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This book guides readers through the correct use and consequent diagnostic and therapeutic relevance of 24-h ambulatory blood pressure monitoring (ABPM) in a wide spectrum of clinical presentations and different phenotypes of arterial hypertension. On the basis of eight case studies, the author reviews and discusses current guidelines and recommendations aimed at optimizing the diagnostic and therapeutic approach in commonly encountered real-world clinical scenarios, including challenging cases of white-coat hypertension, masked hypertension, isolated nocturnal or diurnal hypertension, hypertension and obstructive sleep apnea, pseudo-resistant and true-resistant hypertension, and drug-induced hypotension. This handy and practical book provides physicians in the area of general and internal medicine, as well as specialists in cardiovascular risk, valuable insights for optimizing the treatment of these hypertensive patients.
When you're considering device therapy for a patient with heart failure, be sure to consult this concise reference for the latest information on who benefits most from which device.In clear, straightforward prose, Dr. Feldman addresses: Resynchronization Therapy, ICD, Ultrafiltration, Impulse Therapy, Chronic Implantable Monitoring, Bioimpedance, EECP, and more. With chapters devoted to monitoring the patient on device therapy and the future of device therapy in heart failure, this book makes an important contribution to patient care.
This timely book reveals an integrated approach to myocardial preservation focusing on translational research and clinical applications. Chapters cover both the mechanisms of heart failure in addition to therapeutic considerations, including forms of cardiac cell death, cardiac remodelling and cardiac regeneration. Potential future research directions are also proposed, enabling the reader to gain a broad in-depth understanding of the topic. Myocardial Preservation: Translational Research and Clinical Application presents a thorough review of myocardial preservation. Its comprehensive approach provides a valuable reference for cardiology researchers and practising and trainee cardiologists seeking new insight to the topic.
Pulmonary arterial hypertension (PAH) is a relatively rare but potentially life-threatening disease. In most forms, the disease is likely to be diagnosed late and is associated with progressive clinical deterioration and premature death. A Clinician's Guide to Pulmonary Arterial Hypertension, Second Edition enhances the overall PAH awareness of the wider clinical community and outlines the need for more effective screening, diagnosis, and treatment. Topics include: Disease background and epidemiology Basics of disease pathophysiology Clinical profile and diagnosis Treatment strategies Screening and management of PAH
Today's echocardiography continues to be a low-cost, minimal-risk procedure with the potential to yield a vast amount of detailed, precise anatomic and physiologic information. Dr. Catherine Otto's Textbook of Clinical Echocardiography, 6th Edition, clearly outlines how to master the core principles of echocardiographic imaging in order to make an initial diagnosis and integrate this data in clinical decision making for patients with a wide range of cardiovascular diseases. Ideal for cardiology fellows, medicine residents, and cardiac sonography students, this bestselling text teaches all the essential elements of ultrasound physics, tomographic and 3D anatomy, image acquisition, advanced imaging modalities, and application in specific disease categories- all with a practical, problem-based approach. Concentrates on the foundational concepts you need to know to perform and interpret echocardiographic studies and to pass your board exams. Covers all advanced echo techniques, including contrast echo, 3D echo, and myocardial mechanics, as well as intraoperative and intra-procedural transesophageal echocardiography (TEE). Discusses what alternative diagnostic approaches to initiate when echocardiography does not provide a definitive answer. Includes new Echo Math boxes in each chapter for quick review and greater comprehension. Provides new ASE recommendations for chamber quantitation, including updated tables of normal measurements. Matches full-color anatomic drawings of heart structures with the 2D and 3D echocardiographic views. Pairs state-of-the-art echo images with more than 360 videos that illustrate the full range of cardiac disease diagnosed with this powerful imaging approach. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you click on each figure to see the corresponding video, as well as search all of the text, figures, and references from the book on a variety of devices.
