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Therapy in cardiology has advanced enormously in recent years. This
has resulted in the organization of many meetings and the
publication of numerous books dedicated to examining the latest
aspects of, for instance, pharmacolog ic, electrical and surgical
treatment. However, only a few of these meetings and publications
have attempted to present an overall review of all advances that
have taken place in the field of therapy. In the last years the
Spanish Society of Cardiology has shown a great interest in the
continuous medical education in cardiology. The Society has
organized various meetings and has published several books on the
above-mentioned topics. Consequently, the Society has decided to
publish this book, an update of the therapeutics in cardiology, of
which a Spanish version is also available. World renowned experts
and outstanding Spanish cardiologists were invited to review all
aspects of therapy in cardiology. We would like to thank the
Spanish Society of Cardiology and the Catalan Cardiac Society for
the generous assistance they have given us during all stages of
book preparation. We also would like to express our appreciation to
all the authors for their valuable contributions. Their combined
efforts enable us to put this volume in the hands of the reader."
Sudden death is probably the greatest challenge facing modem
cardiology today. This is mainly due to the impact of its brusque
appearance and the socioeconomic implications. The incidende is
presently decreasing somewhat, mainly due to the decline in new
cases of ischemic heart disease on one hand, and to better preven
tion in risk patients on the other. Nevertheless, the figures are
still high and represent over 300.000 patients per year in the
United States alone. This book is an updating of the problem of
sudden death from a multifactorial standpoint. It includes not only
electrophysiologic data but also covers aspects ranging from
epidemiology to prevention. Risk markers and triggering mechanicsms
of sudden death are reviewed, with special emphasis on the role of
electrical instability, ischemia and depressed ventricular
function. The book includes the contributions from many experts,
often pioneers in their respective fields. It is our hope that the
book serves as an Updating for those cardiologist who are not
specialized in these subjects, but may also be of interest to the
expert. We wish to express our sincerest gratitude to the authors
for sending in their work so promptly, and also Kluwer Academic
Publishers for their exactitude and perfection in this edition."
Cardiovascular diseases are the most important causes of death in
the world today. In adults, the most frequent heart disease is
acute myocardial infarction, which can lead to sudden death. To
prevent these diseases we need to fight against their main risk
factors, which include smoking, lipid disorders, hypertension,
diabetes and a sedentary life-style, among others. It has been
demonstrated that physical exercise or sports at any age provide
notable benefits and can help to decrease other risk factors and
reduce the incidence of cardio vascular diseases. Exercise can be
simply walking or cycling. Aerobic exercise con tributes to weight
loss and also helps to control blood pressure, cholesterol and
diabetes. It therefore plays an important role in prevention of
heart diseases. Sports for young people are of great value and
advisable not only because they con tribute to physical fitness but
also because they help in psychological well-being. Young people
should be encouraged to include general exercise, and particularly
sports, into their daily activities. The following points however,
should be kept in mind: I. Although winning at a sport is
important, this is only so if it is achieved in natural physical
conditions and with the correct training. Therefore, it is
advisable to keep well away from any type of activity which
artificially increases physical performance, that is, drug taking."
Cardiovascular diseases are the most important causes of death in
the world today. In adults, the most frequent heart disease is
acute myocardial infarction, which can lead to sudden death. To
prevent these diseases we need to fight against their main risk
factors, which include smoking, lipid disorders, hypertension,
diabetes and a sedentary life-style, among others. It has been
demonstrated that physical exercise or sports at any age provide
notable benefits and can help to decrease other risk factors and
reduce the incidence of cardio vascular diseases. Exercise can be
simply walking or cycling. Aerobic exercise con tributes to weight
loss and also helps to control blood pressure, cholesterol and
diabetes. It therefore plays an important role in prevention of
heart diseases. Sports for young people are of great value and
advisable not only because they con tribute to physical fitness but
also because they help in psychological well-being. Young people
should be encouraged to include general exercise, and particularly
sports, into their daily activities. The following points however,
should be kept in mind: I. Although winning at a sport is
important, this is only so if it is achieved in natural physical
conditions and with the correct training. Therefore, it is
advisable to keep well away from any type of activity which
artificially increases physical performance, that is, drug taking."
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