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Open a Window into the Autonomic Nervous System Quantifying the amount of autonomic nervous system activity in an individual patient can be extremely important, because it provides a gauge of disease severity in a large number of diseases. Heart rate variability (HRV) calculated from both short-term and longer-term electrocardiograms is an ideal window into such autonomic activity for two reasons: one, heart rate is sensitive to autonomic activity in the entire body, and two, recording electrocardiograms is inexpensive and non-invasive unlike other techniques currently available for autonomic assessment, such as microneurography and metaiodobenzylguanidine (MIBG) scanning. Heart Rate Variability (HRV) Signal Analysis: Clinical Applications provides a comprehensive review of three major aspects of HRV: mechanism, technique, and clinical applications. Learn Techniques for HRV Signal Analysis Edited by an engineer, a cardiologist, and a neurologist, and featuring contributions by widely published international researchers, this interdisciplinary book begins by reviewing the many signal processing techniques developed to extract autonomic activity information embedded in heart-rate records. The classical time and frequency domain measures, baroreceptor sensitivity, and newer non-linear measures of HRV are described with a fair amount of mathematical detail with the biomedical engineer and mathematically oriented physician in mind. The book also covers two recent HRV methods, heart-rate turbulence and phase-rectified signal averaging. Use of HRV in Clinical Care The large clinical section is a must-read for clinicians and engineers wishing to get an insight into how HRV is applied in medicine. Nineteen chapters altogether are devoted to uses of HRV in: Monitoring-for example to predict potential complications in pregnancies, fetal distress, and in neonatal critical care Acute care-for gauging the depth of anesthesia during surgery and predicting change in patient status in the intensive care unit Chronic disorders-for assessing the severity of congestive heart failure, stroke, Parkinson's disease, and depression Bringing together the latest research, this comprehensive reference demonstrates the utility and potential of HRV signal analysis in both the clinic and physiology laboratory.
Lower Extremity Vascular Disorders (Arterial and Venous) represents a compilation of topics related to lower extremity vascular disorders. It is divided into four sections: (1) Northwestern Vascular Surgery Annual Symposium reflects on its history; (2) Arterial Disease covers exercise therapy for claudication, open and percutaneous common femoral artery interventions for occlusive disease, challenges to and advancements in stent technology, vein harvest and bypass surgery, arterial injuries after knee trauma, and iliac endofibrosis; (3) Venous Disease addresses abdominal and pelvic venous compression syndromes, varicose vein management, acute lower extremity deep venous thrombosis, and approaches to venous ulcers; (4) Wounds consists of one chapter covering advances in wound management. The annual symposium on vascular surgery, sponsored by the Division of Vascular Surgery at the Northwestern University Feinberg School of Medicine, addresses contemporary topics and controversies in vascular and endovascular surgery. Presentations at the symposium cover the full spectrum of vascular surgery, including changes in management of extracranial cerebrovascular disease, new treatment options for lower extremity arterial occlusive disease, hemodialysis access, improvements in techniques for complex venous disease, and developments in aortic stent graft repair in the chest and abdomen. The Modern Trends in Vascular Surgery series is a topical compilation of the standout presentations from the most recent three symposia.
With the rapid development of the field of cardiac biomarkers comes
a need for updated guidance on how to use them clinically. Drs.
Adams, Jaffe, and Apple meet that need with this timely
Taking a case-oriented approach for the greatest clinical
relevance, the book bridges the gap between science and practice.
If you use - or want to use - cardiac markers such as BNP and
troponin to help your patients, you will find this clear and
comprehensive reference provides a dependable source of valuable
The 19 chapters are divided into three parts:
- Cardiac Troponins
The authors cover the technical, clinical, and outcome assessments for each marker used in clinical practice. After each case scenario, an extensive discussion explains the clinical decisions and provides valuable context.
