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Hypertrophic cardiomyopathy is a disease of the cardiac muscle
leading to severe debilitating symptoms with relentless
progression. Medical options in treating this disease are limited
to its early stages, with the disease often becoming resistant to
pharmacological interventions. Hypertrophic Cardiomyopathy: A
Practical Guide to Diagnosis and Management describes the various
sub-types of this condition, including its unique anatomic
features, with an emphasis on a therapeutic approach, encapsulating
several techniques. Surgical myectomy has become the gold standard
of effective treatment. This book also throws light on patient
selection, newer surgical techniques, and novel image-based
pre-operative planning modalities for surgical myectomy. Key
Features Explores the surgical aspects along with the clinical
coverage of hypertrophic cardiomyopathy Provides ready resource for
practicing cardiologists, practitioners, trainees, and fellows
Covers anatomical variants, mitral valve pathology, and
non-invasive pre-surgical planning with a detailed surgical video
and intra-operative pictures
Hypertrophic cardiomyopathy is a disease of the cardiac muscle
leading to severe debilitating symptoms with relentless
progression. Medical options in treating this disease are limited
to its early stages, with the disease often becoming resistant to
pharmacological interventions. Hypertrophic Cardiomyopathy: A
Practical Guide to Diagnosis and Management describes the various
sub-types of this condition, including its unique anatomic
features, with an emphasis on a therapeutic approach, encapsulating
several techniques. Surgical myectomy has become the gold standard
of effective treatment. This book also throws light on patient
selection, newer surgical techniques, and novel image-based
pre-operative planning modalities for surgical myectomy. Key
Features Explores the surgical aspects along with the clinical
coverage of hypertrophic cardiomyopathy Provides ready resource for
practicing cardiologists, practitioners, trainees, and fellows
Covers anatomical variants, mitral valve pathology, and
non-invasive pre-surgical planning with a detailed surgical video
and intra-operative pictures
The topic of heart failure although extensively researched and
reported, has several gray areas. This is especially seen in
determining strategies for combating advanced heart failure. The
global burden of ischemic heart disease is increasing at an
alarming rate to almost pandemic proportions. Even in the presence
of state-of the art technology for prompt and successful coronary
reperfusion, the population progressing to ischemic cardiomyopathy
is substantial. The treatment strategies for ischemic
cardiomyopathy do not always ensure optimal clinical results, the
reasons for which are varied. The proper patient selection is vital
as is the tailoring of suitable therapy. The approach is thus
multi-pronged, of which surgical ventricular restoration (SVR) has
a definite role. Despite various randomized studies like the
STICH-hypothesis 2, where there was a huge selection bias, with
patients subjected to an erroneous technique of SVR, with
inadequate ventricular remodelling assessment. The present need is
to understand the unique anatomy of the left ventricle, its
function and perturbations with the onset of heart failure, in
order to plan therapeutic strategies to restore near normal anatomy
and function. A study of the hemodynamics in ischemic
cardiomyopathy is essential, as it differs in certain aspects from
other causes of heart failure like idiopathic dilated
cardiomyopathy and valvular heart diseases. Since information on
these aspects are scattered in various scholarly articles, a
concise source in the form of a book would be appropriate and
useful for both cardiologists and cardiac surgeons. This project
represents a concise review of normal and abnormal cardiac anatomy
and physiology, the evolution of SVR to EVLPP with validation of
near normal ventricular restoration, plus act as a reference guide
for cardiac surgeons with interest in SVR.
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