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This atlas of postmortem angiography provides a summary of techniques that have been developed and used in order to visualize the human vascular system. The indications, advantages, limitations, and pitfalls of the different techniques are explained in detail through the use of examples from real cases and a wealth of informative images, as well as knowledge from the latest scientific works. Helpful recommendations are made concerning interpretation of the obtained radiological images, which will allow readers to start their own work in the field of post-mortem angiography or to ease and improve their practice. The atlas has been edited and written by members of an international working group created in 2012, "Technical Working Group Post-mortem Angiography Methods" (TWGPAM), who for the first time summarize their experiences concerning this new approach. Since findings explaining the reasons for both natural and traumatic death are often hidden within the vascular system, post-mortem angiography is of the highest importance in elucidating cause of death and may represent the key to minimally invasive autopsy.
Coronary artery bypass surgery has been developed since 1960s to overcome proximal coronary artery disease. Worldwide, the number of patients that are undergoing coronary artery bypass surgery is steadily increasing. Depending on diverse risk factors, one fifth of grafts are occluded at 1 year. For the remaining, graft patency last usually 8-15 years. This book brings together the main specialists in the field to review the current evidence on epidemiology, pathophysiology, diagnostic, new imaging techniques and specific therapeutic modalities. This volume aims to update a complex subject represented by coronary graft failure. The authors of this monograph are interventional cardiologists, cardiovascular surgeons and research scientists, who will be creating four parts and 71 chapters that are divided in order to give a uniform interpretation of this condition including all aspects of coronary graft failure This book not only provides the most up-to-dated scientific evidence in the field but in a two-step manner. Each chapter is divided into a at a glance part that reflects the basic evidence on the topic, and a "full picture" part that brings all what the advanced reader should be brought with.
High blood pressure is a common chronic medical problem encountered in primary care, yet it is commonly under diagnosed. ABC of Hypertension is a long established, practical guide to the investigation, treatment and management of hypertensive patients. This sixth edition: * Provides practical guidance on measurement of blood pressure and the investigation and management of hypertensive patients * Explains new developments in measurement and automated measurement of blood pressure and * Updates coverage on treatment of the elderly and explains of the implications of recent trials * Incorporates current British Hypertension Society and NICE guidelines
Shirt Pocket Companion To The Complete Guide To Ecgs The ECG Criteria Book Provides ECG Criteria For 125 ECG Diagnoses, Including Arrhythmias And Conduction Disturbances; Chamber Enlargement And Hypertrophy; Ischemic Syndromes; Pacemakers; And Drug, Electrolyte And Medical Disorders. Also Includes Sections On Approach To ECG Interpretation, Differential Diagnosis Of ECG Abnormalities, And ACLS Algorithms.
The book provides an intensive overview on exercise for cardiovascular disease prevention and treatment, from basic research to clinical practice. The volume firstly summarizes the acute and chronic response to exercise. Secondly, evidence for exercise as medicine for the heart based on clinical studies and basic research is summarized. Thirdly, molecular mechanisms mediating the beneficial effects of exercise including IGF-1-PI3K-AKT signalling, NO signalling, C/EBPB-Cited4 signalling, Non-coding RNAs, epigenetic regulators, mitochondria adaption and exosomes are presented. Finally, exercise dosing, prescription and future prospects are provided. This book will provide valuable reference for researchers in cell biology, physiology, as well as physician, physical therapist in cardiology, sport medicine, etc.
Cardiovascular Medicine, 3rd Edition offers the most up-to-date, user-friendly guidance on the evaluation, diagnosis and medical and surgical treatment of heart and vascular disease and will be relevant to the practice of every cardiologist, cardiac surgeon, vascular surgeon, diabetologist, cardiac radiologist and any physician who manages cardiac patients. The book and DVD package is designed to provide comprehensive coverage of every aspect of cardiovascular medicine from cardiac signs and symptoms and the full range of cardiac imaging techniques through management of peripheral vascular disease and the genetic basis for cardiovascular disease to preventive cardiology.
