Chest Pain / Edition 1

by J. Willis Hurst MD, Douglas C. Morris MD

Overview

J. Willis Hurst, MD, a pioneer in the development of cardiology, and his colleague, Douglas C. Morris, M.D., both of Emory University, have edited this book and chose its unusual title for very specific reasons. Patients sometimes have an odd view as to anatomic landmarks that identify the location of the chest, and may assign terms other than pain to their discomfort. Hence the quotation marks around "chest pain." The arrow (—>) after "chest pain" indicates that the physician initially may not know the cause of the symptom, so a differential diagnosis must be established.

This book was written to reintroduce in the modern clinical setting the knowledge and skills needed to analyze symptoms, physical findings, and ECG and x-ray abnormalities in order to accurately diagnose more than 50 different conditions that may bring about a complaint of "chest pain." Experts in the fields of cardiology, pulmonology, dermatology, orthopedics, thoracic surgery, and psychiatry contribute a unique perspective on this common but compelling medical problem. Each chapter concentrates on one causative syndrome or malady, from its initial presentation to its etiology, to differential diagnosis and treatment, while an abundance of well-designed figures serve to illustrate the location of the "chest pain."

Any cardiologist, primary care, or emergency care physician who may encounter a patient complaining of "chest pain" will benefit from this book''s clear, concise and thorough approach to the problem.

Product Details

ISBN-13:	9780879934828
Publisher:	Wiley
Publication date:	10/08/2001
Pages:	514
Product dimensions:	6.40(w) x 9.30(h) x 1.46(d)

About the Author

John Willis Hurst was an American physician who served as the cardiologist of former U.S. President Lyndon B. Johnson. He was the editor of Hurst's the Heart, one of the most widely used medical textbooks in the world. He also served as a former president of the American Heart Association. Douglas C. Morris MD is the editor of Chest Pain, published by Wiley.

Table of Contents

Preface.

Chapter 1. An Explanation of the Title and General Comments.

J. Willis Hurst, M.D.

PART I: Skin Disease as a Cause for "Chest Pain".

Chapter 2. "Chest Pain" in Patients with Herpes Zoster (Shingles).

Calvin O. McCall, M.D. and S. Wright Caughman, M.D..

PART II: Musculoskeletal Diseases as a Cause for "Chest Pain".

Chapter 3. "Chest Pain" in Patients with Costochondritis or Tietze's Syndrome.

Byron R. Williams, M.D..

Chapter 4. "Chest Pain" in Patients with Thoracic Outlet Syndromes.

Vinod H. Thourani, M.D. and Joseph I. Miller, Jr., M.D..

Chapter 5. "Chest Pain" in Patients with Chest Wall Syndromes.

J. Willis Hurst, M.D.

Chapter 6. "Chest Pain" in Patients with the Shoulder-Hand Syndrome.

Mark E. Silverman, M.D..

Chapter 7. "Chest Pain" in Patients with Bursitis of the Shoulder.

Stephen B. Miller, M.D.

Chapter 8. "Chest Pain" in Patients with Rotator Cuff Tendonitis or Arthritis of the Shoulder.

Andrew P. Gutow, M.D.

Chapter 9. "Chest Pain" in Patients with Joint Disease of the Cervical or Thoracic Spine.

Stephen B. Miller, M.D..

PART III: Thrombophlebitis as a Cause for "Chest Pain".

Chapter 10. "Chest Pain" in Patients with Mondor's Syndrome.

Stephen D. Clements, Jr., M.D..

PART IV: Neurologic Disease as a Cause for "Chest Pain".

Chapter 11. "Chest Pain" in Patients with Cervical Disc Syndromes.

David J. Hewitt, M.D.

Chapter 12. "Chest Pain" in Patients with Brachial Plexus Neuropathy.

David J. Hewitt, M.D.

PART V: Mediastinal Disease as a Cause for "Chest Pain".

Chapter 13. "Chest Pain" in Patients with Mediastinal Emphysema.

Talmadge E. King, Jr., M.D.

PART VI: Pulmonary Causes of "Chest Pain".

