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This book is intended to be a link between guidelines and clinical practice, a complementary tool to help physicians to be well informed regarding the important field of heart failure. It will be a useful tool for professionals from all the fields of cardiology: non-invasive cardiology, interventional cardiology, electrophysiology and cardiovascular imaging. The topic of heart failure is continuously changing, with new important information being added constantly. The pathophysiology is better understood and there is a trend for a better characterization of special groups of population, such as oncologic patients with heart failure. The new imaging techniques have become valuable tools for the diagnosis of heart failure, while pharmacological and novel cell and gene treatments have evolved enormously. The challenge for the practitioners is making the right selection of treatment strategy that best fits a patient. This book presents detailed information on the indications, selection and mechanism of action of these treatments, whether they be mechanical circulatory devices or pharmacological treatments. The contemporary pharmacological and non-pharmacological management of heart failure has the main target of early prevention of disease progression and the avoidance of heart transplant. In the era of shortage of donors, prevention is the mainstay of the therapeutic strategy, and this is the main philosophy of our book.
Since the first edition of this book was published in 2004, computed tomography has seen groundbreaking technical innovations that have transformed the field of thoracic imaging and opened novel possibilities for the detection of thoracic pathologies. This book highlights cutting-edge thoracic applications of CT imaging in the context of these technical innovations and discusses the latest opportunities, with critical appraisal of challenges and controversies. All topics are covered by renowned international experts. Chapters from the original edition have been thoroughly updated to reflect the state of the art in technology and scientific evidence, and new contributions included on recent developments such as dual-energy CT and CT imaging in patients with acute chest pain. The book is abundantly illustrated with high-quality images and illustrations.
A comprehensive review of the impact of dietary nutraceuticals on platelet function and its relationship to cardiovascular disease Nutraceuticals and Human Blood Platelet Function offers a summary of the most current evidence on the effects of anti-platelet factors isolated mainly from food and natural sources, their structure function relationship, bioavailability, mechanisms of actions, and also information on human trials data. The author--a noted expert in the field-- explores platelet function and their roles in development of CVD, functional foods and bioactive compounds in CVD risk factors. The author highlights platelets, their mechanisms of actions, data from epidemiological studies, structure-function relationship clinical trial data, ex vivo and in vitro data. This important resource will focus primarily on human studies and emphasize functional and physiological implications of the nutritional impact on platelet function and CVD that could be an important approach to highlight the concept of preventive CVD nutrition. An authoritative text, Nutraceuticals and Human Blood Platelet Function: Offers a unique resource that connects nutrition with platelet function and its impact on cardiovascular disease Contains an evidenced-based approach, including data from human and animal clinical studies Reveals the impact of bioactive compounds and their effect on platelets Presents a text that is authored by an expert with vast experience in the field of nutrition and platelet function Written for professionals, academics, researchers, and students associated in the area of nutrition, Nutraceuticals and Human Blood Platelet Function offers a review of the most current research on the effects of platelet function and their roles in development of CVD, functional foods and bioactive compounds in CVD risk factors.
For over 50 years, coronary angiography has been the mainstay of diagnosing and quantifying the extent of coronary artery disease. However appreciation of the inherent limitations of conventional angiography has led to a plethora of new imaging modalities, each with their relative strengths and potential pitfalls. Advances in these techniques have given clinicians, as well as researchers, an overwhelming amount of information and the need for thoughtful interpretation. This outstanding book provides a comprehensive overview of the current status of imaging of coronary atherosclerosis. Covering the wide variety of available imaging modalities, the book provides state-of-the-art knowledge from leading authorities in each area. In their discussion, the authors include both invasive and non-invasive modalities, including the gold standard coronary angiography, the growing field of IVUS, and novel techniques such as functional imaging, molecular imaging, and the integration of biomarkers. The key concepts and practical information given in this volume will provide the reader with the necessary understanding to choosing appropriate imaging studies and building confidence in their skill set with each.
