TY - CHAP M1 - Book, Section TI - Clinical Cardiovascular Examination A1 - Miranda, William R. A1 - Nishimura, Rick A. A2 - Fuster, Valentin A2 - Narula, Jagat A2 - Vaishnava, Prashant A2 - Leon, Martin B. A2 - Callans, David J. A2 - Rumsfeld, John S. A2 - Poppas, Athena PY - 2022 T2 - Fuster and Hurst's The Heart, 15e AB - Chapter SummaryThis chapter presents a modern approach to physical examination in cardiovascular disease (CVD), correlating bedside findings with echo-Doppler-derived and invasive hemodynamics. The patient’s history and a physical examination have always been the central component of the clinical evaluation of CVD. Findings on palpation, inspection, and auscultation are reflective of the underlying hemodynamics (see Fuster and Hurst’s Central Illustration). Although there have been tremendous advances in noninvasive testing over the past 50 years, history-taking and physical examinations are still essential in providing the pretest probability for subsequent diagnostic testing. A final diagnosis will be made only when there is agreement between the clinical assessment and test results; when discordance is present, further assessment is needed. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1202440691 ER -