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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
Three-dimensional echocardiography is the most recent fundamental advancement in echocardiography with a strong impact on almost all clinical and research applications of echocardiography.
After a very successful 1st edition, this book presents the fully revised 2nd edition. Accounting for the marked progress of real-time 3D echocardiography since the 1st edition it covers all clinically important aspects of this fascinating new technology, including a comprehensive explanation of its basic principles, practical aspects of clinical application, new recommendations in recent guidelines and detailed descriptions of specific uses in the broad spectrum of clinically important heart disease.
The book was written by a group of well-recognized international experts in the field, who have not only been involved in scientific and clinical evolution of 3D echocardiography since its beginnings but are also intensely involved in expert training courses. As a result, the clear focus of this book is on the practical application of 3D echocardiography in daily clinical routine with tips and tricks for both beginners and experts, all accompanied by more than 150 case examples comprehensively illustrated with more than 850 images and more than 500 videos available on a DVD.
In concert with an in-depth review and comprehensive update of the most recent literature on real-time 3D echocardiography, this book continues to represent an invaluable reference on 3D echocardiography for beginners and expert users.
A complete guide to understanding and treating peripheral arterial disease
A Doody's Core Title
..".especially welcome...One of the many aspects that make this text a wonderful contribution to the literature and deserving of a place in any clinician's library is its comprehensiveness....the diverse backgrounds of the authors contribute to its unique and comprehensive perspective. Peripheral Arterial Disease contains practical information on common disease entities that confront practitioners, as well as insight into the rarer entities that frequently require textbook consultation."--"JAMA"
" It is almost certainly the most comprehensive collection of material devoted solely to noncardiac arterial health and disease ever assembled....This is a good book with something in it for everyone. It is well written and edited, comprehensive, and very up to date. 3 Stars."--"Doody's Review Service"
Written by a multidisciplinary team of internationally recognized authors, this book delivers an in-depth and practical overview of peripheral arterial disease. It covers all major extracardiac arterial systems and serves as a point-of-care reference for the vascular surgeon, radiologist, vascular internist, and cardiologist. "Peripheral Arterial Disease" offers essential insights on clinical presentation, diagnostic tests, and various treatment options, including medical, surgical, and endovascular modalities.
Features: Expert coverage of anatomy, epidemiology, risk factors, pathophysiology, and more Focus on both common and rare disease states in all peripheral circulations Section on diagnostic imaging modalities, including agiography, IVUS, MRI, and ultrasound More than 500 color figures, tables, and charts Author team represents a wide range of specialties Important chapters on vasculitis, intracranial disease, carotid artery disease, the ascending thoracic aorta, and lower extremity peripheral arterial disease -all of which reflect the book's expansive scope Review of fundamental topics such as clinical assessment of endothelial function, blood pressure regulation, taking patient history, and the physical exam
This book provides an up-to-date and comprehensive overview of the etiology, diagnosis and treatment of conditions affecting the structure and function of the right heart, comprising the right atrium, right ventricle, tricuspid valve and pulmonary circulation. Anatomy and physiology of the right heart, etiology and role of imaging of right heart failure, as well as treatment options, from pharmacological regimes to surgery are included in the text. Algorithms and flow diagrams are provided with illustrated snapshots of the decisions involved in the management of these patients. The Failing Right Heart is aimed to serve as an essential reference for cardiac surgeons, cardiologists, cardiac anesthesiologists and cardiac intensivists on the diagnosis and treatment of patients with congenital or acquired right heart disease.
This atlas of echocardiography presents more than 100 cases of adult congenital heart disease, from diagnosis to treatment follow-up. The coverage is broad, encompassing atrial and ventricular septal defects, patent ductus arteriosus, cyanotic adult congenital heart disease, and numerous other anomalies, as well as findings on fetal echocardiography. For each disease, all echocardiographic images and views which proved of diagnostic value are arranged sequentially, with inclusion of transesophageal echocardiographic images whenever appropriate. Additional pertinent information is provided relating to diagnosis and treatment, and key teaching points are highlighted. The superb quality of the illustrations and the range of cases considered (including many rare ones) ensure that this atlas will be of great value for cardiology residents and fellows and highly relevant to day-to-day practice.
This book provides a comprehensive account of the pathogenesis, clinical features, and management of ocular vascular occlusive disorders, with the focus very much on the scientific evidence. This offers a sound basis for addressing the many controversies that surround these disorders, which collectively constitute the most common cause of visual impairment or blindness. The book is divided into two sections, the first of which addresses the basic science and encompasses vascular anatomy, blood supply and flow, and retinal tolerance time to acute ischemia. The second, clinical, section covers the presentation, clinical features, diagnosis, and treatment of the full range of vascular occlusive disorders of the retina, the choroid, the anterior segment of the eye, ophthalmic manifestations of carotid artery disease and the optic nerve. Ocular Vascular Occlusive Disorders, written by a distinguished world leader in the field, will be invaluable for general ophthalmologists, and particularly for retina specialists, neuro-ophthalmologists, and researchers.
