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This book provides an accessible introduction to cardiovascular physiology, offering information needed by students and medical examination candidates in a clear, logical, and well-illustrated manner, with many useful line diagrams and tables that support the text and provide proof of concept. It covers the fundamentals of how the cardiovascular system works in health and disease as well as more complex physiological mechanisms and pathways. In its sixth edition, the text is now in full color for the first time.
Written by an expert team of cardiologists, radiologists, and basic scientists, this third edition of Cardiovascular Magnetic Resonance continues to bridge the divide among specialty areas in with cohesive presentation of this complex and fast-changing field. Offering comprehensive coverage of CMR and the latest cardiology applications, this practical reference enhances the understanding of cardiac physiology and the interpretation and diagnosis of cardiovascular disease. This is an ideal resource for cardiologists, cardiovascular and general radiologists, and anyone who needs up-to-date information on CMR's uses, benefits, and limitations in cardiovascular care. Provides state-of-the-art coverage of CMR technologies and guidelines, including basic principles, imaging techniques, ischemic heart disease, right ventricular and congenital heart disease, vascular and pericardium conditions, and functional cardiovascular disease. Includes new chapters on non-cardiac pathology, pacemaker safety, economics of CMR, and guidelines as well as new coverage of myocarditis and its diagnosis and assessment of prognosis by cardiovascular magnetic resonance, and the use of PET/CMR imaging of the heart, especially in sarcoidosis. Features more than 1,100 high-quality images representing today's CMR imaging. Covers T1, T2 and ECV mapping, as well as T2* imaging in iron overload, which has been shown to save lives in patients with thalassaemia major. Discusses the cost-effectiveness of CMR. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
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.
Electrocardiography for Health Care Personnel provides ECG skills training for health care students as well as health care personnel who are interested in mastering additional skills. The text includes the essential skills needed to perform an ECG, including anatomy of the heart, basic characteristics, equipment, appropriate intervention, and other technical applications, such as Holter monitoring and stress testing. Emphasis throughout the text is placed on troubleshooting.
This book provides readers with the latest developments in cardiovascular research. Topics covered include the morphology and implications of atrial septal defects; the epidemiology, clinical presentation, preliminary diagnostics and imaging of arterial septal defects; the pathophysiology, epidemiology, clinical presentation, imaging, treatment and prognosis of constrictive pericarditis and cardiac tamponade; the psychological distress lived by patients and their caregivers after a cardiac arrest; the significance and limitations of coronary angiography and intravascular imaging systems, covering almost all devices currently available in Japan, where intracoronary imaging is being utilized aggressively; previous reports on coronary endothelial dysfunction and/or spasm after stent implantation and the clinical implications, and prognosis; and the relationship between Type D personality and health-related behaviors.
Cardiovascular diseases are the leading cause of death in almost 40% of patients suffering from end stage renal disease (ESRD). Cardiomyopathy and ischemic heart disease are the most frequent causes of cardiac death. The risk of cardiovascular mortality in dialysis patients is 10 to 20 times greater than the general population, particularly in younger patients, taking into account that the relative risk decreases with age. Left ventricular hypertrophy (LVH) is the most common cardiac abnormality in chronic kidney disease (CKD), and the survival risk ratio in such patients is independent. This book examines the molecular mechanisms, treatments and clinical implication of cardiac remodeling. The first chapter discusses risk factors for cardiovascular disease in patients on continuous ambulatory peritoneal dialysis. The following chapters examine the impacts tropomyosin, vitamin D, and coffee have on cardiac remodeling.
