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Understanding the many complex cellular and molecular mechanisms
underlying human vascular diseases is essential in improving the
treatment of this important and wide-ranging group of diseases that
affect a large proportion of the world po- lation. This book is
based on lectures presented at an International Vascular Biology
Workshop held in London and chaired by Professor Dame Carol Black.
The c- tents are complemented by some invited chapters, all written
by world experts in areas of basic science and clinical medicine
highly relevant to vascular biology and disease. We are
particularly grateful to Professor Arshed Quyyumi, Professor of
Medicine and Cardiology at Emory University, who with his research
group and clinical colleagues, has provided a substantial
contribution to this book. In common with our previous book -
Vascular Complications in Human Disease: Mechanisms and
Consequences published by Springer in 2008, our aim with this book
is to highlight some of the established relationships between basic
science and clinical medicine, and to outline new and exciting
fields of research and practice in vascular biology and
pathobiology. There are two sections: Basic Science of Vascular
Biology and Clinical Aspects of Vascular Biology. In the first
section, dealing with basic science, we have included three
important growth areas: "Genetics and Gene Therapy" cover
approaches to gene therapy and delivery systems, "Animal Models to
Study Vascular Disease" with chapters on animal models of
scleroderma, animal models of atherosclerosis, and finally on the
endothelin system.
Arterial disease and inflammation are fundamental causes of many
medical conditions. Recently, there have been several major
advances in our understanding of the causes of diseases affecting
the heart, lungs, kidneys, skin and blood vessels. The role of
endothelium derived growth factors, nitric oxide and other
messengers in vascular disease has been more clearly defined. New
treatments targeting these molecular disorders are being used with
beneficial effects. Further progress depends on a combined approach
embracing basic and clinical research so that treatments of common,
important diseases can be designed intelligently and
logically.Vascular Complications in Human Disease presents our
understanding of vascular disease, in reviews of the main strands
of basic and clinical research written by leading international
experts. It also identifies routes for further fruitful research
and development. This concise and carefully edited book, avoiding
repetition, includes the full spectrum of basic research which is
not covered in other textbooks.
Translational medicine underpins vascular medicine. It is
fundamental to understanding how we treat patients with vascular
disease and more importantly, how to prevent it. It is the
rationale for drug design and production. Vascular medicine and
translational medicine will take over and become the main reason
for referring patients to hospital. Therefore, hospital-based
clinicians working with basic scientists need to know about
translational medicine, which educates and informs them about
vascular medicine and how management should be based. This book is
a primer for translational vascular medicine and discusses the
evolving and exciting areas of basic science applied to vascular
medicine. The book is based on the third vascular biology
conference held at The Royal College of Physicians in 2008. It
provides a large amount of new basic and clinical information and
the contributors are world leaders.
Understanding the many complex cellular and molecular mechanisms
underlying human vascular diseases is essential in improving the
treatment of this important and wide-ranging group of diseases that
affect a large proportion of the world po- lation. This book is
based on lectures presented at an International Vascular Biology
Workshop held in London and chaired by Professor Dame Carol Black.
The c- tents are complemented by some invited chapters, all written
by world experts in areas of basic science and clinical medicine
highly relevant to vascular biology and disease. We are
particularly grateful to Professor Arshed Quyyumi, Professor of
Medicine and Cardiology at Emory University, who with his research
group and clinical colleagues, has provided a substantial
contribution to this book. In common with our previous book -
Vascular Complications in Human Disease: Mechanisms and
Consequences published by Springer in 2008, our aim with this book
is to highlight some of the established relationships between basic
science and clinical medicine, and to outline new and exciting
fields of research and practice in vascular biology and
pathobiology. There are two sections: Basic Science of Vascular
Biology and Clinical Aspects of Vascular Biology. In the first
section, dealing with basic science, we have included three
important growth areas: "Genetics and Gene Therapy" cover
approaches to gene therapy and delivery systems, "Animal Models to
Study Vascular Disease" with chapters on animal models of
scleroderma, animal models of atherosclerosis, and finally on the
endothelin system.
Cardiovascular disease is the leading cause of death and disability
in the world. It is largely preventable, and can certainly be
delayed by attention to established risk factors. Primary care is
the natural and most appropriate location for cardiovascular
prevention. This accessible and practical reference and everyday
manual covers the organisation of prevention services, estimating
risk and using guidelines, and examines each key area with
extensive use of clinical case studies. It provides the information
necessary to answer the concerns of patients on areas such as
cholesterol, diet, exercise, alcohol, smoking and medication.
General practitioners, practice nurses, physiotherapists,
dieticians and pharmacists will find this book to be an essential
aid to their daily work.
High pressure in the lungs, or pulmonary hypertension, is most
commonly due to smoking-related lung disease and conditions
affecting the left heart, for example, high blood pressure in the
arteries, faulty heart valves, and a weakened heart muscle.
Pulmonary arterial hypertension (PAH), is a rare and complex
disease, associated with many different medical conditions, which
is caused by a growth of cells lining the inside of the lung
arteries, resulting in high pressure in areas of the body. Both
conditions lead to strain and potential failure of the right heart,
and therefore awareness and early diagnosis of the condition is
needed to lead to better outcomes: however this depends on
education of all specialists and primary care clinicians about PAH.
This practical handbook covers both PH and PAH, providing
information required by the wide range of clinicians who will
encounter these conditions, including cardiologists, respiratory
physicians, rheumatologists, specialists in liver and AIDS
medicine, and haematologists. It covers what it is, who it is
likely to affect, how it is diagnosed, including the pitfalls of
the various diagnostic tests, the different and evolving forms of
treatment, long term management of this often devastating chronic
disease, and the crucial role of multidisciplinary management in
optimizing clinical care of these patients who usually have
multi-system diseases. It also covers the up new classification for
both PH and PAH, and new drugs that have recently become available.
Clive Handler and Gerry Coghlan have written a book that will
become essential reading for the primary care physician managing
cardiac problems in the new age of medical practice. In it they
give clear, concise and readable information on diagnosis,
management and treatment priorities in this most important field of
medicine. The book uses current evidence and follows current
guidelines to direct the clinician in treating conditions seen
every day in general practice. It builds confidence in
understanding the role and responsibility in commissioning
cardiology specialist care.The narrative is peppered with real
patient problems and sections giving advice to patients in layman's
language. This book will not only promote the primary care
physician's ability to manage problems in-house but also guide the
commissioning clinician on putting in place appropriate and
efficient specialist services. An excellent text that will be a
valuable addition to the libraries of all general practices. Buy
more than one copy - clinicians from practice nurses, students and
registrars to the most senior doctors will all find it essential
reading.
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