By Phillip S. Cuculich MD, Andrew M. Kates MD
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Extra info for The Washington Manual of Cardiology Subspecialty Consult
Example text
50. Spodick DH. Pericardial rub. Prospective, multiple observer investigation of pericardial friction in 100 patients. Am J Cardiol 1975;35:357-362. 51. Zayas R, Anguita M, Torres F, et al. Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis. Am J Cardiol 1995;75:378-382. ir GENERALPRI NCI PLES • In general, the electrocardiogram (ECG) may be the single most important and widely used test in the hospital, yet ECG interpretation is usually poorly taught in medical school.
BMC Cardiovasc Disord 2007;7:16. 19. Diaz-Guzman E, Budev MM. Accuracy of the physical examination in evaluating pleural effusion. Clev Clin J Med 2008;75:297-303. 20. Aronow WS, Kronzon I. Correlation of prevalence and severity of valvular aortic stenosis determined by continuous-wave Doppler echocardiography with physical signs of aortic stenosis in patients aged 62 to 100 years with aortic systolic ejection murmurs. Am J Cardiol 1987;60:399-401. 21. Yoshioka N, Fujita Y, Yasukawa T, et al. Do radial arterial pressure curves have diagnostic validity for identify severe aortic stenosis?
Ascites may result from passive hepatic congestion in the setting of elevated right-sided pressures or right ventricular (RV) diastolic dysfunction. Cardiac ascites should lead one to consider restrictive or constrictive physiology. EXAMI NATI O N O F THE ARTERI ALPULSES • Pulse characterization Assess pulse contour, timing, strength, volume, size, and symmetry in addition to auscultation for bruits. A basic sequenced approach includes brachial, radial, femoral, popliteal, dorsalis pedis, and posterior tibialis.