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Cardiopulmonary exercise testing is an important diagnostic test in pulmonary medicine and cardiology. Capable of providing significantly more information about an individual's exercise capacity than standard exercise treadmill or 6-minute walk tests, the test is used for a variety of purposes including evaluating patients with unexplained exercise limitation or dyspnea on exertion, monitoring disease progression or response to treatment, determining fitness to undergo various surgical procedures and monitoring the effects of training in highly fit athletes. Introduction to Cardiopulmonary Exercise Testing is a unique new text that is ideal for trainees. It is presented in a clear, concise and easy-to-follow manner and is capable of being read in a much shorter time than the available texts on this topic. Chapters describe the basic physiologic responses observed during sustained exercise and explain how to perform and interpret these studies. The utility of the resource is further enhanced by several sections of actual patient cases, which provide opportunities to begin developing test interpretation skills. Given the widespread use of cardiopulmonary exercise testing in clinical practice, trainees in pulmonary and critical care medicine, cardiology, sports medicine, exercise physiology, and occasionally internal medicine, will find Introduction to Cardiopulmonary Exercise Testing to be an essential and one of a kind reference.
This concise practical guide is designed to facilitate the clinical decision-making process by reviewing a number of cases and defining the various diagnostic and management decisions open to clinicians. It is well illustrated and diverse in scope, enabling the reader to obtain relevant clinical information regarding both standard and unusual cases in heart failure in a rapid, easy to digest format. Clinical cases are a key component in modern medical education, assisting the trainee or recertifying clinician to work through unusual cases using best practice techniques. Cardiology is a key discipline in this regard and is a highly visual subject requiring the reader to describe often very subtle differences in the presentation of patients and define accurately the diagnostic and management criteria on which to base their clinical decision-making. This title therefore provides valuable assistance to trainees and clinicians alike in evaluating patients and defining an appropriate procedure for each case covered.
Full of practical, evidence based advice, Heart Failure and Palliative Care encourages a multidisciplinary team based approach. It stimulates joint working between primary care, cardiology and palliative care teams - raising awareness of the problems associated with supportive and palliative care for heart failure patients. The second edition has been significantly revised and updated with brand new chapters and sections on shared decision making, advance care planning, devices, ACP and non-LVSD failure. Heart Failure and Palliative Care offers optimum care solutions vital to all palliative care professionals in a wide variety of hospital and community settings.
Titles in the Pocket Tutor series give practical guidance on subjects that medical students and foundation doctors need help with 'on the go', at a highly-affordable price that puts them within reach of those rotating through modular courses or working on attachment. Topics reflect information needs stemming from today's integrated undergraduate and foundation courses: Common presentations Investigation options (e.g. ECG, imaging) Clinical and patient-orientated skills (e.g. examinations, history-taking) The highly-structured, bite-size content helps novices combat the 'fear factor' associated with day-to-day clinical training, and provides a detailed resource that students and junior doctors can carry in their pocket. Key points New edition of the best-selling title that breaks down a complex and daunting subject using clearly-labelled, full-page ECG traces and concise but informative text Revised text and brand-new ECG traces bring the new edition fully up-to-date New chapters cover electrolyte and homeostatic disorders, and normal variants Logical, sequential content: relevant basic science, then a guide to understanding a normal ECG and the building blocks of an abnormal ECG, before describing clinical disorders
This book is primarily for pediatric and adult emergency room physicians, primary care providers, hospitalists, and nurses. It will also be useful for critical care specialists, cardiologists and trainees at all levels. Cardiac Emergencies in Children describes the pathophysiology of a diverse group of congenital and acquired heart conditions and presents a therapeutic rationale for treating children presenting with these conditions under life-threatening conditions. The book discusses the effects of surgery on hemodynamics and how to manage these effects. Also described are the daily challenges faced by physicians, including identifying a child with heart disease, interpreting chest radiographs, ECGs, and laboratory findings, and beginning appropriate therapies.
Gain a foundational understanding of cardiovascular physiology and how the cardiovascular system functions in health and disease. Cardiovascular Physiology, a volume in the Mosby Physiology Series, explains the fundamentals of this complex subject in a clear and concise manner, while helping you bridge the gap between normal function and disease with pathophysiology content throughout the book. Helps you easily master the material in a systems-based curriculum with learning objectives, Clinical Concept boxes, highlighted key words and concepts, chapter summaries, self-study questions, and a comprehensive exam to help prepare for USMLEs. Keeps you current with the latest concepts in vascular, molecular, and cellular biology as they apply to cardiovascular function, thanks to molecular commentaries in each chapter. Includes clear, 2-color diagrams that simplify complex concepts. Features clinical commentaries that show you how to apply what you've learned to real-life clinical situations. 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. Complete the Mosby Physiology Series! Systems-based and portable, these titles are ideal for integrated programs. Blaustein, Kao, & Matteson: Cellular Physiology and Neurophysiology Cloutier: Respiratory Physiology Koeppen & Stanton: Renal Physiology Johnson: Gastrointestinal Physiology White, Harrison, & Mehlmann: Endocrine and Reproductive Physiology Hudnall: Hematology: A Pathophysiologic Approach
Written by leading experts in the field, "Cardiovascular Diseases and Health in the Older Patient "covers the epidemiology, pathophysiology and management of cardiovascular disease in the older patient. Based on and expanded from the cardiovascular section in "Pathy's Principles and Practice of Geriatric Medicine," Fifth Edition, this book provides authoritative, practical information on one of the major diseases of old age. An excellent reference for clinical and pre-clinical levels, it's a must-have resource for geriatricians, cardiologists, and GPs, as well as cardiac specialist nurses and advanced practice nurses.