Chapter 14. "Chest Pain" in Patients with Pleuritis.

Talmadge E. King, Jr., M.D..

Chapter 15. "Chest Pain" in Patients with Pneumothorax.

Talmadge E. King, Jr., M.D..

Chapter 16. "Chest Pain" in Patients with Pulmonary Embolism.

Nanette K. Wenger, M.D.

Chapter 17. "Chest Pain" in Patients with "Café" Coronary.

Stephen D. Clements, Jr., M.D.

PART VII: Diseases of the Gastrointestinal Tract as a Cause for "Chest Pain".

Chapter 18. "Chest Pain" in Patients with Esophageal Motility Disorders.

J. Patrick Waring, M.D.

Chapter 19. "Chest Pain" in Patients with Gastroesophageal Reflux.

J. Patrick Waring, M.D.

Chapter 20. "Chest Pain" in Patients with Esophageal Rupture.

J. Patrick Waring, M.D.

Chapter 21. "Chest Pain" in Patients with Esophageal Stenosis.

J. Patrick Waring, M.D.

Chapter 22. "Chest Pain" in Patients with Pill-Induced Esophagitis.

J. Patrick Waring, M.D.

Chapter 23. "Chest Pain" of Esophageal Origin in Patients with HIV.

J. Patrick Waring, M.D..

Chapter 24. "Chest Pain" in Patients with Peptic Ulcer Disease.

Steve Goldschmid, M.D.

PART VIII: Diseases of the Gallbladder and Biliary Tract as Causes of "Chest Pain".

Chapter 25. "Chest Pain" in Patients with Biliary Colic.

Steve Goldschmid, M.D.

Chapter 26. "Chest Pain" in Patients with Acute Cholecystitis.

Steve Goldschmid, M.D.

PART IX: Pericardial Disease as a Cause for "Chest Pain".

Chapter 27. "Chest Pain" in Patients with Acute Pericarditis.

David H. Spodick, MD, DSc.

PART X: Heart Disease as a Cause for "Chest Pain".

Chapter 28. "Chest Pain" in Patients with Cardiac Arrhythmias.

Paul F. Walter, M.D. and J. Willis Hurst, M.D..

Chapter 29. "Chest Pain" in Patients with Angina Pectoris.

J. Willis Hurst, M.D.

Chapter 30. "Chest Pain" in Patients with Myocardial Infarction.

Douglas C. Morris, M.D.

Chapter 31. "Chest Pain" in Patients with Prinzmetal''s Angina.

David Waters, M.D. and Rabih R. Azar, M.D., M.Sc.

Chapter 32. "Chest Pain" in Patients with Myocardial Infarction with Normal or Near Normal Coronary Arteriogram.

Rabih R. Azar, M.D., M.Sc. and David Waters, M.D..

Chapter 33. "Chest Pain" in Patients Who Use Cocaine.

Jessica Haberer, M.D. and David Waters, M.D..

Chapter 34. "Chest Pain" in Patients with Congenital Heart Disease.

Joseph K. Perloff, M.D..

Chapter 35. "Chest Pain" in Patients with Aortic Valve Stenosis.

Douglas C. Morris, M.D.

Chapter 36. "Chest Pain" in Patients with Aortic Valve Regurgitation.

Douglas C. Morris, M.D.

Chapter 37. "Chest Pain" in Patients with Rheumatic Mitral Valve Stenosis.

Douglas C. Morris, M.D.

Chapter 38. "Chest Pain" in Patients with Hypertrophic Cardiomyopathy.

Douglas C. Morris, M.D..

Chapter 39. "Chest Pain" in Patients with Dilated Cardiomyopathy.

Douglas C. Morris, M.D.

Chapter 40. "Chest Pain" in Patients with Restrictive Cardiomyopathy.

Douglas C. Morris, M.D.

Chapter 41. "Chest Pain" in Patients with Pulmonary Hypertension.

Robert C. Schlant, M.D.

Chapter 42. "Chest Pain" in Patients with Systemic Hypertension.

J. Willis Hurst, M.D.

PART XI: "Chest Pain" Caused by Diseases of the Aorta.

