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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.
In modern medicine, the aging population is prone to many simultaneous cardiovascular (CV) risk factors which often produce co-incident pathology. Nowhere is this more obvious than in the interaction between Chronic Kidney Disease (CKD), Diabetes and diverse CV diseases (CVD). This is a complex and challenging area, as the presence of CKD/diabetes promotes CVD while also complicating its treatment. The emergence of CKD as a public health priority is one of the most challenging problems of modern medicine. It is now solidly established that renal dysfunction portends a high risk for cardiovascular disease. Cardiovascular diseases remains the main cause of death in western societies and the amplification of the death risk conveyed by coexisting CKD, even though still poorly understood, appears considerable. The bidirectional link that associates renal and cardiovascular diseases, the high risk of the death signalled by their coexistence and the considerable epidemiological burden imposed by this link is at the basis of the emergence of a new discipline aiming at making the borders between nephrology and cardiovascular medicine even more permeable than before. The term Cardio-Renal Syndrome was coined around 5 years ago to try to formalize this link, and act as a stimulus to interaction between clinical teams, researchers and others to achieve better management and outcomes for all. This book takes clinical presentations and clinical problems as its base, and then discuss the evidence for best management of common clinical problems as well as the reasons for the complex interplay between the cardiac and renal systems. Moreover, it addresses the issue of organizing healthcare to maximize the opportunities for prevention and best healthcare economic returns, building on cutting edge initiatives at the Karolinska, Stockholm. The book will be of immediate value and interest to all cardiologists and renal physicians.
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.
This book presents the latest evidence and guidelines supporting the use of anticoagulant therapy for various clinical scenarios. The field of anticoagulation therapy is evolving rapidly, particularly since the arrival and widespread adoption of direct oral anticoagulants. Organized in two parts, this book reviews the pharmacologic properties of various anticoagulants and details the clinical applications of anticoagulant therapy. Drugs such as warfarin and unfractionated heparin, as well as parenteral and direct oral anticoagulants are discussed in terms of their pharmacokinetics, drug-disease interactions, dosing strategies, and risk considerations. Clinical applications of anticoagulant therapy in disorders such as acute coronary syndromes, atrial fibrillation, and thrombophilia and in special populations such as pregnant women, the elderly, and in the patient with cancer are highlighted. Clinical vignettes, algorithms, clinical pearls, and self-assessment questions are integrated throughout the book. Featuring contributions from authorities in the field, Anticoagulation Therapy is an essential resource for cardiologists, vascular medicine specialists, hematologists, internists, and all other healthcare professionals who prescribe anticoagulants.
Interpreting an ECG correctly and working out what to do next can
seem like a daunting task to the non-specialist, yet it is a skill
that will be invaluable to any doctor, nurse, or paramedic when
evaluating the condition of a patient.
Gillen's Stroke Rehabilitation: A Function-Based Approach, 3rd Edition is the only comprehensive, evidence-based stroke rehabilitation resource for occupational therapists. Extensively updated with the latest research in assessment and intervention, this essential text presents a holistic, application-based approach that integrates background medical information, samples of functionally based evaluations, and current treatment techniques and intervention strategies to help you confidently manage the growing number of stroke rehabilitation clients. Evidence-based clinical trials and outcome studies clearly outline the basis for stroke interventions. UNIQUE! Survivor's Perspectives help readers understand the stroke rehabilitation process from the client'' point-of-view. UNIQUE! Case studies challenge readers to apply rehabilitation concepts to realistic scenarios. UNIQUE! A multidisciplinary approach highlights discipline-specific distinctions in stroke rehabilitation among occupation and physical therapists, physicians, and speech-language pathologists. Review questions in each chapter help readers assess their understanding of rehabilitation concepts. Key terms and chapter objectives at the beginning of each chapter help readers study more efficiently. Three new chapters broaden your understanding of stroke intervention in the areas of Using Technology to Improve Limb Function, Managing Speech and Language Deficits after Stroke, and Parenting after Stroke. Learning activities and interactive references on a companion Evolve Resources website help you review textbook content and locate additional information.
