A contemporary and comprehensive guide to the investigation, diagnosis and management of challenging cases in clinical cardiology, with opinion from world renowned experts. Includes detailed analysis on how to approach twenty-five challenging cases in clinical cardiology Provides expert opinion from internationally-renowned leaders in the field of cardiology User-friendly format with greater emphasis on 'real life' clinical scenarios supported by detailed evidence from the medical literature An invaluable learning and revision tool for clinical practice, exam and interview preparation and continued professional development Each presented case provides an in-depth review of current practice, the application of national and international guidelines and a summary of evidence from the medical literature. Images from electrocardiograms, echocardiograms, coronary angiography, cardiac magnetic resonance and computed tomography along with nuclear imaging are interspersed within the text providing a 'real-life' sense of being in the case. Each case is punctuated by 'Learning Points', 'Clinical Tips' and 'Landmark Trial Summaries'; all written by UK Specialist Trainees in Cardiology and Acute Medicine and peer-reviewed by internationally- renowned leaders in the field of Cardiology with their expert comments included. This is an ideal learning aid and revision guide to all those with an interest in Cardiology. In particular undergraduates preparing for finals exams, specialist cardiac nurses and nurse practitioners, junior doctors due to sit their membership exams, prospective specialist trainees preparing for interviews and those specialist registrars studying for the 'Knowledge Based Assessment' in the third year of their Cardiology training programme.

Table of Contents

Foreword by Professor Peter Weissberg, Medical Director, British Heart Foundation Preface - Authors' Comments Acknowledgements/Contributors - Case Authors and Specialist Faculty Abbreviations Chapter 1: Coronary Heart Disease / Interventional Cardiology Case 1 - PCI versus CABG Case 2 - Triple Anticoagulation Issues post PCI Case 3 - Resistance to Antiplatelet Therapy and Stent Thrombosis Chapter 2: Heart Failure and Cardiac Transplantation Case 4 - Heart Failure and CRT-D Case 5 - Cardiac Transplantation Chapter 3: The Endocardium and Valvular Heart Disease Case 6 - Prosthetic Heart Valves in Pregnancy Case 7 - Aortic Stenosis Surgery versus TAVI Case 8 - Assessment and Management of Mitral Regurgitation Case 9 - Infective Endocarditis Case 10 - Cardiac Rehabilitation post Cardiac Surgery Chapter 4: The Myocardium Case 11 - Hypertrophic Cardiomyopathy and ICD Indications Case 12 - Diagnosis and Management of Myocarditis Case 13 - Arrhythmogenic Right Ventricular Cardiomyopathy and MRI Chapter 5: Pacing and Arrhythmias Case 14 - Paroxysmal Atrial Fibrillation Case 15 - Ventricular Tachycardia Case 16 - Dual Chamber versus Single Chamber Pacing Case 17 - Investigation of Syncope Chapter 6: Hypertension Case 18 - Refractory Systemic Hypertension Case 19 - Primary and Secondary Pulmonary Hypertension Chapter 7: Congenital Heart Disease Case 20 - ASD and PFO Closure Case 21 - Surgically-Corrected Tetralogy of Fallot and Arrhythmias Chapter 8: General Cardiovascular Medicine Case 22 - Cardiovascular Assessment for Non-Cardiac Surgery Case 23 - Amyloid Heart Disease Case 24 - Management of Aortic Dissection Case 25 - Management of Dyslipidaemia Glossary of Statistical Terms for Clinical Trials Appendix Index

Author Biography

Dr Aung Myat is a Specialist Registrar in Cardiology working within the West Midlands Deanery. He completed his general medical rotation in Nottingham, culminating in the attainment of his MRCP from London, and moved to the West Midlands to complete his specialist Cardiology training. He is heavily involved in medical education not only in the clinical forum but through organisation of both local and national symposia. Dr Shouvik Haldar is a Cardiology Specialist Registrar in the London Deanery. He graduated from Guy's and St Thomas's Medical School and completed his general medical training in the Oxford Deanery. He is currently in the North West Thames specialist training programme. His interests include cardiovascular interventions, electrophysiology and medical education. He is a member of the UK Resuscitation Council teaching faculty.