Prepared by residents, fellows, and attending physicians at the Washington University School of Medicine, this handbook is a practical quick-reference guide to the diagnosis and treatment of cardiovascular diseases. It covers both inpatient and outpatient management approaches with the same front-lines practicality as the world-famous Washington Manual® of Medical Therapeutics. Chapters include mnemonics, easily remembered bullet-point lists, bold-faced clinical pearls, and easy-to-read figures.

This thoroughly revised, updated Second Edition emphasizes current guidelines from the American Heart Association and American College of Cardiology. New chapters cover new cardiac imaging modalities, peripheral vascular diseases, and cardiovascular diseases in specific patient populations, including women, the elderly, patients with HIV, and patients with diabetes. An appendix facilitates quick recall of the most common cardiovascular medications, common doses, and important side effects.

The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.

Part I. INTRODUCTION

Approach to the Cardiovascular Consult

Basic Electrocardiography (ECG 101)

Part II. CLINICAL PRESENTATIONS

Evaluation of Chest Pain

Clinical Presentations of Heart Failure

Evaluation of Syncope

Cardiovascular Emergencies

Part III. CORONARY ARTERY DISEASE

Stable Angina

Acute Coronary Syndromes (Unstable Angina/Non-ST Segment Elevation Myocardial Infarction)

ST-Segment Elevation Myocardinal Infarction

Primary and Secondary Prevention of Cardiovascular Disease

Part IV. HEART FAILURE

Management of Acute and Chronic Heart Failure

Assessment and Management of the Dilated, Restrictive, and Hypertrophic Cardiomyopathies

Diseases of the Pericardium

Pulmonary Hypertension and Right-Heart Failure

Adult Congenital Heart Disease

Part V. VALVULAR HEART DISEASE

Valvular Heart Disease

Infective Endocarditis

Part VI. ELECTROPHYSIOLOGY

Advanced Electrocardiogram Interpretation (ECG 201)

Bradyarrhythmias and Permanent Pacemakers

Sudden Cardiac Death

Atrial Fibrillation

Part VII. VASCULAR DISEASE

Peripheral Arterial Disease

Diseases of the Aorta

Deep Venous Thrombosis

Part VIII. CARDIAC IMAGING AND PROCEDURES

Standard Imaging and Diagnostic Testing Modalities: Nuclear Imaging, Echocardiography, and Cardiac Catheterization

New Imaging and Diagnostic Testing Modalities (Cardiac CT, Cardiac MRI, PET, IVUS)

Procedures in Cardiovascular Critical Care

Part IX. SPECIAL POPULATIONS

Cardiovascular Diseases in Special Populations

Diabetes and Cardiovascular Disease

The Cardiac Patient Undergoing Noncardiac Surgery

Appendix. Cardiovascular Medications

Index