Cardiology Board Review (eBook)

George A. Stouffer, MD, is Chief of Cardiology and Ernest and Hazel Craige Distinguished Professor of Medicine, University of North Carolina, Chapel Hill, NC, USA. He received his medical degree from University of Maryland School of Medicine and has been in practice for more than 20 years. Dr. Stouffer is the author of Practical ECG Interpretation: Clues to Heart Disease in Young Adults and editor of Cardiovascular Hemodynamics for the Clinician.

List of Contributors

Preface

1. A 31-year-old man with fever and rapidly progressive dyspnea

2. A young man with palpitations after a party

3. A 45-year-old man with chest pain after an automobile accident

4. A 67-year-old man with left sided weakness

5. A 54-year-old woman with exertional angina but no atherosclerotic coronary artery disease

6. A 34-year-old woman with fatigue

7. An elderly woman with a loud murmur

8. A middle aged woman who passes out while running after her grandchildren

9. A 31-year-old man with palpitations and dizziness

10. An unexpected finding on a coronary angiogram

11. A 26-year-old man who collapses while talking with friends

12. An elderly gentleman who passes out while working on his farm

13. A 46-year-old woman with dyspnea on exertion and daily emesis

14. A pregnant woman with palpitations

15. Is this a positive Brockenbrough sign?

16. Dyspnea in a woman who is 5 months post-partum

17. Can you identify this coronary anomaly?

18. Why is this patient short of breath?

19. A clinical application of coronary physiology

20. An asymptomatic patient with a very unusual ECG

21. Is this a STEMI?

22. Rapidly progressive dyspnea, abdominal fullness, and nausea

23. A 40-year-old man with dyspnea on exertion

24. A recent immigrant from Mexico with complaints of dyspnea

25. New onset of hypertension with dyspnea and ECG changes

26. A 52-year-old woman on hemodialysis who presents with shortness of breath and new ECG changes

27. A 42 year old man with hypotension, diarrhea, vomiting and ECG changes

28. A 58-year-old male with worsening dyspnea

29. A 68-year-old woman with chest pain and a normal stress test

30. A 29-year-old woman with shortness of breath and leg swelling

31. An ECG finding you don't want to miss

32. An unusual ECG in a homeless man who is unconscious

33. An 18-year-old student with fever, chest pain and ST elevation

34. Recurrent endocarditis in a 26-year-old woman

35. A 23-year-old man with a loud systolic murmur

36. A 66-year-old woman with dyspnea for two weeks which has now abruptly worsened

37. An unusual ventriculogram

38. A 68-year-old male with generalized weakness and dyspnea

39. A 66 year old woman with chest pain during a hurricane

40. A 39-year-old woman who is found unconscious

41. An unusual right atrial pressure tracing

42. A 20-year-old man with a heart rate of 250 bpm

43. A 46-year-old man with heart failure and new onset palpitations

44. Palpitations and dizziness in a young adult with a very abnormal ECG

45. A 36-year-old man with long standing hypertension and an abnormal ECG

46. A 46-year-old man with fatigue

47. A 28-year-old runner with exercise induced palpitations

48. A 43-year-old man with chest pain and an episode of syncope

49. A 50-year-old man with worsening cough and dyspnea

50. Unsuspected congenital heart disease in a 26 year old woman

51. How likely is this patient to have a bad outcome?

52. A 55-year-old man with leg pain

53. An 18-year-old high school student with an abnormal ECG and a nervous parent

54. Could this cardiac arrest have been prevented?

55. Why is this patient tachycardic?

56. A 31-year-old woman with palpitations while at work

Index