A new home-grown cardiology text brings a unique case-based approach to patient management - now available in ClinicalKey

You are here

Cardiovascular diseases (CVDs) are a leading cause of disease and injury burden for Queenslanders, with 246 people admitted to hospital for heart disease every day in 2018. Despite significant reductions in cardiovascular death rates nationally, it still amounted to approximately a quarter of all Australian deaths in 2018. Globally, CVDs are the number one cause of death, taking an estimated 17.9 million lives each year. Now a new Australian cardiology text, Problem-Based Cardiology Cases, takes a unique case-based approach to helping clinicians address this global health problem.

Problem-Based Cardiology Cases is a unique resource that steps through the most common cardiology problems encountered on the ward and discusses the evidence-based treatments used in practice. To date it is the only book that covers the most common everyday problem-based clinical scenarios in practice providing answers purely based on current evidence.
Written by A/Prof Atifur Rahman, Clinical Director-CCU at Gold Coast University Hospital and Associate Professor at Griffith University School of Medicine, and Dr Simon O'Connor, cardiologist at The Canberra Hospital and Clinical Senior Lecturer at ANU Medical School, Problem-Based Cardiology Cases provides considered and wide-ranging coverage of everyday cardiology encounters, from basic bedside issues to controversial and advanced aspects of cardiology. As the only local text of its kind primarily references Australian guidelines, while at the same time incorporates a global element by summarising current literature and landmark clinical trials from around the world.
“History taking, physical examination and sensible use of investigations are the basis of all clinical medicine. In this book, we have tried to provide a grounding in history taking and examination and have used clinical examples to illustrate important problems in cardiology that clinicians face regularly. There is no substitute for seeing patients in the wards and gaining experience in clinical cardiology, but a case-based approach to learning and decision-making complements learning in the wards,” A/Prof Rahman said.
Dr O’Connor said that unlike a conventional text book Problem Based Cardiology Cases uses clinical cases to illustrate and explain patient management. 
“We hope that a book which uses real and realistic case presentations can help in the management of real patients and cardiology problems. We think this will bring together basic and current knowledge of cardiology and an approach to using it in everyday practice. 
“Apart from using the book itself we hope readers will use it to guide them to look in more detail at some of the important trials discussed and referred to. This approach will help readers understand the way future trials will affect our care of patients,” Dr O’Connor said.
Presented in the context of clinical cases Problem-Based Cardiology Cases sets out different clinical presentations from all areas of cardiology, with:

  • Cardiology cases, including: treatment pathways and guidelines; summaries of symptoms, drugs and evidence; images taken from real patient cases
  • Concisely presented current information and findings from key clinical trials to give a clear understanding of the evidence behind optimal treatment
  • Extensive coverage of everyday encounters - from basic bedside cardiology to controversial and advanced aspects of cardiology
  • Review and revision of clinical examination techniques and the importance of getting these right

 “No medical specialty has changed more profoundly in the last 20 years than cardiology. Likewise, no other areas of medicine have had changes in practice which have been so dependent on clinical trials and the use of evidence of effectiveness. New evidence and new guidelines for treatment appear constantly.
“Because of the importance of evidence-based practice in cardiology and the constant new information from clinical trials and updating guidelines, we have tried to use the latest information and available guidelines to encourage our younger colleagues to practise evidence-based cardiology. There is much emphasis in this book on the recent clinical trials that have changed our management, and we have used references to those trials and guidelines throughout to help motivate our trainees to stay current,” A/Prof Rahman said.
The book’s problem-based learning mirrors clinical practice and provides registrars, interns and senior medical students with a useful clinical approach to carry throughout their careers. It also aims to be the mainstay of cardiology preparation for the FRCP examination.
“Throughout the book we have given reference to all important journal articles and major guidelines for further reading,” A/Prof Rahman said. 
Emphasising the importance of staying current with the latest evidence, A/Prof Rahman said “Over the years CKN has helped me with important clinical decision making, based on the most current evidence-based research. In particular, Elsevier’s point of care clinical search engine, ClinicalKey, has helped me with evidence-based answers to everyday queries for managing my patients, as well as for my research and academic work.”
A/Prof Rahman said “Our book has been written to help clinicians solve particular problems in the management of their patients and as a way of updating their knowledge of cardiology. Our hope is that this book will help bring some of the excitement and satisfaction that modern treatment of cardiology patients has brought to us.”
Problem-Based Cardiology Cases is available to all CKN users through the ClinicalKey point of care database.