Clinical management and signs are the focus of this practical cardiogenetic reference for those who are involved in the care for cardiac patients with a genetic disease. With detailed discussion of the basic science of cardiogenetics in order to assist in the clinical understanding of the topic. The genetic causes of various cardiovascular diseases are explained in a concise clinical way that reinforces the current management doctrine in a practical manner. The authors will cover the principles of molecular genetics in general but also specific to cardiac diseases. They will discuss the etiology, pathogenesis, pathophysiology, clinical presentation, clinical diagnosis, molecular diagnosis and treatment of each cardiogenetic disease separately. Therapy advice, ICD indications, indications for and manner of further family investigation will all be covered, while each chapter will also contain take-home messages to reinforce the key points. The chapters reviewing the different diseases will each contain a table describing the genes involved in each. Each chapter will also contain specific illustrations, cumulatively giving a complete, practical review of each cardiogenetic disease separately. Special emphasis will be given to advice on how to diagnose and manage cardiogenetic diseases in clinical practice, which genes should be investigated and why, and the pros and cons of genetic testing. Guidelines for investigation in families with sudden cardiac death at young age will also be included. This book will be written for the general cardiologist and the clinical geneticist who is involved in cardiac patients and will provide answers to question such as: Which genes are involved and which mutations? What is the effect of the mutation at cellular level? Which genes should be tested and why? What is the value of a molecular diagnosis? Does it influence therapy? When should the first degree relatives be tested and in which way?
This issue of Interventional Cardiology Clinics will explore Updates in Percutaneous Coronary Intervention. Curated by the series Editor-in-Chief, Dr. Matthew J. Price, this issue will cover topics and advances in the field that are relevant for practicing clinicians. This issue is one of four selected each year by Dr. Price. The volume will include articles on: Current Concepts in Intraprocedural Pharmacology During PCI; Periprocedural Myocardial Infarction in Contemporary Practice; Newer Generation Metallic Stents: Design, Performance Characteristics, and Outcomes; Distal Transradial Access for Coronary Angiography and Intervention; Clinical Outcomes Data for iFR-guided PCI; Culprit-only or Complete Revascularization During STEMI in Patients with and Without Shock; Technical Approaches to Left Main Coronary Intervention: Contemporary Best Practices; Robotic Assisted Percutaneous Coronary Intervention; Orbital Atherectomy: A Comprehensive Review; and Percutaneous revascularization of spontaneous coronary artery dissection, among others.
The paradigm for atrial fibrillation (AF) management has changed significantly in recent years. A new era has begun for the prevention of one of the most tremendous complication of AF, stroke. Prevention of ischemic stroke in AF patients with oral anticoagulants represents a huge challenge because of the narrow therapeutic change of these drugs, interindividual and intraindividual variability, and the unsatisfactory time in therapeutically range (TTR) with this type of medication. New guidelines have emerged as a result of new mechanisms for initiation and perpetuation for pharmacotherapy to cure AF and trials with new classes of antithrombotic drugs are ongoing. The treatment of AF is still in its infancy, but recent research is revealing how it can be applied with optimal efficacy. This book assists trainees, recertifying physicians, practicing physicians and other professional staff in internal medicine, cardiology, emergency medicine, and clinical pharmacology to apply new diagnostic tools for selecting the best treatment options for AF patients.
This series is intended particularly for young doctors working in hospitals and in primary care and for those involved in training them. The series has been designed to cover growing points in medicine and the authors have been chosen, not just because of their expertise, but also because they are working both in hospitals and the community and are thus sensitive to the problems and needs of doctors in both areas.
If you are one of the many physicians from different specialty
disciplines who perform endovascular interventions then this
practical reference will help you to develop your endovascular
skills and encompass them into daily practice.
Providing a practical, current, evidence-based approach to all aspects of perioperative care for the patient with vascular disease, Vascular Anaesthesia is an essential read for all vascular anaesthetists, anaesthetic nurses and anyone else involved in the care of vascular patients throughout the world. Vascular Anaesthesia summarizes current knowledge, particularly on interventional procedures (radiological, diagnostic, and surgical). This book also equips the trainee anaesthetist with the scientific and clinical knowledge to pass the Final FRCA examination. It enables doctors to approach vascular surgical patients with a firm understanding of a particular procedure, particularly its risks and options for perioperative management based on current best practice. The management of the patient with vascular disease is evolving rapidly: this indispensible poket reference is of sufficient detail to update the regular and occasional vascular anaesthetist with current best practice for particular, common clinical scenarios. The book also equips the non-anaesthetic medical, nursing, and theatre staff with knowledge and understanding of all other aspects of perioperative care.