Chapter 43. "Chest Pain" in Patients with Aortic Dissection.

Joseph Lindsay, Jr., M.D.

Chapter 44. "Chest Pain" in Patients with Aortic Aneurysms.

Joseph Lindsay, Jr., M.D.

PART XII: "Chest Pain" Related to Emotional or Psychiatric Conditions.

Chapter 45. "Chest Pain" in Patients with Anxiety Disorders.

Bernard L. Frankel, M.D..

Chapter 46. "Chest Pain" in Patients with Depressive Disorders.

Bernard L. Frankel, M.D..

Chapter 47. "Chest Pain" in Patients Who Are Malingering.

James C. Hamilton, Ph.D. and Marc D. Feldman, M.D..

Chapter 48. "Chest Pain" in Patients with Factitious Disorder Including Munchausen Syndrome.

Marc D. Feldman, M.D. and James C. Hamilton, Ph.D..

Chapter 49. "Chest Pain" in Patients with Addiction.

Karen Drexler, M.D..

PART XIII: "Chest Pain" of Controversial Origin.

Chapter 50. "Chest Pain" in Patients with Syndrome X.

Richard O. Cannon III, M.D..

Chapter 51. "Chest Pain" in Patients with Mitral Valve Prolapse.

J. Willis Hurst, M.D..

PART XIV: Final Comments.

Chapter 52. The Evolution of our Knowledge and Remaining Problems.

J. Willis Hurst, M.D.

Editorial Reviews

Reviewer: John F. Moran, MD (Loyola University Stritch School of Medicine)
Description: This book presents all aspects of the differential diagnosis of chest pain. The title appears in quotes because patients often have a different understanding of the meaning of chest, which may include arms and shoulders and neck, for example. Each of the 14 parts of this multiauthored book is initiated by the same four paragraphs describing the definition of chest pain and its relationship to angina pectoris.
Purpose: The purpose, according to the editor, is to sharpen our differential diagnosis skills in evaluating histories of chest pain. He has determined that physicians have become sloppy in their assessment of chest pain and wishes to remove diagnoses such as atypical chest pain or noncardiac chest pain from the medical lexicon.
Audience: All clinicians ought to enjoy a read of this book, but perhaps especially emergency room physicians. Medical students in physical diagnosis might find the book too detailed at their stage of medical school, but it certainly would be worth noting as a reference for them.
Features: The editor's goal is to sharpen our history-taking skills, and he refers back to the WEED system of the problem-oriented medical record (1967) which noted, "It takes a lifetime to learn how to take a history." All aspects of chest pain are considered here. Each chapter has torso drawings which show pain distribution and radiation graphically shaded. The location, the size of the area, duration, precipitating causes of the pain, as well as physical examination, tests, and treatments are discussed. There are chapters on arthritis, tendonitis, bursitis, and rotator cuff tears involving the shoulders and their relationship to chest pain. In addition, the gastrointestinal track is well covered with discussions of gastro-esophageal reflux, esophagitis, and biliary colic. The largest section of the text is devoted to cardiac causes of chest pain, which range from arrhythmia, angina, and myocardial infarction to valvular heart disease hypertension. Dr. Hurst has written a particularly interesting chapter on angina pectoris. There is also material here on psychiatric causes of pain in the chest.
Assessment: All clinicians should find this a worthwhile review of chest pain. The book is worthwhile in a time when technology seems to be overwhelming history taking and physical examination skills.

Doody's Review Service

"This book...is worth owning. It is not going out of date next year!"

William C. Roberts
American Journal of Cardiology

From the Publisher

3 Stars from Doody

Morris (Emory U.) accuses as sloppy those physicians who run a patient through several high-technology procedures, then declares atypical or non-cardiac chest pain and dismisses the patient without a diagnosis, without treatment, and without relief. He and Emory colleague Hurst have gathered the insights and experience of practitioners and researchers in a wide range of medical specialties to explore the various possible causes of what patients call chest pain. Among them are skin diseases, thrombophlebitis, pulmonary diseases, and psychiatric conditions. Annotation c. Book News, Inc., Portland, OR (booknews.com)

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