This book is intended as a comprehensive, practically oriented reference on pulmonary hypertension within the context of adult congenital heart disease (ACHD). After an introductory chapter on pathophysiology, the various types of pulmonary hypertension that may be encountered in ACHD are discussed, highlighting the specifics observed within different patient categories. The diagnostic approach is then addressed in detail, and the last section of the book is devoted to management options, from conservative approaches to interventional treatment and the concept of treat and repair. Management in specific patient subjects, such as pregnant women, Fontan patients, and Down syndrome patients with Eisenmenger syndrome, is fully discussed, and guidance is also provided on palliative care. Pulmonary arterial hypertension related to congenital heart disease (PAH-CHD), despite significant similarities in lung pathohysiology, differs significantly from other types of PAH in terms of mechanism of onset, natural history and management. Mistakes and pitfalls in the management of patients with PAH-CHD are often related to a lack of knowledge or expertise in this condition. Pulmonary Hypertension in Adult Congenital Heart Disease will be a valuable resource and learning tool for all who care for patients with ACHD, both in tertiary practice and general cardiology.
"Cardiothoracic Care for Children and Young People" is a comprehensive and interprofessional guide aimed at all healthcare professionals working with children and young people with Congenital Heart Disease.
Structured around the timeline of the patient's healthcare journey, this book explores the care of the patient from the point of presentation and diagnosis (whether that is antenatally, in the neonatal period or later) until there is a transition in the patient's healthcare journey either onto adult services, or in some cases, end of life. It considers all aspects of care that the child/young person may receive, supported in an evidence based manner, with chapters written by experts from a variety of professional groups involved with this patient group.
Now in its 4th edition, Kirklin/Barratt-Boyes Cardiac Surgery remains your indispensable source for definitive, state-of-the-art answers on every aspect of adult and pediatric cardiac surgery. This dynamic medical reference thoroughly and systematically covers the full range of new and classic surgical procedures-including the latest alternate and minimally invasive surgical techniques-and presents the up-to-date clinical evidence you need to make effective management decisions. Be certain with expert, dependable, accurate answers for every stage of your career from the most comprehensive, definitive text in the field! Get comprehensive coverage of all areas of cardiac surgery, including ischemic, valvular, and congenital heart disease; cardiac tumors; constrictive pericarditis; thoracic aortic surgery; cardiac transplantation; coronary artery disease; aortic valve disease; cardiac rhythm disturbances; heart failure and transplantation; disease of the thoracic aorta; tetralogy of Fallot; anesthesia; and postoperative care. Stay current with the latest advancements and practices. Comprehensive updates throughout include new information on endovascular management of thoracic aorta disease; new data on clinical outcomes; the most recent minimally invasive procedures; non-invasive CT angiography; new alternative surgical approaches to mitral valve surgery; and many other hot topics! Make the most well-informed decisions and achieve optimal outcomes by exploring each condition's natural history; diagnostic criteria; indications for surgery; operative techniques; and follow-up care. Reference information quickly thanks to a new, streamlined format and easily searchable online access to the complete text, downloadable image library, reference links, and more at expertconsult.com. Visually grasp and better understand critical information with the aid of a new, full-color design that includes an abundance of detailed charts and graphs. Stay current with the latest advancements and practices. Comprehensive updates throughout include new information on endovascular management of thoracic aorta disease; new data on clinical outcomes; the most recent minimally invasive procedures; non-invasive CT angiography; new alternative surgical approaches to mitral valve surgery; and many other hot topics! Reference information quickly thanks to a new, streamlined format and easily searchable online access to the complete text, downloadable image library, reference links, and more at www.expertconsult.com. Master cardiac surgery with the Gold Standard for Cardiac Surgery - the most definitive and clinically comprehensive resource on cardiologic procedures including latest alternate and minimally invasive surgical procedures
The EHRA Book of Interventional Electrophysiology is the second official textbook of European Heart Rhythm Association (EHRA). Using clinical cases to encourage practical learning, this book assists electrophysiologists and device specialists in tackling both common and unusual situations that they may encounter during daily practice. Richly illustrated, and covering electrophysiological procedures for supra-ventricular and ventricular arrhythmias, the book enables specialists to deepen their understanding of complex concepts and techniques. Tracings, covering supra-ventricular and ventricular arrhythmias, are presented with multiple-choice questions to allow readers to hone their skills for interpreting challenging cases and to prepare for the EHRA certification exam in electrophysiology. Cases include Orthodromic AVRT, PV Isolation, VT ablation, and Atypical left atrial flutter to name a few. The EHRA Book of Interventional Electrophysiology is a wide-ranging, practical case-book, written by leading experts in the field and edited by members of the EHRA education committee: an essential companion for electrophysiologists and trainees alike.
