心脏病学 英文版【2025|PDF|Epub|mobi|kindle电子书版本百度云盘下载】

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Part I:The Patient Presents With1

1.Chest Pain3

Differential diagnosis of chest pain3

History to focus on the differential diagnosis of chest pain3

Examination of patients who have chest pain4

Investigation of patients who have chest pain5

Preface5

Central chest pain at rest of recent onset in an ill patient7

Differential diagnosis of dyspnoea11

History to focus on the differential diagnosis of dyspnoea11

2.Dyspnoea11

Examination of dyspnoeic patients12

Investigation of dyspnoeic patients13

Dyspnoea at rest of recent onset in an ill patient15

3.Syncope19

Differential diagnosis of syncope19

History to focus on the differential diagnosis of syncope19

Examination of patients who present with syncope20

Investigation of patients who present with syncope21

Syncope of recent onset in an ill patient22

Differential diagnosis of palpitations25

History to focus on the differential diagnosis of palpitations25

4.Palpitations25

Examination of patients who have palpitations26

Investigation of patients who have palpitations27

5.Ankle Swelling31

Differential diagnosis of oedema31

History to focus on the differential diagnosis of ankle swelling32

Examination of patients who have oedema32

Investigation of patients who have oedema34

Important aspects34

Differential diagnosis of a heart murmur37

History to focus on the differential diagnosis of a heart murmur37

6.Heart Murmur37

Examination of patients who have a heart murmur39

Investigation of patients who have a heart murmur42

7.High Blood Pressure43

Differential diagnosis43

History to focus on the differential diagnosis of high blood pressure43

Examination of patients who have high blood pressure44

Investigation of patients who have high blood pressure46

8.Fever Associated With A Cardiac Symptom or Sign49

Differential diagnosis49

History to focus on the differential diagnosis of fever49

Examination of patients who have a fever associated with a cardiac symptom or sign50

Investigation of patients who have a fever associated with a cardiac symptom or sign52

Part II:History, Examination, and Common Investigations55

9.History57

Aim of history taking57

Presenting complaint57

Systems review60

Allergies62

Family History62

Social history62

How to begin the examination65

Observation65

10.Examination65

Examination of the hands66

Examination of the pulse66

Take the blood pressure66

Examination of the face67

Examination of the jugular venous pressuer67

Examination of the praecordium68

Finishing off the examination70

11.How to Write a Medical Clerking71

Documentation of the history71

At the end of the clerking73

Sample medical clerking73

Documentation of the examination findings73

12.Common investigations77

Electrocardiography77

Echocardiography84

Myocardial perfusion imaging86

Magnetic resonance imaging87

Positron emission tomography87

Cardiac catheterization87

Part III:Diseases and Disorders91

Clinical features of angina pectoris93

Risk factors for coronary artery disease93

Pathophysiology of angina pectoris93

Definition of angina pectoris93

13.Angina Pectoris93

Investigation of angina pectoris95

Management of angina pectoris96

Unstable angina100

Low molecular weight heparins101

14.Acute Myocardial Infarction103

Definition of acute myocardial infarction104

Clinical features of acute myocardial infarction104

Investigation of acute myocardial infarction106

Management of acute myocardial infarction107

Summary of management of ischaemic chest pain111

Heart block after myocardial infarction112

15.Supraventricular Tachyarrythmias113

Definition of supraventricular tachyarrhythmias113

Sinus tachycardia113

Premature atrial ectopics113

Nodal and junctional ectopics113

Atrial tachycardia114

Atrioventricular junctional tachycardia115

Atrioventricular nodal re-entrant tachycardia115

Wolff-Parkinson-White syndrome116

Atrial fibrillation117

Afrial flutter117

Investigation of patients who have supraventricular tachyarrhythmisas119

Drugs used to treat tachyarrhythmias121

16.Ventricular Tachyarrhythmias123

Definition of ventricular tachyarrhythmias123

Ventricular ectopic beats123

Ventricular tachycardia124

Ventricular fibrillation125

Torsades de pointes126

Drugs used to treat ventricular tachycardia and fibrillation127

Non-pharmacological treatments of ventricular tachyarrhythmias128

Basic life support131

17.Cardiac Arrest and Resuscitation131

Advanced life support134

18.Bradyarrhythmias137

Definition of bradyarrhythmias137

Sinus bradycardia137

Sinus node disease137

Atrioventricular block138

Bundle branch block141

Investigation of bradyarrhythmias142

Pacemakers143

Pathophysiology of cardiac failure145

Definition of cardiac failure145

19.Cardiac Failure145

Causes of cardiac failure147

Clinical features of cardiac failure148

Examination of patients who have cardiac failure149

Investigation of cardiac failure150

Management of cardiac failure151

20.Cardiomyopathy157

Definition of cardiomyopathy157

Dilated cardiomyopathy157

Hypertrophic obstructive cardiomyopathy158

Restrictive cardiomyopathy160

Acute pericarditis161

21.Pericarditis and Pericardial Effusion161

Dressler s syndrome163

Chronic constrictive pericarditis163

Pericardial effusion163

22.Valvular Heart Disease165

Rheumatic fever165

Mitral stenosis166

Mitral regurgitation168

Aortic stenosis171

Aortic regurgitation173

Tricuspid regurgitation174

Assessing the severity of a valve lesion174

Other valve lesions176

Prosthetic heart valves176

23.Infective Endocardifis177

Definition of infective endocarditis177

Epidemiology of infective endocarditis177

Pathophysiology of infective endocarditis178

Clinical features of infective endocarditis179

Investigation of a patient who has infective endocarditis180

Management of infective endocarditis181

Complication of infective endocarditis182

Monitoring of patients who have infective endocarditis182

Causes of hypertension183

24.Hypertension183

Definition of hypertension183

Clinical features of hypertension184

Investigation of a patient who has hypertension184

Management of hypertension186

Phaeochromocytoma187

25.Congenital Heart Disease189

Definition of congenital heart disease189

Causes of congenital heart disease189

Complication of congenital heart disease189

Atrial septal defect190

Ventricular septal defect192

Patent ductus arteriosus193

Coarctation of the aorta193

Other causes of congenital heart disease195

Notes on pulmonary hypertension and Eisenmenger s syndrome195

Part IV:Self-assessment197

Multiple-choice questions199

Short-answer questions203

Patient management problems206

MCQ answers207

SAQ answers208

Index211