Fetal cardiology is an important part of management for high-risk pregnancies: one in every 100 babies is born with a heart problem. Fully updated, this second edition of Fetal Cardiology covers all aspects of fetal heart disease and relevant non-cardiac aspects of diagnosis and management. This handbook provides clinically relevant guidance in a concise, practical format which is ideal for use in the clinic and as a quick reference for the reader. Featuring new chapters on the three vessel trachea view and neurodevelopment issues in fetal cardiac disease, and brand new high-quality annotated images; this new edition is the definitive pocket guide to the subject. Clearly structured to allow a systematic approach to diagnosis, decision making, and patient counselling, Fetal Cardiology is perfect as a refresher for experienced clinicians in fetal and cardiological care, or as an informative overview for the paediatrician, echocardiographer, and trainees in associated disciplines.
A pioneering cardiac surgeon expertly sews up the heart of surgery, the health of the nation, and the NHS.
The Angina Monologues speeds from the transporting of a donor’s heart up the motorway hard shoulder, to cautionary stories of excessive intervention gone awry in US hospitals, to a traumatic trip to bring advanced cardiac surgery to the Palestinian West Bank. Nashef tells heart-stopping stories of transplants, coronary artery bypasses, aorta repair, and cardiac arrest. He also delivers humane advice about medical realities rarely observed: the futility of obsessing over diet, the necessity of calculating risks, the role of decision making, the resilience of doctor and patient alike, and the threadbare brilliance of the NHS.
Nashef is a magnificently warm and likeable doctor and writer; and he has the best imaginable bedside manner.
Your must-have bench reference for cardiac electrophysiology is now better than ever! This globally recognized gold standard text provides a complete overview of clinical EP, with in-depth, expert information that helps you deliver superior clinical outcomes. In this updated 5th Edition, you'll find all-new material on devices, techniques, trials, and much more, including a significantly expanded collection of videos and case studies online - all designed to help you strengthen your skills in this fast-changing area and stay on the cutting edge of today's most successful cardiac EP techniques. Expert guidance from world authorities who contribute fresh perspectives on the challenging clinical area of cardiac electrophysiology. New focus on clinical relevance throughout, with reorganized content and 15 new chapters. New coverage of balloons, snares, venoplasty, spinal and neural stimulation, subcutaneous ICDs and leadless pacing, non-CS lead implantation, His-bundle pacing, and much more. New sections on cardiac anatomy and physiology and imaging of the heart, a new online chapter covering radiography of devices, and thought-provoking new information on the basic science of device implantation. State-of-the-art guidance on pacing for spinal and neural stimulation, computer simulation and modeling, biological pacemakers, perioperative and pre-procedural management of device patients, and much more. Greatly expanded online video library demonstrating key procedures and new technologies such as sub Q ICDs, implantation of non-coronary sinus left ventricular leads, the use of snares, and venoplasty of the subclavian and coronary sinus. More than 60 multimedia case presentations online covering a broad range of heart rhythm scenarios. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.
This atlas elucidates the role of the neuronal component in normal cardiovascular function and cardiac disorders and discusses the currently available imaging targets and probes. It provides a foundation in cardiac neuronal imaging and image processing and serves as a guide in the effective utilization of these techniques in clinical and research settings. The atlas discusses the principles of autonomic control in the regulation of cardiac function and disease; chemistry and biology of radiotracers designed to target changes in the myocardial sympathetic and parasympathetic innervation as a function of disease or treatment; neuronal imaging in heart failure and reverse remodeling and the use of PET imaging in quantification of cardiac innervation; cardiac sympathetic innervation in ventricular arrhythmias and device therapy; conditions that affect the autonomic nervous system; and the role of myocardial blood flow and cardiac neuronal imaging in denervation and reinnervation in cardiac transplant recipients. Featuring full-color illustrations, schematic diagrams, and diagnostic algorithms, Atlas of Cardiac Innervation is a valuable resource for cardiologists, radiologists, nuclear medicine physicians, and electrophysiologists.
This fifth edition of Autonomic Failure covers the many recent advances made in our understanding of the autonomic nervous system. There are numerous new chapters and extensive revisions of all other contributions. This book makes diagnosis increasingly precise by fully evaluating the underlying anatomical and functional deficits, thereby allowing more effective treatment. This new edition continues to provide a rational guide to aid in the recognition and management of autonomic disorders for practitioners from a variety of fields, including neurology, cardiology, geriatric medicine, diabetology and internal medicine.
