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Atrial Fibrillation is becoming a twenty-first century epidemic. It remains the most common form of sustained arrhythmia with significant mortality, morbidity and cost to the health care system. It is the most common cause of hospital admissions among all arrhythmias. Its prevalence increases with the aging population and is often associated with many other cardiac and noncardiac conditions, most notably congestive heart failure, hypertension, diabetes, and coronary artery disease. Although significant progress in understanding the epidemiology, natural history and mechanism has been made, the antiarrhythmic therapy in patients with Atrial Fibrillation is less satisfactory. Management of Atrial Fibrillation: A Practical Approach is the perfect pocket guide for those who care for patients afflicted by Atrial Fibrillation. From the history of the condition and the subsets of patients, to therapeutic and preventive procedures, Management of Atrial Fibrillation comprehensively covers all aspects in managing this increasingly prevalent disorder. Written by leading authorities in the field with vast experience in practical medicine, the book creates a clinically orientated, evidence based "fast fact" type resource for cardiologists, trainees and related healthcare professionals.
A significantly expanded third edition, this book provides a comprehensive and concise overview of cardiac arrhythmias and their ECG/telemetry manifestations, including the principles of cardiac electrophysiology, current concepts of pharmacology, clinical features, diagnoses, and state-of-the-art treatments. Additionally, the book emphasizes decision-making strategies in approaching each individual patient and the application of technical innovations in specific clinical situations. Organized into eight parts, beginning chapters introduce the concepts and principles of cardiac electrophysiology, unique rhythms, and ECG waves/signs. These chapters are designed to integrate emerging knowledge in basic science and clinical medicine. Subsequent chapters focus on the diagnosis of a variety of cardiac arrhythmias using non-invasive methodology. Throughout the book, chapters continue to analyze pharmacological and other approaches to therapy of specific arrhythmias, including supraventricular tachycardias, atrial fibrillation and flutter, ventricular arrhythmias, and bradyarrhythmias. Finally, the book closes with coverage on inherited cardiac arrhythmia syndromes including the long, short QT, and J-wave syndromes, catecholaminergic polymorphic ventricular tachycardia, and arrhythmogenic right ventricular cardiomyopathy. The third edition of Management of Cardiac Arrhythmias, is an essential resource for physicians, residents, fellows, and medical students in cardiology, cardiac surgery, vascular surgery, cardiac electrophysiology, and cardiac radiology.
From anatomy and diagnostic criteria through specific mapping and ablation techniques, Catheter Ablation of Cardiac Arrhythmias, 4th Edition, covers all you need to know in this fast-changing field. Ideal for practitioners who need a comprehensive, user-friendly ablation text for the electrophysiology lab or office setting, this authoritative reference offers quick access to practical content, using dynamic videos, detailed tables, and high-quality images to help you apply what you learn in your practice. Incorporates recent, exciting developments in the field, including new mapping, imaging, and catheter technologies and ablation techniques. Contains new chapters on Pulmonary Vein Isolation by a Cryoballoon Catheter; Substrate-Based Ablation for Ventricular Tachycardia; and Ablation of Genetically Triggered Ventricular Tachycardia/Fibrillation. Offers new and expanded coverage of difficult cases VT ablation, including VT storm and use of hemodynamic support during ablation; new techniques for ablation of persistent and long-lasting persistent atrial fibrillation; cryoballoon-based pulmonary vein isolation to treat atrial fibrillation; and more. Offers expert guidance on atrial tachycardia and flutter, atrial fibrillation, atrioventricular nodal reentrant tachycardia, tachycardias related to accessory atrioventricular connections, ventricular tachycardia, transseptal catheterization techniques, ablation for pediatric patients, and patient safety and complications. Helps you master each approach with exceptional visual guidance from nearly 300 new illustrations and figures, including many new ECGs, intracardiac recordings, as well as 3D mapping, ultrasound and fluoroscopic images. Includes numerous tables that provide quick access to key points, arrhythmia mechanisms, diagnostic criteria, target sites for ablation, use of special equipment, complications, and troubleshooting problems and their solutions. Provides access to 45 video clips (18 are new!) including newer techniques for transseptal access to the left atrium, expanded use of intracardiac ultrasound, techniques of pericardial access, and many more. 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.
