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Library of Congress Cataloging-in-Publication Data
Names: Hanna, Elias B., author.
Title: Practical cardiovascular medicine / Elias B. Hanna.
Description: Second edition. | Hoboken : Wiley, 2022. | Includes index.
Identifiers: LCCN 2021028069 (print) | LCCN 2021028070 (ebook) | ISBN 9781119832706 (paperback) | ISBN 9781119832713 (adobe pdf) | ISBN 9781119832720 (epub)
Subjects: MESH: Cardiovascular Diseases
Classification: LCC RC667 (print) | LCC RC667 (ebook) | NLM WG 120 | DDC 616.1–dc23
LC record available at https://lccn.loc.gov/2021028069 LC ebook record available at https://lccn.loc.gov/2021028070
Cover Design: Wiley
Cover Image: © Science Photo Library - PIXOLOGICSTUDIO/Getty Images, Courtesy of Elias Hanna
To my mother Marie, my sister Eliana, and my beautiful nephew Marc-Elias and nieces Clara and Elya, the joys of my life
To my mentors and my fellows, and to all who share my passion for cardiology
Preface
You should learn solely in order to create. For willing is creating.
Friedrich Nietzsche, Thus Spoke Zarathustra
Work without ceasing. If you remember in the night, “I have not done what I ought to have done,” rise up at once and do it. Believe to the end, even if all men went astray and you were left the only one faithful.
Fyodor Dostoevsky, The Brothers Karamazov
Practical Cardiovascular Medicine is a comprehensive yet practical review of all fields of cardiovascular medicine. It addresses various cardiac diseases and presentations using both pathophysiology and clinical evidence, and expands from basic concepts to advanced ones. It should therefore prove useful to experienced physicians as well as trainees. In fact, there is a particular emphasis on the knowledge gaps of cardiologists and cardiology fellows. Organizing fellowship conferences and working with cardiology and interventional cardiology fellows has helped me perceive common deficiencies and focus on them.
Colleagues who read the book will find that it provides them with an in-depth understanding that translates into better patient management. My aim has also been to improve on pre-existing knowledge of pathophysiology and clinical trials. The book follows a comprehensive yet easy, practical, and illustrated flow. To facilitate learning, bottom-line approaches are consistently provided throughout the 38 chapters. There is an extra emphasis on concepts that are frequently misunderstood by practitioners.
Throughout, I have tried to answer daily, practical questions that may not be addressed in any other book. Even classic topics, such as ST-segment elevation myocardial infarction, heart failure, arrhythmias, atrial fibrillation, cardiac catheterization, or electrocardiography are discussed from a different, fresh, and contemporary viewpoint. The book is comprehensive, and many of its chapters could even stand alone as separate books.
In order to consolidate the understanding of complex topics, review questions with detailed answers are provided at the end of clinical chapters, mainly in a clinical vignette format (approximately 400 questions overall). The book will serve cardiologists and cardiology fellows, but will also be valuable to internists, internal medicine residents, and all professionals caring for patients with cardiovascular disease. I have written this book in an effort to embrace the magic and evolving depths of cardiovascular diseases. It is written with love, and with the hope of improving patients’ outcomes.
Elias B. Hanna
Abbreviations
3Dthree-dimensionalAADantiarrhythmic drugAAAabdominal aortic aneurysmABIankle–brachial indexACCAmerican College of CardiologyACCPAmerican College of Chest PhysiciansACE-Iangiotensin converting enzyme inhibitorACSacute coronary syndromeACTactivated clotting timeADHFacutely decompensated heart failureADPadenosine diphosphateAFatrial fibrillationAflutteratrial flutterAHAAmerican Heart AssociationAIaortic insufficiencyAIVRaccelerated idioventricular rhythmAMacute marginalANAantinuclear antibodiesAoaortaAoVaortic valveAPaccessory pathwayAPanteroposterior viewARBangiotensin-II receptor blockerARDSacute respiratory distress syndromeARNIangiotensin