Drs James Willerson, Jay Cohn, Hein Wellens, David Holmes a" and
over 150 world authorities a" offer their decades of scientific and
clinical experience. One of the main features of the book is the
consistent chapter organization relevant to modern cardiovascular
practice, clear design and engaging text that includes specific
features such as tables, lists and treatment boxes that are
designed to allow easy access to key information. The reader will
have all the guidance to diagnose and manage the full range of
cardiovascular conditions in one textbook resource, while also
benefiting from access to additional video material from the
Cardiovascular Medicine, 3rdEdition is the premier resource of its kind, advancing readersa (TM) knowledge and stimulating further study in cardiovascular medicine. New to the third edition are:
- Expanded coverage of the coronary heart disease syndromes; congestive heart failure; arrhythmias; pacing; sudden death; lipid management (including clinical results), and a completely revised and updated section on noninvasive imaging.
- An updated review of the mechanisms, recognition, and treatment of aortic coronary syndromes a" plus updates on the results of the most recent clinical trials with antithrombotic interventions.
- New chapters to elucidate the uses of invasive and non-invasive cardiac imaging with greater emphasis on the role of cardiac imaging within cardiovascular medicine.
- The latest knowledge of the mechanisms responsible for congestive heart failure and its treatment including beta-blockers, ACE inhibitors and angiotensin receptor antagonists, mechanical assist devices and transplantation.
- The most current information on current clinical drug trials for the treatment of stable and unstable angina, as well as the latest in arrhythmia development and modern therapy.
- The DVD-ROM contains video imagery for selected chapters, the full text of the book plus an interactive heart sounds presentation. This contains over 100 individual heart sounds with correlated videos and imaging and a full narrative.
Maximum oxygen uptake during exercise is one of the best predictors of operative mortality and of prognosis in chronic cardiac or respiratory disease. Cardio-pulmonary exercise (CPEX) tests are therefore an increasingly common component of pre-operative assessment and the management of patients with chronic cardiopulmonary problems. Part of the Oxford Respiratory Medicine Library (ORML) series, this pocketbook guides clinicians through the parameters measured in CPEX testing so that they can understand the underlying physiology and are able to interpret the results. Clinical scenarios, common patterns, key points, and practical tips all make this book easy to follow, even for those readers who have little prior knowledge of the subject.
Mastery of ECG interpretation is achieved not only by pattern recognition, but equally importantly, by a clear, practical understanding of how electricity moves through the heart and how disruption of that movement manifests itself via ECG tracings. ECGs for Beginners, written by one of the world's most respected electrophysiologists with over 40 years experience of training clinicians, will provide cardiology and electrophysiology trainees with an easy to follow, step-by-step guide to the topic, thus enabling them to both understand and interpret ECG readings in order to to best manage their patients.Packed with over 250 high-quality ECG tracings, as well as management algorithms and key points throughout, every chapter also contains self-assessment questions, allowing the reader to test themselves on what they've just learnt. All kinds of arrhythmias will be covered, as well as morphological abnormalities such as atrial and ventricular problems. Importantly, normal ECG readings will be presented alongside abnormal readings, to best demonstrate how and why abnormalities occur.ECGs for Beginners is an essential purchase for all cardiology and electrophysiology trainees, as well as being a handy refresher guide for the experienced physician.
This book provides an excellent review of the modern management of heart disease in pregnancy, introducing related state-of-the-art research. Maternal circulatory status dynamically changes throughout pregnancy and delivery. The number of pregnancies complicated by cardiovascular disease has increased in recent years due to better outcomes for patients with congenital heart disease as a result of improved surgical techniques, newly diagnosed cardiovascular diseases such as channelopathy, and increased maternal age. Pregnancy once was a contraindication for women with cardiovascular disease; however, it has been found that many women with cardiovascular disease can tolerate pregnancy and delivery. On the other hand, cardiovascular events including maternal death do occur in some cases. Clinical knowledge and skills in both obstetrics and cardiology are required to manage pregnancy accompanied by cardiovascular disease. Seen in that light, this book provides essential reading for obstetricians, cardiologists, anesthesiologists, and all medical personnel involved in the care of pregnant women with heart disease and congenital cardiac disease.
