Challenging Concepts in Cardiovascular Medicine. a Case-Based Approach with Expert Commentary

About this Book

• A 'Highly Recommended' textbook by the British Cardiovascular Society
• Innovative full-colour page layout complete with a full range of cardiac imaging and investigations to give the reader a 'real-world' sense of patient assessment and management
• 'Clinical Tips', 'Learning Points' and 'Landmark Trial Summaries' enhance the learning process
• Provides a unique insight into how today's opinion leaders in Cardiovascular Medicine deal with everyday complex clinical scenarios

A comprehensive guide to the assessment, diagnosis, investigation and management of complex clinical scenarios in cardiovascular medicine.

This book contains 25 challenging concepts in cardiovascular medicine covering all subspecialty areas including general cardiology, intervention, cardiac imaging, electrophysiology, heart failure and cardiomyopathies, cardiac devices, transplant medicine, epidemiology, heart disease in pregnancy and congenital heart disease.
Each case provides an in-depth review of current practice, the application of national and international guidelines and a summary of evidence from the medical literature. Data sets, investigation results and cardiac imaging give the reader a 'real-life' sense of being in the outpatient clinic, emergency room, coronary care unit or cardiac catheterisation laboratory. Each case is punctuated by 'Clinical Tips', 'Learning Points' and 'Landmark Trial Summaries' to enhance the learning process alongside an 'Expert Commentary' written by internationally-renowned leaders in the field of cardiology.

Readership: All those with an interest in cardiovascular medicine. In particular Specialty Trainees in Cardiology, especially those planning to sit the Knowledge-Based Assessment, Specialty Trainees in Acute and General Internal Medicine, General Practitioners with a specialist interest in Cardiology, specialist cardiac nurses and clinical physiologists, junior doctors due to sit their membership exams, and prospective specialty trainees preparing for interviews.

Table of Contents

Coronary heart disease
1: Coronary artery bypass graft surgery versus percutaneous coronary intervention
2: Can a rash cause stent thrombosis?
3: Triple antithrombotic therapy after coronary stenting for chronically anticoagulated patients: too much of a good thing?
4: A closer look at lipid management following an acute coronary syndrome
The endocardium and valvular heart diease
5: Management of prosthetic heart valves in pregnancy
6: Symptomatic aortic stenosis - New horizons in management
7: Assessment and management of mitral regurgitation
8: Streptococcus mutans endocarditis - A cautionary tale
9: A word to the wise - Not all chest pain is ischaemic

The myocardium and cardiomyopathy
10: Assessment and management of the breathless patient
11: Cardiac transplantation
12: Young Patients with hypertrophic cardiomyopathy: how to decide on implantable defibrillators
13: Myocarditis - An inflammatory cardiomyopathy
14: Arrhythmogenic right ventricular cardiomyopathy
15: The sparkly heart

Heart rhythm disturbances
16: Paroxysmal atrial fibrillation
17: Ventricular tachycardia in a 'normal' heart
18: Dual-chamber versus single-chamber pacing: the debate continues
19: Reflex syncope: to pace or not to pace

Adult congenital heart disease
20: Cryptogenic stroke
21: Surgically-corrected tetralogy

General cardiovascular medicine
22: A case of refractory systemic hypertension
23: Syncope secondary to pulmonary arterial hypertension: an ominous sign?
24: Cardiovascular pre-operative risk assessment: a calculated gamble?
25: The role of cardiac rehabilitation following cardiac surgery

Author Information

Edited by Aung Myat, Specialist Registrar in Cardiology and NIHR Clinical Research Fellow The Rayne Institute, St Thomas's Hospital, King's College London, UK, Shouvik Haldar, Cardiac Electrophysiology Research Fellow, Royal Brompton and Harefield NHS Foundation Trust, National Heart and Lung Institute, London, UK, and Simon Redwood, Professor in Interventional Cardiology and Honorary Consultant Cardiologist, St Thomas's Hospital, King's College London, UK

Dr Aung Myat is currently an NIHR Clinical Research Fellow in Coronary Physiology working in The Rayne Institute at St Thomas's Hospital, King's College London. He is a Specialist Registrar in the West Midlands Deanery Cardiology Training Programme but has taken time out of programme to complete a PhD in Coronary Physiology. He has recently been co-opted as a Member of the Communication and Educaton Committee of the British Cardiovascular Society.
Dr Shouvik Haldar is a Cardiac Electrophysiology Research Fellow at the Royal Brompton and Harefield NHS Foundation Trust, National Heart and Lung Institute. He graduated from Guy's, King's and St Thomas's Medical School and completeted his general medical training in the Oxford Deanery. He is currently in the North West Thames cardiology specialty training programme. He has recently been co-opted as a Member of the Communication and Education Committee of the British Cardiovascular Society.

Dr Simon Redwood is currently Professor of Interventional Cardiology and Honorary Consultant Cardiologist at King's College London and Guy's and St. Thomas' NHS Foundation Trust. He qualified from St George's Hospital Medical School and trained in cardiology at The Royal London Hospital, The Royal Free Hospital and St George's Hospital, London. He obtained Fellowship of the American College of Cardiology in 2001 and became a Fellow of the Royal College of Physicians in 2003 and Fellow of the Society of Angiography and Interventions in 2004. He was previously Honorary Treasurer to the British Cardiovascular Intervention Society and is an International Editorial Board Member for the journal Heart.