Cardiopulmonary resuscitation (CPR) is an emergency procedure which is performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person in cardiac arrest. Sudden cardiac arrest is the leading cause of death in the industrialized world. Early bystander's CPR has been recognized as one of the most effective interventions in improving outcome and as an essential link of the survival's chain. In this book the authors present current research in the study of CPR, including predictors of survival from out- of-hospital cardiac arrest; aspirin resistance in cardiovascular disease; out-of-hospital cardiac arrest in children and results of experience from a cardiopulmonary resuscitation program in Spain.
Coronary Atherosclerosis: Current Management and Treatment
addresses the leading cause of death worldwide - coronary artery
disease. Atherosclerosis has a broad range of disease
manifestations depending on the degree of the stenosis, and the
functional status of the coronary plaque and is a disease
cardiologists manage every day. Prevalence of coronary artery
disease is increasing as a greater number of people live longer and
rising rates of obesity contribute to poor health.
This brand new title, written by a leading international team of
Editors, addresses the pathophysiology of disease, established and
novel diagnostic approaches (both invasive and non-invasive),
treatment methodologies (including treatment algorithms), and
differing perspectives on treatment including future therapies and
long term outcomes. It includes every aspect of coronary artery
disease and highlights the optimal treatment for different clinical
scenarios. The inclusion of personal perspectives from key opinion
leaders, full color images and ancillary video files make this a
Key topics include:
Coronary Atherosclerosis: Current Management and Treatment provides a state of the art review of current knowledge to aid specialists, general physicians, and cardiologists in training, in the diagnosis, risk stratification, and management of patients with diverse presentations of coronary atherosclerosis.
This new, expanded edition of the Dictionary of Cardiac Pacing, Electrophysiology, and Arrhythmias addresses the growing need for education about implantable cardiac devices and arrhythmia management. Perfect for the medical device industry and allied professionals, this illustrated reference updates the language of cardiac pacing, electrophysiology, arrhythmias, and resynchronization therapy. Features include: 3,386 terms, including more than 1,500 new entries and revised definitions; 136 figures and tables, illustrating terms concretely and lending depth to definitions and concepts; extensive cross-references to enable users to find terms with one or more synonyms or related concepts; selected clinical trial descriptions and references; appendices that list accepted and commonly used acronyms, abbreviations, and their meanings.
Mitral regurgitation (MR) affects millions of patients worldwide. It is a progressive condition that can worsen when left untreated, possibly leading to compensatory remodeling of the left ventricle. This can result in reduced functional capacity, poor quality of life, repeat hospitalizations, and even death from heart failure. Open, arrested heart surgery has until now been the therapeutic treatment of choice. However, many high-risk patients cannot tolerate traditional heart surgery and continue to suffer from severe MR. In Percutaneous Mitral Leaflet Repair: MitraClip Therapy for Mitral Regurgitation, international experts discuss the clinical application of percutaneous mitral valve therapies for this subsect of patients, focusing on the MitraClip device. These new therapeutic developments will form an essential component of the interventional cardiologists' armamentarium in treating MR patients and will be of interest to every practicing cardiologist. Key topics include: An overview of the anatomy and pathophysiology of the mitral valvular complex and MR EVEREST trial outcomes, and the development of percutaneous edge-to-edge repair Updates on the global experience with this new therapy Patient selection and the role of percutaneous therapies for high-risk patients Echocardiographic guidance, including practical tips for the use of transesophageal echocardiography during a procedure Step-by-step techniques, plus tips and tricks for getting the best results for your patients Special considerations for treating the returning MR repair patient Discussion of the European experience since CE approval Future directions in percutaneous mitral valve therapies
There is hardly an area of research developing so quickly and raising so many promises as stem cell research. Adult, embryonic and recently available induced pluripotent stem cells not only foster our understanding of differentiation of endo-, ecto- and mesodermal lineages to all organs of the body, but foremost nourish the hope that cells grown in culture can be used for regeneration of diseased organs such as the heart damaged by myocardial infarction. This book focuses on perspectives of stem cells for regenerative therapy of cardiovascular diseases. Based on the EC consortium INELPY, it reviews the field and disseminates major outcomes of this project. Thus it introduces the reader to this fascinating area of research and incorporates very recent findings interesting to the expert, spanning the field from bench to bedside. The compilation of contributions is unique as there is yet no similar comprehensive overview combining stem cell research with preclinical and clinical evaluation as well as engineering of tissue patches for transplantation. As such it will be an invaluable source of information for all researchers in the stem cell and tissue regeneration field including bioengineers as well as for all clinicians interested in regenerative therapies, especially for ischemic cardiomyopathies.
