The Art and Science of Cardiac Physical Examination: With Heart Sounds and Pulse Wave Forms on CD (Contemporary Cardiology)

The Art and Science of Cardiac Physical Examination: With Heart Sounds and Pulse Wave Forms on CD (Contemporary Cardiology) by Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena

Title: The Art and Science of Cardiac Physical Examination: With Heart Sounds and Pulse Wave Forms on CD (Contemporary Cardiology)
Author: Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena
ISBN10: 1617377708
ISBN13: 978-1617377709
Publisher: Humana Press; Softcover reprint of hardcover 1st ed. 2007 edition (November 9, 2010)
Language: English
Subcategory: Medicine
Size PDF: 1268 kb
Size Fb2: 1431 kb
Rating: 3.9/5
Votes: 267
Pages: 412 pages
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The Art and Science of Cardiac Physical Examination: With Heart Sounds and Pulse Wave Forms on CD (Contemporary Cardiology) by Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena


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It has been our experience that instruction in physical examination of the heart in medical schools has been deteriorating since the advent of such modern diagnostic tools as two-dimensional echocardiography and nuclear imaging. At best, the teaching has been sketchy and too superficial for the student to appreciate the pathophysiological correlates. Both invasive and the noninvasive modern technologies have contributed substantially to our knowledge and understanding of cardiac physical signs and their pathophysiological correlates. However, both students and teachers alike appear to be mesmerized by technological advances to the neglect of the age-old art, as well as the substantial body of science, of cardiac physical examination. It is also sad to see reputed journals give low priority to articles related to the clinical examination. Our experience is substantiated by a nationwide survey of internal medicine and cardiology training programs, which concluded that the teaching and practice of cardiac auscultation received low emphasis, and perhaps other bedside diagnostic skills as well (1). The state of the problem is well reflected in the concerns expressed in previous publications (2–4), including the 2001 editorial in the American Journal of Medicine (Vol. 110, pp. 233–235), entitled “Cardiac auscultation and teaching rounds: how can cardiac auscultation be resuscitated?”, as well as in the rebuttal, “Selections from current literature. Horton hears a Who but no murmurs―does it matter?” (5).