A number of cardiology training programs emphasize coronary artery disease whilst neglecting other aspects of cardiology such as valvular, congenital heart or vascular disease. This book attempts to redress this imbalance by reiterating the importance of history and physical findings in detecting valvular, congenital or vascular disease and to correlate the clinical findings to invasive and non-invasive studies. This approach will be useful to cardiologists in training particularly those sitting the Cardiology Board examinations, where recognition of auscultatory findings is now a requirement, and those with an interest in problem solving.

Each of the 90+ patient studies follows a templated design and consists of: history, physical examination, phonocardiography (whenever possible), ECG, Chest X-ray, echocardiography, hemodynamics, and, sometimes, angiography. These sections may or may not be randomized and readers are challenged to write an interpretation on each section as well as answering self-test questions posed in the legends. Patient studies have been arranged in approximately chronological order from 1966-2013 with emphasis on establishing a likely diagnosis based on the available tools then in existence.

Test your problem solving skills, improve your knowledge, and prepare for Boards, with this collection of unusual and challenging patient studies focused on the physical diagnosis of cardiovascular disease. This book:

• Contains over 90 case histories with self-test questions designed to test the reader’s knowledge and also reinforce clinical best practices

• Focuses on diseases of valvular, vascular or congenital origin, and on comparatively rare disorders/diseases, rather than coronary artery disease, to help readers improve their skills at interpreting and making decisions based on physical examination and basic, non-invasive imaging modalities
• Pairs each with original materials – e.g. x-rays, echocardiograms, lab reports, charts – so that readers can work through their diagnosis using the same information as the physician who treated the patient originally
• Each case is paired with original materials – e.g. x-rays, echocardiograms, lab reports, charts – so readers can work through their diagnosis using the same information as the physician who treated the patient originally
• An ideal companion for those approaching board review or recertification or who want to improve skills in physical diagnosis of cardiovascular disease

