Reddit mentions of Pathophysiology of Heart Disease: A Collaborative Project of Medical Students and Faculty (PATHOPHYSIOLOGY OF HEART DISEASE (LILLY))

Lily's

http://www.amazon.com/Pathophysiology-Heart-Disease-Collaborative-PATHOPHYSIOLOGY/dp/1605477230

Buy Lilly

This book is unequivocally the greatest book I have ever read.

I get a hard on just thinking about it. Probably better than pathoma honestly, it's just a super limited scope of information so it's only good for cardio

https://www.amazon.com/Pathophysiology-Heart-Disease-Collaborative-Students/dp/1605477230

> Robert S. Lilly

My bad, it was Leonard Lilly.

https://www.amazon.com/Pathophysiology-Heart-Disease-Collaborative-PATHOPHYSIOLOGY/dp/1605477230

Grapfruit and a handful of other things interact with heart drugs, these interactions aren't covered in too much detail in the textbook

All you need:

http://www.amazon.com/Pathophysiology-Heart-Disease-Collaborative-PATHOPHYSIOLOGY/dp/1605477230

This book is excellent.

No problem, I'm glad it was helpful!

This is the book we used in school. I would say it is pretty advanced as far as EMS goes, but if you're think you're up for it, this could be an excellent read for a paramedic looking to really focus on cardiac pathophysiology. Make sure you've got the basics down first, then try it out.

These are EXCELLENT books. I bought both.

Cardiovascular: http://www.amazon.com/Pathophysiology-Heart-Disease-Collaborative-PATHOPHYSIOLOGY/dp/1605477230

Nephrology: http://www.amazon.com/Renal-Pathophysiology-Lippincott-Williams-Wilkins/dp/1451173385/ref=sr_1_1?s=books&ie=UTF8&qid=1412406478&sr=1-1&keywords=renal+pathophysiology

I've always understood a stress test to be considered positive if chest discomfort is reproduced or EKG abnormalities consistent with ischemic heart disease develop. Reproducible stable angina is enough to consider the test positive even in the absence of EKG changes.

Tests are considered markedly positive if:

1. ischemic EKG changes develop within 3 minutes of initiation of exercise or persist 5 minutes after cessation.
   
2. Magnitude of ST segment depression > 2 mm.
   
3. Systolic BP drops during exercise.
   
4. High-grade ventricular arrhythmias occur.
   
5. Patient cannot exercise for at least 2 minutes because of cardiopulmonary limitations (I take that to mean extreme angina, SOB).
   
   Pharmacologic and nuclear testing are necessary in patients with absolute contraindications to exercise stress testing, such as severe arthritis, lower limb amputation etc.
   
   All this info is from: Pathophysiology of Heart Disease, 5th edition (Lilly).
   
   EDIT: Reading your statement again you are correct in that you cannot make a diagnosis, but you should consider the stress test positive when making your diagnosis.