Cardiology in Primary Care

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Author: William T. Branch
Published: April 2000
Publisher: McGraw-Hill Companies
ISBN: 0070071624
Hardcover Book
Number of Pages: 940

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Cardiology in Primary Care

The book contains predominantly black-and-white illustrations, with some two-color illustrations.This book is designed to answer fundamental questions about cardiac care for the primary care practitioner: How do I diagnose? How can I help my patients prevent heart disease? Which diseases should I manage and what are the steps to take? When do I consult with or refer to a cardiologist? What should I watch for if my patient has a cardiovascular condition? How do I educate my patients? What is the most effective and economical course of action? Each chapter is coauthored by a generalist and a cardiologist to ensure the primary care focus is fused with the latest scientific breakthroughs. The primary care practitioner's handbook to the fundamentals of cardiac care, such as diagnostic procedure guidelines. Addresses all aspects of etiology, diagnosis, treatment, and prevention issues for patient with heart disease. This is an up-to-date review of cardiovascular topics written by cardiologists and primary care physicians. The purpose is to present to the general health practitioner (family physicians, internists, nurse clinicians) guidelines for the evaluation and management of common cardiovascular problems. In view of the magnitude of the cardiac problems encountered in the general population and the fact that the initial contacts with most of the patients with suspected or proven vascular diseases is with a primary care physician, this is an exceedingly worthwhile addition to our resources to deal with cardiovascular problems. This book was prepared for healthcare workers and primary care physicians. Interestingly enough, the topic selection and the reviews are done jointly by cardiologists and primary care physicians. The book is divided into four parts: an initial evaluation of symptoms and signs of cardiovascular disorders; a review of the prevention of cardiovascular diseases; management of the cardiovascular problems; and a discussion of topics of special interest for the primary care practitioner. This book is very clearly written, easy to read, and up to date. A minor criticism is the paucity of illustrations. I enjoyed reviewing this book very much. The editors provide a succinct, practical approach to cardiovascular problems targeted for and prepared by primary care physicians jointly with cardiologists. Branch, William T, Jr., MD (Emory Univ); Alexander, R. Wayne, MD, PhD (Emory Univ); Schlant, Robert C., MD (Emory Univ); Hurst, J. Willis, MD (Emory Univ)

Table of Contents
Contributors
Preface
1 The Prevalence of Cardiovascular Disease in the General Population and the Role of the Primary Care Physician 1
Pt. 1 Evaluation of Symptoms and Signs of Cardiovascular Disorders
2 Episodic Chest Discomfort 9
3 Dyspnea and Fatigue 21
4 Syncope 29
5 Dizziness 43
6 Palpitations and Tachycardia 57
7 Physical Examination of the Heart, Arteries, and Jugular Veins 65
8 Edema, Anasarca, and Ascites 93
9 The Cool Extremity 103
10 The Assessment of Intermittent Claudication 109
11 Unilateral Leg Swelling and Postphlebitic Syndrome 115
12 Varicose Veins 127
13 Ulcers of the Lower Extremity 135
14 Cardiac Tamponade 147
15 Ischemic Stroke and Transient Ischemic Attacks 161
16 Abdominal Aortic Aneurysms 179
Pt. 2 Prevention of Cardiovascular Diseases
17 Routine Screening 191
18 The Management of Lipoprotein Disorders 201
19 Tobacco Abuse-Cardiovascular Effects and Strategies for Cessation 223
20 Exercise Programs and Postmyocardial Infarction Rehabilitation Therapy 233
21 Coronary Atherosclerosis-Effects of Aspirin, Oxidative Stress, Alcohol, and Psychological Factors 241
22 The Controversy of Postmenopausal Hormonal Replacement Therapy and Cardiovascular Risk Reduction 253
23 Obesity 265
24 Antibiotic Prophylaxis for the Prevention of Bacterial Endocarditis 279
Pt. 3 Management of Cardiovascular Diseases
25 Outpatient Treatment of Stable Angina Pectoris 289
26 Acute Myocardial Infarction and Unstable Angina 311
27 Heart Failure 355
28 Cardiomyopathy 387
29 Myocarditis and Cardiac Toxicities 401
30 Hypertension: Assessment and Management of the Usual Case 413
31 Hypertension: Assessment and Management of the Difficult Case 437
32 Mitral and Aortic Valve Disease 459
33 Congenital Heart Disease 491
34 Pericarditis 521
35 The Management of Peripheral Vascular Disease 537
36 Sudden Cardiac Death 545
37 Cardiac Arrhythmia: Outpatient and Inpatient Management 551
38 Acute Rheumatic Fever 569
39 Constrictive Pericarditis 585
40 Infective Endocarditis 595
41 Perioperative Evaluation and Management of Patients with Known or Suspected Cardiovascular Disease who Undergo Noncardiac Surgery 613
42 Pulmonary Embolism and Deep Venous Thrombosis 627
43 Pulmonary Hypertension and Cor Pulmonale 653
Pt. 4 Cardiovascular Topics of Special Interest for Primary Care Practice
44 Cost-Effective Cardiovascular Care 681
45 Cardiovascular Causes of Sudden Death, Preparticipation Screening, and the Evaluation of Athletic Activities in Young People 697
46 Heart Disease in the Adolescent 719
47 Heart Disease in Pregnancy 791
48 Heart Disease in the Aged 807
49 The Heart and Endocrine Diseases 835
50 Travel Recommendations for Patients With Heart Disease 843
51 Psychiatric care of Cardiac Patients 851
52 Cardiac Drug Interactions 861
53 Anticoagulation and Antiplatelet Therapy in Heart Disease 871
54 Patient Education and Compliance 899
Index 913

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