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Surgical options for the treatment of degenerative, ischemic, inflammatory, and functional mitral valve diseases have expanded greatly in recent decades. Still, a dilemma exists with employing prosthetic mitral valves - in that mechanical valves exhibit good durability but require anticoagulation versus the unpredictable durability of biological valve prostheses. Over the past few years, it has become clear that reconstruction of the mitral valve with autologous tissues effectively addresses this dilemma, with no need for anticoagulation and excellent durability, combining the best qualities of both prosthetic options without the disadvantages. Moreover, newer repair strategies, such as autologous pericardial leaflet augmentation and artificial choral replacement have expanded reparative approaches into virtually all pathologies, with excellent long-term results as compared to prosthetic valve replacement. At present, mitral repair is becoming the dominant procedure for treatment of virtually all patients with mitral valve disease. This book is designed to illustrate contemporary and sometimes diverse surgical techniques for various types of mitral valve repair with contributions from many of the leaders in the field. Mitral Valve Repair and the recently published Aortic Root Surgery are book publications arising from the Berlin Heart Valve Symposium 2008 entitled " The Biological Solution". The Mitral Valve Repair session was postponed to June 2009 and was featured as the Berlin Mitral Valve Symposium at the joint meeting of the Society for Heart Valve Diseases and the Heart Valve Society of America in Berlin. The book contains a collection of proceedings on current techniques and outcomes of mitral valve repair by many of the experts in this field which provide an authoritative reference source for cardiac surgeons, family practitioners and clinicians.
Thrombotic and bleeding disorders affect at least 10 million people in the US alone. There has also been a great deal of concern over travel-related deep vein thrombosis and therefore much more interest and research into the field of blood clotting. This new and concise practical guide will cover all the essentials one needs to know when managing thrombotic and bleeding disorders. The field of haematology is undergoing major advances in thrombosis research, including significant additions to recommended treatment protocols. The Essential Guide to Coagulation will distil the most clinically, up-to-date and relevant material from the literature for all those working in the field.Faced with a bleeding patient, it may be difficult to discern whether blood loss is due to a local factor or secondary to an underlying haemostatic defect. There are a range of simple and specialized laboratory texts which can be performed to further define the cause of bleeding in a patient. Since the first edition there have been many developments in the field including many new anticoagulant drugs. These new classes of direct thrombin inhibitors slow the coagulation cascade by directly binding to thrombin, a clotting factor essential in the clotting process. If thrombin is blocked, clot formation is delayed. A key component of this guide will be the latest treatment strategies available for patients.
This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients. Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan. This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world.
The safe and trusted way to prevent and reverse heart disease Written in plain English and packed with tons of authoritative advice, Preventing & Reversing Heart Disease For Dummies includes the most up-to-date information on coronary heart disease and its treatment. This resource covers new ways to diagnose and treat both short- and long-term complications of heart disease, the latest medications, updated diet and exercise plans, the lowdown on recognizing the risk factors and warning signs of a heart attack, determining if you have heart disease, distinguishing between angina, heart attack, and stroke, and much more. It is projected that by the year 2020, heart disease will be the leading cause of death throughout the world. As the magnitude of cardiovascular diseases continue to accelerate globally, the pressing need for increased awareness and a stronger, more focused national and international response has become more important than ever. Preventing & Reversing Heart Disease For Dummies tackles this vital subject with compassion and authority, outlining the steps you can take to help ensure you don't become just another statistic. Helps you find the right doctor and handle a managed care plan Covers all thirteen types of heart disease and discusses the key differences that may determine their progression and treatment Illustrates how simple changes in diet may be enough to prevent heart disease Shows how you can reverse some of the effects of heart disease through exercise If you're suffering from or are at risk of heart disease-or love someone who is-Preventing & Reversing Heart Disease For Dummies empowers you to take control of heart health and get on a path to a longer, healthier life.
This book sheds new light on the diagnosis and treatment of Heart Failure in adult patients with congenital heart disease. This is a rapidly growing clinical issue for this group of patients and the clinical teams caring for them. The book highlights the major clinical dilemmas in diagnosing heart failure in patients with a lifelong cardiac condition and describes in details the utility of biomarkers, complex imaging and functional tests, e.g. the cardiopulmonary exercise testing. A step-wise approach to treatment is described from drug therapy through to devices and transplantation. As such, the book offers an essential guide for cardiologists and cardiac surgeons looking to optimize the management of patients with delicate physiology and complex disease.