Artificial hearts are seductive devices. Their promissory nature as a cure for heart failure aligned neatly with the twentieth-century American medical community's view of the body as an entity of replacement parts. In Artificial Hearts, Shelley McKellar traces the controversial history of this imperfect technology beginning in the 1950s and leading up to the present day. McKellar profiles generations of researchers and devices as she traces the heart's development and clinical use. She situates the events of Dr. Michael DeBakey and Dr. Denton Cooley's professional fall-out after the first artificial heart implant case in 1969, as well as the 1982-83 Jarvik-7 heart implant case of Barney Clark, within a larger historical trajectory. She explores how some individuals-like former US Vice President Dick Cheney-affected the public profile of this technology by choosing to be implanted with artificial hearts. Finally, she explains the varied physical experiences, both negative and positive, of numerous artificial heart recipients. McKellar argues that desirability-rather than the feasibility or practicality of artificial hearts-drove the invention of the device. Technical challenges and unsettling clinical experiences produced an ambivalence toward its continued development by many researchers, clinicians, politicians, bioethicists, and the public. But the potential and promise of the artificial heart offset this ambivalence, influencing how success was characterized and by whom. Packed with larger-than-life characters-from dedicated and ardent scientists to feuding Texas surgeons and brave patients-this book is a fascinating case study that speaks to questions of expectations, limitations, and uncertainty in a high-technology medical world.
Pattern recognition is an important learning tool in the
interpretation of ECGs. Unfortunately, until faced with a patient
with an arrhythmia or structural heart disease, pediatric
practitioners generally receive limited exposure to ECGs. The
ability to clearly distinguish an abnormal ECG pattern from a
normal variant in an emergency situation is an essential skill, but
one that many pediatricians feel ill-prepared to utilize
confidently. In "Pediatric ECG Interpretation: An Illustrative
Guide," Drs. Deal, Johnsrude and Buck aim to address this issue by
illustrating many of the ECG patterns a pediatric practitioner is
likely to encounter.
ECG illustrations with interpretations are presented in several
categories: normal children of all ages, acquired abnormalities
such as hypertrophy or electrolyte disorders, and common congenital
heart disease lesions. Later sections cover bradycardia,
supraventricular and ventricular arrhythmias, and a basic section
on pacemaker ECGs. Simple techniques used to interpret mechanisms
of arrhythmias are described as a resource for practitioners in
cardiology, adult electrophysiology, or pediatrics who may not have
a readily accessible resource for these ECG examples.
The accompanying CD has been prepared with 3 purposes in
Clinical case studies have long been recognized as a useful adjunct to problem-based learning and continuing professional development. They emphasize the need for clinical reasoning, integrative thinking, problem-solving, communication, teamwork and self-directed learning - all desirable generic skills for health care professionals. This book is based on the unique autonomic program at the Mayo Clinic, comprising an autonomic laboratory that studies over 4000 patients annually. The authors teach using actual patient material and laboratory recordings to clarify complex autonomic syndromes. Important and common disorders like neurogenic orthostatic hypotension and distal small fiber neuropathy are described in some detail. There are also fascinating uncommon autonomic syndromes described succinctly and clearly. Emphasis is given to clarifying what is real and highlighting those changes that mimic autonomic dysfunction. Providing a broad breadth of coverage with many clinical examples, the book will be of interest to residents and non-specialist practitioners in neurology and cardiology.