The essential resource on cardiac hemodynamics--now in a new edition Hemodynamic Rounds, Fourth Edition is intended to help cardiologists, cardiovascular fellowship trainees, residents and other members of the medical community enhance their understanding of cardiac physiology and its associated hemodynamic presentations in health and disease. This includes the basic principles of flow and pressure measurements, systemic as well as coronary hemodynamics in normal and diseased states, and changes in hemodynamics following interventional procedures ranging from TAVI and valvuloplasty to stent placement. Like its popular predecessors, this new edition draws on case studies to illustrate characteristic cardiac hemodynamic findings and discusses the essential methods used in interpreting pressure waveforms as a diagnostic and monitoring tool. The text is organized into chapters on specific areas of the heart, common cardiac pathophysiologic conditions, and hemodynamic situations resulting from different therapeutic procedures. It includes discussions of both normal and abnormal pressure waveforms. This new edition has been revised throughout to include brand new content on aortic and mitral valve stenosis and regurgitation as well as TAVI and mitral clip hemodynamics. Highlights include: Essential and easy to understand resource for those required to interpret cardiac blood flow and blood pressure tracings Covers hemodynamic assessment by cardiac disorder, plus the bedside applications of hemodynamics Revised throughout and includes brand new content on valve stenosis and regurgitation and TAVI and mitral clip hemodynamics Hemodynamic Rounds: Interpretation of Cardiac Pathophysiology from Pressure Waveform Analysis, Fourth Edition is an indispensable tool for all physicians, nurses, and students responsible for measuring and interpreting cardiac waveforms in cardiac diagnosis and monitoring.
Get the vital basics of cardiovascular care, with the expert direction and clear-cut images of the freshly updated Cardiovascular Care Made Incredibly Visual! (TM), 3rd Edition. Let this colorful, down-to-earth text guide you smoothly through essential skills, concepts, and equipment how-to's, including physical assessments, diagnostic tests, cardiac monitoring, and handling emergencies and complications. Get ready for success in both the classroom and with patient care; the clear explanations, Incredibly Visual (TM) humor, and numerous illustrations make this the enjoyable way to learn positive, effective cardiac care. Master the fundamental concepts, skills, and processes of cardiac care ... NEW and updated guidance on the Advanced Cardiac Life Support (ACLS) algorithms, with step-by-step direction on handling emergency situations NEW end-of-chapter selected readings that support evidence-based learning Hundreds of colorful images that bring complex cardiovascular care concepts to life -drawings, charts, photos, and diagrams explaining and reinforcing key cardiovascular concepts in easy-to-follow ways Ideal reference and review for nursing students, new nurses, and other healthcare practitioners -detailed visuals and clear, concise explanations to help you master cardiovascular anatomy, and physiology and effective treatments and interventions Perfect for visual learners -numerous images that demonstrate skills and interventions in easy-to-follow ways, including: Essential cardiovascular anatomy and physiology Physical assessment techniques Diagnostic tests Common disorders ECG interpretation, including rhythm strip analysis, the 8-step method, and arrhythmias Cardiac monitoring methods, including handling monitor problems Hemodynamic monitoring Handling complications Treatments and interventions Emergency procedures Excellent teaching aid-visual, step-by-step instruction applied to real-life patient care scenarios, backed by expert clinical tips Perfect supplement to medical-surgical texts on cardiovascular care, clarifying complex concepts Chapter features: Just the facts -quick summary of chapter content Vision Quest -End-of-Chapter games that help you match words, concepts, and photos to reinforce key learning points "Nurse Joy and Jake" -Practical advice and expert insights offered throughout Memory jogger -simple techniques for remembering vital information About the Clinical Editor Mary Ann Siciliano McLaughlin EdD, RN, is Assistant Professor and Program Director of the Accelerated BSN Program at Gwynedd Mercy University, Philadelphia, Pennsylvania.
Although disorders of the coagulation system are uncommon in pregnancy, the two main hazards - haemorrhage and thromboembolism - are leading causes of direct maternal death in the UK and worldwide. Gynaecologists may encounter abnormal haemostasis as a cause of intractable menorrhagia or perioperative haemorrhage, and thromboembolism is a significant risk for women undergoing major gynaecological surgery. This book brings together various aspects of haemostasis in relation to obstetrics and gynaecology to provide practical guidance to clinicians, who may only occasionally encounter these problems. Emphasis is placed on the need for good working relationships and close liaison between obstetricians and gynaecologists, anaesthetists, haematologists and blood transfusion services. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for haemorrhage and thrombosis. It is also a valuable guide for all healthcare professionals working in the field.