Cardiovascular diseases are the leading cause of death in almost 40% of patients suffering from end stage renal disease (ESRD). Cardiomyopathy and ischemic heart disease are the most frequent causes of cardiac death. The risk of cardiovascular mortality in dialysis patients is 10 to 20 times greater than the general population, particularly in younger patients, taking into account that the relative risk decreases with age. Left ventricular hypertrophy (LVH) is the most common cardiac abnormality in chronic kidney disease (CKD), and the survival risk ratio in such patients is independent. This book examines the molecular mechanisms, treatments and clinical implication of cardiac remodeling. The first chapter discusses risk factors for cardiovascular disease in patients on continuous ambulatory peritoneal dialysis. The following chapters examine the impacts tropomyosin, vitamin D, and coffee have on cardiac remodeling.
This book provides readers with the latest developments in cardiovascular research. Topics covered include the morphology and implications of atrial septal defects; the epidemiology, clinical presentation, preliminary diagnostics and imaging of arterial septal defects; the pathophysiology, epidemiology, clinical presentation, imaging, treatment and prognosis of constrictive pericarditis and cardiac tamponade; the psychological distress lived by patients and their caregivers after a cardiac arrest; the significance and limitations of coronary angiography and intravascular imaging systems, covering almost all devices currently available in Japan, where intracoronary imaging is being utilized aggressively; previous reports on coronary endothelial dysfunction and/or spasm after stent implantation and the clinical implications, and prognosis; and the relationship between Type D personality and health-related behaviors.
The world is witnessing a burgeoning global epidemic of chronic cerebro- and cardiovascular disease and depression disorders. The reader will find this comprehensive book to be a long-needed, up-to-date knowledge base on these increasingly recognized comorbid conditions that have long-term consequences for individual function and well-being and society in general. This comprehensive book outlines the complex and bidirectional relationship between various types of depression and cerebro- and cardiovascular diseases. It is written by a range of experts in the field, including psychiatrists, cardiologists, neuroscientists, psychologists, and epidemiologists, with the aim of presenting and discussing the most recent evidence on the pathophysiology, neurobiology, and clinical presentation of these common and disabling comorbid conditions and the available pharmacological, psychological, and behavioral interventions. By elucidating the underlying clinical and neurobiological mechanisms in the brain and the rich interplay between the body and the brain biology, the book brings together the latest knowledge of this overlapping area in Psychiatry and Cardiology. The clear descriptions of evidence-based approaches to clinical treatment ensure that it will serve as both an up-to-date overview and a future guide for practicing clinicians and graduate students.
This book will serve as a comprehensive reference source and self-assessment guide for physicians and technologists who practice myocardial perfusion SPECT imaging. Readers will learn to identify a wide variety of findings apart from the left ventricle, including those in the chest, the abdomen, and the right heart. It is explained which findings are clinically relevant and related to the reason for the myocardial perfusion imaging examination and which are incidental, with or without important clinical ramifications. The coverage includes a wide variety of common and uncommon focal lesions (e.g., benign or malignant neoplasms) and organ/systemic diseases (e.g., emphysema, cirrhosis and its sequelae, cholecystitis, duodenogastric reflux/gastroparesis, end-stage renal disease) that may be detected with myocardial perfusion SPECT imaging. In addition, guidance is provided in the recognition of typical artifacts, which may appear either "hot" or "cold" on the raw (unprocessed) and processed SPECT images, and, thereby, in the avoidance of potential interpretative pitfalls.