Providing a practical, current, evidence-based approach to all aspects of perioperative care for the patient with vascular disease, Vascular Anaesthesia is an essential read for all vascular anaesthetists, anaesthetic nurses and anyone else involved in the care of vascular patients throughout the world. Vascular Anaesthesia summarizes current knowledge, particularly on interventional procedures (radiological, diagnostic, and surgical). This book also equips the trainee anaesthetist with the scientific and clinical knowledge to pass the Final FRCA examination. It enables doctors to approach vascular surgical patients with a firm understanding of a particular procedure, particularly its risks and options for perioperative management based on current best practice. The management of the patient with vascular disease is evolving rapidly: this indispensible poket reference is of sufficient detail to update the regular and occasional vascular anaesthetist with current best practice for particular, common clinical scenarios. The book also equips the non-anaesthetic medical, nursing, and theatre staff with knowledge and understanding of all other aspects of perioperative care.
It is well known that cardiovascular events occur more frequently in the morning as blood pressure (BP) levels have been shown to increase during the period from night to early morning. In recent years, clinical research using ambulatory blood pressure monitoring (ABPM) or home BP monitoring has clarified that morning BP and BP surge are more closely related to the cardiovascular risk than clinical BP. This practical manual from field leading expert, Dr. Kazuomi Kario, reviews recent evidence on "morning" and "nocturnal" hypertension and the IT technologies physicians can use to support patients in home monitoring BP. Guidance on management via antihypertensive drugs is also discussed and with the aim of promoting "perfect 24 hour BP control".
This book will serve as a comprehensive reference source and self-assessment guide for physicians and technologists who practice myocardial perfusion SPECT imaging. Readers will learn to identify a wide variety of findings apart from the left ventricle, including those in the chest, the abdomen, and the right heart. It is explained which findings are clinically relevant and related to the reason for the myocardial perfusion imaging examination and which are incidental, with or without important clinical ramifications. The coverage includes a wide variety of common and uncommon focal lesions (e.g., benign or malignant neoplasms) and organ/systemic diseases (e.g., emphysema, cirrhosis and its sequelae, cholecystitis, duodenogastric reflux/gastroparesis, end-stage renal disease) that may be detected with myocardial perfusion SPECT imaging. In addition, guidance is provided in the recognition of typical artifacts, which may appear either "hot" or "cold" on the raw (unprocessed) and processed SPECT images, and, thereby, in the avoidance of potential interpretative pitfalls.
The world is witnessing a burgeoning global epidemic of chronic cerebro- and cardiovascular disease and depression disorders. The reader will find this comprehensive book to be a long-needed, up-to-date knowledge base on these increasingly recognized comorbid conditions that have long-term consequences for individual function and well-being and society in general. This comprehensive book outlines the complex and bidirectional relationship between various types of depression and cerebro- and cardiovascular diseases. It is written by a range of experts in the field, including psychiatrists, cardiologists, neuroscientists, psychologists, and epidemiologists, with the aim of presenting and discussing the most recent evidence on the pathophysiology, neurobiology, and clinical presentation of these common and disabling comorbid conditions and the available pharmacological, psychological, and behavioral interventions. By elucidating the underlying clinical and neurobiological mechanisms in the brain and the rich interplay between the body and the brain biology, the book brings together the latest knowledge of this overlapping area in Psychiatry and Cardiology. The clear descriptions of evidence-based approaches to clinical treatment ensure that it will serve as both an up-to-date overview and a future guide for practicing clinicians and graduate students.
If you are one of the many physicians from different specialty
disciplines who perform endovascular interventions then this
practical reference will help you to develop your endovascular
skills and encompass them into daily practice.
This series is intended particularly for young doctors working in hospitals and in primary care and for those involved in training them. The series has been designed to cover growing points in medicine and the authors have been chosen, not just because of their expertise, but also because they are working both in hospitals and the community and are thus sensitive to the problems and needs of doctors in both areas.