Cardiac resynchronization therapy (CRT) is one of the most exciting new advances in the treatment of chronic severe (NYHA symptom class) heart failure associated with dyssynchronous ventricular contraction that is refractory to medical treatment. In all randomized trials CR has resulted in improved NYHA symptom class, exercise capacity and quality of life in the majority of patients as compared to patients on optimal medical therapy including angiotensin converting enzyme inhibitor (ACE)/angiotensin receptor blocker inhibitor (ARB) and b adrenergic receptor blockers. These symptomatic benefits are mediated by "reverse remodeling" of the left ventricle, that is reduction in volume, regression of LV mass, improvement in ejection fraction and severity of mitral regurgitation induced by synchronization of ventricular contraction. This new text is edited by 5 experts in heart failure, electrophysiology and non-invasive cardiac imaging and is extensively illustrated with high quality figures and examples of clinical cases. The purpose of the book is to put into perspective this novel therapy with regards to traditional heart failure treatment and to provide criteria for identifying patients likely to have an optimal and sustained response to CRT using a practical "how to" approach. This text begins by describing the background and evolution of the technique to the current implementation and the impact of complications on clinical outcome. There are chapters describing "cutting edge" Doppler echocardiography for assessing dyssynchrony, reverse remodeling and triaging patients into those with greatest likelihood of responding to CRT with illustrative clinical case examples. There is a full description of the results of all the randomized clinical trials and a number of chapters discussing the need for concomitant internal cardiac defibrillator (ICD), special circumstances such as atrial fibrillation, right bundle branch block, left ventricular lead placement and etiology of heart failure with clinical case examples for each.
This book provides comprehensive analysis into individualized patient care, and applying evidence-based medicine while integrating basic medical knowledge with applied medicine. The Editor and the contributors not only discuss important issues on hypertension management and its deleterious consequences if it is not well-controlled, but also highlight the important signaling pathways involved in the pathogenesis of hypertensive heart disease and cardiac hypertrophy.
With an abundance of illustrations and tables to highlight critical information, this source provides a practical approach to the use of CO2 as a contrast agent for diagnostic angiography, vascular intervention, and other interventional procedures in both adults and pediatrics. Clearly laying-out key points in the science, technique, and clinical applications of this procedure, this source will be a constant companion for physicians treating various disorders affecting arterial and venous circulation.
Computed tomography of the heart and cardiovascular system continues to show an impressive and tremendously successful development. Technical improvements translate into new applications and enhanced diagnostic accuracy and the new diagnostic opportunities may potentially be beneficial for many individuals with known or suspected cardiovascular disease. In order to assure that the potential of cardiovascular CT will optimally be used for patient care, a continued, strong joint effort concerning education and training, further research, and advocacy will be necessary. The combined knowledge, experience, and input of all clinicians and researchers in the field will best serve that purpose. Cardiovascular Computed Tomography is the first textbook to cover the heart, cardiovascular and peripheral vascular systems and will provide the reader with the necessary background information to perform cardiac CT on symptomatic patients and asymptomatic individuals for the accurate assessment of underlying disease.
Cardiovascular medicine has witnessed significant progress over the past century, incorporating the technical advances of each era to improve patient care. The introduction of the stethoscope, electrocardiography, roentgenography, angiography, invasive hemodynamics, ultrasonography, nuclear scintigraphy, and magnetic resonance have each, in turn, allowed progressively greater accuracy and precision in the diagnosis and treatment of cardiovascular disease. The advent of multidetector computed tomography (MDCT) using 64 detector rows provides the next leap forward in cardiovascular care by delivering on the promise of high-resolution visualization of cardiovascular structure and function noninvasively. Cardiovascular Multidetector CT Angiography demonstrates the clinical context within which this technology is useful for individual patient assessment, providing the technical information needed to perform cardiovascular CTA and focusing on the spectrum of clinical applications. Written by acknowledged experts in the CTA arena, the book contains an abundance of 64-slice images-the highest technical resolution available-to identify disease states. Topics covered include normal cardiac anatomy, abnormal coronary arteries, coronary anomalies, artifacts, left and right ventricular function and abnormalities, valvular heart disease, pericardium, and the aorta. The book also discusses cardiac masses, cardiac veins, peripheral artery disease, and congenital heart disease. Demonstrating the application of cardiovascular multidetector computed tomography from the perspective of patient care, the book is composed entirely of case studies-an excellent format for teaching those just beginning to work with CTA. The book is designed for cardiologists and radiologists alike, as well as primary care physicians, medical students, and other health care professionals who have the opportunity to use this technology to improve diagnosis and treatment for their patients with cardiovascular disease.
While all interventional cardiologists have access to pharmacopeial
texts and databases and are aware of the growing number of
pharmacological agents in the armamentarium, questions arise as to
the ideal agent or combination of agents in differing patient
Practical Manual of Echocardiography in the Urgent Setting covers the essentials of echocardiography in the acute setting, from ultrasound basics to descriptions of all pertinent echocardiographic views to clear stepwise advice on basic calculations and normal/abnormal ranges.
This compact new reference:
- Provides step-by-step guidance to acquiring the correct views and making the necessary calculations to accurately diagnose cardiac conditions commonly encountered in urgent settings.