* Tom Kenny, one of the best-known and well-respected educators in EP brings his signature style to this new primer * Practical, accessible, highly illustrated approach makes learning easy * Provides an overview of the algorithms and devices offered by the world s five pacemaker manufacturers * Offers clinicians learning objectives, test questions and essential points in bulleted lists * Perfect introductory guide to the topic, assumes little baseline knowledge and appropriate for residents, fellows, EP nurses, general clinical cardiologists, EP fellows and industry professionals
Clinical management and signs are the focus of this practical cardiogenetic reference for those who are involved in the care for cardiac patients with a genetic disease. With detailed discussion of the basic science of cardiogenetics in order to assist in the clinical understanding of the topic. The genetic causes of various cardiovascular diseases are explained in a concise clinical way that reinforces the current management doctrine in a practical manner. The authors will cover the principles of molecular genetics in general but also specific to cardiac diseases. They will discuss the etiology, pathogenesis, pathophysiology, clinical presentation, clinical diagnosis, molecular diagnosis and treatment of each cardiogenetic disease separately. Therapy advice, ICD indications, indications for and manner of further family investigation will all be covered, while each chapter will also contain take-home messages to reinforce the key points. The chapters reviewing the different diseases will each contain a table describing the genes involved in each. Each chapter will also contain specific illustrations, cumulatively giving a complete, practical review of each cardiogenetic disease separately. Special emphasis will be given to advice on how to diagnose and manage cardiogenetic diseases in clinical practice, which genes should be investigated and why, and the pros and cons of genetic testing. Guidelines for investigation in families with sudden cardiac death at young age will also be included. This book will be written for the general cardiologist and the clinical geneticist who is involved in cardiac patients and will provide answers to question such as: Which genes are involved and which mutations? What is the effect of the mutation at cellular level? Which genes should be tested and why? What is the value of a molecular diagnosis? Does it influence therapy? When should the first degree relatives be tested and in which way?
This book provides a concise overview over the pathology of retinal angiogenic diseases and explains why anti-angiogenic therapy is effective in so many patients. The reader is guided through the various clinical indications for anti-angiogenic therapy and made aware of its merits as well as current challenges and limitations. It is explained how, since its introduction for the treatment of exudative age-related macular degeneration in 2006, anti-angiogenic therapy has revolutionized the way in which we treat a range of ocular diseases. All of the authors are established experts in their respective fields who share their extensive knowledge and clinical experience with the reader. This book is both a valuable introduction to anti-angiogenic therapy in ophthalmology and a day-to-day companion for all ophthalmologists seeing patients with some of the most prevalent retinal diseases.
This book provides a comprehensive framework for developing heart teams to manage a variety of cardiovascular diseases. Management of cardiovascular diseases has changed dramatically in recent years due to developments in evidence-based practices and treatments as well as the introduction of new devices. The sequential method of referring patients from doctor to doctor is becoming an antiquated model. The future of cardiac care lies in developing multidisciplinary "Heart Teams" to provide patient-focused treatment for complex cardiovascular problems. This volume examines the history and evolution of cardiovascular care and technology and explains why the implementation of heart teams is absolutely necessary to the future of cardiac care. It analyzes the role of heart teams for heart failure, complex coronary revascularization, mitral valve disease, cardiac imaging, aortic valve disease, cardiac arrhythmias, and women's heart health. Finally, the book explores how heart teams work with hospital administration and the broader healthcare industry. Heart Teams for Treatment of Cardiovascular Disease: A Guide for Advancing Patient-Centered Cardiac Care is an essential resource for physicians and related professionals, residents, fellows, and graduate students in cardiology, cardiac surgery, critical care medicine, and radiology.
This book cites several clinical indications for embolization. Embolization is a safe and effective therapy for intra visceral bleeding, closure of arterio-venous malformations, non-surgical nephrectomy and splenectomy. It is especially useful in patients with several critical co-morbid medical conditions which preclude radical surgeries. It is organ preserving, with limited complications. In the text, the procedural details are described in each clinical situation. The materials used for the procedure are also be described. The procedural pitfalls and complications are detailed in addition to precautions to be taken during the procedure. This will serve as a reference guide for cardiologists and vascular radiologists.