As a leading reference on pediatric cardiology and congenital heart disease, Anderson's Pediatric Cardiology provides exhaustive coverage of potential pediatric cardiovascular anomalies, potential sequelae related to these anomalies, comorbidities and neurodevelopmental problems, and current methods for management and treatment. The fully revised 4th Edition addresses significant and ongoing changes in practice, including recent developments in fetal, neonatal, and adult congenital heart conditions as well as expanded content on intensive care, nursing issues, and societal implications. The outstanding illustration program provides superb visual guidance, and is now supplemented with a remarkable collection of more than 200 professionally curated, author-narrated videos. Offers authoritative, long-term coverage of a broad spectrum of cardiology conditions ranging from fetal development to age 21, including congenital heart disease, adult congenital heart disease (ACHD), acquired heart disease, cardiomyopathies, and rhythm disturbances. Features exceptionally detailed and original drawings by Dr. Robert Anderson and Diane Spicer, including over 850 anatomic, photographic, imaging, and algorithmic figures, and incorporating new images using virtual dissections of 3D datasets obtained in living patients. Includes exclusive eBook access to Anderson's Narrated Anatomic Lecture Videos - more than 200 videos narrated by Dr. Anderson, covering normal and abnormal pediatric cardiac anatomy, as well as surgical, echocardiogram, and other related videos. Contains new chapters on quality improvement in congenital heart disease, models of care delivery, neurocognitive assessment and outcomes, psychosocial issues for patients and families, ethics, nursing implications, acute and chronic renal complications, and telemedicine. Offers a completely new section on fetal imaging and management. Provides a new focus on patient and family-centered care with expert advice on how to communicate difficult diagnoses to patients and families. Features new integration of nursing content into all disease-specific chapters, as well as updated content on genetics, congenital heart disease and follow-up, and new imaging modalities. Contains chapters on new and emerging topics such as MRI and Quantifying the Fetal Circulation in Congenital Cardiac Disease; Congenital Anomalies of the Coronary Arteries; and The Global Burden of Pediatric Heart Disease and Pediatric Cardiac Care in Low- and Middle-Income Countries. Shares the experience and knowledge of an international team of multidisciplinary experts in medicine and advanced practice nursing. 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.
This book covers all aspects of the prevention, diagnosis, and treatment of stroke, offering an integrated perspective that will be relevant to a range of specialists. Extensive consideration is given to the different methods of stroke prevention and arterial revascularization, with up-to-date information on pharmacological measures and clear presentation of endovascular stent placement procedures and surgical techniques, including those involving the carotid artery, vertebral artery, and aortic arch. Complex procedures, such as simultaneous bilateral carotid revascularization, are discussed in depth, drawing on a large series of cases and setting out practical rules. The diagnosis and treatment of intra- and extracranial aneurysms and the management of cervical trauma are examined fully. In addition, the reader is provided with guidance on characterization of the culprit lesion by means of different imaging modalities and with advice on the importance of a multidisciplinary team and combined approaches (endovascular and surgical), identification of risk factors, anesthesia, neuromonitoring, and hemodynamic monitoring. The book will be of value not only for cardiac and vascular surgeons but also for cardiologists, neurologists, neurosurgeons, anesthesiologists, anatomists, specialists in diagnostic imaging, and interventional radiologists.
In this compilation, the authors discuss peripartum cardiomyopathy (PPCM), a rare but serious form of heart failure affecting women in the last month of pregnancy or early postpartum. It is diagnosed by documented left ventricular systolic dysfunction in the absence of another demonstrable cause in a previously healthy woman. Prognosis is variable and appears to be positively related to reversal of ventricular dysfunction. Prompt diagnosis with institution of intense therapy by a multidisciplinary team is a prerequisite for improved outcome. Pharmacotherapy remains the mainstay of treatment for PPCM, and the management strategy is broadly aligned with established guidelines for cardiac failure. Nevertheless, individually tailored therapy is often required for treatment of clinical sequelae, as well as for the management of delivery. At present, we lack the understanding to be able to effectively risk stratify patients and identify those susceptible to disease progression. As such, further research into this area is crucial in order to develop an understanding of which women are at greatest long-term risk, as well as to more effectively manage the condition. The authors also discuss idiopathic dilated cardiomyopathy (DCM), the second most frequent cause of heart failure and is associated with a survival rate of less than 50% at 10 years. The diagnosis is clinical and established by the presence of both left ventricle enlargement and systolic dysfunction. MRI has been increasingly applied to the evaluation of cardiovascular disease and has become the first-line imaging modality in the assessment of many types of congenital and acquired cardiovascular disorders; it could be used for global analysis of ventricular structure and function, myocardial mass and viability. It is nowadays the gold standard for assessing RV systolic function and is being increasingly used in this regard. Additionally, more than 40 genes have been identified as causative gene associated with hereditary DCM. A genetic diagnosis can confirm a hereditary DCM clinical diagnosis and it can help predict disease risks for family members before the onset of symptoms. Thus, finding predictors of DCM is of great significance as this may help doctors take precautions as soon as possible and is beneficial for long-term outcomes.