- Presents information organized by complaint/initial presentation so that readers can work from this first knowledge of the patient through the steps required to pinpoint a diagnosis.
- Covers echo basics, from sound wave characteristics/properties to common device settings to basic ultrasound formulas.
- Includes diagnostic algorithms fitted to address the differential diagnosis in the most commonly-encountered clinical scenarios.
Designed and written by frontline clinicians with extensive experience treating patients, Practical Manual of Echocardiography in the Urgent Setting is the perfect pocket-sized guide for residents in cardiology, emergency medicine, and hospital medicine; trainees in echocardiography; medical students on cardiology or emergency medicine rotations; technicians, nurses, attending physicians -- anyone who practices in the urgent setting and who needs reliable guidance on echocardiographic views, data and normal/abnormal ranges to aid rapid diagnosis and decision-making at the point of care.
Authored by the same stellar editors and contributors responsible for Kaplan's Cardiac Anesthesia, this title presents today's most essential clinical knowledge in cardiac anesthesia in a practical, user-friendly format. A manageable size and affordable price makes this an ideal purchase for every clinician who would like an economical yet dependable resource in cardiac anesthesia. Trusted authorities deliver the key cardiac anesthesia knowledge you need to know. A concise, user-friendly format and key points boxes in each chapter help you quickly locate crucial information. Annotated references guide you to the most practical additional resources. A portable size and clinical emphasis facilitates and enhances bedside patient care. Designed as a companion to Kaplan's Cardiac Anesthesia. Includes new topics vital to the current practice of cardiac anesthesiologists, such as transesophageal echocardiography; percutaneous valve procedures; new pacemakers and automatic internal defibrillators used for cardiac resynchronization therapy; left ventricular assist devices and extracorporeal membrane oxygenation therapy of heart failure; and patient safety issues. Focuses on today's most current and relevant therapies, including New Cardiac Drugs, and Heart Mate, Heart Ware, and Impella LVADs. Describes care of the cardiac patient in Hybrid Operating Rooms, Catheterization Laboratories, and Electrophysiology Laboratories, as well as the Cardiac Operating Rooms. Perfectly suited for residents, fellows, nurse anesthetists and anesthesiologists in practice.
This book is the first comprehensive overview of the emerging field of cuffless blood pressure monitoring. Increasing clinical evidence proves that longitudinal measurements of blood pressure allow for earlier detection and better management of multiple medical conditions and for superior prediction of cardiovascular events. Unfortunately, today's clinical and industry standards for blood pressure monitoring still require the inflation of a pneumatic cuff around a limb each time a measurement is taken. Over the last decades clinicians, scientists and device manufacturers have explored the feasibility of technologies that reduce or even completely eliminate the need of cuffs, initiating the era of cuffless blood pressure monitoring. Among the existing literature, this book is intended to be a practical guide to navigate across this emerging field. The chapters of the handbook have been elaborated by experts and key opinion leaders in the domain, and will guide the reader along the clinical, scientific, technical, and regulatory aspects of cuffless blood pressure monitoring.
Filling a large gap in the literature, this book focuses on the management of patients who have, or are at risk of developing, cardiovascular disease. Designed to serve as a resource for the busy, practicing clinician, the approach is evidence-based but practical. Conceptual development and the exploration of biochemical and physiological mechanisms are balanced by focused attention on the everyday issues of caring for patients with specific metabolic and cardiovascular disorders. Reinforced by case studies, the book discusses standards of care and challenging management issues. The authors discuss pharmacotherapeutic choices in light of findings from clinical trials, elements of care unique to women and people of different racial and ethnic groups, lifestyle modifications, and the risks and benefits of specific therapies. The book reviews comprehensive care in both primary and secondary prevention settings. Moreover, Comprehensive Management of High Risk Cardiovascular Patients encourages primary care providers to get more involved in treating such disorders as atherosclerotic disease, congestive heart failure, severe hypertension, complex dyslipidemias, and chronic renal disease, among others.
