Essentials of Clinical Cardiology Jayant C Bhalerao
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1Essentials of CLINICAL CARDIOLOGY2
3Essentials of CLINICAL CARDIOLOGY
JAYANT C BHALERAO md frcpc (cardiology) facc facp fccp fccc Cardiologist USA
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© 2013, Jaypee Brothers Medical Publishers
All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher.
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This book has been published in good faith that the contents provided by the author contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the author specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the author. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Essentials of Clinical Cardiology
First Edition: 2013
9789350903087
Printed at
5Dedication
This book is affectionately dedicated to my beloved late father
DADA SAHEB
(Dr CK Bhalerao, MBBS)
Who had been, and will always remain, a constant guiding light and an eternal source of inspiration.
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9Foreword
All our fourth year medical students do specialty rotations, and a month on the cardiology service is a popular one. The students usually ask for recommendations for reading, and they are typically looking for books that offer them the big picture from a text that can be digested within a month. Dr Jayant Bhalerao's collection of lectures aptly satisfies that need.
Dr Bhalerao is reputed for his clinical skills, particularly his organized way of approaching a patient's problems. These facets are ably documented in this well-organized and eminently well-written book.
The conversational tone used in the book will be well appreciated by students. Reading about the right ventricular infarction syndrome, for example, is like stopping a seasoned attending cardiologist in the hallway, having him tell you, “RV infarct? Great case! Here's what you need to know about that…” Jay's enthusiasm for teaching comes across just like that. There is a tendency for young clinicians’ reviews to be surveys of clinical trial. That has its place, but you will find that cutting to the chase with “what you really have to know” is more efficient when you need to survey a big area of medicine in a relatively short time. This is not a reference manual to keep on the shelf, but rather it is designed to be read through, and in less than a fortnight.
The author of a brief but general text needs to make a judicious choice of what to include and what to leave out. Who better to make such decisions about relevance than a master clinician? Dr Bhalerao has provided an excellent answer to “what you should know” after a month in the cardiology service. A student who imbibes the material in this book will be well prepared to work as a resident on the cardiology service.
This book will be also a worthy read for residents and general physicians who are preparing for board or recertification exams. More than half of the ABIM board exam covers cardiac and vascular diseases. With this concise yet thorough review, medical resident will find themselves well prepared indeed!
George J Taylor md facp facc
Professor of Medicine (Cardiology)
The Medical University of South Carolina, USA
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11Preface
This book is written for medical students, interns and residents. It is not a textbook. I have purposely written it in an informal, conversational language avoiding the staid, starch-like formality and dry monotone of standard professional journals and books. I have avoided the epidemiology, population studies and complex jargon. Details of electrophysiology and interventional cardiology are beyond the scope of this book. Readers can easily retrieve this information elsewhere. Attempt has been made to keep the language simple and easy to understand. Emphasis is placed where I feel necessary so that a student realizes the gravity of a given statement. It encapsulates my clinical experience and is written with a clinician's vantage point.
Discipline of cardiovascular medicine is difficult and demanding. Understanding of basic principles is very essential because so much depend on this. Some old therapies and concepts are excluded so as not to dilute the message.
It is my sincere wish that reader would find this endeavor helpful.
Jayant C Bhalerao
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13Acknowledgments
Dr Sharad Mehta, MD, Chicago, USA, for writing the chapter on Nuclear Imaging.
Dr Anil Karkhanis, MS, Nanavati Hospital Mumbai, India, for suggesting to add chapters on Preoperative Evaluation and Stem Cell Therapy.
Dr Janardan Khandekar, MD, Director of the Center for Molecular Medicine, Northshore University Health System, Chicago, USA.
Everyone at Jaypee Brothers Medical Publishers for tolerating last minute additions to the manuscript.
My wife, Shailaja, for giving me the space I needed during the completion of this book.