About the Author vii Preface ix Acknowledgments xi Abbreviations xiii Worked Example xv Companion Website xix Patient Study 1 46-year-old chronic alcoholic man with heart failure and sudden death (1968) 1 Patient Study 2 24-year-old man with dyspnea, edema, and a heart murmur (1973) 7 Patient Study 3 27-year-old man with hemoptysis and dyspnea (1973) 19 Patient Study 4 22-year-old female with exertional chest pain and palpitations (1974) 23 Patient Study 5 40-year-old man and the perils of walking in the street (1997) 30 Patient Study 6 54-year-old man with dyspnea and a lifelong murmur (1974) 37 Patient Study 7 26-year-old man with an asymptomatic heart murmur (1979) 44 Patient Study 8 20-year-old man with chest pain and a life-long heart murmur (1979) 50 Patient Study 9 23-year-old female with heart failure and a heart murmur (1975) 59 Patient Study 10 17-year-old man with fever, myalgias, and a heart murmur (1977) 71 Patient Study 11 24-year-old man with left leg pain (1977) 80 Patient Study 12 48-year-old female with dyspnea (1976) 87 Patient Study 13 19-year-old man with easy fatiguability, cyanosis, and clubbing (1977) 93 Patient Study 14 29-year-old man with an asymptomatic murmur and an abnormal chest X ray (1977) 100 Patient Study 15 32-year-old man with a history of dyspnea and syncope over last 38 years (1967) 107 Patient Study 16 55-year-old female with chest pain and hematemesis (1993) 120 Patient Study 17 27-year-old man with decreased exercise tolerance and a heart murmur (1982) 126 Patient Study 18 29-year-old man with pleuritic chest pain, dyspnea, and cardiomegaly (1985) 135 Patient Study 19 25-year-old man with new onset of hemoptysis (1986) 142 Patient Study 20 80-year-old man with hemoptysis and dyspnea (1998) 149 Patient Study 21 21-year-old man with hemoptysis, cyanosis, and a heart murmur (1989) 157 Patient Study 22 23-year-old female with chest pain and visual symptoms (1992) 167 Patient Study 23 Approximately 40-year-old man with new onset of a murmur and heart failure (1975) 173 Patient Study 24 54-year-old female with altered mental status (1993) 182 Patient Study 25 74-year-old female admitted with abdominal pain followed by shock (1994) 187 Patient Study 26 Approximately 82-year-old female admitted with recurrent lower GI bleeding and a known abdominal aortic aneurysm (2001) 191 Patient Study 27 41-year-old female with chest pain and a heart murmur (1994) 197 Patient Study 28 48-year-old man with leg numbness and weakness (1994) 201 Patient Study 29 67-year-old female with chest pain and a new heart murmur (1995) 208 Patient Study 30 62-year-old man with chest pain and hypertension (1996) 214 Patient Study 31 17-year-old female with fatigue and a heart murmur (1997) 219 Patient Study 32 31-year-old female with fatigue and syncope (1997) 224 Patient Study 33 33-year-old female with dyspnea, edema, and a murmur (1995) 231 Patient Study 34 21-year-old man with dyspnea and chest pain (1995) 238 Patient Study 35 54-year-old man with chest pain, hypertension, and abdominal pain (2005) 245 Patient Study 36 19-year-old female with aching legs on exertion (1995) 249 Patient Study 37 58-year-old man with dyspnea, chest pain, and Sjorgen''s syndrome (1996) 256 Patient Study 38 37-year-old ex cocaine user with dyspnea and a heart murmur (1998) 261 Patient Study 39 24-year-old female with a heart murmur (1997) 266 Patient Study 40 34-year-old Asian female with heart failure(2001) 272 Patient Study 41 73-year-old man with chest pain and hypertension (2000) 278 Patient Study 42 42-year-old female with dyspnea and a heart murmur (2001) 283 Patient Study 43 37-year-old female with dyspnea and cyanosis (1999) 289 Patient Study 44 27-year-old female with dyspnea, a murmur, and kyphoscoliosis (1996) 296 Patient Study 45 41-year-old man with presumed cardiomyopathy (2002) 302 Patient Study 46 78-year-old female with chest pain and a heart murmur (2002) 310 Patient Study 47 31-year-old man with long-standing clubbing (1997) 317 Patient Study 48 79-year-old man with dyspnea and edema 3 years after an operation (1995) 328 Patient Study 49 37-year-old female with recurrent syncope and heart failure (1984) 336 Patient Study 50 33-year-old man with new onset of hemiplegia (1985) 342 Patient Study 51 44-year-old female with chest pain and dyspnea (2008) 345 Patient Study 52 80-year-old diabetic female with an abnormal echocardiogram and no CVS symptoms (2008) 352 Patient Study 53 42-year-old female with palpitations and an abnormal echocardiogram (2006) 355 Patient Study 54 53-year-old alcoholic man and the perils of winter (2009) 360 Patient Studies 55-56 90-year-old female with dyspnea and hemoptysis (2000) 366 Patient Study 57 1-month-old Infant with unsuspected cardiac pathology on echocardiography (2002) 372 Patient Study 58 69-year-old man with lower extremity pain (2008) 374 Patient Study 59 71-year-old man with dizziness and weakness (2010) 379 Patient Study 60 20-year-old man with pleuritis and fever (1995) 383 Patient Study 61 20-year-old man with swollen face and chest pain (2008) 389 Patient Study 62 17-year-old female with an acute myocardial infarction (2013) 395 Patient Study 63 66-year-old diabetic female with ICD dysfunction (2008) 401 Patient Study 64 39-year-old man with chest pain and syncope (2011) 406 Patient Study 65 58-year-old female with dyspnea, hypertension, and hematuria (2008) 413 Crossword Puzzle Pediatric cardiology and general medical crossword puzzle 419 Subject Index 421 Patient Studies Index 423 Disease Classification Index 425 Answers to Crossword Puzzle 427.