Since 1970, when the pulmonary artery catheter was introduced into clinical medicine, the technique of hemodynamic monitoring has expanded rapidly. The use of this essential procedure now encompasses the coronary care unit, the medical intensive care unit, the surgical intensive care unit, and the operating room; and an entire spectrum of physicians require this skill, including anesthesiologists, trauma surgeons, pulmonologists, nephrologists, critical care specialists, and cardiologists. Learning the proper performance of invasive techniques is essential for providing high quality patient care. This easy-to-use guide provides every important aspect of hemodynamic monitoring, and presents it in a straightforward and organized format. The book's table of contents is evidence of its exceptional organization and completeness: / Normal Physiology / Respiration / Cardiac Output / Arrhythmias / Acute Mitral Regurgitation and the V Wave / Tricuspid Regurgitation / Acute Left Ventricular Infarction / Right Ventricular Infarction / Acute Left Ventricular Ischemia / Chronic Congestive Heart Failure / Pericardial Tamponade / Pericardial Constriction & Restrictive Cardiomyopathy / Pulmonary Embolism / Trouble / Normal Values / Techniques Used in this Book.

Essentials of Cardiovascular Examination highlights common mistakes made in cardiovascular examination. The book provides a solid foundation of clinical knowledge for the beginner, and an excellent reference guide for the experienced clinician. Divided into 53 chapters across four sections, the book begins with guidance on approach to the patient, including cardiac history, general examination, and the anatomy of the heart and coronary circulation. The second section covers the cardiovascular system in detail, with topics including pulse, blood pressure, and percussion of the heart. The third section covers diseases relating to the cardiovascular system, ranging from congenital heart disease to ischemic heart disease and arrhythmias. The final section covers different investigations of the cardiovascular system, including the electrocardiogram, non-invasive imaging, stress tests and cardiac catheterisation. With 70 images, illustrations and information tables, Essentials of the Cardiovascular System covers anatomy and physiology, physical diagnosis of all common cardiovascular diseases, their investigation and treatment, making this an ideal resource for students preparing for examinations. Key Points Concise guide to anatomy, physiology, physical diagnosis of diseases, investigation and treatment 70 illustrations, images and information tables Ideal for students preparing for examinations Excellent reference guide for experienced clinicians

Many athletes suffer health and sports consequences related to inadequate nutrition to meet their sports demands. It often goes unrecognized and untreated if they do not have the stereotypical diagnosis of an “eating disorder.” Highly marketable for those looking to gain an extra edge above the competition by maximizing their health through appropriate nutrition and mental work. The book has background information on the problem and serves as an instruction manual for coaches and parents. Female athletes’ personal narratives are dispersed within the information.

Percutaneous cardiac and endovascular procedures performed by a variety of interventional physicians continue to evolve and expand. One of the most important steps in performing these procedures is vascular access and their Achilles heel is vascular access site complications. This volume is here to help the clinician, providing a practical overview of the techniques and technologies used in top catheterization laboratories to access the arterial and venous beds. Dr. Mazen Abu-Fadel and his contributors, part of the renowned cardiovascular team at the University of Oklahoma College of Medicine, carefully walk the reader through the various techniques used to obtain vascular access into most arterial and venous sites. They thoroughly describe current data, techniques, advantages, risks, and benefits of each vascular access site. Covering everything from anatomic landmarks to closures devices, Arterial and Venous Access in the Cardiac Catheterization Lab offers a complete overview of each procedure. In addition, it provides an up-to-date guide to the best medical technologies and equipment used when performing these procedures. Arterial and Venous Access in the Cardiac Catheterization Lab is an invaluable resource for a wide range of clinical personnel, from attending physicians and trainees to nursing staff and vascular technicians. Written by experienced leaders in the field, it demonstrates how to perform complex, risky procedures while providing patients with expert care.

The prevention of coronary heart disease (CHD) has never been more important. Throughout the world death rates from cardiovascular causes are rising and are soon estimated to overtake infectious diseases as the leading global cause of death for the first time in history. All healthcare professionals need to understand what causes this disease and how to prevent it. This new edition of this highly successful book brings together the latest information and research on CHD; in particular, the health professional's role in prevention of the disease. It gives practical advice on correcting these factors through lifestyle and medical management. Updates for the second edition include:coverage of the new large lipid-lowering drug trials therapeutic advances in the use of thrombolytic, antiplatelet and anti-hypertensive drugs advances in treatments including diabetic control, anti-smoking therapy, prescription of exercise and the use of dietary advice. This book is aimed at the broad range of professionals who come into contact with CHD patients and with those at risk of CHD, including nurses, physiotherapists, dieticiansdietitians, occupational therapists, clinical psychologists, general practitioners, doctors who are involved in prevention and rehabilitation and all staff working in coronary care units, lipid and hypertension clinics and general cardiology clinics. evidence-based content ensures a firm scientific basis for practice the practical nature of the content can be immediately applied in the working environment e.g. smoking cessation strategies, dietary counseling and risk assessment the multidisciplinary group of contributors ensures that the content reflects the multidisciplinary nature of CHD prevention work case studies and practice exercises enable the application of theory to practice summaries of key points facilitate understanding and retention the implications from clinical governance legislation, the National Service Frameworks and Joint British Recommendations on prevention of CHD in clinical practice recent research outcomes e.g. the HOT trial diabetes and its links with CHD material relating to ethnic minorities more 'global' statistics where possible to make the text more appealing to international markets the inequalities arising from socio-economic exclusion

