Table Of ContentTaylor’s Cardiovascular
Diseases
Taylor’s Cardiovascular
Diseases
A Handbook
Robert B. Taylor, M.D. Editor
Professor Emeritus
Department of Family Medicine
Oregon Health & Science University
School of Medicine
Portland, Oregon
Associate Editors
Alan K. David, M.D. Scott A. Fields, M.D.
Professor and Chairman Professor and Vice Chairman
Department of Family and Department of Family Medicine
Community Medicine Oregon Health & Science University
Medical College of Wisconsin School of Medicine
Milwaukee, Wisconsin Portland, Oregon
D. Melessa Phillips, M.D. Joseph E. Scherger, M.D., M.P.H.
Professor and Chairman Clinical Professor
Department of Family Medicine Department of Family and
University of Mississippi School Preventive Medicine
of Medicine University of California, San Diego
Jackson, Mississippi School of Medicine
San Diego, California
With 10 Illustrations
Robert B. Taylor, M.D.
Professor Emeritus
Department of Family Medicine
Oregon Health & Science University
School of Medicine
Portland, OR 97201-3098, USA
Associate Editors
Alan K. David, M.D. Scott A. Fields, M.D.
Professor and Chairman Professor and Vice Chairman
Department of Family and Department of Family Medicine
Community Medicine Oregon Health & Science University
Medical College of Wisconsin School of Medicine
Milwaukee, WI 53226-0509, USA Portland, OR 97201-3098, USA
D. Melessa Phillips, M.D. Joseph E. Scherger, M.D., M.P.H.
Professor and Chairman Clinical Professor
Department of Family Medicine Department of Family and
University of Mississippi School Preventive Medicine
of Medicine University of California, San Diego
Jackson, MS 39216-4500, USA School of Medicine
San Diego, CA 92103-0801
Library of Congress Cataloging-in-Publication Data
Taylor’s cardiovascular diseases: a handbook/Robert B. Taylor, editor; associate
editors, Alan K. David . . . [et al.].
p.; cm.
“This book is comprised of chapters from the sixth edition of the large reference book,
Family medicine: principles and practice”—Pref.
Includes bibliographical references and index.
ISBN 0-387-22351-7 (alk. paper)
1. Cardiovascular system—Diseases—Handbooks, manuals, etc. I. Title: Cardiovascular
diseases. II. Taylor, Robert B. III. Family medicine.
[DNLM: 1. Cardiovascular Diseases. WG 120 T247 2005]
RC669.15.T396 2005
616.1—dc22 2004058950
ISBN 0-387-22351-7 Printed on acid-free paper.
© 2005 Springer Science+Business Media, Inc.
All rights reserved. This work may not be translated or copied in whole or in part without the
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express or implied, with respect to the material contained herein.
Printed in the United States of America. (MP/MVY)
9 8 7 6 5 4 3 2 1 SPIN 10994986
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Preface
In the end, most of our patients—and also most of us clinicians—
will die a cardiovascular death. During life, many will experience
discomfort and disability caused by diseases of the heart and blood
vessels. This book is intended to be a primer on these causes of mor-
bidity and mortality.
This book is comprised of chapters from the sixth edition of the
large reference book, Family Medicine: Principles and Practice. Pub-
lishing chapters on selected topics provides volumes that are easy to
carry in the pocket, are available at lower cost than large compre-
hensive volumes, and that allow clinicians to select books on areas
that meet their specific needs.
This book on cardiovascular diseases includes the chapter on
Hypertension, which afflicts approximately 60 million Americans
and contributes to many instances of heart disease, stroke, and kid-
ney disease. Chapters related directly to the heart are those on Isch-
emic Heart Disease, Cardiac Arrhythmias, Valvular Heart Disease,
and Heart Failure. I included the chapter on Dyslipidemia, because
elevated serum lipid levels contribute to many instances of cardio-
vascular disease. Venous Thromboembolism and Cerebrovascular
Disease are the chief diseases of blood vessel. The chapter on Car-
diovascular Emergencies includes what the primary care clinician
needs to know when the unexpected strikes. When the primary care
clinician provides Medical Care of the Surgical Patient, cardiovas-
cular disease is often the main area of concern. Finally, Chapter 11
on Selected Disorders allows discussion of a variety of problems in-
cluding pericarditis, myocarditis, endocarditis, the cardiomyopathies,
pulmonary hypertension, and peripheral vascular disease.
I hope that you find this book useful in daily practice.
Robert B. Taylor, M.D.
Portland, Oregon, USA
Clinical Practice
Notice
Everyone involved with the preparation of this book has worked
very hard to assure that information presented here is accurate and
that it represents accepted clinical practices. These efforts include
confirming that drug recommendations and dosages discussed in this
text are in accordance with current practice at the time of publica-
tion. Nevertheless, therapeutic recommendations and dosage sched-
ules change with reports of ongoing research, changes in govern-
ment recommendations, reports of adverse drug reactions, and other
new information.