In one compact resource, Echocardiography Review Guide, 4th Edition, provides both a concise review and an effective self-assessment for exam preparation. Easy-to-digest, bulleted text summarizes key concepts and gives precise step-by-step instructions for performing and interpreting echocardiographic studies. Study and self-assessment questions throughout help you increase your knowledge and identify areas for further study. This study guide is an ideal companion to Dr. Otto's Textbook of Clinical Echocardiography and is a must-have resource for anyone preparing for the echocardiography boards, the PTEeXAM, the diagnostic cardiac sonographer's exam, or other sonography exams. Includes updated images, content, and 30% NEW multiple-choice questions to address changes in the field and in the revised companion text, Textbook of Clinical Echocardiography. Contains concise, step-by-step instructions and questions on all aspects of echo use and interpretation, including how to record echos, avoid pitfalls, perform calculations, and understand the fundamentals for every type of cardiac problem. Teaches and tests in one convenient volume! Questions and answers are fed into an assessment and testing module on the website for convenient learning and review. Helps you prepare for exams with "The Echo Exam" section included in each chapter, which features a summary of how to perform the procedure along with all the necessary calculations, and diagnostic information you may encounter. Offers additional images and examples to help readers understand the concepts presented in the Textbook of Clinical Echocardiography. A quick reference guide and learning tool to keep "in your pocket" for integrating your clinical experience with didactic learning. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
This book provides comprehensive analysis into individualized patient care, and applying evidence-based medicine while integrating basic medical knowledge with applied medicine. The Editor and the contributors not only discuss important issues on hypertension management and its deleterious consequences if it is not well-controlled, but also highlight the important signaling pathways involved in the pathogenesis of hypertensive heart disease and cardiac hypertrophy.
Grasp the electrocardiography basics and identify arrhythmias accurately, with the freshly updated ECG Workout, 7th Edition . Fully addressing the most common arrhythmias, this clearly worded text will take you step-by-step through expert ECG tracing interpretation methods, including differentiating among rhythm groups, equipment use, and management protocols. This is the go-to ECG guide for both student training and professional review-perfect for physicians, nurses, medical and nursing students, paramedics, emergency medical technicians, telemetry technicians, and related practitioners. Get a strong grounding in accurate ECG readings with . . . NEW pull-out arrhythmia summary cards help you interpret end-of-chapter practice strips NEW and updated advanced cardiac life support (ACLS) guidelines incorporated in each arrhythmia chapter NEW and updated figures, boxes, tables, and additional practice strips Updated coverage of all ECG concepts and skills, including: Illustrated anatomy and physiology of the heart Electrical basis of electrocardiology Arrhythmia chapters: sinus, atrial, junctional and AV blocks, ventricular and bundle-branch block rhythms-examples, causes, clinical treatments, and practice strips Step-by-step direction on interpreting rhythm strips Components of the ECG tracing: waveforms, intervals, segments, complexes, and waveform identification Discussion of cardiac monitors, lead systems, lead placement, ECG artifacts, and troubleshooting monitor problems Methods for precise rate calculation Discussion of cardiac pacemakers: types, indications, function, pacemaker terminology, malfunctions, and pacemaker analysis, with practice tracings ECG conversion table ensures precise heart rate calculation with plastic pocket version inside back cover Skillbuilder practice strips -more than 600 life-size ECG tracings: End-of-chapter strips from actual patients, with 3-second indicators for rapid-rate calculation, and answers at back of book A mix of arrhythmias to help you distinguish among types Posttest with mix of more than 100 waveform rhythm strips, for student testing or self-evaluation
This is a book for any care provider - from advanced students and nurses to residents and even specialists - who needs to master the interpretation of ECGs, especially while "on the spot" at the point of care. This easy-to-use, visual guide takes a novel approach, foregrounding the visual clues or "keys" that readers can learn to recognize in ECGs and thus make rapid decisions about next steps at the point of care. The comparatively minimal text focuses on "must-know" information about the underlying cause of ECG abnormalities. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store.
This book covers all aspects of the prevention, diagnosis, and treatment of stroke, offering an integrated perspective that will be relevant to a range of specialists. Extensive consideration is given to the different methods of stroke prevention and arterial revascularization, with up-to-date information on pharmacological measures and clear presentation of endovascular stent placement procedures and surgical techniques, including those involving the carotid artery, vertebral artery, and aortic arch. Complex procedures, such as simultaneous bilateral carotid revascularization, are discussed in depth, drawing on a large series of cases and setting out practical rules. The diagnosis and treatment of intra- and extracranial aneurysms and the management of cervical trauma are examined fully. In addition, the reader is provided with guidance on characterization of the culprit lesion by means of different imaging modalities and with advice on the importance of a multidisciplinary team and combined approaches (endovascular and surgical), identification of risk factors, anesthesia, neuromonitoring, and hemodynamic monitoring. The book will be of value not only for cardiac and vascular surgeons but also for cardiologists, neurologists, neurosurgeons, anesthesiologists, anatomists, specialists in diagnostic imaging, and interventional radiologists.
