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by Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B Saksena
The purpose of this book is to arm the student of cardiology with the proper techniques and understanding of the art and science of the cardiac physical examination, to dispel myths and confusion and to help develop skills required of any astute clinician. The book “The Art and Science of Cardiac Physical Examination” comprise of total fourteen chapters. First chapter provides discussion on various reasons for which cardiac assessment is sought, cardiac symptoms and their appraisal, generation of working list of possible diagnoses, approach to a focused physical examination, and practical points to a focused cardiac physical examination. The focus of second chapter is on physiology, assessment and the practical points in the clinical assessment of the arterial pulse. Blood pressure and its measurement has been provided in third chapter. Fourth chapter presents the physiology of the normal jugular venous pulse contours and the pathophysiology of their alterations. Pulsations of the precordium has been discussed in fifth chapter. Heart sounds and heart murmurs are broadly described in sixth, seventh and eighth chapter. Ninth chapter presents methodical way of auscultation and the tenth chapter describes the pathophysiologic basis of symptoms and signs in cardiac disease. Eleventh chapter aims to promote the recognition of the local and systemic manifestations of cardiovascular disease. The basics of the 12 lead ECG interpretations and integration of ECG into cardiac diagnosis has been provided in chapter twelve and thirteen chapter. In the last chapter for the purposes of self-assessment, several interesting clinical scenarios using history and/or clinical findings from actual patients are provided.
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