With authoritative coverage of everything from recent discoveries in the field of vascular biology to recent clinical trials and evidence-based treatment strategies, Vascular Medicine, 3rd Edition, is your go-to resource for improving your patients' cardiovascular health. Part of the Braunwald family of renowned cardiology references, this updated volume integrates a contemporary understanding of vascular biology with a thorough review of clinical vascular diseases, making it an ideal reference for vascular medicine specialists, general cardiologists, interventional cardiologists, vascular surgeons, and interventional radiologists. Incorporates technologic advances in vascular imaging - including ultrasound, MRI, CTA, and catheter-based angiography - along with more than 230 new figures, providing an up-to-date and complete view of the vascular system and vascular diseases. Covers novel antithrombotic therapies for peripheral artery disease and venous thromboemboism, advances in endovascular interventions for aortic aneurysms, and today's best surgical treatments for vascular diseases. Includes seven new chapters: Pathobiology of Aortic Aneurysms; Pathobiology and Assessment of Cardiovascular Fibrosis; Large Vessel Vasculitis; Medium and Small Vessel Vasculitis; Epidemiology and Prognosis of Venous Thromboembolic Disease; Fibromuscular Dysplasia; and Dermatologic Manifestations of Vascular Disease. Discusses methods for aggressive patient management and disease prevention to ensure minimal risk of further cardiovascular problems. Keeps you current with ACC/AHA and ECC guidelines and the best ways to implement them in clinical practice. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices
The number of individuals who are obese or overweight has
dramatically increased over recent years and is now becoming
epidemic. These individuals are more likely to suffer
cardiovascular diseases and therfore physicians, specialists, and
trainees increasingly need to deal with these issues on the ward
and in clinic. As a result, the need for appropriate knowledge of
up-to-date clinical management of obesity and its associated
cardiovascular problems is essential for any practicing physician.
Atherosclerosis is a chronic disease affecting the entire arterial tree, representing an inflammatory response in the vessels. The pathogenesis of atherosclerosis involves complex processes leading to the formation of atherosclerotic plaque. In this book, the authors present current research in the study of the risk factors, prevention and treatment of atherosclerosis. Topics include questioning the cholesterol-atherosclerosis hypothesis; diabetes-associated atherosclerosis and new therapies; the pathogenesis and oxidative mechanisms in atherosclerosis; peripheral arterial vasodilation for primary atherosclerosis prevention; and coronary artery atherosclerosis measured by a hybrid SPECT/CT camera.
Carotid artery disease causes approximately 10 to 20% of strokes, and appropriate intervention is important for secondary and primary stroke prevention. Aggressive treatment of modifiable risk factors for carotid atherosclerosis is central to stroke prevention. This book discusses the risk factors, prognosis and management of carotid artery disease. Topics include medical and behavioural intervention for carotid atherosclerotic disease; intracranial carotid artery stenosis diagnosed with CTA; carotid artery atherosclerosis in patients with inflammatory joint diseases; the impact of obesity on carotid artery disease in obese adolescents; and asymptomatic carotid disease.
This book describes the most recent insights into heart failure and the role played by autonomic nervous system pathophysiology in it, discussing the therapeutic implications. While current therapeutic approaches are able to control the effects of excessive adrenergic activation in heart failure syndrome, the underlying abnormalities of adrenergic control remain unaltered and can still cause progression to unmanageable end-stage heart failure. New therapeutic pathways are therefore being explored with a view to developing interventions that can directly modulate adrenergic over-activity and restore a more appropriate balance in neural control of the cardiovascular system. The book opens by examining current heart failure therapies. Advances in our understanding of autonomic regulation/dysregulation in heart failure are then discussed in detail, in the context of the search for more effective therapies. A concluding section addresses the role of autonomic nervous system denervation in heart failure. The authors are top scientists from leading research centers.
This book is a practical guide to the differential diagnosis and treatment of patients presenting in the Emergency Department with syncope or arrhythmias, including bradyarrhythmias, atrial fibrillation, narrow and wide QRS tachycardias. In addition, clear advice is provided on the management of patients with cardiac devices and possible dysfunction, electrical storm, or a requirement for urgent surgery. For each topic, a literature review of epidemiology, physiopathology, differential diagnosis, and treatment is conducted. Furthermore, practical suggestions are offered for short-term management, e.g., regarding the decision on when and where to hospitalize the patient; these proposals do not replace but rather summarize or integrate the current guidelines. The book is designed both for emergency physicians and cardiologists, who will be the first to evaluate and treat patients with arrhythmias or potentially arrhythmic problems in the emergency setting. It will also be a useful textbook for students and residents in Cardiology and Emergency Medicine.