Manual of Coronary Chronic Total Occlusion Interventions: A Step-by-Step Approach, Second Edition, is an easy to read reference for coronary chronic total occlusion interventions (CTO). Written by recognized national and international experts in the field, this reference compiles the steps necessary to preform, what pitfalls to watch out for, and troubleshooting tactics necessary for coronary chronic total occlusion interventions (CTO). This second edition is updated with new developments in the field. The 2nd edition covers techniques like the Carlino technique, "scratch and go", "BASE", double-blind stick and swap, and subintimal crush, along with tips about how to use the latest complex PCI equipment. It also covers recently published trials, CTO scores and hybrid series. Written to bring a practical and easy to read approach, this book is perfect for interventional cardiologists, interventional and general cardiology fellows, cardiology researchers, physicians, cardiac catheterization laboratory personnel, technical staff,industry professionals and everyone else interested in understanding the cutting edge and rapidly evolving field of coronary CTO interventions.
Covering both principles and practice, The ESC Textbook of Preventive Cardiology is a 'state of the art' resource for both the primary and secondary prevention of atherosclerotic cardiovascular disease. Comprehensive, practical and extensively linked to practice guidelines and recommendations from the European Association of Preventive Cardiology (EAPC) it clearly connects the latest evidence base to strategies and proposals for the implementation of prevention in clinical practice. With a strong clinical focus the topics covered range from epidemiology and risk stratification through psychological factors, behaviour and motivation to secondary prevention, integrating hospital-based and community care for cardiovascular disease prevention and information on cardio-protective drugs. Case studies, clinical decision-making trees and drug tables with recommended doses and potential side-effects make it easier than ever to implement treatments in practice. Drawing together current knowledge and evidence, and examining all aspects of preventive cardiology in one succinct volume, The ESC Textbook of Preventive Cardiology is the ideal guide for the physician and allied health professional working to prevent and treat cardiovascular disease in their daily practice. This print edition of The ESC Textbook of Preventive Cardiology comes with 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.
"Cardiology Core Curriculum" fills the gap between the preclinical pathophysiology texts and specialist volumes aimed at cardiologists. It covers clinical cardiology for medical students, cardiology trainees and non specialists. Based on a successful course run by the Cardiology Division, University of Texas at Southwestern Medical Center in Dallas, the problem oriented approach is in line with current medical school teaching. Case histories with self testing questions reinforce the learning and are ideal for exam preparation.
This book focuses on diverse aspects of the relationship between hypertension and brain damage, providing up-to-date information that will be of interest to both clinicians and researchers. After an introductory chapter on epidemiology, the significance of various comorbidities that represent risk factors for brain damage in the context of hypertension is discussed. Detailed consideration is then given to the effects of hypertension on small and large cerebral arteries and the consequences for brain damage. Similarly, the association between hypertension and ischemic and hemorrhagic stroke is fully explored, and the evidence and guidelines regarding reduction of high blood pressure during the acute phase of each form of stroke are summarized. Both the primary and the secondary prevention of stroke are addressed, with presentation of the results of key trials. Readers will also find interesting new perspectives on the roles of different imaging techniques, including CT and functional MRI, in detecting and diagnosing brain damage in patients with hypertension. The closing chapters review the relation of hypertension to subjective and objective cognitive failures and to cognitive decline and dementia.
This issue of Heart Failure Clinics, guest edited by Mani A. Vannan, will focus on Imaging the Failing Heart. Topics include, but are not limited to, The Healthcare Burden of Heart Failure; Nomenclature, Classification, Stages of Heart Failure; Left Ventricular Size and Ejection Fraction; Left Ventricular Wall Thickness and Mass; Myocardial Strain and Dyschrony; Myocardial Scar and Fibrosis; Left Atrial size and Function; Right Ventricular Size and Function; Mitral and Tricuspid Regurgitation; Diastolic Function; Intraventricular Flow; Resting and Exercise Doppler Hemodynamics; Ultrasound of the Lung; Role of Imaging in Specific Cardiomyopathies; and Interventional Imaging in Heart Failure.
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