Written and edited by an outstanding team of experts in the field, Transcatheter Aortic Valve Implantation offers a multidisciplinary approach to this rapidly expanding procedure. Recent studies have shown transcatheter aortic valve implantation (TAVI) to be as effective as surgical aortic valve repair (SAVR), with demonstrably better outcomes for low, intermediate, and high-risk patients. Under the editorial leadership of Drs. Catherine M. Otto, Bernard D. Prendergast, and Simon Redwood, this practical reference incorporates recent research on patient selection, discusses current guidelines, and covers the new devices developed to address this fast-growing area. Follows the patient journey from indications, patient selection for TAVI, choice of valve, and pre-TAVI evaluation through the procedure itself, complications, and long-term outcomes-all with a multidisciplinary team approach. Features consistent headings and user-friendly content in every chapter: Checklists, Decision Pathways, Data/Evidence Summaries, and Essential Readings. Contains multidisciplinary TAVI Decision Pathways that provide a uniquely visual yet comprehensive approach for quick retrieval and application of all the latest clinical implications for TAVI. Includes the latest evidence-based data on TAVI vs. SAVR from the new AHA/ACC guidelines and implications for practice. Provides clear visual guidance with 150 pre-, intra-, and post-imaging illustrations, plus 50 TAVI procedural video clips. 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.

Current, relevant, and evidence-based, The Interventional Cardiac Catheterization Handbook, 5th Edition, offers clear guidance on interventional cardiology in an easy-to-understand, concise format. This must-have handbook is an invaluable resource for physicians, nurses, and technicians in every cath lab, offering quick access to easily accessible guidelines on procedures and patient care. Packed with useful information, hundreds of clear images, and narrated videos from Dr. Kern, this practical manual ensures that health care workers at all levels have the tools they need to understand and perform these complex procedures. Covers a wide range of coronary and peripheral vascular interventional procedures, from the most common to the latest specialized interventions. Incorporates the most up-to-date equipment with detailed, step-by-step techniques, cautionary notes, and outcomes. Includes recent procedures such as TAVR, MitraClipT, atherectomy, applications of new non-hyperemic pressure ratios, and approach to LV mechanical support. Features an easy-to-read outline format, bulleted summary boxes, and quick-reference tables, making this complex subject accessible and understandable. Employs a multidisciplinary heart team approach, offering practical and authoritative guidance on the many nuances to these challenging procedures. Includes dedicated chapters on catheters, guide wires, balloons, and stents; interventional pharmacology; PCI; and complications. 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.

The Relational Medicine project is growing. In 2014 we published our practice framework 'Relational Medicine - Personalizing Modern Healthcare: The Practice of High-Tech Medicine As A RelationalAct'. Building on this foundation, we now present a cutting-edge and fully developed single case recording analysis of consecutive encounter interactions in a dramatically accelerating life-and-death decision-making situation in the high-tech medical practice of Advanced Heart Failure during which practitioners, patient, and family face multiple uncertainties as the decision-making process unfolds and the patient's condition deteriorates.We show how a multi-professional team including a cardiologist, cardiac surgeon, critical care unit nurse and fellows discuss life-prolonging options with their patient and family. We make visible the essential roles of each multi-disciplinary team member in helping frame for the patient and family what is going on and the changing options while attending to the patient's PERSON-soul-mind-body-HOOD.In bringing different data, perspectives, and facets of understanding to bear, this book offers a novel approach to studying high-tech medical care grounded in Federica Raia's Relational Ontology framework of understanding everyday practice. Using a micro-ethnographic data analysis and a participatory research strategy, we unravel a heretofore unrecognized universe of practice themes and present suggestions for medical education and training aimed at continuous practice improvement.

This 304 page full-color textbook is essentially two volumes in one. The first 92 pages present the basic principles of 12 lead ECG interpretation. The remainder of the book focuses on the evaluation of Acute Coronary Syndrome (ACS) patients. 13 ECG patterns associated with ACS are presented, including the most subtle ECG changes most often missed by clinicians and the ECG machine 's automated interpretation software. The curriculum provides an in-depth, balanced approach to patient assessment, combining advanced ECG interpretation skills with patient history, risk factor and cardiac marker evaluation. Correlation of ECG leads with the coronary arterial distributions which commonly supply each region of the heart are reinforced by use of 24 case studies of ST Segment Elevation Myocaridal Infarction (STEMI), Non ST Segment Elevation Myocardial Infarction (NSTEMI), Unstable Angina, and Brugada Syndrome. STEMI Case Studies emphasize the ECG identification of the infarct related artery, and complications to be expected based on failure of cardiac structures commonly supplied by the obstructed arterial distribution. Case studies begin with patients' initial assessment data obtained in the emergency department and continue into the cardiac catheterization lab where coronary artery angiography illustrates the location of arterial obstruction. Key learning objectives for each type of Myocardial Infarction (MI) are highlighted. 453 full color images, 135 review questions, and 114 ECGs reinforce the learning process. Target audience is all medical professionals whom are already competent in single-lead rhythm strip evaluation, and desire to become proficient in the 12 lead ECG evaluation of Acute Coronary Syndrome patients. This book was written and reviewed by veteran cardiac cath lab interventionalists. View this book 's Table of Contents on the publisher 's website: www.TriGenPress.com An instructor 's package with PowerPoint slides is also available from TriGen Publishing.