Learning Cardiac Auscultation: From Essentials to Expert Clinical Interpretation

ISBN-13: 9781447167372 / Angielski / Miękka / 2015 / 320 str.

Allen J. Taylor

Opis

The book contains a series of core auscultation "lessons." All are case based and describe auscultation as it relates to a patient and in terms of the gold standard for interpretation of heart sounds. Auscultation is the term for listening to the internal sounds of the body, usually using a stethoscope. It is performed for the purposes of examining the circulatory system and respiratory system (heart sounds and breath sounds). As a topic it is one of the oldest in cardiology but its utility should never be underestimated. In this era of hugely expensive imaging tests, auscultation is a cornerstone of efficient diagnosis and therefore needs a fresh look. The core content of this book describes the search for diagnostic clues within patients' heart sounds and as such this book provides superb practical advice in the form of a series of clinical pearls reflecting what accurate diagnosis with auscultation can mean to patient prognosis and outcome. This often subtle but ultimately simple subject often produces complex results and these must be considered in light of modern next-level diagnostic methods and patient management.

Spis treści

Introduction to Cardiac Auscultation.- Dynamic Auscultation.- Stethoscope Performance.- Aortic Sclerosis.- Aortic Stenosis.- Bicuspid Aortic Valve.- Aortic Regurgitation.- Hypertrophic Obstructive Cardiomyopathy.- Mitral Regurgitation.- Flail Mitral Leaflet.- Mitral Stenosis.- The Austin Flint Murmur.- Mitral Valve Prolapse.- Pulmonic Valve:  Pulmonic Regurgitation.- Pulmonic Valve:  Pulmonic Stenosis.- Pulmonic Valve:  Pulmonary Arterial Hypertension.- Tricuspid Valve:  Tricuspid Regurgitation.- The S3 Gallop.- The S4 Gallop.- Pericardial Constriction.- Prosthetic Heart Valves.- The Clinical Assessment of Ejection Fraction and Hemodynamics in Congestive Heart Failure.- The Innocent Murmur.- Atrial Septal Defect.- Ventricular Septal  Defect.- Patent Ductus Arteriosus.

O autorze

Allen J. Taylor, MD, FACC, FAHA, is chief of cardiology at MedStar Heart Institute, including MedStar Georgetown University Hospital and MedStar Washington Hospital Center in Washington, D.C. In his 20-year United States Army career at Walter Reed, Dr. Taylor served as director of cardiovascular research, director of the Cardiovascular Disease Training Program and chief of the cardiology service.

Blurb

The foundation of this handbook lies in the supremacy of careful, clinical observation in medicine.  The science and application of auscultation, albeit not without its imperfections, represent a learnable, tangible, personal approach to assessment of the heart and remains crucial in medical practice. Today’s medicine tends towards the high tech, discarding simple approaches that can and should steer clinicians towards when to utilize expensive testing, and at the most can, potentially, outperform technology for accurate cardiovascular diagnosis. Within a cost conscious, personalized approach  to medicine, the art of clinical examination of the heart could never be more alive, or more important.  Technology needs a clinically informed platform upon which to provide benefits to patients with careful clinical observation providing proper identification of patients in need of additional testing and avoiding unnecessary expensive testing.

Learning Cardiac Auscultation: From Essentials to Expert Clinical Interpretation provides a clinically-oriented approach to the astute observation of heart sounds and other aspects of the cardiovascular examination.  It describes key clinical and auscultation features, and clinical clues to the diagnosis.  More importantly, auscultation of the heart should not just end with a simple diagnosis, but an unearthing of nuances of the diagnosis, for example, describing the possible severity or diagnostic implications of the auscultation findings.