Professional ECG ruler, for reading: 2 x RR (25 mm/s) 1 x RR (50 mm/s) 3 x RR (25 mm/s) 3 x RR (50 mm/s) 4 x RR (25 mm/s) Amplitudes (mV) Times, intervals (s) Conversion: heart rate - RR interval Table. heart rate - PR interval - relative QT interval
This book is designed to assist physicians in the everyday management of hypertensive patients, with a particular focus on difficult-to-treat and resistant hypertension. The selected clinical cases are representative of the patients who are seen in the "real world", rather than rare clinical cases, and provide examples of management according to current international guidelines. The scenarios considered include not only cases in which arterial hypertension is truly resistant but also instances of pseudo-resistant hypertension, including cases in which resistance is related to comorbidities, concomitant treatments, or the use of drugs. The ultimate objective is to provide paradigmatic examples of evidence-based approaches to difficult-to-treat patients that will help physicians to select the most appropriate diagnostic tools and evidence-based treatment strategy for each individual patient.
Cardiovascular imagers are faced with the challenge of interpreting cases that include artifacts, unusual findings, or anatomic variants on an almost daily basis. These studies can result in confusion and may lead to misdiagnosis even for the most experienced imager. This book provides an approachable reference for practising cardiovascular imagers to aid with both commonly and uncommonly encountered entities that can result in inappropriate patient management. Through the focused use of case examples, this book reviews 100 conditions that can be seen in clinical practice, including pseudotumors, artifacts, anatomic variants, mimics, and unusual diagnoses. Each highly illustrated case follows a standard format, allowing readers to learn from real-life examples and provides an accessible and rapid source of reference for the improved interpretation of cardiovascular imaging and enhanced patient care. This text will be invaluable to radiologists, cardiologists, and trainees.
This print edition of The EACVI Textbook of Echocardiography comes with a DVD and access to the online version on Oxford Medicine Online, for as long as the edition is published by Oxford University Press. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge, and download all the figures and tables.
This fully updated second edition of the official textbook of the European Association of Cardiovascular Imaging serves the educational requirements of cardiologists and all clinical medical professionals in echocardiography. It is fully-aligned with EACVI goals and reflects the core European syllabus.
Published in partnership with the European Society of Cardiology and written by a team of expert authors, this textbook is a valuable resource on echocardiography and for accreditation through the EACVI.
With its thorough and instructive text complemented by more than 500 full colour images and 200 videos online and as a separate DVD, The EACVI Textbook of Echocardiography is a one-stop, authoritative resource on echocardiography.
This book covers ACS and Heart Failure, the chapters represent the most current, up to date and knowledgeable content on the topic available. It is written by the worlds most respected leaders in biomarkers, with a majority emphasis on what clinicians need to know. The Editors and their contributors have provided algorithms, annotated case discussions and caveats. They cover biomarkers to predict risk of heart disease, biomarkers of cardiorenal disease , and conclude with a section on new and emerging biomarkers. It be genuinely helpful and practical to those in the field, including not just people working in the field, but nurses, doctors, etc who practice medicine in the clinic, the emergency department and the hospital.
While there are many excellent pacing and defibrillation books,
they are nearly all written by physicians for physicians. The
second edition of the successful The Nuts and Bolts of Cardiac
Pacing has been thoroughly updated, reflecting the new challenges,
issues, and devices that clinicians deal with. Written specifically
for non-cardiologists in a lively, intelligent and easy to follow
style, it emphasizes real-life clinical practice and practical
tips, including illustrations from actual clinical settings. Each
chapter concludes with a checklist of key points from each subject
("Nuts and Bolts").
OCT is rapidly being adopted in cardiology practice. However, gap exists between the speed of technology development and the knowledge of cardiologists. Many cardiologists are not familiar with image interpretation and don't have enough background/knowledge to use the information in clinical practice. This book will be designed for busy interventional cardiologists to become quickly familiar with this emerging technology so that they can take advantage of its power improve patient care and outcome.
This book has been written in response to the many excellent questions posed by our patients and their care teams, questions which deserve the best-informed and up to date answers provided by our experts in each of the many health areas affected by Marfan syndrome. The aim of this text is to provide a summary of the present day understanding of diagnosis, management and best medical and surgical treatment of infants, children and adults with Marfan syndrome. The authors cover the lifelong problems from birth to old age, in each affected system. Forty percent of this information is the result of new careful research based on a well-defined longitudinally studied UK patient population.
Although, within neurosonology, study of both the extracranial and the intracranial circulation began at least 15 years ago, it is only in recent years that ultrasound evaluation of cerebral veins and cerebral venous hemodynamics has attracted wider attention. Nevertheless, the huge variability in venous outflow pathways in normal subjects means that the potential usefulness of this examination is still often neglected. This atlas provides concise descriptions of the main normal and pathological ultrasound features of the cerebral venous circulation for neurosonologists and clinicians. It is designed as a practical tool that will be of assistance in everyday practice in the ultrasound lab and will improve the knowledge of sonologists and the reliability of venous ultrasound studies. The multimedia format, with detailed images, explanatory videos, and short, targeted descriptions, ensures that information is clearly conveyed and that users will become fully acquainted with the variability of normal findings of venous examinations. The atlas will be of value both to trainees in this field of ultrasound and to neurosonologists who are beginning to perform venous examinations in addition to arterial extra- and intracranial examinations.
