Year‐Old Man Who Collapses While Talking with Friends 45

Case 12: An Elderly Gentleman Who Passes Out While Working on His Farm 49

Case 13: A 46‐Year‐Old Woman with Dyspnea on Exertion and Daily Emesis 55

Case 14: A Pregnant Woman with Palpitations 59

Case 15: Is this a Positive Brockenbrough Sign? 63

Case 16: Dyspnea in a Woman Who is Five Months Postpartum 67

Case 17: Can you Identify This Coronary Anomaly? 71

Case 18: Why is this Patient Short of Breath? 73

Case 19: A Clinical Application of Coronary Physiology 79

Case 20: An Asymptomatic Patient with a Very Unusual ECG 85

Case 21: Is This a STEMI? 87

Case 22: Rapidly Progressive Dyspnea, Abdominal Fullness, and Nausea 89

Case 23: A 40‐Year‐Old Man with Dyspnea on Exertion 93

Case 24: A Recent Immigrant from Mexico with Complaints of Dyspnea 97

Case 25: New Onset Hypertension with Dyspnea and ECG Changes 103

Case 26: A 52‐Year‐Old Woman on Hemodialysis Who Presents with Shortness of Breath and New ECG Changes 107

Case 27: A 42‐Year‐Old Man with Hypotension, Diarrhea, Vomiting, and ECG Changes 109

Case 28: A 58‐Year‐Old Male with Worsening Dyspnea 113

Case 29: A 68‐Year‐Old Woman with Chest Pain and a Normal Stress Test 117

Case 30: A 29‐Year‐Old Woman with Shortness of Breath and Leg Swelling 123

Case 31: An ECG Finding You Don’t Want to Miss 129

Case 32: An Unusual ECG in a Homeless Man Who is Unconscious 133

Case 33: An 18‐Year‐Old Student with Fever, Chest Pain, and ST Elevation 137

Case 34: Recurrent Endocarditis in a 26‐Year‐Old Woman 141

Case 35: A 23‐Year‐Old Man with a Loud Systolic Murmur 145

Case 36: A 66‐Year‐Old Woman with Dyspnea for Two Weeks Which Has Now Abruptly Worsened 149

Case 37: An Unusual Ventriculogram 151

Case 38: A 68‐Year‐Old Male with Generalized Weakness and Dyspnea 153

Case 39: A 66‐Year‐Old Woman with Chest Pain During a Hurricane 157

Case 40: A 39‐Year‐Old Woman Who is Found Unconscious 161

Case 41: An Unusual Right Atrial Pressure Tracing 163

Case 42: A 20‐Year‐Old Man with a Heart Rate of 250 bpm 167

Case 43: A 46‐Year‐Old Man with Heart Failure and New Onset Palpitations 173

Case 44: Palpitations and Dizziness in a Young Adult with a Very Abnormal ECG 177

Case 45: A 36‐Year‐Old Man with Long‐Standing Hypertension and an Abnormal ECG 181

Case 46: A 46‐Year‐Old Man with Fatigue 183

Case 47: A 28‐Year‐Old Runner with Exercise‐Induced Palpitations 187

Case 48: A 43‐Year‐Old Man with Chest Pain and an Episode of Syncope 191

Case 49: A 50‐Year‐Old Man with Worsening Cough and Dyspnea 197

Case 50: Unsuspected Congenital Heart Disease in a 26‐Year‐Old Woman 201

Case 51: How Likely is This Patient to Have a Bad Outcome? 203

Case 52: A 55‐Year‐Old Man with Leg Pain 211

Case 53: An 18‐Year‐Old High School Student with an Abnormal ECG and a Nervous Parent 217

Case 54: Could This Cardiac Arrest Have Been Prevented? 221

Case 55: Why is This Patient Tachycardic? 229

Case 56: A 31‐Year‐Old Woman with Palpitations While at Work 233

Index 237