Cardiology

DDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis

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[i] STUART

Presented with the compliments of Stuart Pharmaceuticals Limited.

MANAGEMENT OF COMMON DISEASES IN FAMILY PRACTICE

DDDDDDDDDDDD Series Editors: J. Fry and M. Lancaster-Smith

CARDIOLOGY

DDDDDDDDDDDD C. F. P. Wharton, MA, OM, FRCP Consultant Physician, Farnborough Hospital, Kent and

A. R. Archer, MB, BS, ORCOG Family Practitioner, Sevenoaks, Kent

~ M.TP PRESS LIM.ITED ~ a member of the KLUWER ACADEMIC PUBLISHERS GROUP

LANCASTER I BOSTON I THE HAGUE I DORDRECHT

....

"

Published 10 the UK and Europe by MTP Press Limited Falcon House Lancaster, England Bntlsh Library Catalogumg

10

PublicatIOn Data

Wharton, Chnstopher F. P. Cardiology. - (Management of common diseases 1 Heart - Diseases - Treatment I Title II Archer, A. III. Senes 616.1'206 RC683.8 ISBN-13: 978-94-011-7311-7

om: 10.1007/978-94-011-7309-4

10

family practice)

e-ISBN-13: 978-94-011-7309-4

Published 10 the USA by MTP Press A divIsIOn of Kluwer Boston Inc 190 Old Derby Street Hmgham, MA 02043, USA Library of Congress Cataloging-in-Publication Data

Wharton, Chnstopher F P CardIOlogy (Management of common diseases 10 family practice) Includes mdex 1 Heart - Diseases. 2. CardIOlogy I Archer, A. Heart Diseases. WG 200 W553c) 6161'2 85-24196 RC681 W47 1985 ISBN-13: 978-94-011-7311-7

II. Title.

III Senes (DNLM: 1.

Copynght© 1986 C F. P Wharton and A Archer Softcover reprint of the hardcover 1st edition 1986 All nghts reserved No part of this publicatIOn may be reproduced, stored 10 a retneval system, or transmitted in any form or by any means, electromc, mechamcal, photocopymg, recordmg or otherwise, without pnor permission from the publishers Typeset by BPCC Northern Pnnters Limited 76-80 Northgate, Blackburn, LancashlTe

Contents

DDDDDDDDDDDD Series Editors' Foreword

vii

1

1.

Cardiac Disease

2.

Chest Pain

15

3. Breathlessness

37

Palpitations

51

4.

5. Syncope

65

6. Swollen Legs

75

7. Cardiac Murmurs

79

8.

87

Hypertension

9. Angina

97

10. Myocardial Infarction

109

11.

119

Acute Cardiac Failure

12.

Chronic Cardiac Failure

125

13.

Cardiac Oysrhythmias

129

14.

Infective Inflammatory and Invasive Processes of the Heart

143

Index

155

Series Editors' Foreword

DDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was concerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symptoms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work.