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Concise Cardiac Disease Board Review

Concise Cardiac Disease Board Review

Dr. Thomas J. Sawyer Thomas J. Sawyer

(2018)

Additional Information

Book Details

Abstract

A study guide for practicing cardiologists preparing for ABIM recertification as well as fellows preparing for initial certification.

  • Complements in-depth texts by summarizing the key facts necessary for success with an emphasis on ACC/AHA guideline recommendations. 
  • Maximizes your study time by focusing exclusively on high-yield material explicitly geared for the ABIM Cardiovascular Disease Exam.

“Dr. Sawyer‘s text is the perfect complement to a review course. Rather than furiously taking notes, you can instead focus on the material because the notes are here.”

- Marko Yakovlevitch, MD


Table of Contents

Section Title Page Action Price
Cover i
Title Page iii
Copyright iv
Dedication v
Contents vii
Preface ix
Chapter 1: Acute Coronary Syndrome 1
ANTIPLATELET/ANTICOAGULANT STRATEGIES 1
UA/NSTEMI—INVASIVE VS. CONSERVATIVE APPROACH 1
STEMI 3
POST-INFARCT COMPLICATIONS 4
REFERENCES 6
Chapter 2: Chronic CAD 7
ANGINA DEFINITION 7
CCS ANGINA CLASSIFICATION 7
PRETEST PROBABILITY OF CAD 8
STRESS TESTING 8
NONINVASIVE RISK STRATIFICATION 11
TREATMENT OF CHRONIC ISCHEMIC HEART DISEASE 11
REVASCULARIZATION OF CHRONIC ISCHEMIC CAD 12
REFERENCES 13
Chapter 3: Acute CHF 15
HEART FAILURE HEMODYNAMIC PROFILES 15
FACTORS COMMONLY PRECIPITATING HEART FAILURE 16
MEDICAL THERAPY 17
REFERENCES 19
Chapter 4: Chronic CHF 21
NYHA CLASSIFICATION 21
ACC/AHA CLASSIFICATION 21
STANDARD MEDICAL THERAPY FOR CHF WITH REDUCED EF ( ≤ 40%) 22
HEART FAILURE WITH PRESERVED EJECTION FRACTION 22
DEVICE THERAPY 24
MECHANICAL CIRCULATORY SUPPORT 24
TRANSPLANT 25
REFERENCES 27
Chapter 5: Hypertrophic Cardiomyopathy 29
HYPERTROPHIC CARDIOMYOPATHY 29
REFERENCES 31
Chapter 6: Cardiac Channelopathies 33
BRUGADA SYNDROME 33
CATECHOLAMINERGIC POLYMORPHIC VENTRICULAR TACHYCARDIA 34
LONG QT SYNDROME (LQTS) 34
REFERENCE 35
Chapter 7: Supraventricular Arrhythmias 37
ATRIAL FIBRILLATION (AF) 37
ATRIAL FLUTTER 39
AV NODAL REENTRANT TACHYCARDIA (AVNRT) 41
AV REENTRANT TACHYCARDIA (AVRT) 43
AFIB AND WPW 45
REFERENCES 45
Chapter 8: Ventricular Arrhythmias and Defibrillators 47
CLASS I INDICATIONS FOR ICD IMPLANTATION 47
CLASS III 47
RIGHT VENTRICULAR OUTFLOW TRACT TACHYCARDIA 48
FASCICULAR VT 49
ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA 50
REFERENCES 52
Chapter 9: Bradycardia/Pacemakers 53
PACEMAKERS 54
REFERENCES 56
Chapter 10: Valvular Heart Disease 57
AORTIC STENOSIS 57
AORTIC INSUFFICIENCY 58
MITRAL STENOSIS 59
MITRAL REGURGITATION 61
TRICUSPID STENOSIS 63
TRICUSPID REGURGITATION 63
PULMONIC STENOSIS 63
MECHANICAL PROSTHETIC VALVE ANTICOAGULATION 65
BIOPROSTHETIC VALVE ANTICOAGULATION 65
REFERENCES 65
Chapter 11: Endocarditis 67
DIAGNOSIS OF ENDOCARDITIS 67
CLASS I SURGICAL INDICATIONS 68
ENDOCARDITIS PROPHYLAXIS 69
DEVICE INFECTION 70
REFERENCES 70
Chapter 12: Hypertension 71
DEFINITIONS 71
INTERVENTION 71
TREATMENT GOAL 71
SECONDARY HYPERTENSION 71
SPECIFIC CAUSES OF SECONDARY HYPERTENSION 73
RESISTANT HTN 75
HYPERTENSIVE EMERGENCIES 75
HYPERTENSION IN PREGNANCY 76
REFERENCES 76
Chapter 13: Syncope 79
PHYSIOLOGY OF VASOVAGAL SYNCOPE 79
SUBCLAVIAN STEAL 80
ORTHOSTATIC HYPOTENSION 80
CAROTID SINUS HYPERSENSITIVITY 81
CLASS I INDICATIONS FOR TILT TABLE TESTING 82