This atlas presents normal and pathologic findings observed on CT angiography with 3D reconstruction in a diverse range of clinical applications, including the imaging of cerebral, carotid, thoracic, coronary, abdominal, and peripheral vessels. The superb illustrations display the excellent anatomic detail obtained with CT angiography and depict the precise location of affected structures and lesion severity. Careful comparisons between normal imaging features and pathologic appearances will assist the reader in image interpretation and treatment planning, and the described cases include some very rare pathologies. In addition, the technical principles of the modality are clearly explained and guidance provided on imaging protocols. This atlas will be of value both to those in training and to more experienced practitioners within not only radiology but also cardiovascular surgery, neurosurgery, cardiology, and neurology.
This practical surgical reference for the diagnosis and management of traumatic vascular injuries is unique in that it brings together all prominent management strategies from the various surgical subspecialties, creating a unified voice on the care of the vascular trauma patient. Management of common vascular injuries is examined from a general, trauma, vascular, orthopaedic, plastics, cardiothoracic, and neurosurgical perspective by respected experts from each of these fields. Each section has been edited by specialists in the other relevant disciplines to ensure that every chapter represents an evidence-based assessment of all of the surgical subspecialties. The clear and concise text is supplemented by dozens of surgical photographs, illustrations, tables, and charts that assist in conveying complex concepts in vascular trauma management. The "Clinical Review of Vascular Trauma" will be essential reading for any healthcare professional involved in care of the trauma patient.
This book is a state-of-the art reference that presents computed tomography (CT) and magnetic resonance (MR) cardiac imaging for the diagnosis and treatment planning of adult congenital heart disease (ACHD). It highlights the advantages of CT and MR in the management of ACHD, focusing on the complementary collaboration between these two modalities where possible. CT and MR aids in the evaluation of cardiac anatomy and function, leading to the demonstration of the full spectrum of abnormalities in complex cardiac malformations and the discovery of anomalous pathologies missed by other imaging techniques. The book includes coverage of these topics: Basic principles and techniques of CT and MR for ACHD Common congenital heart problems in adults such as intracardiac shunts, right and left ventricular outflow tract abnormalities, repaired tetraology of Fallot, cardiomyopathies, aortic arch maldevelopement, anomalous venous return, and coronary vessel anomalies Special considerations such as surgical management of adult patients with congenital heart disease, MRI in repaired congenital heart disease, virtual surgery in congenital heart disease, and cardiac MR in patients with implantable arrhythmia devices Featuring over 500 CT and MR cross-sectional and post-processed images, full color anatomic illustrations, and correlative cadaveric picture, this book is a valuable resource for radiologists, cardiologists, interventional cardiologists, and cardiothoracic surgeons.
This book is ideal for cardiovascular imagers of all backgrounds as well as proceduralists (surgeons and interventional cardiologists) performing TAVR. This text is also of value for the physicians and nurses involved in the care of these patients, and for fellows-in-training. This practical text brings together guidance on using multi-modality imaging in one book and highlights its usage with a focus on patient care. Pre-procedural, Intra-procedural and Long-term follow up), this review offers expert opinion and evidence-based guidance on how to incorporate the various imaging modalities at each step in the care of a TAVR patient. Although much has been learned in the short span of time since TAVR was introduced into the field, our book will also offer recommendations for clinically-relevant research areas that will lead to best practice strategies for incorporating multi-modality imaging into TAVR patient care.
Cardiac Pacing and ICDs, 6e is the ideal resource for clinicians who need an accessible, clinically-focused guide to cardiac pacemakers, ICDs and CRTs. Completely updated, and now with larger full-color images throughout, this new sixth edition offers thorough coverage of essential topics like: * Indications for both temporary and permanent pacing * Pacing hemodynamics explained in clinically relevant terms with simple algorithms for mode selection and device programming * Tips and Tricks for implantation and removal of devices and left ventricular leads * Evaluation and management of pacemaker and ICD device malfunctions * MRI safety and how to follow patients with devices * Remote follow up and more * Thoroughly revised and redone to provide more tables, charts and figures explaining devices Cardiac Pacing and ICDs, 6e presents all aspects of pacing in an intuitive, easy-to-use way: chapters proceed from pacing basics and indications through initial patient presentation, device implementation, trouble-shooting, and long-term follow-up an approach that mirrors the clinician s course of action in treating and managing patients. Itis the perfect reference for cardiology and electrophysiology fellows, general clinical cardiologists, and electrophysiologists who want a clear-headed, authoritative overview of current devices and best practices for their use treating heart rhythm abnormalities. It will also be of great use to those studying for the IHRBE Examination in Devices, and individuals in this field who care for patients with implantable devices at all levels.
