New PDF release: Cardiology for the primary care Physician

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Extra resources for Cardiology for the primary care Physician

Sample text

This includes a focused but incisive history and physical examination. While this is being performed, administration of supplemental oxygen, placement of a stable intravenous line, and the initiation of electrocardiographic (ECG) monitoring should be carried out promptly for anyone in whom a cardiac cause is at all likely. A full ECG and sending off of blood for the measurement of cardiac markers are also performed rapidly. The ordering of chest radiographs, echocardiograms, computed tomography scans, and so on depends on the clinical scenario and the stability of the patient.

Areas that have reduced perfusion but normal or increased glucose uptake indicate viable tissue. Because of the limited availability of cyclotrons for production of tracers and the cost of PET equipment, it is unlikely that PET scanning will become a widespread and standard technique for the evaluation of CAD. However, it is now feasible to image FDG with a modified SPECT camera, making metabolic imaging more available for clinical use [22]. Radionuclide Angiography Radionuclide angiography is a highly reproducible and accurate method for the determination of ventricular function.

8. Cohen M, Hawkins L, Greenberg S, Fuster V: Usefulness of ST-segment changes in ~ leads on the emergency room electrocardiogram in either unstable angina pectoris or non Qwave myocardial infarction in predicting outcome. Am] Cardiol1991, 67:1368-1373. ] Am Coli Cardiol1993, 22:361-367. : Right ventricular infarction as an independent predictor of prognosis after acute inferior myocardial infarction. ] Med 1993, 328:981-988. : A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex.

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