This book focuses on diverse aspects of the relationship between hypertension and brain damage, providing up-to-date information that will be of interest to both clinicians and researchers. After an introductory chapter on epidemiology, the significance of various comorbidities that represent risk factors for brain damage in the context of hypertension is discussed. Detailed consideration is then given to the effects of hypertension on small and large cerebral arteries and the consequences for brain damage. Similarly, the association between hypertension and ischemic and hemorrhagic stroke is fully explored, and the evidence and guidelines regarding reduction of high blood pressure during the acute phase of each form of stroke are summarized. Both the primary and the secondary prevention of stroke are addressed, with presentation of the results of key trials. Readers will also find interesting new perspectives on the roles of different imaging techniques, including CT and functional MRI, in detecting and diagnosing brain damage in patients with hypertension. The closing chapters review the relation of hypertension to subjective and objective cognitive failures and to cognitive decline and dementia.
Covering both principles and practice, The ESC Textbook of Preventive Cardiology is a 'state of the art' resource for both the primary and secondary prevention of atherosclerotic cardiovascular disease. Comprehensive, practical and extensively linked to practice guidelines and recommendations from the European Association of Preventive Cardiology (EAPC) it clearly connects the latest evidence base to strategies and proposals for the implementation of prevention in clinical practice. With a strong clinical focus the topics covered range from epidemiology and risk stratification through psychological factors, behaviour and motivation to secondary prevention, integrating hospital-based and community care for cardiovascular disease prevention and information on cardio-protective drugs. Case studies, clinical decision-making trees and drug tables with recommended doses and potential side-effects make it easier than ever to implement treatments in practice. Drawing together current knowledge and evidence, and examining all aspects of preventive cardiology in one succinct volume, The ESC Textbook of Preventive Cardiology is the ideal guide for the physician and allied health professional working to prevent and treat cardiovascular disease in their daily practice. This print edition of The ESC Textbook of Preventive Cardiology comes with access to the online version on Oxford Medicine Online, for as long as the edition is published by Oxford University Press. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.
This manual is developed for use within health care provider level CPR training courses offered through the Emergency Care & Safety Institute.. Based on the 2015 International Consensus Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC), Health Care Provider CPR, Fifth Edition is ideal for use within courses designed to certify health care providers in CPR and AED. More than a stand-alone text, this student manual is the center of an integrated teaching and learning system that offers many resources to better support instructors and prepare students. This manual includes: Coverage of the 2015 CPR and ECC Guidelines: Clear, concise direction on how to perform CPR and use an AED during an emergency. Emergency Care Wrap-Up Tables: Provide a concise summary of what signs first aiders should look for and what treatment steps they should take.
"Cardiology Core Curriculum" fills the gap between the preclinical pathophysiology texts and specialist volumes aimed at cardiologists. It covers clinical cardiology for medical students, cardiology trainees and non specialists. Based on a successful course run by the Cardiology Division, University of Texas at Southwestern Medical Center in Dallas, the problem oriented approach is in line with current medical school teaching. Case histories with self testing questions reinforce the learning and are ideal for exam preparation.