AN UPDATE OF THE COMPLETE GUIDE TO CARDIAC CARE-
Hundreds of thousands of American heart patients have used Dr. Julian Whitaker's bestselling REVERSING HEART DISEASE to successfully deal with cardiac problems naturally. Now, drawing on nearly twenty more years of experience at his Whitaker Wellness Institute, Dr. Whitaker examines modern medicine's latest diagnostic techniques, treatments, and drugs—and offers the newest improvements to his comprehensive cardiac program.
REVERSING HEART DISEASE
DISCOVER THE CARDIAC CARE PLAN THAT HAS HELPED THOUSANDS OF HEART-DISEASE SUFFERERS!
Let Dr. Julian Whitaker show you how to reverse heart disease by:
DR. JULIAN WHITAKER'S
ALSO AVAILABLE FROM WARNER BOOKS
A Vital New Program to Prevent, Treat,
and Reduce High Blood Pressure
by Julian Whitaker, M.D.
It strikes one in four Americans without warning, triples your risk of dying from a heart attack, increases your risk of stroke sevenfold, and can lead to kidney disease, diabetes, and blindness...and to fight it, you may be taking expensive-and dangerous-drugs. Now Dr. Julian Whitaker, a leading champion of nutritional medicine, unleashes a new weapon in the war against hypertension. His natural program offers a simple yet dramatically effective plan to combat this lethal disease.
Angina is most commonly associated with myocardial ischemia, but may also be symptomatic of valvular heart disease, hypertrophic cardiomyopathy or uncontrolled high blood pressure. While chronic or stable angina is predictable and relatively easy to manage, it is the sudden and unexpected onset of symptoms in patients with unstable angina that represents the most significant challenge to the clinician, being a risk indicator for acute MI, severe cardiac arrhythmia or even cardiac arrest. Since chest pain can also indicate a number of other less critical conditions, it is important that the clinician can rapidly and accurately determine the true risk status of the patient in each case. In this atlas, the authors guide the reader through the assessment of the patient with chest pain, beginning with the simple physical examination and evaluation of other risk factors that may be present, progressing to non-invasive tests such as EKG and various imaging techniques, and concluding with coronary angiography. The diagnostic value of each of these techniques is compared and appropriate guidance given on evaluating clinical findings.
Approximately 120 different surgical procedures are used to correct congenital heart diseases, and the burden that this places on the surgeon is compounded by the exceptional complexity of the techniques and the rarity of many of the lesions. Training is problematic, not least because of legal issues, and currently available texts, drawings and images are no substitute for real `live' surgery. Against this background, the authors have set out to create an interactive multimedia manual that covers many aspects of congenital heart surgery. Each heart defect is addressed in an individual chapter, elaborating specific surgical anatomy and indication for surgery of heart defect first, followed by video clips depicting the operative approach and technique. The clips are accompanied by a clear descriptive narrative and patient history and diagnostic images are available to provide a clear backdrop to the operation. The chosen format makes this manual not only a very powerful teaching tool for practicing cardiac surgeons and surgeons in training but also a valuable source of information for related services such as pediatric and adult cardiologists, cardiac anesthesiologist, cardiac intensivists, perfusionists and medical students.
