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Pediatric intensivists, cardiologists, cardiac surgeons, and anesthesiologists from the leading centers around the world present the collaborative perspectives, concepts, and state-of-the-art knowledge required to care for children with congenital and acquired heart disease in the ICU. Their multidisciplinary approach encompasses every aspect of the relevant basic scientific principles, medical and pharmacologic treatments, and surgical techniques and equipment. From the extracardiac Fontan procedure, and the Ross procedure through new pharmacologic agents and the treatment of pulmonary hypertension to mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization-all of the developments that are affecting this rapidly advancing field are covered in depth. Features comprehensive updates throughout the text, including indications, techniques, potential complications in perioperative management of patients, and surgical techniques for congenital heart disease. Covers recent advances in the treatment of pulmonary hypertension, developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Features an all-new, full-color format that speeds navigation and helps clarify complex concepts. Contains 27 new chapters with an emphasis on the team approach to patient care in the ICU including creating multidisciplinary teams, quality and performance improvement, training , and challenges and solutions to developing a cohesive team environment. Includes a detailed chapter on bedside ultrasound, walking you through the techniques you're most likely to encounter in the ICU. Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access, and more than two dozen video clips provide a more complete understanding of echocardiography, imaging modalities, pulmonary hypertension, and more. Describes the basic pharmacology and clinical applications of new pharmacologic agents. Examines issues affecting adults with congenital heart disease. 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. Offers four completely new chapters: Cardiac Trauma, Congenital Heart Disease in the Adult, Congenitally Corrected Transposition of the Great Arteries, and Outcome Evaluation. Describes the basic pharmacology and clinical applications of all of the new pharmacologic agents. Details important refinements and developments in surgical techniques, including the Ross pulmonary autograft replacement of the aortic valve, video-assisted fluoroscopy, and the extracardiac Fontan connection, and discusses their indications and potential complications. Explores the latest advances in the treatment of pulmonary hypertension, new developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Examines issues affecting adults with congenital heart disease.
This book discusses the different aspects of mitral regurgitation as well as diagnostic and imaging studies to evaluate the patients at risk. Treatment options for patients with mitral regurgitation are discussed including some of the new non-surgical treatments. Various medical devices and technologies have evolved recently making the traditional surgery not the only option in these patients. This book will be helpful to surgeons, cardiologists, as well as other clinicians and students interested in the diagnosis and treatment of mitral regurgitation.
Keep abreast of the rapidly changing scientific foundations and clinical advances in cardiovascular medicine with Braunwald's Heart Disease: Late-Breaking Clinical Trials and Latest Updates. This eBook includes coverage of: Late-Breaking Clinical Trials: Summaries of the most important late-breaking clinical trials presented at the major cardiology meetings, along with many of the original meeting presentation slides Hot Off the Press: Expert commentary provided by Dr. Eugene Braunwald on the most clinically relevant articles in the field Focused Reviews: In-depth articles that examine the latest topics in cardiology Includes summaries of 29 Late-Breaking Clinical Trials with relevant original presentation slides; 79 "Hot Off the Press" articles; and 14 Focused Reviews. Features coverage of today's hot topics in cardiology, including: Late-Breaking Clinical Trial: ACC 2015: TOTAL: Randomized trial of manual aspiration thrombectomy + PCI vs. PCI alone in STEMI Hot Off the Press: Evolution of LVEF after AMI: Implications for ICD eligibility Focused Review: Advances in the treatment of coronary chronic total occlusion An organization by major subspecialty areas expedites reference and review. All references are linked to PubMed.
This atlas is a comprehensive visual reference for the use of cardiovascular computed tomography (CT) containing photomicrographs, anatomic illustrations, tables, and charts paired with extensive legends and explanations that are supplemented by extensive research, peer-reviewed articles, and textbooks. In addition to providing historical perspective and current direction for CT, this new edition of Atlas of Cardiovascular Computed Tomography 2e focuses on research involving coronary artery diseases and anomalies, congestive heart failure, atherosclerotic plaques and asymptomatic disease, as well as imaging techniques, including preparation, acquisition, and processing, involving the great vessels and carotids, the peripheral vasculature, and coronary and pulmonary veins. The increasing role of CT in the emergency room and in private cardiology practice is also reviewed thoroughly, making this an essential read for all involved in cardiac imaging, cardiology and emergency medicine.
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.
Concise, compact, fully-illustrated and easy to read, Arrhythmia Essentials, 2nd Edition provides detailed, practical information on recognizing and treating heart rhythm disturbances for clinicians with any level of expertise. The author team, led by renowned authority in cardiac electrophysiology, Dr. Brian Olshansky, guides you skillfully through the different types of arrhythmias and how they present on ECGs. You'll find specific examples of each arrhythmia, numerous algorithms to facilitate an approach to arrhythmia diagnosis and management, updates on medical therapy, and indications for implantable rhythm management devices and ablation - all in a convenient, softcover volume that's perfect for on-the-go reference. conditions, clinical symptoms/presentations, and management. Includes numerous therapy/guideline tables and treatment algorithms. Offers new coverage of managing arrhythmias during pregnancy and expanded information on athletes and arrhythmias. Incorporates recommendations based on recent published guidelines. New! 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.
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.
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.
World Clinics: Obstetrics & Gynecology: Pregnancy Induced Hypertension, Volume 5, Number 1 is the latest issue in the World Clinics: Obstetrics & Gynecology series. Other topics in the series include endometriosis, recurrent miscarriage, contraception, postpartum haemorrhage, preterm labour, and perimenopausal health. This issue begins with a discussion on medical management of pre-eclampsia and the role of magnesium sulphate in its treatment. The following chapters explain strategies for screening for hypertensive disorders in pregnancy, and associated factors such as kidney disease, and angiogenesis. Variants of pre-eclampsia including HELLP syndrome are also covered. Enhanced by images and illustrations throughout, each article concludes with a summary of the topic and comments by the editors highlighting their own clinical experience. Key Points Latest issue in the World Clinics: Obstetrics & Gynecology series Other topics in the series include endometriosis, recurrent miscarriage, contraception, postpartum haemorrhage, preterm labour, and perimenopausal health Covers medical management of pre-eclampsia and its variants In depth discussion on role of magnesium sulphate in treatment of pre-eclampsia
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.
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