This volume is an excellent guide that comprehensively illustrates hypertensive disorders of pregnancy, especially preeclampsia, in both the basic and clinical aspects. Preeclampsia is a pregnancy-specific multi-organ disorder and a leading cause of maternal and neonatal mortality. The pathophysiology of pregnancy-specific disorders was long unknown, but recently many new findings have been reported from the point of view of pathophysiology. Furthermore, this complication of pregnancy, especially preeclampsia, is a potent risk factor for chronic conditions such as cardiovascular disease, diabetes mellitus, kidney disease, and hypertension. The book is composed of seven parts including genetic background, pathology, pathophysiology, and the latest prediction and treatment of preeclampsia. Specific basic topics such as immunological maladaptation, placental adenosine signaling, and new prediction markers are also expounded by experts. Thus it benefits not only obstetricians, pediatricians, nephrologists, diabetologists, and cardiologists, but also immunologists, endocrinologists, geneticists, pathologists, biologists, and molecular biologists who are interested in the treatment of hypertension in pregnancy.
This book reviews all aspects of the diagnosis and management of heart disease in women, covering areas such as gender differences in metabolic syndrome, hypertension and atherogenesis. Gender differences in cardiovascular diseases are widespread, but while gender medicine takes into account the effects of sex and gender on the health of women and men, traditionally, women have been underrepresented in cardiovascular clinical trials, in management of different cardiac diseases and drug use. Gender Differences in the Pathogenesis and Management of Heart Disease deals with the gender-specific differences in cardiac physiology and diseases and brings into perspective the critical significance of gender in management of cardiovascular disease presentations and management. As such it is of enormous use to all clinical staff who manage women with cardiovascular disease.
The book is a useful guide to the management of the most-debated hot topics of practical interest in anesthesia and intensive care. It reviews the state of the art of issues related to both intensive care medicine and anesthesia, such as assisted ventilation, ultrasound assessment of renal function, sedation during non-invasive ventilation, subarachnoid hemorrhage, coagulation disorders in septic shock, difficult airways management and hemodynamic monitoring during anesthesia. Written by leading experts and including updated references, it provides a comprehensive, easy-to-understand update on anesthesia and intensive care. The book clearly explains complex topics offering practicing clinicians insights into the latest recommendations and evidence in the field while, at the same time, making it a valuable resource for students new to the study of anesthesia and intensive care.
This book provides a comprehensive up-to-date review of juvenile angiofibroma, with contributions from all relevant specialties. Starting with a brief introduction to the history, etiology and relevant anatomy, the book goes on to discuss the pathology, clinical features and treatment of this disease in depth, concluding with a summary of current controversies. Juvenile Angiofibroma is aimed at a global audience of otolaryngologists, endoscopists, head and neck surgeons, maxillofacial surgeons, pathologists, radiologists and geneticists.
The dynamic field of Cardiology with its recent changes in management strategy and technology, make this new Cardiology pocket indispensable. The tools included, such as treatment algorithms, tables, and illustrations, make this pocket a prime practical reference tool. * Concise guidance on important and commonly seen cardiology conditions * Helps cardiologists in selecting diagnostic tool for various conditions * Provides recommendation for pre-operative evaluation taking into account specific risk factors and comorbidities as well as reviews commonly used by cardiologists * Easily accessible point-of-care reference for busy practitioners and cardiology trainees
-Integrates the investigation of the echocardiographic findings with the pathologic, clinical and surgical aspects of heart disease -Includes stunning color echocardiographic images of various heart diseases with reference to their pathologic appearance and physiology -Includes clinical comments on patient management, which is not included in other echocardiography texts
Echocardiography remains the most commonly used imaging technique to visualize the heart and great vessels, and this clinically oriented text by Drs. Scott D. Solomon, Justina C. Wu, and Linda D. Gillam helps you make the most of its diagnostic and prognostic potential for your patients. Part of the highly regarded Braunwald's family of cardiology references, Essential Echocardiography expertly covers basic principles of anatomy and physiology, the appearance of normal variants across a wide range of cardiovascular diseases, and the hands-on approaches necessary to acquire and interpret optimal echocardiographic images in the clinical setting. Abundant illustrations provide a superb visual learning experience both in print and online. Images convey clear, classic examples that represent decades of experience over multiple institutions, as well as recent advances in the field. More than 485 accompanying video clips mirror the images in the text, with easy-to-follow links from the figure citation to the video online. Each section includes one or two clinical cases that illustrate key concepts. Written by expert echocardiographers and sonographers who emphasize practical applications throughout the text, and superbly illustrated by physician-artist Dr. Bernard Bulwer. Ideal for anyone currently using or learning to use echocardiography, including cardiologists, cardiology fellows, sonographers, anesthesiologists, critical care physicians, emergency physicians, radiologists, residents, and medical students. 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.