EP STUDY IN THE EVALUATION OF SYNCOPE 82
REFERENCES 82
Chapter 14: Vascular Disease 83
PERIPHERAL ARTERIAL DISEASE 83
CAROTID ARTERIAL DISEASE 84
ATHEROSCLEROTIC RENAL ARTERY STENOSIS 85
SUBCLAVIAN ARTERIAL DISEASE 85
DEEP VEIN THROMBOSIS 86
REFERENCES 87
Chapter 15: Diseases of the Aorta 89
THORACIC AORTIC ANEURYSM (TAA) 89
AORTIC DISSECTION 91
ABDOMINAL AORTIC ANEURYSM 94
VASCULITIDES 94
REFERENCES 95
Chapter 16: Heart Disease in Women and Pregnancy 97
PRIMARY PREVENTION 97
PHYSIOLOGY OF PREGNANCY 97
CONDITIONS WITH INCREASED MATERNAL RISK DURING PREGNANCY 98
VALVULAR HEART DISEASE IN PREGNANCY 98
CONGENITAL HEART DISEASE IN PREGNANCY 100
HYPERTENSION IN PREGNANCY 102
ANTIARRHYTHMICS 103
ANTICOAGULATION IN PREGNANCY 103
REFERENCES 103
Chapter 17: Adult Congenital Heart Disesase - Simple Lesions 105
LEFT-TO-RIGHT SHUNT LESIONS 105
OBSTRUCTIVE LESIONS 109
REFERENCES 110
Chapter 18: Adult Congenital Heart Disease - Complex Lesions 111
CONGENITAL CORONARY ANOMALIES 111
CORONARY AV FISTULA 111
EISENMENGER SYNDROME 112
TETRALOGY OF FALLOT (TOF) 112
TRANSPOSITION OF THE GREAT ARTERIES (TGA) 114
EBSTEIN’S ANOMALY 115
TRICUSPID ATRESIA / SINGLE VENTRICLE 116
DEXTROCARDIA 116
CONGENITAL SURGERIES TO KNOW 117
CONGENITAL SYNDROMES AND ASSOCIATIONS TOKNOW 118
REFERENCES 119
Chapter 19: Pulmonary Hypertension 121
WHO CLASSIFICATION 121
WORKUP OF PULMONARY HYPERTENSION 122
RIGHT HEART CATHETERIZATION 123
GROUP I TREATMENT 124
GROUP II TREATMENT 125
GROUP III TREATMENT 125
GROUP IV TREATMENT 125
REFERENCES 126
Chapter 20: Restriction/Constriction/Tamponade 127
RESTRICTIVE AND INFILTRATIVE CARDIOMYOPATHY 127
CONSTRICTIVE PERICARDITIS 128
DISTINGUISHING CONSTRICTION FROM RESTRICTION 129
CARDIAC TAMPONADE 130
RIGHT ATRIAL PRESSURE WAVEFORMS 131
ACUTE PERICARDITIS 132
REFERENCES 132
Chapter 21: Perioperative Cardiovascular Evaluation and Management 135
SURGICAL RISK CATEGORIES 135
SURGICAL RISK FACTORS 136
PREOPERATIVE WORKUP 136
KEY POINTS 137
PERIOPERATIVE MANAGEMENT OF ANTIPLATELET AGENTS POST-PCI 137
REFERENCES 137
Chapter 22: Essential Cardiovascular Manifestations and Care of Rheumatologic Diseases 139
REFERENCES 144
Chapter 23: Cardiac Manifestations of Endocrine Disease 145
HYPERTHYROIDISM / THYROTOXICOSIS 145
HYPOTHYROIDISM 145
ADRENAL INSUFFICIENCY 146
CUSHING SYNDROME 146
PHEOCHROMOCYTOMA 146
PRIMARY ALDOSTERONISM 147
ACROMEGALY 147
PRIMARY HYPERPARATHYROIDISM 148
REFERENCES 148
Chapter 24: Hyperlipidemia 149
LIPOPROTEIN TRANSPORT PATHWAYS 150
STATINS 150
FIBRATES 150
MAJOR NON-LDL RISK FACTORS 151
TREATMENT RECOMMENDATIONS 151
PCSK9 INHIBITORS 152
GENETIC DYSLIPIDEMIAS 153
REFERENCES 154
Chapter 25: Cardiac Tumors 155
METASTATIC TUMORS 155
MALIGNANT PRIMARY TUMORS 155
BENIGN PRIMARY TUMORS 156
BENIGN EXTRACARDIAC TUMORS 156
REFERENCES 156
Chapter 26: Therapeutic Hypothermia 157
CURRENT GUIDELINES 157
EXCLUSIONS 158
REFERENCES 158
Chapter 27: Biostatistics and Essential Calculations/Values 159
ESSENTIAL STATISTICS 159
HYPOTHESIS TESTING 161
BASIC CALCULATIONS / VALUES 162
REFERENCES 164
Chapter 28: Physical Exam Essentials 167
BASIC PRINCIPLES 167
VALVULAR LESIONS 169
HEMODYNAMIC MANEUVERS 172
SPECIFIC CONDITIONS 173
PREGNANCY 174
RA / JUGULAR VENOUS WAVEFORM 175
REFERENCES 175
Chapter 29: Pharmacology Essentials 177
VAUGHAN WILLIAMS CLASSIFICATION 177
ANTIARRHYTHMIC OPTIONS IN ATRIALFIBRILLATION 178
IMPORTANT DRUG EFFECTS / INTERACTIONS 179
COMMON VASOACTIVE DRUGS 181
REFERENCES 182