This atlas depicts and describes catheter-based interventions across the entire pediatric age range, from fetal life through to early adulthood, with the aim of providing an illustrated step-by-step guide that will help the reader to master these techniques and apply them in everyday practice. Clear instruction is offered on a wide range of procedures, including vascular access, fetal interventions, valve dilatation, angioplasty, stent implantation, defect closure, defect creation, valve implantation, hybrid approaches, and other miscellaneous procedures. The atlas complements the previously published handbook, Cardiac Catheterization for Congenital Heart Disease, by presenting a wealth of photographs, images, and drawings selected or designed to facilitate the planning, performance, and evaluation of diagnostic and interventional procedures in the field of congenital heart disease. It will assist in the safe, efficient performance of these procedures, in decision making, and in the recognition and treatment of complications.
Since the introduction of laser devices to the medical sciences this technology has created great interest. Specifically, the laser's unique physical properties and precise bio-tissue interactions render this versatile source of biologic energy an attractive tool for multiple therapeutic purposes in cardiovascular medicine. Over the course of the last 2 decades the utilization of laser technology has become an important component for the management of patients with complex cardiovascular diseases. During this time period, cutting edge laser technology including a variety of wave length generators, newly designed catheters, and a selection of advanced optic fibers have been introduced and applied in the cardiovascular circulation. Improved lasing techniques in the cardiac catheterization suites and operation rooms have been implemented for treatment of ischemic coronary syndromes, peripheral arterial occlusive disease and other atherosclerotic thrombotic conditions. Moreover, during this 20 year time frame, several multicenter and single center clinical studies have been published focusing on the role and utilization of lasers in coronary and peripheral revascularization. And within the rapidly expanding field of interventional cardiac electrophysiology, laser technology has recently revolutionized the management of fractured, abandoned and malfunctioning leads of cardiac pacemakers and automatic defibrillators. Consequently, replacing a notoriously cumbersome and high risk open heart surgery with safe and markedly efficient percutaneous laser based extraction. This textbook will provide the most authoritative, comprehensive and contemporary information covering technological progress, clinical experience and pertinent aspects of laser applications in cardiovascular medicine. It will be of interest to cardiologists, vascular surgeons and interventional radiologist as well as medical students, scientists, biomedical engineering students and graduates.
This new edition of Medical Management of Heart Failure will provide the full spectrum of medical options, ICU management and rehabilitation, while also prepare the reader for the second volume of Comprehensive Management of Heart Failure by introducing the surgical options in heart failure from transplant to the more noninvasive procedures in the interventional radiology department. The contributing authors are all key opinion leaders in the medical management of heart failure. This volume is designed to integrate with its sister surgery title, but also alone be the definitive guide to the medical management of heart failure.
This book provides the most up-to-date coverage of the combined use of imaging modalities in order to acquire important functional and morphological information on cardiovascular disease and enhance disease detection. The recent developments in PET/MRI, cardiac CT, PET/CT and SPECT/CT and their impact on clinical practice are explained and special attention is also devoted to imaging parameters and protocols for use in practice and research. The utility of multimodality imaging techniques for diagnosis and evaluation is discussed in the context of various clinical scenarios, including ischemic cardiomyopathy, myocarditis, myocardial fibrosis, cardiac sarcoidosis and atherosclerotic plaque disease. Written by renowned researchers and clinicians, the book is an ideal concise reference on today's most advanced imaging techniques. It will appeal to all clinicians, trainees and technicians who are involved in the diagnosis and risk assessment of cardiovascular disease.
This important title brings together a distinguished panel of thought-leaders, known for their insights into the development and application of minimally-invasive surgical and endovascular techniques, to provide a comprehensive and discerning compendium of our most current knowledge and state-of-the-art procedures in the management of cerebral vascular diseases. Written in a style that is accessible to students and experienced practitioners alike, the book covers all the important recent advances that have reshaped the field in dramatic ways. Emphasizing how surgical and endovascular techniques are complementary, the volume includes illuminating chapters on the nexus of endovascular and conventional "open" cerebrovascular surgery, including patient assessment and practice in a hybrid operating environment, utilizing the best methods to achieve optimal outcomes. A major addition to the clinical literature, Management of Cerebrovascular Disorders: A Comprehensive, Multidisciplinary Approach will be of significant interest to neurosurgeons, neurologists, neuroradiologists, neurointensivists, students, residents, fellows, and specialized attending physicians.
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