,CARDIOLOGY
CLINICAL
QUESTIONS
, Notice
Medicine is an ever-changing science. As new research and clinical experience
broaden our knowledge, changes in treatment and drug therapy are required.
The authors and the publisher of this work have checked with sources believed
to be reliable in their efforts to provide information that is complete and gener-
ally in accord with the standards accepted at the time of publication. However,
in view of the possibility of human error or changes in medical sciences, neither
the authors nor the publisher nor any other party who has been involved in the
preparation or publication of this work warrants that the information contained
herein is in every respect accurate or complete, and they disclaim all responsibil-
ity for any errors or omissions or for the results obtained from use of the informa-
tion contained in this work. Readers are encouraged to confirm the information
contained herein with other sources. For example and in particular, readers are
advised to check the product information sheet included in the package of each
drug they plan to administer to be certain that the information contained in this
work is accurate and that changes have not been made in the recommended dose
or in the contraindications for administration. This recommendation is of par-
ticular importance in connection with new or infrequently used drugs.
, CARDIOLOGY
CLINICAL
QUESTIONS
John P. Higgins, MD, MBA, MPHIL, FACC, FACP, FAHA, FASNC, FSGC
ACSM Certified Clinical Exercise Specialist & Certified Personal Trainer
Associate Professor of Medicine
The University of Texas Health Science Center at Houston (UTHealth)
Director of Exercise Physiology
Memorial Hermann Sports Medicine Institute
Chief of Cardiology, Lyndon B. Johnson General Hospital
Principal Investigator HEARTS
(Houston Early Age Risk Testing & Screening Study)
Houston, Texas
Asif Ali, MD
Clinical Assistant Professor
Division of Cardiovascular Medicine
The University of Texas Health Science Center at Houston (UTHealth)
Memorial Hermann Heart and Vascular Institute
Sub-Clinical Investigator HEARTS
(Houston Early Age Risk Testing & Screening Study)
Houston, Texas
David M. Filsoof, MD
Division of Cardiovasuclar Medicine
Sub-Clinical Investigator of HEARTS
(Houston Early Age Risk Testing & Screening Study)
University of Texas-Houston Health Science Center
Houston, Texas
Mayo School of Graduate Medical Education
Jacksonville, Florida
New York Chicago San Francisco Lisbon London Madrid Mexico City
Milan New Delhi San Juan Seoul Singapore Sydney Toronto
CLINICAL
QUESTIONS
, Notice
Medicine is an ever-changing science. As new research and clinical experience
broaden our knowledge, changes in treatment and drug therapy are required.
The authors and the publisher of this work have checked with sources believed
to be reliable in their efforts to provide information that is complete and gener-
ally in accord with the standards accepted at the time of publication. However,
in view of the possibility of human error or changes in medical sciences, neither
the authors nor the publisher nor any other party who has been involved in the
preparation or publication of this work warrants that the information contained
herein is in every respect accurate or complete, and they disclaim all responsibil-
ity for any errors or omissions or for the results obtained from use of the informa-
tion contained in this work. Readers are encouraged to confirm the information
contained herein with other sources. For example and in particular, readers are
advised to check the product information sheet included in the package of each
drug they plan to administer to be certain that the information contained in this
work is accurate and that changes have not been made in the recommended dose
or in the contraindications for administration. This recommendation is of par-
ticular importance in connection with new or infrequently used drugs.
, CARDIOLOGY
CLINICAL
QUESTIONS
John P. Higgins, MD, MBA, MPHIL, FACC, FACP, FAHA, FASNC, FSGC
ACSM Certified Clinical Exercise Specialist & Certified Personal Trainer
Associate Professor of Medicine
The University of Texas Health Science Center at Houston (UTHealth)
Director of Exercise Physiology
Memorial Hermann Sports Medicine Institute
Chief of Cardiology, Lyndon B. Johnson General Hospital
Principal Investigator HEARTS
(Houston Early Age Risk Testing & Screening Study)
Houston, Texas
Asif Ali, MD
Clinical Assistant Professor
Division of Cardiovascular Medicine
The University of Texas Health Science Center at Houston (UTHealth)
Memorial Hermann Heart and Vascular Institute
Sub-Clinical Investigator HEARTS
(Houston Early Age Risk Testing & Screening Study)
Houston, Texas
David M. Filsoof, MD
Division of Cardiovasuclar Medicine
Sub-Clinical Investigator of HEARTS
(Houston Early Age Risk Testing & Screening Study)
University of Texas-Houston Health Science Center
Houston, Texas
Mayo School of Graduate Medical Education
Jacksonville, Florida
New York Chicago San Francisco Lisbon London Madrid Mexico City
Milan New Delhi San Juan Seoul Singapore Sydney Toronto