This brand new guide assists students, interns and residents in developing a functional understanding of the set-up, workings and interpretation of ECGs * Step-by-step graphics and short, bite-sized explanations * Covers all major cardiac abnormalities including hypertrophy, arrhythmias, conduction blocks, and pre-excitation syndromes * Begins with a section on physiology of the heart and the basic set up of ECG recording * Features top tips on what to look for, complete with illustrated examples * Supported by a companion website featuring additional practice tracings
Professional ECG ruler, for reading: 2 x RR (25 mm/s) 1 x RR (50 mm/s) 3 x RR (25 mm/s) 3 x RR (50 mm/s) 4 x RR (25 mm/s) Amplitudes (mV) Times, intervals (s) Conversion: heart rate - RR interval Table. heart rate - PR interval - relative QT interval
This text, published in the profession's centenary year, traces the history of cardiac surgery from ancient times to the present, detailing clinical developments with facsimilies of the original articles, consent forms from the first heart transplant, newspaper articles, and correspondence. The text follows a set pattern, describing the historical background to each new procedure, facsimilies of the original articles, bibliography of the main clinicians, and a commentary putting each development into its historical context.
The second edition of this book provides an overview of electrocardiography from a pathophysiological basis. Refreshed with color illustrations, it incorporates new anatomic and electrophysiologic information as well as updated material on clinical applications of the electrocardiogram (ECG). Intended as a reference for students with a basic understanding of the ECG, the book's focus is to provide the fundamental anatomic and electrophysiologic processes that lead to ECG changes rather than simple pattern recognition. Each chapter has key points and questions with comprehensive explanations so that the reader can assess their understanding of the contents. It can be utilized as a guide - chapter by chapter - or read cover to cover for a complete overview. Case studies are included at the end of the book that integrate the multiple principles of electrocardiography. The Second Edition of ECG Interpretation: From Pathophysiology to Clinical Application is an essential text for medical students, residents, fellows, physicians, and nurses in cardiology and clinical cardiac electrophysiology.
The paradigm for atrial fibrillation (AF) management has changed significantly in recent years. A new era has begun for the prevention of one of the most tremendous complication of AF, stroke. Prevention of ischemic stroke in AF patients with oral anticoagulants represents a huge challenge because of the narrow therapeutic change of these drugs, interindividual and intraindividual variability, and the unsatisfactory time in therapeutically range (TTR) with this type of medication. New guidelines have emerged as a result of new mechanisms for initiation and perpetuation for pharmacotherapy to cure AF and trials with new classes of antithrombotic drugs are ongoing. The treatment of AF is still in its infancy, but recent research is revealing how it can be applied with optimal efficacy. This book assists trainees, recertifying physicians, practicing physicians and other professional staff in internal medicine, cardiology, emergency medicine, and clinical pharmacology to apply new diagnostic tools for selecting the best treatment options for AF patients.
This important title brings together a distinguished panel of thought-leaders, known for their insights into the development and application of minimally-invasive surgical and endovascular techniques, to provide a comprehensive and discerning compendium of our most current knowledge and state-of-the-art procedures in the management of cerebral vascular diseases. Written in a style that is accessible to students and experienced practitioners alike, the book covers all the important recent advances that have reshaped the field in dramatic ways. Emphasizing how surgical and endovascular techniques are complementary, the volume includes illuminating chapters on the nexus of endovascular and conventional "open" cerebrovascular surgery, including patient assessment and practice in a hybrid operating environment, utilizing the best methods to achieve optimal outcomes. A major addition to the clinical literature, Management of Cerebrovascular Disorders: A Comprehensive, Multidisciplinary Approach will be of significant interest to neurosurgeons, neurologists, neuroradiologists, neurointensivists, students, residents, fellows, and specialized attending physicians.
Comparative Cardiovascular Dynamics of Mammals offers never-before-published data on the structure and function of the circulatory systems of the different mammalian species. This text explores classic allometry, dimensional analysis, and modern hemodynamics to establish similarity principles that provide a necessary and important step in understanding the natural common design and functional features of the cardiovascular systems of different mammals. Fluid and blood vessel mechanics, pulse transmission characteristics, cardiac energetics and mechanics, as well as heart-arterial system interaction are included in this essential reference. The sensitivity of parameters and similarity of principles in the diagnosis of cardiovascular diseases are also addressed. This book also describes the natural processes involved in the functional development of the mammalian cardiovascular system. By using modern methods to present recent findings on the similarities and differences of the mammalian cardiovascular system, the author provides an easily understood approach to this dynamic field of study.