Based on research and clinical trials, this book details the latest research in magnetic resonance imaging (MRI) tagging technology related to heart mechanics. It covers clinical applications and examines future trends, providing a guide for future uses of MRI technology for studying heart mechanics.
This new book reviews the latest advances in the embryology, genetics, diagnosis, imaging, and therapy of congenital heart disease. The international cast of authors has combined its talents to produce a unique, expert perspective. This publication arrives at a very exciting time when new genetic, imaging, and therapeutic developments are changing the field. It is relevant to pediatricians, internal medicine specialists, medical geneticists, both pediatric and adult cardiologists, embryologists, imaging physicians, and cardiac surgeons. The reader is taken on a journey that begins with a historical overview of congenital cardiovascular anomalies and ends with developments in stem cell and tissue engineering. In between are chapters on cardiac embryogenesis; epidemiology; genetic syndromes associated with cardiovascular anomalies; single gene disorders; cardiac imaging; surgical and interventional therapies; and ethical considerations. 'Congenital Heart Disease' is an invaluable reference. In short, it provides essential information to create a comprehensive resource for all physicians involved with the diagnosis and treatment of cardiac malformations.
Test your knowledge or prepare for Boards with this collection of unusual and challenging patient studies focused on detecting valvular, congenital or vascular disease. * Contains over 90 case histories with self-test questions designed to test the reader s knowledge and reinforce clinical best practices * Focuses on diseases of valvular, vascular or congenital origin, and on comparatively rare disorders/diseases, rather than coronary artery disease, to help readers improve their skills at interpreting and making decisions based on physical examination and basic, non-invasive imaging modalities * Each case is paired with original materials - e.g. x-rays, echocardiograms, lab reports, charts so readers can work through their diagnosis using the same information as the physician who treated the patient originally * An ideal companion for those approaching board review or recertification or who want to improve skills in physical diagnosis of cardiovascular disease
Praise for the Second Edition:
""This is an excellent workbook for students or healthcare professionals who are just beginning to interpret 12-lead EKGs. The book covers what is expected, but the manner in which it presents the material brings much clarity to the topic."" --Doody's Medical Reviews
This handy, step-by-step guide for medical and nursing students and novice practitioners delivers ample information for confidently interpreting 12-lead EKGS. It goes beyond the many EKG books that rely on rote memorization by actively engaging students in the learning process. The guide fosters the understanding needed for students to comprehend, analyze, and interpret the variety of rhythm strips involved with 12-lead EKGs, and provides a solid grounding in the clinical relevance of dysrhythmias. This third edition features an expanded section on arrhythmias with double the amount of EKGs for practice, a revised worksheet design with larger 12-lead EKG printouts for readability, more practice worksheets and case studies, and additional 12-Lead EKGs in a digital folder for extra practice.
Written clearly while avoiding a simplistic approach, the guide features a step-by-step progression that enables self-paced study. It presents basic principles of anatomy and physiology, including a review of the heart's electrical system, followed by foundational EKG concepts. The segment featuring the 12-Lead EKG rhythm strip is enlarged to ensure students can view the appropriate lead while seeing the entire strip. The guide discusses clinical reasoning for each type of rhythm and includes actual EKGs at the end of each chapter to test comprehension. Worksheets in each chapter include guidelines for interpreting actual EKG printouts and require students to practice measurement, evaluation, and analysis of rhythms and develop improved diagnostic reasoning skills. Case examples, Critical Concept Boxes, and tables highlight important points within the text.
New to the Third Edition: Expanded Arrhythmia section with twice as many practice EKGs Revised Worksheet design offers larger 12-lead EKG printouts for readability More practice worksheets and case studies Additional 12-Lead EKGs in digital folder for extra practice
Key Features: Facilitates step-by-step, self-paced learning Organizes EKG changes by causative abnormality Teaches clinical reasoning for each type of rhythm Includes plentiful worksheets for practicing measurement, evaluating and analyzing rhythms, and honing diagnostic reasoning skills Offers actual EKGs at the end of each chapter
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.
This book provides the most current overview of the evaluation and management of cardiovascular disease in people living with HIV/AIDS. The text assesses the risk factors associated with cardiovascular disease in HIV/AIDS patients and explores the most cutting edge ways to diagnose and treat the specific diseases that are most common for people living with HIV. This text takes a well-rounded, multidisciplinary approach that considers infectious disease and HIV specialists who may have little familiarity with the diagnosis and management of manifest CVD or risk factors as well as those in remote areas where providers may have little or no infrastructure to support optimal care for their patients. The text also serves cardiovascular specialists who may not have the expertise in HIV care to meet the unique needs of these patients. Cardiovascular Care for the Patient Living with HIV is the ultimate resource for not only all infectious disease and HIV specialists, but also for cardiologists, neurologists, vascular surgeons, general practitioners, nurse practitioners, physician's assistants, and all other medical professionals who care for people living with HIV.