Review

Contents

Chapter 1 Patient Study 146-year-old chronic alcoholic man with heart failure and sudden death [1968)
Chapter 2 Patient Study 2 24-year-old man with dyspnea, edema, and a heart murmur [1973}
Chapter 3 Patient Study 3 27-year-old man with hemoptysis and dyspnea [1973}
Chapter 4 Patient Study 4 22-year-old female with exertional chest pain and palpitations [1974}
Chapter 5 Patient Study 5 40-year-old man and the perils of walking in the street [1997}
Chapter 6 Patient Study 6 54-year-old man with dyspnea and a lifelong murmur [1974}
Chapter 7 Patient Study 7 26-year-old man with an asymptomatic heart murmur [1979}
Chapter 8 Patient Study 8 20-year-old man with chest pain and a life -long heart murmur [1979}
Chapter 9 Patient Study 9 23-year-old female with heart failure and a heart murmur [1975}
Chapter 10 Patient Study 10 17-year-old man with fever, myalgias, and a heart murmur [1977}
Chapter 11 Patient Study 11 24-year-old man with left leg pain [1977}
Chapter 12 Patient Study 12 48 -year-old female with dyspnea [1976}
Chapter 13 Patient Study 13 19-year-old man with easy fatiguability, cyanosis,and clubbing [1977}
Chapter 14 Patient Study 14 29-year-old man with an asymptomatic murmur and an abnormal chest X ray [1977}
Chapter 15 Patient Study 15 32-year-old man with a history of dyspnea and syncope over last 38 years [1967}
Chapter 16 Patient Study 16 55-year-old female with chest pain and hematemesis [1993}
Chapter 17 Patient Study 17 27-year-old man with decreased exercise tolerance and a heart murmur [1982}
Chapter 18 Patient Study 18 29-year-old man with pleuritic chest pain, dyspnea, and cardiomegaly [1985}
Chapter 19 Patient Study 19 25-year-old man with new onset of hemoptysis [1986}
Chapter 20 Patient Study 20 80-year-old man with hemoptysis and dyspnea [1998}
Chapter 21 Patient Study 21 21-year-old man with hemoptysis, cyanosis, and a heart murmur [1989}
Chapter 22 Patient Study 22 23-year-old female with chest pain and visual symptoms [1992}
Chapter 23 Patient Study 23 Approximately 40-year-old man with new onset of a murmur and heart failure [1975}
Chapter 24 Patient Study 24 54-year-old female with altered mental status [1993}
Chapter 25 Patient Study 25 74-year-old female admitted with abdominal pain followed by shock [1994}
Chapter 26 Patient Study 26 Approximately 82-year-old female admitted with recurrent lower GI bleeding and a known abdominal aortic aneurysm [2001}
Chapter 27 Patient Study 27 41-year-old female with chest pain and a heart murmur [1994]
Chapter 28 Patient Study 28 48-year-old man with leg numbness and weakness [1994}
Chapter 29 Patient Study 29 67-year-old female with chest pain and a new heart murmur [1995}
Chapter 30 Patient Study 30 62-year-old man with chest pain and hypertension [1996}
Chapter 31 Patient Study 31 17-year-old female with fatigue and a heart murmur [1997}
Chapter 32 Patient Study 32 31-year-old female with fatigue and syncope [1997}
Chapter 33 Patient Study 33 33-year-old female with dyspnea, edema, and a murmur [1995}
Chapter 34 Patient Study 34 21-year-old man with dyspnea and chest pain [1995}
Chapter 35 Patient Study 35 54-year-old man with chest pain, hypertension, and abdominal pain [ 2005}
Chapter 36 Patient Study 36 19-year-old female with aching legs on exertion [1995}
Chapter 37 Patient Study 37 58-year-old man with dyspnea, chest pain,and Sjorgen’s syndrome [1996}
Chapter 38 Patient Study 38 37-year-old ex cocaine user with dyspnea and a heart murmur [1998}
Chapter 39 Patient Study 39 24-year-old female with a heart murmur [1997}
Chapter 40 Patient Study 40 34-year-old Asian female with heart failure[2001}
Chapter 41 Patient Study 41 73-year-old man with chest pain and hypertension [2000}
Chapter 42 Patient Study 42 42-year-old female with dyspnea and a heart murmur [2001}
Chapter 43 Patient Study 43 37-year-old female with dyspnea and cyanosis [1999}
Chapter 44 Patient Study 44 27-year-old female with dyspnea, a murmur, and kyphoscoliosis [1996}
Chapter 45 Patient Study 45 41-year-old man with presumed cardiomyopathy [2002}
Chapter 46 Patient Study 46 78-year-old female with chest pain and a heart murmur [2002}
Chapter 47 Patient Study 47 31-year-old man with long-standing clubbing [1997}
Chapter 48 Patient Study 48 79-year-old man with dyspnea and edema 3 years after an operation [1995]
Chapter 49 Patient Study 49 37-year-old female with recurrent syncope and heart failure [1984}
Chapter 50 Patient Study 50 33-year-old man with new onset of hemiplegia (1985}
Chapter 51 Patient Study 51 44-year-old female with chest pain and dyspnea [2008}
Chapter 52 Patient Study 52 80-year-old diabetic female with an abnormal echocardiogram and no CVS symptoms [2008}
Chapter 53 Patient Study 53 42-year-old female with palpitations and an abnormal echocardiogram [2006}
Chapter 54 Patient Study 54 53-year-old alcoholic man and the perils of winter [ 2009}
Chapter 55-56 Patient Studies 55 and 56 90-year-old female with dyspnea and hemoptysis [2000}
Chapter 57 Patient Study 57 1-month-old Infant with unsuspected cardiac pathology on echocardiography [2002}
Chapter 58 Patient Study 58 69-year-old man with lower extremity pain [2008}
Chapter 59 Patient Study 59 71-year-old man with dizziness and weakness [2010}
Chapter 60 Patient Study 60 20-year-old man with pleuritis and fever [1995}
Chapter 61 Patient Study 61 20-year-old man with swollen face and chest pain [2008}
Chapter 62 Patient Study 62 17-year-old female with an acute myocardial infarction [2013}
Chapter 63 Patient Study 63 66-year-old diabetic female with ICD dysfunction [2008}
Chapter 64 Patient Study 64 39-year-old man with chest pain and syncope [2011}
Chapter 65 Patient Study 65 58-year-old female with dyspnea, hypertension, and hematuria [2008}