This second edition of the Transesophageal Echocardiography Multimedia Manual is a comprehensive resource and essential guide to the rapidly expanding field of perioperative transesophageal echocardiography (TEE), encompassing newer cardiac surgery techniques, more diverse surgical procedures, and use in the intensive care unit. With over 900 figures, this well-illustrated manual and its accompanying videos and self-test questions demonstrate new developments and challenges for the anesthesiologist, cardiologist, cardiac surgeon, critical care physician, and those interested in perioperative TEE. The accompanying downloads present two-dimensional examples in their original video format accompanied by sketches, three-dimensional orientation, Doppler-related information, and hemodynamic, radiologic, and anatomical correlation to assist the user visualize the dynamic process of transesophageal echocardiography. New to this edition! Now in full-color with over 800 pages of content, including six new chapters covering new minimally invasive cardiac surgical techniques, non-cardiac surgery, and complementary imaging techniques such as three-dimensional echocardiography plus updates to all existing chapters Over 900 high-resolution images to illustrate the advancement of echocardiography technology Companion downloads showcase over 1000 videos of 2-dimensional examples accompanied by 3-dimension orientation providing an interpretation of results, plus over 140 self-test questions Expert perspectives from over 85 renowned and experienced anesthesiologists, cardiologists, cardiac surgeons, and critical care physicians from five countries
The development of new techniques and the refinement of established procedures make cardiac surgery a fast-moving field. Core concepts in cardiac surgery has been developed to make it an invaluable textbook for the professional cardiac and cardiothoracic surgeon, covering both topical issues and updates in cardiac surgery. This provides the practising cardiac surgeon with current updates in the field, and controversial issues that affect everyday practice. Written by an international team of renowned cardiac surgeons, each topic is split into a review of the current literature and then important technical details. Their wealth of professional experience has been distilled into tips and common pitfalls in practice throughout the book. Extensively illustrated with full-colour photographs and artwork to facilitate understanding of complex procedures, Core concepts in cardiac surgery is also available on a companion website, to allow the authors to update the text regularly to reflect developments in the discipline.
Cardiovascular diseases have become a major cause of death in both middle and higher income countries despite significant increases in evidence-based drug therapy and interventions as well as cardiovascular surgery. It seems logical to educate the world about actual causes of cardiovascular diseases, which are important in the pathogenesis of these problems. The science of chronocardiology gives due consideration to our cardiovascular functions according to time structures which appear to be related to light and dark cycles of 24 hours, due to day and night.
The tools necessary for correctly identifying complex coronary lesions and plaques. The data required to accurately diagnose rare disease progression and patterns. With Diagnostic Methods in the Cardiac Catheterization Laboratory, all of the essential diagnostic modalities you need in the lab are at your fingertips.
This new force in cardiology is the premier reference guide to advanced clinical approaches and the specialized conditions that every interventional cardiologist encounters. It depicts the unusual and unique situations in the catheterization lab and supplies the knowledge required of clinicians that goes beyond the fundamental methods and techniques.
Key topics discussed include:
Pioneers in the field of transcatheter aortic-valve implantation
This highly illustrated textbook has been prepared by the Working Group on Development, Anatomy and Pathology of the European Society of Cardiology (ESC). The ESC Textbook of Cardiovascular Development is the authority on cardiovascular development from a perspective of both basic scientists and clinicians. The embryonic origin of congenital heart diseases and their pathology has been analysed in depth. Modern concepts pivotal to the understanding of cardiovascular morphogenesis, including those still subject to controversy, have been highlighted and the content covers the ESC Core Curriculum. The textbook will appeal to researchers and clinicians from a wide spectrum of disciplines including molecular and developmental biologists working on mechanisms of heart development in a range of model organisms as well as pathologists, morphologists, geneticists, and cardiologists.
This book elucidates a number of new concepts on P-wave evaluation and QRS depolarization properties, and reports on several repolarization findings never covered in previous ECG books. The content is primarily based on case reports, some of which are compared in order to reveal their ostensibly small but significant differences. The book addresses a significant and lingering gap in ECG interpretation, which is the actual cause of many poor decisions in the diagnostic and therapeutic contexts. Further, the book has an interdisciplinary appeal, and will be of equal interest to professionals and scholars with an interest in cardiology and ECG interpretation.
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