Echocardiography: A Practical Guide for Reporting and Interpretation is a step-by-step guide to clinical echocardiography. This new edition has been extensively revised and includes new international guidelines, grading criteria and normal data. The book presents an up-to-date discussion of echocardiography use in both acute and critical care settings and provides increased guidance for clinical interpretation, including how echocardiography can help inform surgical decisions. In addition, the content has been extended, particularly in the consideration of valve disease and cardiomyopathies. Providing a pragmatic approach to clinical echocardiography, the book also covers examples of conditions requiring urgent clinical advice. It contains a summary of formulae as well as supporting online images and videos.
Challenging Concepts in Interventional Radiology is a cased based guide to the most challenging aspects of interventional radiology and endovascular procedures. The 31 Cases have been selected to cover a wide-spectrum of scenarios, from the endovascular repair of thoracic and abdominal aortic aneurysms to the ablation of lung and kidney tumours. Cases are examined from a multidisciplinary approach with consideration of diagnosis, practical procedures, evidence base, and guidelines. Case commentaries from renowned experts in the field provide a useful and high level narrative across each case and compliment the clinical tips and evidence provided throughout. The collaboration of authorship between trainees and experts provides a unique insight into the management of the most complex and important cases in the radiology field. With a highly user friendly format, the textbook provides clinical tips and expert commentary for easy use in every day clinical practice. Suitable for candidates for the European Board of Interventional Radiology exam, fellows of Interventional Radiology, British Society of Endovascular Therapy fellows and radiologists, Challenging Concepts in Interventional Radiology appeals to a wide-ranging level of radiologists.
Valvular heart medicine revolves around the need to accurately identify locations of pathological structures and/or the interventional tools needed to manage that pathology. The imaging of the valves is developing at an enormous pace and the clinician must be aware of the advantages of each modality and how it compares to the others available. There is a need for a practical, clinical atlas designed to work the reader through cases and assessing the gold standard choices available to physicians. This atlas will represent the full multimodality imaging decisions needed when assessing mitral valvular disorders. Within this atlas the authors will be presenting a comprehensive pictorial overview of the highly complex pathology/treatment techniques and management in this diverse group of patients with varied mitral valvular pathologies. Imaging modalities move fast representing challenge to practitioners. This atlas will enable them to learn the choices available and be well versed in techniques. It will therefore be essential reading for all cardiac imagers, surgeons, interventionalists, anesthetists and trainees in these disciplines.
This comprehensively covers everything from pathophysiology to the evaluation of patients presenting with heart failure to medical management, device therapy, heart transplantation and mechanical circulatory support, and include relevant cardiac imaging studies such as echocardiograms and magnetic resonance imaging studies which could be seen in their entirety as well as pathology slides, hemodynamic tracings and videos of cardiac surgery such as heart transplants and ventricular assist device implantation. Finally, the book would have videos of patients with heart failure, heart transplants or ventricular assist devices, describing their clinical presentation and experiences. It is structured so that it can be used as a guide by physicians studying for the general Cardiology or Advanced Heart Failure and Cardiac Transplantations Boards.
This book is designed to assist physicians in choosing among diagnostic procedures and therapeutic options when caring for patients with hypertension and markers of organ damage. The comprehensive description of practical clinical cases sets this book apart from other publications and will help the reader to transfer general guideline recommendations to the clinical setting. With this purpose, the cases have been selected to reflect situations frequently encountered during clinical routine, rather than hypertensive crises or emergencies or the rare presentations that tend to be addressed in case reports in scientific journals. The scenarios considered include treated hypertension with uncontrolled blood pressure levels in patients with left ventricular hypertrophy, diastolic dysfunction, carotid atherosclerosis, microalbuminuria and renal impairment, proteinuria and renal disease, and abnormal pulse pressure. By representing clinical practice in a "real world" setting, these paradigmatic cases will enable the practitioner to select the diagnostic tools and form of treatment best suited to the individual patient and the particular cardiovascular risk profile, thereby optimizing outcomes.
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