A few recommendations and drug uses described herein have Food
and Drug Administration (FDA) clearance for limited use in restricted
settings. It is the responsibility of the clinician to determine the FDA
status of any drug selection, drug dosage, or device recommended to
patients.
The reader should check the package insert for each drug to de-
termine any change in indications or dosage as well as for any pre-
cautions or warnings. This admonition is especially true when the
drug considered is new or infrequently used by the clinician.
The use of the information in this book in a specific clinical set-
ting or situation is the professional responsibility of the clinician. The
authors, editors, or publisher are not responsible for errors, omissions,
adverse effects, or any consequences arising from the use of infor-
mation in this book, and make no warranty, expressed or implied,
with respect to the completeness, timeliness, or accuracy of the book’s
contents.
Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Clinical Practice Notice . . . . . . . . . . . . . . . . . . . . . . . . . vii
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
1 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Stephen A. Brunton
2 Ischemic Heart Disease. . . . . . . . . . . . . . . . . . . . . . . . . . 23
Jim Nuovo
3 Cardiac Arrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Michael S. Klinkman
4 Valvular Heart Disease . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Eric Walsh
5 Heart Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
William A. Norcross and Denise D. Hermann
6 Dyslipidemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Patrick E. McBride, Gail Underbakke, and
James H. Stein
7 Venous Thromboembolism . . . . . . . . . . . . . . . . . . . . . . 173
Glenn S. Rodriguez and Thomas M. Schwartz
8 Cerebrovascular Disease . . . . . . . . . . . . . . . . . . . . . . . . 185
Michael H. Bross and David C. Campbell
9 Cardiovascular Emergencies . . . . . . . . . . . . . . . . . . . . . 205
William J. Hueston and A. Kesh Hebbar
x Contents
10 Medical Care of the Surgical Patient . . . . . . . . . . . . . . . 227
Mel P. Daly
11 Selected Disorders of the Cardiovascular System . . . . . . 256
David E. Anisman
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287
Contributors
David E. Anisman, M.D., Assistant Professor of Family Medicine,
Uniformed Services University of the Health Sciences, Bethesda; As-
sistant Program Director, Family Practice Residency, Malcolm Grow
Medical Center, Andrews Air Force Base, MD
Michael H. Bross, M.D., Medical Director, North Central County
Health Center, Institute for Research and Education in Family Med-
icine, St. Louis, MO
Stephen A. Brunton, M.D., Director of Faculty Development, Stam-
ford Hospital/Columbia University Family Practice Residency Pro-
gram, Stamford, CT
David C. Campbell, M.D., M.Ed., Clinical Professor of Commu-
nity and Family Medicine, St. Louis University School of Medi-
cine; The Institute for Research and Education in Family Medi-
cine, St. Louis, MO
Mel P. Daly, M.D., Family Physician, Greater Baltimore Medical
Center, Baltimore, MD
A. Kesh Hebbar, M.D., Assistant Professor of Family Medicine, Med-
ical University of South Carolina, Charleston, SC
Denise D. Hermann, M.D., Associate Clinical Professor of Medicine,
Division of Cardiology, Department of Medicine, University of Cal-
ifornia–San Diego Medical Center, San Diego, CA
William J. Hueston, M.D., Professor and Chairman, Department
of Family Medicine, Medical University of South Carolina,
Charleston, SC
xii Contributors
Michael S. Klinkman, M.D., M.S., Associate Professor of Family Med-
icine, University of Michigan School of Medicine, Ann Arbor, MI
Patrick E. McBride, M.D., M.P.H., Professor of Medicine, Univer-
sity of Wisconsin Medical School, Madison, WI
William A. Norcross, M.D., Professor of Clinical Family Medicine,
University of California–San Diego School of Medicine, La Jolla, CA
Jim Nuovo, M.D., Associate Professor of Family and Community
Medicine, University of California–Davis School of Medicine, Sacra-
mento, CA
Glenn S. Rodriguez, M.D., Regional Medical Director of Quality Im-
provement and Health Services Integration, Providence Health Sys-
tem, Portland; Adjunct Associate Professor of Family Medicine, Ore-
gon Health & Science University School of Medicine, Portland, OR
Thomas M. Schwartz, M.D., Clinical Assistant Professor of Family
Medicine, Oregon Health and Science University School of Medi-
cine; Faculty, Providence Milwaukie Family Practice Residency Pro-
gram, Portland, OR
James H. Stein, M.D., Associate Professor of Medicine, University
of Wisconsin Medical School, Madison, WI
Gail Underbakke, R.D., M.S., Nutrition Coordinator, Preventive Car-
diology Program, University of Wisconsin Hospital and Clinics,
Madison, WI
Eric Walsh, M.D., Associate Professor of Family Medicine, Oregon
Health & Science University School of Medicine, Portland; Direc-
tor, Oregon Health & Science University Family Practice Residency
Program, Portland, OR
