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By Reza Ardehali, Marco Perez, Paul Wang

ISBN-10: 1405180390

ISBN-13: 9781405180399

Written, reviewed, and edited in a collaborative attempt via cardiology fellows and college of 1 of the main prestigious educational facilities within the nation, this concise quantity provides cardiology fellows the publication they've got lengthy needed. Keeping assurance of the underlying pathophysiology and mechanism of sickness to a minimal, the authors specialise in the prognosis and remedy of cardiac problems. useful and simply obtainable on the time of selection making, the booklet relays vital ideas via concise and to-the-point pearls and by using set of rules charts and illustrations.

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Additional resources for A Practical Approach to Cardiovascular Medicine

Sample text

Can walk one to two blocks and climb more than one flight of stairs IV Inability to carry out any physical activity without discomfort; rest angina may be present • Noncardiac: • Includes esophageal spasm, chest wall and pulmonary pathology. • Unstable angina (see Chapter 5). 2) • CAD risk factors (age, tobacco, hypercholesterolemia, diabetes, hypertension, family history of premature CAD, past cerebrovascular accident or peripheral arterial disease) • Predictors of multivessel or left main (LM) disease: – Typical symptoms – Prior MI – Diabetes mellitus (DM).

Com CHAPTER 4 4 Stable Angina Joshua Lehrer and William F. Fearon Department of Internal Medicine, Division of Cardiology, Stanford University School of Medicine, Stanford, CA, USA Stable angina is a clinical syndrome characterized by discomfort in the chest, jaw, shoulders, arms, or back, usually elicited by exertion and improved by rest or sublingual nitroglycerin (NTG) administration. It results from hemodynamically obstructive coronary artery disease (CAD). Current treatment strategies focus on medical therapy to improve survival and prevent myocardial infarction (MI), and medical therapy with or without revascularization to treat anginal symptoms.

Other diagnostic tests: • Electrocardiography (ECG) • Transthoracic echocardiogram can be considered in patients with longstanding HTN and major cardiac risk factors to assess for LVH and diastolic dysfunction. Controlling BP EV I DENC E - B ASE D P R AC T I C E ALLHAT (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial) Context: Assess whether choice of initial antihypertensive medical therapy influences long-term outcomes. Goal: To compare whether an ACE-I or calcium channel blocker (CCB) is better at controlling CVD compared to a diuretic.

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A Practical Approach to Cardiovascular Medicine by Reza Ardehali, Marco Perez, Paul Wang


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