This new edition reflects the huge advances in the field of cardiothoracic medicine that have taken place over the past ten years. Illustrated throughout, it features contributions from leaders in the fields of cardiology and respiratory disorders from the United Kingdom, Europe and the United States. The approach of the Manual has been remodeled to enhance the practitioner's access to information. The Manual begins with a look at the clinical approach to a range of common presenting signs.  This is followed by details of diagnostic tests and techniques, including imaging and blood pressure measurement.  Therapeutic strategies for these are discussed, and detailed discussions of specific conditions are presented.  Useful appendices include a drug formulary and ECG reference ranges