The following outline is provided as an overview of and topical guide to cardiology, the branch of medicine dealing with disorders of the human heart. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in cardiology are called cardiologists.
What type of thing is cardiology? Cardiology can be described as all of the following:
An academic discipline Branch of science Branch of applied science Branch of medicine Branch of internal medicine
Branches of cardiology Adult cardiology – Cardiac electrophysiology – study of the electrical properties and conduction diseases of the heart. Clinical cardiac electrophysiology –Clinical cardiac electrophysiology, is a branch of the medical specialty of cardiology and is concerned with the study and treatment of rhythm disorders of the heart. Cardiologists with expertise in this area are usually referred to as electrophysiologists. Electrophysiologists are trained in the mechanism, function, and performance of the electrical activities of the heart. Cardiogeriatrics (geriatric cardiology) –Cardiogeriatrics, or geriatric cardiology, is the branch of cardiology and geriatric medicine that deals with the cardiovascular disorders in elderly people. Echocardiography – use of ultrasound to study the mechanical function/physics of the heart. Interventional cardiology – use of catheters for the treatment of structural and ischemic diseases of the heart. Nuclear cardiology – use of nuclear medicine to visualize the uptake of an isotope by the heart using radioactive sources. Pediatric cardiology – Pediatric cardiologists specialize in diagnosing and treating heart problems in children.
Anatomy of the heart Heart –
Chordae tendinae – Right atrium – Right ventricle – Tricuspid valve – Left atrium – Left ventricle – Mitral valve – Endocardium – Myocardium – Pericardial cavity – Transverse pericardial sinus – Pericardium –
Physical exam
The cardiac physical exam focuses on portions of the physical exam that elucidate information about diseases and disorders outlined below. Clinical judgment, of course, should guide the physical exam but the following are pertinent things related to a general / broad cardiac exam.
Apex beat (point of maximum impulse) Bruits: carotid, renal Edema of the lower extremities and ascites that may indicate right heart failure Heart sounds, heart murmurs, pericardial rub, mechanical heart valve clicking Jugular venous distension Retina exam with ophthalmoscope for signs of hypertension (retinal hemorrhage) and diabetic retinopathy (cotton wool spots) Pulses: carotid, dorsalis pedis, femoral, popliteal, posterior tibial, radial, temporal, ulnar Heart rate Pulse quality: pulsus paradoxus, pulsus parvus et tardus Respiratory sounds for crackles (edema) and other lung pathologies that can affect the heart Rheumatic diseases can have significant cardiac findings and is too lengthy to include here Arthritis is common amongst rheumatic diseases Skin exam for rashes (systemic lupus erythematosus, scleroderma, dermatomyositis, vasculitis) Skin exam Diabetic neuropathy Endocarditis signs: Janeway lesions, Osler's nodes, splinter hemorrhages Peripheral vascular disease Scars indicating procedures: sternotomy, thoracotomy, pericardial window, carotid endarterectomy, thyroidectomy, etc. Skin bulges indicating implanted devices: pacemaker, ICD, implantable loop recorder, vagus nerve stimulation Vasculitis rashes Xanthomas & xanthelasmas Vital signs Blood pressure – hypertension, congenital heart disease manifestations Heart rate – bradycardia & tachycardia Respiratory rate – in distress, shortness of breath causes
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