RT Book, Section 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 SR Print(0) ID 1202440691 T1 Clinical Cardiovascular Examination T2 Fuster and Hurst's The Heart, 15e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264257560 LK accesscardiology.mhmedical.com/content.aspx?aid=1202440691 RD 2024/04/20 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.