This book identifies the key determinants in the management of hypertensive outpatients with Cardiac Target Organ Damage. It sheds light on current international guidelines by directly applying them to six representative clinical cases that reflect situations frequently encountered during clinical routine rather than emergencies or rare occurrences. The book enables cardiologists and angiologists alike to gain an overview of the most frequent cardiac dysfunctions related to hypertension: left atrial enlargement, aortic root dilatation, diastolic dysfunction, systolic dysfunction, left and right ventricular enlargement. Each case is illustrated and analyzed in detail - from family and personal history to treatment and follow-up - providing readers with valuable guidance that will help them to select the best suited diagnostic tool and treatment for each patient.
Readable, practical and concise, Nuclear Cardiology is a self-contained guide to this cardiac imaging subspecialty. Including both technical and clinical aspects, it provides a foundation of essential knowledge common to practitioners from any background. This title covers radiation physics, biology and protection, and addresses all areas of imaging including the design and operation of the gamma camera (including solid-state cameras), single photon emission computed tomography (SPECT) acquisition and processing, and image interpretation and writing of reports. Stress testing and radiopharmaceuticals are explained in detail, as is the evidence-base underpinning myocardial perfusion scintigraphy. Newer radionuclide imaging techniques are well-covered (e.g. phosphate scintigraphy in cardiac amyloidosis), as is the expanding field of cardiac positron emission tomography (PET). Fully updated with coverage of new indications for gamma camera imaging, increased focus on attenuation correction and SPECT-CT and detail on the design use and clinical implications of solid-state gamma cameras throughout, this second edition of the essential text for nuclear cardiology trainees and practitioners is fully illustrated with colour plates to aid clinical practice. Presented in the bestselling Oxford Specialist Handbook format, Nuclear Cardiology provides core knowledge for those training in the subspecialty, whether at a basic or advanced level or from a medical or technical background, and is a key resource for those seeking to accredit in the subspecialty.
Since the first edition of this book was published in 2004, computed tomography has seen groundbreaking technical innovations that have transformed the field of thoracic imaging and opened novel possibilities for the detection of thoracic pathologies. This book highlights cutting-edge thoracic applications of CT imaging in the context of these technical innovations and discusses the latest opportunities, with critical appraisal of challenges and controversies. All topics are covered by renowned international experts. Chapters from the original edition have been thoroughly updated to reflect the state of the art in technology and scientific evidence, and new contributions included on recent developments such as dual-energy CT and CT imaging in patients with acute chest pain. The book is abundantly illustrated with high-quality images and illustrations.
This book discusses geometric and mathematical models that can be used to study fluid and structural mechanics in the cardiovascular system. Where traditional research methodologies in the human cardiovascular system are challenging due to its invasive nature, several recent advances in medical imaging and computational fluid and solid mechanics modelling now provide new and exciting research opportunities. This emerging field of study is multi-disciplinary, involving numerical methods, computational science, fluid and structural mechanics, and biomedical engineering. Certainly any new student or researcher in this field may feel overwhelmed by the wide range of disciplines that need to be understood. This unique book is one of the first to bring together knowledge from multiple disciplines, providing a starting point to each of the individual disciplines involved, attempting to ease the steep learning curve. This book presents elementary knowledge on the physiology of the cardiovascular system; basic knowledge and techniques on reconstructing geometric models from medical imaging; mathematics that describe fluid and structural mechanics, and corresponding numerical/computational methods to solve its equations and problems. Many practical examples and case studies are presented to reinforce best practice guidelines for setting high quality computational models and simulations. These examples contain a large number of images for visualization, to explain cardiovascular physiological functions and disease. The reader is then exposed to some of the latest research activities through a summary of breakthrough research models, findings, and techniques. The book's approach is aimed at students and researchers entering this field from engineering, applied mathematics, biotechnology or medicine, wishing to engage in this emerging and exciting field of computational hemodynamics modelling.
This book covers recent advances in the use of electrostimulation therapies in movement disorders, epilepsy, inflammatory bowel disease, memory and cognition, disorders of consciousness, foot drop, dysphagia, brain injury, headache, heart failure, hearing loss, and rheumatoid arthritis. It describes techniques such as vagus nerve stimulation, deep brain stimulation, and electrical stimulation of the pharyngeal nerve. Electroceuticals: Advances in Electrostimulation Therapies is aimed at clinicians and basic researchers in the fields of neurology, neurosurgery, cardiology and rheumatology.
Over the past 20 years, effective treatments for lipid disorders
have become available. With the high incidence of coronary artery
disease in the developed world, interest in this area has greatly
increased and 10% of the UK population now qualify for lipid
lowering treatment. It is therefore important that the rational use
of lipid-lowering treatment is based on an understanding of the
underlying metabolic problem.
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.
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