Cardioprotective Natural Products: Promises and Hopes focuses on the recent advances in the research of bioactive natural products with cardioprotective potential against various cardiovascular diseases/disorders. The aim of this book is to underline the promise and future hope in bioactive natural molecules, herbal formulations, natural dietary supplements and related materials in the prevention and cure of cardiovascular diseases in a scientific way.This book, which comprises a variety of about 9 chapters written by active researchers and leading experts, brings together an overview of current discoveries and trends in this field. This volume is also an outstanding source of information with regard to the industrial application of natural products for medicinal purposes. The broad interdisciplinary approach adopted in this book ensures that it is much more interesting to scientists deeply engaged in the research and/or use of bioactive natural products. It will serve not only as a valuable resource for researchers in their own fields to predict promising leads for developing pharmaceuticals to prevent and treat disease manifestations, but will hopefully also motivate young scientists to engage in the dynamic field of natural products research.
This book presents key concepts in the structure and function of vascular smooth muscle cells in health and disease. Supplemental reading may be drawn from the extensive references listed at the end of each chapter. Vascular smooth muscle cell is the major cell type in blood vessels. Dysfunction of vascular smooth muscle cells is an important cause of vascular diseases, for example, atherosclerosis, hypertension, and circulatory shock. Vascular smooth muscle cells are phenotypically plastic, capable of switching between two major phenotypes - contractile/differentiated phenotype and invasive/proliferative phenotype in response to environmental clues. Chapter 1 introduces the major areas of research presented in this monograph. Chapters 2 to 4 address the structure and function of the contractile/differentiated phenotype of vascular smooth muscle cell. Chapters 5 and 6 address the developmental basis of vascular smooth muscle cell phenotype and structure and function of podosomes (invasive organelles) in the invasive/proliferative phenotype of vascular smooth muscle cell. Chapters 7 to 9 address the role of vascular smooth muscle cell dysfunction in vascular diseases - atherosclerosis, hypertension, and circulatory shock.
This state-of-the-art reference details current and effective symptom-specific strategies for the diagnosis and management of diabetic patients-emphasizing the exploration of therapeutic options available for the treatment of accelerated coronary complications associated with diabetes. Addresses the pathophysiology underlying advanced heart disease and outlines treatments to impede progression in type 2 diabetic patients. Medical Management of Diabetes and Heart Disease contains the newest discoveries in -the relationship between diabetes and coronary illnesses -type 1 and type 2 diabetes -risk factors in diabetic patients for progressive heart disease -detection and diagnosis of insulin resistance and diabetes mellitus -nonpharmacological treatment and features the latest therapies in the treatment of coronary illnesses in diabetic subjects with -stable and unstable angina -acute myocardial infarction -congestive heart failure -percutaneous coronary intervention -coronary surgery With over 700 references and the contributions of more than 20 world-renowned experts, Medical Management of Diabetes and Heart Disease is an invaluable reference for primary care, family practice, and internal medicine physicians; cardiologists; cardiothoracic surgeons; endocrinologists; physician assistants; nurse practitioners; and medical students in these disciplines.
Part of the highly regarded Braunwald's family of cardiology references, Clinical Arrhythmology and Electrophysiology, 3rd Edition, offers complete coverage of the latest diagnosis and management options for patients with arrhythmias. Expanded clinical content, clear illustrations, and dynamic videos keep you fully abreast of current technologies, new syndromes and diagnostic procedures, new information on molecular genetics, advances in ablation, and much more. Key topics such as inherited channelopathies; atrial fibrillation; ventricular tachycardia; hypertrophic cardiomyopathy, arrhythmogenic cardiomyopathy, and congenital heart disease. Dozens of videos depicting key mapping techniques, and fluoroscopy images illustrating techniques for electrophysiologic catheter positioning, atrial septal puncture, and pericardial access, cryoablation, and left atrial appendage exclusion procedures. Grounds clinical techniques in basic science for managing complex patients. Consistent organization, showing every arrhythmia in a similar manner for quick reference. New management options with increased clinical content. 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.
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