In one compact resource, Echocardiography Review Guide, 4th Edition, provides both a concise review and an effective self-assessment for exam preparation. Easy-to-digest, bulleted text summarizes key concepts and gives precise step-by-step instructions for performing and interpreting echocardiographic studies. Study and self-assessment questions throughout help you increase your knowledge and identify areas for further study. This study guide is an ideal companion to Dr. Otto's Textbook of Clinical Echocardiography and is a must-have resource for anyone preparing for the echocardiography boards, the PTEeXAM, the diagnostic cardiac sonographer's exam, or other sonography exams. Includes updated images, content, and 30% NEW multiple-choice questions to address changes in the field and in the revised companion text, Textbook of Clinical Echocardiography. Contains concise, step-by-step instructions and questions on all aspects of echo use and interpretation, including how to record echos, avoid pitfalls, perform calculations, and understand the fundamentals for every type of cardiac problem. Teaches and tests in one convenient volume! Questions and answers are fed into an assessment and testing module on the website for convenient learning and review. Helps you prepare for exams with "The Echo Exam" section included in each chapter, which features a summary of how to perform the procedure along with all the necessary calculations, and diagnostic information you may encounter. Offers additional images and examples to help readers understand the concepts presented in the Textbook of Clinical Echocardiography. A quick reference guide and learning tool to keep "in your pocket" for integrating your clinical experience with didactic learning. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. A unique system/disease-based approach to learning pulmonary pathophysiology as it relates to clinical medicine No other review puts disorders of lung structure and function in such clear clinical perspective as Pulmonary Pathophysiology. Bridging the gap between basic science and clinical medicine, Pulmonary Pathophysiology guides you from symptom identification to underlying disease mechanisms and through principles of management. Features: 28 case studies help you understand the correlation between science and clinical medicine Additional algorithms aid differential diagnosis and management Key Concepts help you quickly review chapter highlights New tables and charts encapsulate important information Learning Objectives and study questions reinforce your understanding of even the most difficult topics Artwork includes nearly 100 photographs and line drawings Visit www.LangeTextbooks.com to access valuable resources and study aids!
Cardiovascular disease is the leading cause of death in the United States and is the focus of ongoing research. Consequently, treatment of cardiovascular disorders is among the most highly evidence-based area of medicine and pharmacy practice.
A comprehensive, accessible summary of the latest research in heart disease risk factors Cardiovascular Disease (CVD) is a major cause of early death and disability across the world. The major markers of risk--including high blood cholesterol, smoking, and obesity--are well known, but studies show that such markers do not account for all cardiovascular risk. Written by a team of renowned experts in the field, this comprehensive and accessible book examines the evidence for emerging and novel risk factors, and their relationship with diet and nutrition. Fully updated throughout, Cardiovascular Disease: Diet, Nutrition and Emerging Risk Factors, 2nd Edition covers everything from the epidemiology of cardiovascular disease, to genetic factors, to inflammation and much more - offering invaluable advice on reducing risk factors and preventing CVD. This new edition: Authoritatively reports on the link between emerging aspects of diet, lifestyle and cardiovascular disease risk Focuses on novel risk factors of CVD, including the human gut microbiome and fetal and childhood origins, and how it can be prevented Features recommendations for interventions and future research Includes references, commonly asked questions that summarise the take-home messages, and an online glossary Cardiovascular Disease: Diet, Nutrition and Emerging Risk Factors, 2nd Edition is an important book for researchers and postgraduate students in nutrition, dietetics, food science, and medicine, as well as for cardiologists and cardiovascular specialists.
This is the first book to focus entirely on the role of pathology in cardiac transplantation, linked to the clinical perspective through clinical-pathological correlation, multidisciplinary team working, and collaborative research. It provides a scientific framework with up-to-date pathological protocols and classification schemes and guides the reader through the chronological phases of the transplant process in a step-by-step approach. Topics include end-stage heart failure with pathologies encountered in the native heart, current issues surrounding donor selection, the multiple faces of rejection pathology correlated with clinical management and immunology, other post-transplant complications, details of pediatric and combined heart/other organ transplantation, and a useful practical appendix. Many high-quality images and illustrative cases are presented, along with learning points and ample references. Transplantation medicine today is continuously changing as collaborative research into novel diagnostic techniques and immunosuppressive therapies translates into improved recipient management and survival. This book is aimed at practicing transplant pathologists and specialist trainees. It will also appeal to general pathologists and to physicians and surgeons involved in cardiac transplantation who need to understand the role of pathology in the clinical management of transplant recipients.
Nothing is more perplexing to the clinician new to device therapy than having to deal with cardiac electrocardiograms from a device patient. Pacemakers and other implantable cardiac rhythm management devices leave their "imprint" on ECGs and can significantly change what clinicians see - or expect to see. Evaluating paced ECGs can be challenging, yet nowhere is it taught in any sort of comprehensive manner.
Designed specifically for clinicians new to device therapy, "The Nuts and Bolts of Interpreting Paced ECGs and EGMs" offers practical, reliable and objective information on paced cardiac electrograms. Written in a lively, intelligent and easy to navigate style, emphasizing real-life clinical practice and practical tips, this book includes illustrated paced ECGs by skilled artists to help minimize "fuzzy" lines and emphasize key points. Each chapter concludes with a checklist of key points from each subject ("Nuts and Bolts").