A highly clinical focus and clear, vibrant illustrations make Textbook of Clinical Hemodynamics, 2nd Edition, by Dr. Michael Ragosta, the resource of choice for accurately analyzing hemodynamic waveforms generated in cardiac catheterization labs. This easy-to-use, disease-oriented reference-ideal for physicians, nurses, and technicians-offers the unparalleled detail and visual support you need for interpreting the findings you encounter in practice. New coverage throughout keeps everyone on the cardiac team up to date with the latest concepts and skills, ensuring more effective monitoring and treatment of patients with cardiac disease. Provides a disease-oriented assessment of waveform data that demonstrates how both qualitative and quantitative interpretation can affect clinical decision making. Expert ConsultT eBook version included with purchase, which allows you to search all of the text, figures, and references from the book on a variety of devices. Features extensive updates throughout, with expanded coverage of aortic valve and mitral valve disorders, including new percutaneous valve treatments (TAVR, mitral clip); comparison of hemodynamic support devices; a new chapter on pulmonary hypertension; and expanded coverage of coronary hemodynamics. More than 100 brand-new, full-color images provide clear visuals for a more complete understanding of complex concepts. Includes a new Easy Reference Appendix with clinically useful formulas and data.
This is the second edition of a well-received book that has been recommended for inclusion in any vascular library or vascular radiology suite. The first edition has been fully revised so as to provide a comprehensive, up-to-date account of vascular ultrasound that reflects recent advances. The emphasis remains on the clinical aspects most relevant to angiologists and vascular surgeons. Ultrasound anatomy is discussed, examination procedures explained, normal and pathological findings described, and the clinical impact of ultrasound assessed. Atlas sections present pertinent case material to illustrate typical ultrasound findings for both the more common vascular diseases and rarer conditions. This book will serve not only as an invaluable guide for beginners, but also as an indispensable reference for experienced sonographers, who will benefit from the detailed evaluation of the role of ultrasound as compared with other modalities and the discussion of ultrasound findings in their clinical context. Content Level Professional/practitioner Keywords Angiography - Sonoanatomy - Vascular disease - Vascular ultrasound Related subjects Cardiology & Angiology - Radiology - Surgery
One of the newly emerging themes in clinical practice is the concept of 'gender specific' medicine - the realization that the pathogenesis, etiology and progression of disease often differs between the sexes. In some instances, the mechanisms underlying this phenomenon are known, in others, they remain the focus of speculation. In many cases, the impact of disease and the options for management have greater importance in the female when these factors are related to reproductive health and the well-being of the women who are, or hope to be, bearing children. Cardiovascular disease is of singular importance in this context, and this authoritative new text provides a comprehensive synthesis of our current knowledge in the area. Presenting recommendations for therapeutic strategies that address the special considerations that apply in women patients, such as fertility and hormone replacement therapy, Cardiovascular Disease in Women also provides an update on research findings that will influence clinical practice.
Authoritative and insightful, this important text provides an update on the latest advances in the areas of biomedical research that are at the interface of science and clinical medicine, where new discoveries in genetics, molecular and cell biology are not only enhancing our understanding of the etiology and progression of disease but are finding application in the development of new drugs or the implementation of new kinds of therapy. Reviewing current knowledge of the mechanisms contributing to hypertension, an internationally renowned team of contributors highlights developments across a broad range of disciplines and provides an overview of the advances in biomedical research that have a direct bearing on current clinical studies. A key work in its field, this text will have broad appeal to clinical cardiologists, vascular medicine specialists, and internists, as well as members of the cardiovascular research community and pharmaceutical and biotechnology industries.
The present book covers the basic principles of cardiovascular physiology, pathophysiology and advanced pharmacology with particular emphasis on cellular mechanisms of drug action. It provides an update on the progress made in several aspects of cardiovascular diseases so that it might kindle scientists and clinicians alike in furthering basic and translational research. In addition, the book is expected to fill imperative gaps in understanding and optimally treating cardiovascular disease.
Thebook comprises the contribution of several authors who are among the mostrenowned scientists working in the field of mathematical modeling and numerical simulation of the human cardiocirculatory system. The contributions cover a wide range of topics, from the pre processing of clinical data, to the set up of mathematical equations, their numerical solution, both in-vivo and in-vitro validation. They address the flow in the systemic arterial tree and the complex electro-fluid-mechanical coupling in the human heart. Many examples of patient-specific simulations are addressed. This book is addressed to all scientists (from PhD level up to professional scientists) interested in the mathematical modeling and numerical simulation of the human cardiocirculatory system."
Edited by a renowned scientist in the field with more than 200 high profile scientific publications to his name, this is the first book to provide a comprehensive overview of all cardiovascular hormone systems. Clearly structured, the text covers steroid and peptide hormones, amines, and arachidonic acid metabolites, as well as such others as nucleotides, nitric oxide, and acetylcholine. An essential reference for researchers working on the cardiovascular system and related diseases.
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