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  • © 2007

The Art and Science of Cardiac Physical Examination

With Heart Sounds and Pulse Wave Forms on CD

Part of the book series: Contemporary Cardiology (CONCARD)

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Table of contents (11 chapters)

  1. Front Matter

    Pages i-xvii
  2. Approach to the Physical Examination of the Cardiac Patient

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 1-14
  3. Arterial Pulse

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 15-48
  4. Blood Pressure and Its Measurement

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 49-66
  5. Jugular Venous Pulse

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 67-111
  6. Precordial Pulsations

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 113-139
  7. Heart Sounds

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 141-210
  8. Heart Murmurs

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 211-273
  9. Heart Murmurs

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 275-307
  10. Elements of Auscultation

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 309-319
  11. Pathophysiological Basis of Symptoms and Signs in Cardiac Disease

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 321-359
  12. Local and Systemic Manifestations of Cardiovascular Disease

    • Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
    Pages 361-395
  13. Back Matter

    Pages 397-411

About this book

It has been our experience that instruction in physical examination of the heart in medical schools has been deteriorating since the advent of such modern diagnostic tools as two-dimensional echocardiography and nuclear imaging. At best, the teaching has been sketchy and too superficial for the student to appreciate the pathophysiological correlates. Both invasive and the noninvasive modern technologies have contributed substantially to our knowledge and understanding of cardiac physical signs and their pathophysiological correlates. However, both students and teachers alike appear to be mesmerized by technological advances to the neglect of the age-old art, as well as the substantial body of science, of cardiac physical examination. It is also sad to see reputed journals give low priority to articles related to the clinical examination. Our experience is substantiated by a nationwide survey of internal medicine and cardiology training programs, which concluded that the teaching and practice of cardiac auscultation received low emphasis, and perhaps other bedside diagnostic skills as well (1). The state of the problem is well reflected in the concerns expressed in previous publications (2–4), including the 2001 editorial in the American Journal of Medicine (Vol. 110, pp. 233–235), entitled “Cardiac auscultation and teaching rounds: how can cardiac auscultation be resuscitated?”, as well as in the rebuttal, “Selections from current literature. Horton hears a Who but no murmurs—does it matter?” (5).

Editors and Affiliations

  • University of Toronto and St. Joseph’s Health Centre, Toronto, Canada

    Narasimhan Ranganathan, Vahe Sivaciyan

  • Northwestern University School of Medicine, Chicago, USA

    Franklin B. Saksena

Bibliographic Information

  • Book Title: The Art and Science of Cardiac Physical Examination

  • Book Subtitle: With Heart Sounds and Pulse Wave Forms on CD

  • Editors: Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena

  • Series Title: Contemporary Cardiology

  • DOI: https://doi.org/10.1007/978-1-59745-023-2

  • Publisher: Humana Totowa, NJ

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Humana Press 2007

  • eBook ISBN: 978-1-59745-023-2Published: 10 November 2007

  • Series ISSN: 2196-8969

  • Series E-ISSN: 2196-8977

  • Edition Number: 1

  • Number of Pages: XVIII, 412

  • Number of Illustrations: 239 b/w illustrations, 12 illustrations in colour

  • Topics: Cardiology

Buy it now

Buying options

eBook USD 139.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Other ways to access