This book presents a systematic overview of the most common cardiovascular defects as they are observed in adults, with a particular focus on the long-term effects and issues that may arise following surgical or interventional repair. In-depth information is provided on the standard of repair or palliation and on the role of different imaging techniques, especially CT and MRI, in the evaluation of these patients. Each chapter includes a detailed imaging protocol and describes the management appropriate to particular conditions and circumstances. Congenital heart disease (CHD) is one of the most common inborn defects. The success in treating CHD in children, even when they have complex cardiovascular defects, is resulting in a steady increase in the number of adults with CHD who need to be followed up clinically and by imaging owing to the potential for late sequelae. In providing expert, up-to-date guidance on selection of imaging modality, image interpretation, and management, this book will be a valuable resource for all radiologists, cardiologists, and pediatricians who are responsible for the care of adult and adolescent patients with CHD.
This book provides a comprehensive overview of exercise physiology in patients with congenital heart disease and other pediatric cardiopulmonary disorders. It begins with an in-depth but pragmatic discussion of exercise physiology and the cardiopulmonary adaptations to physical activity, followed by a review of the conduct and interpretation of cardiopulmonary exercise tests. Subsequent chapters discuss exercise physiology and testing in patients with a variety of congenital heart diseases, including tetralogy of Fallot, Fontan physiology, transposition of the great arteries, aortic valve disease, and coarctation of the aorta. Additional chapters analyze other conditions commonly encountered by pediatric and congenital cardiologists such as pulmonary vascular disease, cardiomyopathies, heart transplants, and metabolic disorders. The book also examines the role of exercise testing in patients with electrophysiologic issues such as Wolff-Parkinson-White Syndrome, long QT syndrome, atrioventricular node dysfunction, and pacemakers. The presentations are enhanced by data from Boston Children's Hospital's vast experience with clinical exercise testing. The textbook concludes with a series of interesting and illustrative cases that build on the earlier chapters, present some fascinating physiology, and provide real-world examples of how exercise testing can inform clinical decision making. Exercise Physiology for the Pediatric and Congenital Cardiologist is a detailed, practical reference for clinicians and other health care providers engaged in exercise testing for children and adults with congenital heart disease and other conditions that may be encountered by the pediatric and congenital cardiologist. It is an essential resource for physicians, medical students, and exercise physiologists as well as researchers in cardiology, pediatrics, and cardiopulmonary fitness..
A range of cardiac imaging techniques are available, each with a
unique approach. Most existing imaging books are predominantly
modality focused; however today's clinical cardiologist needs to
learn how to apply and integrate information from the different
modalities to aid clinical decision-making.
This book equips readers with the knowledge required in order to successfully treat coronary chronic total occlusion by means of percutaneous coronary interventions. All the essential background knowledge is provided, including with regard to procedurally relevant histopathology, assessment of chronic total occlusion by means of angiography and computed tomography, patient preparation, and selection and use of guidewires. Both basic and advanced techniques employing antegrade and retrograde approaches are then described in detail with the aid of numerous high-quality illustrations that ensure ease of understanding. Helpful tips and tricks are highlighted, and guidance provided on the troubleshooting of problems and the prevention and management of complications. The book will serve as a superb guide for all who are involved in percutaneous coronary interventions for chronic total occlusion, including interventional cardiologists, fellows in training, nurses, and technicians in catheterization laboratories.
