The updated and revised second edition of this book. Include a large number of new questions, case scenarios and examination-oriented approach incorporated into the text. It will serve as a guide the doctors preparing for local and international postgraduate examinations like the FCPS, MRCP, and other in Cardiology and will also be useful for general practitioners. This edition comprises improved format of the questions to existing cases, more detailed descriptions of the identification of soft and hard data and the techniques of answering questions.