Grasp the electrocardiography basics and identify arrhythmias accurately, with the freshly updated ECG Workout, 7th Edition . Fully addressing the most common arrhythmias, this clearly worded text will take you step-by-step through expert ECG tracing interpretation methods, including differentiating among rhythm groups, equipment use, and management protocols. This is the go-to ECG guide for both student training and professional review-perfect for physicians, nurses, medical and nursing students, paramedics, emergency medical technicians, telemetry technicians, and related practitioners. Get a strong grounding in accurate ECG readings with . . . NEW pull-out arrhythmia summary cards help you interpret end-of-chapter practice strips NEW and updated advanced cardiac life support (ACLS) guidelines incorporated in each arrhythmia chapter NEW and updated figures, boxes, tables, and additional practice strips Updated coverage of all ECG concepts and skills, including: Illustrated anatomy and physiology of the heart Electrical basis of electrocardiology Arrhythmia chapters: sinus, atrial, junctional and AV blocks, ventricular and bundle-branch block rhythms-examples, causes, clinical treatments, and practice strips Step-by-step direction on interpreting rhythm strips Components of the ECG tracing: waveforms, intervals, segments, complexes, and waveform identification Discussion of cardiac monitors, lead systems, lead placement, ECG artifacts, and troubleshooting monitor problems Methods for precise rate calculation Discussion of cardiac pacemakers: types, indications, function, pacemaker terminology, malfunctions, and pacemaker analysis, with practice tracings ECG conversion table ensures precise heart rate calculation with plastic pocket version inside back cover Skillbuilder practice strips -more than 600 life-size ECG tracings: End-of-chapter strips from actual patients, with 3-second indicators for rapid-rate calculation, and answers at back of book A mix of arrhythmias to help you distinguish among types Posttest with mix of more than 100 waveform rhythm strips, for student testing or self-evaluation
Akin to nitric oxide, carbon monoxide (CO) was initially viewed as a pure toxic gas, yet it has been recently demonstrated to be an important endogenous molecule of gas that has profound physiological and pathophysiological effects on the cardiovascular system. In spite of the growing understanding achieved in this field, until now a comprehensive book summarizing the extraordinary advances in the research of the cardiovascular effects of CO has not been available. Carbon Monoxide and Cardiovascular Functions responds to the vexing challenges and exciting opportunities that confront researchers and clinicians studying the biological roles of CO in the cardiovascular system. This book presents many never-before-published results including the first case of human CO deficiency. It also discusses disorders where the cardiovascular effects of CO might have been altered, including hypertension, diabetes, stroke, and ischemic heart damage. A product of the collected knowledge of internationally respected scientists, this book serves as a standard reference summarizing recent developments, scientific controversies, and future directions in the study of the biological actions of CO on the cardiovascular system. By covering both ancient and state-of-the-art methodologies in great detail, Carbon Monoxide and Cardiovascular Functions, affords a rapid mastery of the powerful new advances in CO study.
This volume discusses membrane potential imaging in the nervous system and in the heart and modern optical recording technology. Additionally, it covers organic and genetically-encoded voltage-sensitive dyes; membrane potential imaging from individual neurons, brain slices, and brains in vivo; optical imaging of cardiac tissue and arrhythmias; bio-photonics modelling. This is an expanded and fully-updated second edition, reflecting all the recent advances in this field. Twenty chapters, all authored by leading names in the field, are cohesively structured into four sections. The opening section focuses on the history and principles of membrane potential imaging and lends context to the following sections, which examine applications in single neurons, networks, large neuronal populations and the heart. Topics discussed include population membrane potential signals in development of the vertebrate nervous system, use of membrane potential imaging from dendrites and axons, and depth-resolved optical imaging of cardiac activation and repolarization. The final section discusses the potential - and limitations - for new developments in the field, including new technology such as non-linear optics, advanced microscope designs and genetically encoded voltage sensors. Membrane Potential Imaging in the Nervous System and Heart is ideal for neurologists, electro physiologists, cardiologists and those who are interested in the applications and the future of membrane potential imaging.
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