Table Of ContentConcise
Cardiology
An Evidence-Based
Handbook
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Concise
Cardiology
An Evidence-Based
Handbook
EDITOR
DavidV.Daniels,MD
FellowinCardiovascularMedicine
FellowinCriticalCareMedicine
StanfordUniversityMedicalCenter
Stanford,California
ASSOCIATE EDITORS
StanleyG.Rockson,MD
ChiefofConsultativeCardiology
StanfordUniversityMedicalCenter
Stanford,California
RandallVagelos,MD
ProfessorofMedicine/MedicalDirector,CCU
CardiovascularMedicine
StanfordUniversityMedicalCenter
Stanford,California
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AcquisitionsEditor:FrancesR.DeStefano
ManagingEditor:ChrisPotash
ProjectManager:RosanneHallowell
ManufacturingManager:KathleenBrown
MarketingManager:KimberlySchonberger
DesignCoordinator:TeresaMallon
CoverDesigner:LouFuiano
ProductionServices:ElmStreetPublishingServices
©2008byLippincottWilliams&Wilkins,aWoltersKluwerbusiness
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LibraryofCongressCataloging-in-PublicationData
Concisecardiology:anevidence-basedhandbook/editor,DavidV.Daniels;associate
editors,StanleyG.Rockson,RandallVagelos.
p. ; cm.
Includesbibliographicalreferencesandindex.
ISBN978-0-7817-8509-9
1.Cardiology—Handbooks,manuals,etc. 2.Heart—Diseases—Handbooks,
manuals,etc. I.Daniels,DavidV. II.Rockson,StanleyG. III.Vagelos,Randall.
[DNLM:1. HeartDiseases—Handbooks. 2. DiagnosticTechniques,
Cardiovascular—Handbooks. 3. Evidence-BasedMedicine—Handbooks.
WG39C7552008]
R61C66.16(cid:2)92.—15dCc62622008
2008009965
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10 9 8 7 6 5 4 3 2 1
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First,toMomandDad:Youarethebestparentsany-
onecouldeverhopeforandyouwillalwaysbewithme.
I am forever grateful for the infinite lessons, constant
patience,andvaluesyouhavebestoweduponme.You
always had faith in me, often when I was unsure of
myself,andIcanonlyaspiretohavethesamecourage
andcompassionwithmyownchildrensomeday.
MysisterAna,mybrother-inlawBart,andmyprin-
cess Stefanie: We are family forever, and it is one of
the only things in this world I am truly sure of.I am
blessedwithbestfriendsthatarecloserthanmanyboys
aretotheirownbrothersandIhopetonevertakethat
forgranted.
I want to thank the many great teachers in my life,
especially the ones who nurtured a rigorous academic
approachtemperedwithhabitualcommonsense.These
arelessonsthatnotextbookcanconfer.
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CONTENTS
Contributors ix
Foreword xiii
Chapter1 PhysicalExaminationofthe
CardiovascularSystem...........................1
ClarkeG.Daniels,DavidV.Daniels,and
KamalenduChatterjee
Chapter2 StressTesting...................................19
IanBrownandDonaldSchreiber
Chapter3 ChestPainandtheAcuteCoronary
Syndromes......................................37
DavidV.Daniels,ToddJ.Brinton,andDavidP.Lee
Chapter4 CardiogenicShock.............................61
DavidV.Daniels,ToddJ.Brinton,andRandall
Vagelos
Chapter5 BradyarrhythmiasandPacing..................69
JamesV.FreemanandPaulJ.Wang
Chapter6 WideandNarrowComplex
Tachyarrhythmias...............................85
DavidV.DanielsandAminAl-Ahmad
Chapter7 SuddenCardiacDeathandICDTherapy......95
DavidV.DanielsandHenryHsia
Chapter8 AtrialFibrillation...............................107
AnuragGuptaandPaulJ.Wang
Chapter9 HeartFailure..................................129
DavidKao,DavidV.Daniels,andEuanAshley
Chapter10 PulmonaryHypertension......................151
FrançoisHaddad,RamonaL.Doyle,JulianaC.Liu,
andRohamT.Zamanian
vii
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viii Contents
Chapter11 TransplantMedicine..........................165
MichaelPham
Chapter12 ValvularDiseases..............................179
ShriramNallamshettyandStanleyG.Rockson
Chapter13 Endocarditis...................................215
ToddL.Kiefer,FredA.Lopez,andRandallVagelos
Chapter14 PericardialDisease............................223
ToddL.KieferandRandallVagelos
AppendixA CentralVascularAccessTechniques..........227
IanBrown
AppendixB ClinicalPharmacology.........................243
KellyMatsuda
Index 255
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CONTRIBUTORS
AminAl-Ahmad,MD
AssistantProfessorofCardiovascularMedicine
AssociateDirector,CardiacArrythmiaServices
StanfordUniversity
Stanford,California
EuanAshley,MRCP,DPhil
AssistantProfessorofMedicine
CardiovascularMedicine
StanfordUniversity
Stanford,California
ToddJ.Brinton,MD
InstructorofMedicine(Cardiology)
LecturerinBioengineering
InterventionalCardiology
Stanford,California
IanBrown,MS,MD
InstructorofSurgery(EmergencyMedicine)
StanfordUniversitySchoolofMedicine
Stanford,California
KamalenduChatterjee,MB,FRCP,FACC,FCCP,MACP
ErnestGalloDistinguishedProfessorofMedicine
DivisionofCardiology,DepartmentofMedicine
UniversityofCalifornia
SanFrancisco,California
ClarkeG.Daniels,MD
Cardiologist,InternalMedicine
Doctor’sMedicalCenter—SanPablo
SanPablo,California
DavidV.Daniels,MD
FellowinCardiovascularMedicine
FellowinCriticalCareMedicine
StanfordUniversityMedicalCenter
Stanford,California
ix
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x Contributors
RamonaL.Doyle,MD
AssociateProfessor
DivisionofPulmonary/CriticalCareMedicine
DepartmentofMedicine
StanfordUniversity
Stanford,California
JamesV.Freeman,MD,MPH
FellowinCardiovascularMedicine
StanfordUniversity
Stanford,California
AnuragGupta,MD
ElectrophysiologyFellow
DepartmentofMedicine,DivisionofCardiology
StanfordUniversityHospital
Stanford,California
FrançoisHaddad,MD
ClinicalInstructorofMedicine,DivisionofCardiovascularMedicine
AttendingCardiologist
HeartFailureandTransplantService
PulmonaryHypertensionService
StanfordUniversitySchoolofMedicine
Stanford,California
HenryHsia,MD
AssociateProfessor,CardiovascularMedicine
AssistantDirector,ArrhythmiaServices
StanfordMedicalCenter
Stanford,California
DavidKao,MD
NASAAmesResearchCenter
ChiefMedicineResident
StanfordUniversity
Stanford,California
ToddL.Kiefer,MD,PhD
Fellow,CardiovascularMedicine
DukeUniversityMedicalCenter
Durham,NorthCarolina
DavidP.Lee,MD
Director,CardiacCatheterizationandCoronaryInternist
AssistantProfessor
StanfordUniversitySchoolofMedicine
Stanford,California
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