Table of Contents

Cardiological Dilemmas

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ASPECTS OF ISCHAEMIA
1. Silent ischaemia
2. Myocardial infarction and acute failure
3. Disappearance of angina following MI
4. First onset angina
5. Coronary artery spasm
6. Is it dangerous to provoke angina with exercise?
7. Types of myocardial infarct
8. Angina with normal exercise test
9. Angina with normal angiogram
10. IHD and Type A personality
11. Missed myocardial infarction
12. Heart failure preceding MI
13. Chest pain in women
14. Dizziness in IHD
15. Treating an MI at home
16. Subendocardial infarct

CLOT-BUSTING, CLOT PREVENTION
17. Streptokinase at home
18. MI and streptokinase
19. Fibrillation and anticoagulants
20. Protocol for anticoagulants

MEDICATIONS OLD AND NEW
21. GTN tablets and spray
22. Mononitrates and dinitrates
23. Methyldopa and hypertension
24. Beta-blockers into old age
25. Thiazide or not?
26. Uses of verapamil
27. Lignocaine. Any longer required?
28. Tolerance to digoxin
29. Continental use of cardiac glycosides
30. Alpha-blockers versus beta-blockers
31. Aspirin in MI

DIAGNOSTIC AIDS
32. Echocardiography value of
33. Most helpful diagnostic aid
34. JVP. Useful test?
35. How much to spend on a stethoscope

HYPERTENSION
36. A pilot with hypertension
37. Raised BP and cardiac enlargement
38. Beta-blocker and bronchospasm
39. Systolic and diastolic pressure. Which is the more important?
40. Hypertension, hypnotherapy and psychotherapy
41. Really benign hypertension
42. White coat hypertension
43. Malignant hypertension

ACE INHIBITORS
44. ACE inhibitor treatment at home
45. Cough, well-being and ACE inhibitor
46. ACE inhibitors, diuretics and CCF
47. Changes in cardiology

INVESTIGATION
48. Cardiac catheterisation in a child
49. Coronary angiogram
50. Infective carditis and blood culture

HEART DISEASE AND OTHER ILLNESSES
51. Steroids and heart failure
52. Diabetes and hypertension
53. HRT and IHD
54. Angina and thyroxine
55. Gastroenteritis and heart failure
56. Night sedation in heart failure
57. Pregnancy and heart disease
58. MI and dental treatment

PARTIAL TRUTHS
59. Hypokalaemia, hyperkalaemia and diuretics
60. Bending and dizziness
61. Salt restriction
62. Diuretics and beta-blockers. Bad effects on lipids

ARRHYTHMIAS
63. Wolff-Parkinson-White in a child
64. Atrial ectopics in childhood
65. Arrhythmiadetection of
66. Exercise-provoked tachycardia in fibrillation
67. Pacemakers
68. Pacemakers slowing down
69. Significance of heart block
70. Sudden onset fibrillation
71. Ventricular ectopics
72. Palpitations in the healthy

EXERCISE
73. Sudden cardiac death and exercise
74. Athletic heart
75. Pericarditis and sport
76. Rehabilitation after MI
77. Cold and IHD
78. Hypoglycaemia and cardiac risk
79. Looking for Marfan's

AGE, RISK AND PROGNOSIS
80. Obesity and cardiac risk
81. Cardiomyopathy
82. Drugs after an MI
83. Too old at 70?
84. Prognosis in heart failure
85. Prognosis at onset of MI
86. Life style and heart disease

MAJOR PROCEDURES
87. Heart transplant. A reasonable option?
88. Angioplasty or CABG?
89. Surgery for MI
90. Use of intracardiac adrenaline

MISCELLANEOUS
91. Shoulder/hand syndrome
92. Oxygen in heart disease
93. Can arteriosclerosis be reversed?
94. AIDS and cardiology
95. Repair of VSD
96. Ethnic differences in cardiological disease
97. Angina and driving
98. Oesophageal spasm or coronary spasm?
99. Hypertrophic obstructive cardiomyopathy
100. `Will he be all right, Doctor?'

INDEX