Cardiovascular disease refers to the class of diseases that involve the heart or blood vessels. While the term technically refers to any disease that affects the cardiovascular system, it is usually used to refer to those related to atherosclerosis. Chronic heart failure (CHF) has emerged as a major worldwide epidemic. This book gathers the latest research in cardiovascular disease with a focus on such topics as cardiac sarcoidosis; heart failure and acute phase proteins; endothelial dysfunction in hypertension; treatment of unprotected left main coronary artery; cholesterol and coronary atherosclerosis; pulse decomposition for artery pressure waveforms; and multidetector computed tomography as a potential modality to detect subclinical atherosclerosis.
The second edition of the Atlas of Vascular Disease reviews a number of important vascular disorders that are encountered in clinical practice, including aortic aneurysms and dissection, peripheral arterial occlusive disease and lymphedema. Recent, rapid advancements in vascular biology and technology have led to a new understanding of the human vasculature, which this book beautifully illustrates. The enhanced resolution of ultrasonography and less invasive therapeutic strategies are just two of the many additions this book covers in its comprehensive review of vascular disease. The 19 contributors, including Editor Dr. Mark A. Creager and Series Editor Dr. Eugene Braunwald, bestow their research and expertise upon readers in the book's 13 chapters. Readers are presented with full-color images depicting surgical techniques, X-rays and first-hand photographs relating to vascular disease and its counterparts.
The High Blood Pressure chart is a detailed overview of causes, effects and risk factors of hypertension. Damage to the eyes, brain, heart and kidneys are described and shown. A discussion of treatment and diet issues completes the chart. Heavy cover stock with protective varnish for durability.
The second edition of this video manual provides clinicians and trainees with the latest advances in the field of echocardiography. Six hours of practical video on two DVD ROMs offer a guide to comprehensive physical examination and techniques for performing an echocardiogram for accurate clinical diagnosis. Topics are presented step by step and the accompanying book features diagrams, boxes and tables that correspond with the video footage. Key points Practical video guide to latest advances and techniques in echocardiography Fully updated second edition features six hours of video on two DVD ROMs Provides guidance on performing a comprehensive physical examination and techniques to obtain an echocardiogram Previous edition (9789352501533) published in 2016
"Acute coronary syndromes: A handbook for clinical practice" is
part of the ESC Education Series. The series is designed to provide
medical professionals with the latest information about the
understanding, diagnosis and management of cardiovascular diseases.
Management recommendations in this book are based on the
established European Guidelines, which encompass the best
techniques to use with each cardiac disease you are faced with.
Throughout the series, leading international opinion leaders have
been chosen to edit and contribute to the books.
"Acute coronary syndromes: A handbook for clinical practice" is
a concise, yet comprehensive overview of these frequent coronary
During the last decade, research on acute coronary syndromes has exploded and major advances have been made in the diagnosis, risk stratification and management of these patients. This is mainly due to the enormous incidence of acute coronary syndromes, but also because the prognosis still remains critical even with the benefit of our modern strategies. This segment of cardiovascular medicine is a rapidly evolving field and, with contributions from both North American and European experts, this book ensures that clinicians, interventional cardiologists and surgeons are all fully acquainted with the latest developments in acute coronary syndromes.
Written by a sonographer for sonographers, this text primarily discusses the role of echocardiography in the assessment of heart diseases. The book is mostly designed for students of echocardiography, teachers of echocardiography and cardiac sonographers working in routine clinical practice, but will also be very useful to echocardiologists and cardiac registrars. The goal of the text is to provide a comprehensive review of transthoracic echocardiography in the assessment of various cardiac pathologies. Refresher notes on cardiac anatomy and the relevant cardiac physiology and pathophysiology are included to expand the cardiac sonographer's knowledge in this area and further their understanding of various diseases, disease processes and associated findings. This comprehensive text is supported by over 720 figures including over 1,200 echo images, over 130 pathological photos and many illustrations. It also includes several appendices, numerous tables and technical tips which highlight key concepts. Hard-cover bound with 507 printed pages, this text is ready to be adopted as any sonographer's constant companion while dealing with the many challenges that arise in performing an echocardiographic examination.
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