"An engaging, compelling and disturbing confrontation with evil .a book that will be transformative in its call for individual and collective moral responsibility." - Michael A. Grodin, M.D., Professor and Director, Project on Medicine and the Holocaust, Elie Wiesel Center for Judaic Studies, Boston University Human Subjects Research after the Holocaust challenges you to confront the misguided medical ethics of the Third Reich personally, and to apply the lessons learned to contemporary human subjects research. While it is comforting to believe that Nazi physicians, nurses, and bioscientists were either incompetent, mad, or few in number, they were, in fact, the best in the world at the time, and the vast majority participated in the government program of "applied biology." They were not coerced to behave as they did- they generated the eugenic theories that rationally led them to design horrendous medical experiments, gas chambers, euthanasia programs and, ultimately, mass murder in the concentration camps. Americans provided financial support for their research, modeled their medical education and research after the Germans, and continued to perform unethical human subjects research even after the Nuremberg Doctors' Trial. The German Medical Association apologized in 2012 for the behavior of its physicians during the Third Reich. By examining the medical crimes of human subjects researchers during the Third Reich, you will naturally examine your own behavior and that of your colleagues, and perhaps ask yourself "If the best physicians and bioscientists of the early 20th century could treat human beings as they did, can I be certain that I will never do the same?" Presents relatively unknown aspects of human subjects research during the Third Reich Reveals surprising relationships between German and American human subjects research Dispels myths about Nazi human subjects research Compels introspection and self-examination by today'
The aim of this guide is to provide clinicians with practical reference for the management of hypertensive patients with other cardiovascular risk factors, which originate from impaired metabolic functions. With the aid of carefully selected, paradigmatic case studies, the physician will find sound advice for the best approach to common but often under-recognized clinical situations, and answers to practical questions that arise when a specific condition is not directly addressed in the guidelines. Question-and-answer sections will help the reader to identify at a glance the most complex steps in the diagnostic and therapeutic process. In a "real world" clinical setting, the hypertensive patient rarely presents with hypertension as the only cardiovascular risk factor, and is more likely to be affected by other metabolic risk factors, such as impairment of lipid metabolism, glucose homeostasis, and purine metabolism, and by overweight or obesity. These cases will serve as a basis for analyzing best practice, highlighting problems in diagnosis and treatment, and selecting the most appropriate management of patients with metabolic risk factors in everyday practice.
This book describes the fundamental biology and mechanics of the vasculature and examines how this knowledge has underpinned the development of new clinical modalities, including endovascular treatment and vascularization of reconstructed tissue for regenerative medicine. Vascular engineering is a multidisciplinary field integrating vascular biology, hemodynamics, biomechanics, tissue engineering, and medicine. Each chapter offers insights into the dynamics of the circulatory system and explains how the impact of related disease conditions - atherosclerosis, hypertension, myocardial ischemia, and cerebral infarction - has generated a focus on developing expertise to both maintain and treat the vascular system. As a comprehensive book in this expanding area, Vascular Engineering serves as a valuable resource for clinicians as well as academics and professionals working in biophysics, biomedical engineering, and nano and microrheology. Graduate students in these subject areas will also find this volume insightful.
Fully updated for the second edition, these handy pocket-sized study cards remain an innovative and versatile revision solution. Containing vital techniques and tips, the study cards condense revision into short essential bursts. Ideal for revising quickly on the move, students can also use them when carrying out examinations, or as a reminder before ward rounds and teaching sessions. Arranged into clear sections, the cards allow the reader to find and digest topics easily, whilst full colour illustrations aid quick and confident diagnoses. Taking a system-based approach, the set covers all essential diseases and syndromes in just 166 double-sided cards. Each card first describes the clinical examination and symptoms, before covering the need-to-know essentials: aetiology, indications, differential diagnoses, complications and suitable investigations. The final part of each card covers the treatment or management of the disease.
This extension to the popular "ECGs for the Emergency Physician
Volume 1 "continues to provide the emergency health care provider
with outstanding practical and emergency medicine-relevant teaching
of a life-saving skill: emergency electrocardiography
This volume can be used individually or paired with Volume 1 to present one of the most comprehensive and educational ECG collections ever assembled for emergency physicians and other acute health care providers.
For over forty years The ECG Made Easy has been regarded as the best introductory guide to the ECG, with sales of over half a million copies as well as being translated into more than a dozen languages. Hailed by the British Medical Journal as a "medical classic", it has been a favourite of generations of medical and health care staff who require clear, basic knowledge about the ECG. This famous book encourages the reader to accept that the ECG is easy to understand and that its use is just a natural extension of taking the patient's history and performing a physical examination. It directs users of the electrocardiogram to straightforward and accurate identification of normal and abnormal ECG patterns. A practical and highly informative guide to a difficult subject. Provides a full understanding of the ECG in the diagnosis and management of abnormal cardiac rhythms. Emphasises the role of the full 12 lead ECG with realistic reproduction of recordings. The unique page size allows presentation of 12-lead ECGs across a single page for clarity. A new opening chapter entitled 'The ECG made very easy' distils the bare essentials of using an ECG in clinical practice with minimal theory and maximum practicality. The second part explains the theory underpinning the recording of an ECG in order to start basic interpretation of the 12 leads. The third part looks at the clinical interpretation of individual ECGs in patients with chest pain, breathlessness, palpitations and syncope as well as understanding the normal variations in ECGs recorded from healthy subjects.
