BookBryan J. Wells, Pablo A. Quintero, Geoffrey Southmayd, editors.
Summary: This book serves as a pocket-sized resource to aid with the diagnosis and management of cardiovascular disease in the inpatient setting. Containing up-to-date information from guidelines and clinical trials, this book is the only handbook-style reference on cardiac care designed specifically for the hospitalist. The first section of the book covers cardiac pathology with an emphasis on evidence-based and guideline-based approaches to patient care. Each chapter focuses on a specific cardiovascular disease state such as acute coronary syndrome, atrial fibrillation, pulmonary hypertension, and aortic disease. The second section examines the differential diagnoses and recommended workup for common cardiac chief complaints including chest pain, palpitations, syncope, and dyspnea. The third and final section discusses indications and interpretation of commonly used cardiac procedures and imaging modalities. This book provides a concise review over a broad range of cardiovascular disease states in an accessible handbook-style to aid with the care of these patients. The Handbook of Inpatient Cardiology is an essential resource for physician hospitalists caring for cardiac patients on the medical ward in addition to cardiology physicians and trainees, affiliate providers, and students.
Contents:
Intro
Contents
Contributors
Abbreviations
Introduction
Part I: Cardiac Pathology
Chapter 1: Acute Coronary Syndrome
Definitions (Table 1.1)
Pathophysiology
Prognosis
Classification
Initial Management (Fig. 1.3)
Risk Stratification
Conservative/Ischemia-Guided Strategy
Early Invasive Management Strategy
Post-ACS Management
References
Chapter 2: Stable Ischemic Heart Disease
Diagnosis
Differentiating CAD, SIHD, and ACS
Cardiovascular Risk in Patients Presenting with Chest Pain (Fig. 2.1)
Physical Exam Preliminary Workup of Suspected SIHD
Specific Testing in Suspected CAD: Who to Test
Specific Testing in Suspected CAD: Stress Testing (See Table 2.2)
Specific Testing in Suspected CAD: Anatomical Testing
Specific Testing in Suspected CAD: Invasive Coronary Angiography
Specific Testing in Already Known CAD
SIHD Without Obstructive CAD
When to Refer to a Cardiologist
Guideline-Directed Medical Treatment (GDMT)
Goals of Treatment
Behavior Modification
Pharmacologic Therapy for Specific Risk Factors
Lipids
Hypertension
Diabetes
Obesity Pharmacologic Therapy to Prevent MI or Death in SIHD Independent of Risk Factors
Antiplatelet Therapy
Anticoagulation
Other Therapies
Medications that Treat Angina
Revascularization in SIHD
References
Chapter 3: Atrial Fibrillation and Atrial Flutter
Terminology
Epidemiology of Atrial Fibrillation
Consequences of Atrial Fibrillation
Thromboembolic Risk
Evaluation of Patients with New Atrial Fibrillation
Anticoagulation for Atrial Fibrillation
Heart Rate Control in Atrial Fibrillation
Rhythm Control in Atrial Fibrillation
Antiarrhythmic Therapy Atrial Flutter
When Should a Cardiology Consultation Be Considered
References
Chapter 4: Supraventricular Tachycardia
Supraventricular Tachycardia
Definition, Incidence and Prevalence
Interventions for SVT
Vagal Maneuvers
Adenosine
Electrical Cardioversion
Approach to the Patient with SVT
12-Lead Electrocardiogram (ECG)
Response to Adenosine
AV Nodal Reentrant Tachycardia
Typical AVNRT
Atypical AVNRT
AV Reentrant Tachycardia
Pre-Excited Atrial Fibrillation
Orthodromic AVRT
Antidromic AVRT
Atrial Tachycardia
Focal Atrial Tachycardia Multifocal Atrial Tachycardia
Junctional Tachycardia
References
Chapter 5: Ventricular Arrhythmias
Terminology and Definitions
Epidemiology
Mechanisms of Ventricular Ectopy and Tachycardia
Diagnosis of Ventricular Tachycardia
The Surface ECG
Inpatient Management of Ventricular Tachycardia
References
Chapter 6: Bradyarrhythmias and AV Block
Sinus Bradycardia
Definition
Causes
Clinical Presentation
Diagnosis/ECG Features
Treatment
Sinus Pauses or Arrest
Sinoatrial Exit Block
Sinus Node Dysfunction (SND)
Definition