Table of Contents
Cases compiled with contributions from xi
Preface xiii
Case 1: A 31-Year-Old Man with Fever and Rapidly Progressive Dyspnea 1
Case 2: A Young Man with Palpitations After a Party 5
Case 3: A 45‐Year‐Old Man with Chest Pain After an Automobile Accident 9
Case 4: A 67‐Year‐Old Man with Left‐Sided Weakness 13
Case 5: A 54‐Year‐Old Woman with Exertional Angina But No Atherosclerotic Coronary Artery Disease 19
Case 6: A 34‐Year‐Old Woman with Fatigue 23
Case 7: An Elderly Woman with a Loud Murmur 31
Case 8: A Middle‐Aged Woman Who Passes out While Running after her Grandchildren 35
Case 9: A 31‐Year‐Old Man with Palpitations and Dizziness 39
Case 10: An Unexpected Finding on a Coronary Angiogram 43
Case 11: A 26‐Year‐Old Man Who Collapses While Talking with Friends 45
Case 12: An Elderly Gentleman Who Passes Out While Working on His Farm 49
Case 13: A 46‐Year‐Old Woman with Dyspnea on Exertion and Daily Emesis 55
Case 14: A Pregnant Woman with Palpitations 59
Case 15: Is this a Positive Brockenbrough Sign? 63
Case 16: Dyspnea in a Woman Who is Five Months Postpartum 67
Case 17: Can you Identify This Coronary Anomaly? 71
Case 18: Why is this Patient Short of Breath? 73
Case 19: A Clinical Application of Coronary Physiology 79
Case 20: An Asymptomatic Patient with a Very Unusual ECG 85
Case 21: Is This a STEMI? 87
Case 22: Rapidly Progressive Dyspnea, Abdominal Fullness, and Nausea 89
Case 23: A 40‐Year‐Old Man with Dyspnea on Exertion 93
Case 24: A Recent Immigrant from Mexico with Complaints of Dyspnea 97
Case 25: New Onset Hypertension with Dyspnea and ECG Changes 103
Case 26: A 52‐Year‐Old Woman on Hemodialysis Who Presents with Shortness of Breath and New ECG Changes 107
Case 27: A 42‐Year‐Old Man with Hypotension, Diarrhea, Vomiting, and ECG Changes 109
Case 28: A 58‐Year‐Old Male with Worsening Dyspnea 113
Case 29: A 68‐Year‐Old Woman with Chest Pain and a Normal Stress Test 117
Case 30: A 29‐Year‐Old Woman with Shortness of Breath and Leg Swelling 123
Case 31: An ECG Finding You Don’t Want to Miss 129
Case 32: An Unusual ECG in a Homeless Man Who is Unconscious 133
Case 33: An 18‐Year‐Old Student with Fever, Chest Pain, and ST Elevation 137
Case 34: Recurrent Endocarditis in a 26‐Year‐Old Woman 141
Case 35: A 23‐Year‐Old Man with a Loud Systolic Murmur 145
Case 36: A 66‐Year‐Old Woman with Dyspnea for Two Weeks Which Has Now Abruptly Worsened 149
Case 37: An Unusual Ventriculogram 151
Case 38: A 68‐Year‐Old Male with Generalized Weakness and Dyspnea 153
Case 39: A 66‐Year‐Old Woman with Chest Pain During a Hurricane 157
Case 40: A 39‐Year‐Old Woman Who is Found Unconscious 161
Case 41: An Unusual Right Atrial Pressure Tracing 163
Case 42: A 20‐Year‐Old Man with a Heart Rate of 250 bpm 167
Case 43: A 46‐Year‐Old Man with Heart Failure and New Onset Palpitations 173
Case 44: Palpitations and Dizziness in a Young Adult with a Very Abnormal ECG 177
Case 45: A 36‐Year‐Old Man with Long‐Standing Hypertension and an Abnormal ECG 181
Case 46: A 46‐Year‐Old Man with Fatigue 183
Case 47: A 28‐Year‐Old Runner with Exercise‐Induced Palpitations 187
Case 48: A 43‐Year‐Old Man with Chest Pain and an Episode of Syncope 191
Case 49: A 50‐Year‐Old Man with Worsening Cough and Dyspnea 197
Case 50: Unsuspected Congenital Heart Disease in a 26‐Year‐Old Woman 201
Case 51: How Likely is This Patient to Have a Bad Outcome? 203
Case 52: A 55‐Year‐Old Man with Leg Pain 211
Case 53: An 18‐Year‐Old High School Student with an Abnormal ECG and a Nervous Parent 217
Case 54: Could This Cardiac Arrest Have Been Prevented? 221
Case 55: Why is This Patient Tachycardic? 229
Case 56: A 31‐Year‐Old Woman with Palpitations While at Work 233
Index 237