Recent research has identified the assessment of myocardial perfusion and viability as another promising CT application for the comprehensive diagnosis of coronary heart disease. In this book, the first to be devoted to this novel application of CT, leading experts from across the world present up-to-date information and consider future directions. After short sections outlining the state of the art in the traditional applications of CT to image structure and function, the full range of CT techniques that may be employed to evaluate the myocardial blood supply are discussed in detail. Similarly, diverse CT approaches for the assessment of myocardial viability are described, with careful consideration of the available experimental and clinical evidence and the role of quantitative imaging. Protocol recommendations that will be of invaluable practical assistance are also provided.
Heart disease kills causes almost one in four of all deaths in the United States, and is the leading cause of death in both men and women. In the UK, the figures are similar. But there are things we can do to look after our hearts, and to ensure that we are not one of those who die prematurely. Looking after ourselves not only makes us feel better, it means we live longer. In this comprehensive introduction, GP Simon Atkins looks at the heart, how it works, and what the common malfunctions are, covering the common symptoms, causes, specific investigations, treatment and outlook. This book will help you give your heart the best chance of carrying on beating for many years to come.
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 handbook brings together the full weight of contemporary evidence bearing on what is now commonly termed "psycho-cardiology". It focuses on the role of psycho-social factors in the genesis and clinical management of cardiovascular disease (CVD). The book constitutes a critically reviewed compendium of current knowledge in the area, coupled with guides to evidence-based best practice in the field of psycho-cardiology. The following categories are covered: Social/demographic risk for CVD, Personality and CVD risk, Stress and CVD risk, Psychopathology (particularly affective disorders) and CVD risk, The psychological management of those with clinical CVD, Psychology in the prevention of CVD. The book integrates the evidence into a compelling argument that clinicians, researchers and those in public health will discount the role of psychological factors in regard to CVD at their own peril. And importantly for clinicians charged with the care of patients with CVD, the book poses the argument that failure to recognize the links between psychological factors and CVD may well be at the considerable peril of those patients under their care.
Adopting a multidisciplinary approach with input from physicists,
researchers and medical professionals, this is the first book to
introduce many different technical approaches for the visualization
of microcirculation, including laser Doppler and laser speckle,
optical coherence tomography and photo-acoustic tomography. It
covers everything from basic research to medical applications,
providing the technical details while also outlining the respective
strengths and weaknesses of each imaging technique.
The number of dialysis patients, and their ages, continues to increase globally. This creates major issues such as rising medical costs in an aging population, how to best manage end-of-life care, and how to train the various practitioners involved in dialysis care. After the US and China, Japan occupies 3rd place with regard to the number of dialysis patients and is also widely regarded as a world leader in dialysis. This book contains selected articles - organized into 4 chapters - that discuss recent advances in dialysis therapy in Japan. Chapter 1 presents insights into causes, risk factors, disease associations, and possible implications for management of dialysis patients. Chapter 2 examines recent progress in hemodialysis treatment, and chapter 3 focuses on developments in peritoneal dialysis. The final chapter concentrates on recent advances in apheresis and current trends in practice, among other topics. This book is aimed at nephrologists, physicians, urologists, nurses, clinical engineers, pharmacists, and nutritionists. It is a significant contribution to furthering the progress of dialysis therapy worldwide.
A collection of 200 high quality ECGs (Electrocardiogram's) that cover the entire spectrum of emergency electrocardiography. The first half of the book represents an intermediate level of difficulty and is ideal for residents in training and for the emergency medicine board review. The second half contains more advanced ECGs and will challenge even the most seasoned emergency medicine practitioner. When taken in its entirety, the book contains one of the best collections of ECGs ever assembled, targeted at advancing the ECG interpretation skills of emergency physicians and other acute health care providers.
Written by internationally renowned experts, this volume is a collection of chapters dealing with imaging diagnosis and interventional therapies in chest and heart disease. The different topics are disease-oriented and encompass all the relevant imaging modalities including X-ray technology, nuclear medicine, ultrasound and magnetic resonance, as well as image-guided interventional techniques. The book represents a condensed overview of many topics relevant in chest and heart disease and is aimed at residents in radiology as well as at experienced radiologists wishing to be updated on the current state-of-the art.
This volume focuses on the etiology and morphogenesis of congenital heart diseases. It reviews in detail the early development and differentiation of the heart, and later morphologic events of the cardiovascular system, covering a wide range of topics such as gene functions, growth factors, transcription factors and cellular interactions that are implicated in cardiac morphogenesis and congenital heart disease. This book also presents recent advances in stem cell and cell sheet tissue engineering technologies which have the potential to provide novel in vitro disease models and to generate regenerative paradigms for cardiac repair and regeneration. This is the ideal resource for physician scientists and investigators looking for updates on recent investigations on the origins of congenital heart disease and potential future therapies.
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