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The aims and scope of this atlas include a complete review of the embryology of the normal heart, the normal cardiac anatomy along with a complete discussion of the terms and definitions used to identify and clarify both normal and abnormal anatomy. In addition, techniques of cardiac CT angiography as it pertains to imaging congenital abnormalities are discussed including radiation concepts and radiation saving techniques. The bulk of this book then goes on to completely review the field of adult congenital heart disease using text and more importantly a multitude of pictorial examples (in color and grey scale) to demonstrate the abnormalities. Drawings accompany each picture to better explain the example. Furthermore, difficult and complex anatomical examples are supplemented with digital images and movies to aid in illustrating and understanding the anatomy. Each general set of anomalies as well as each specific abnormality or set of abnormalities includes a concise and simple review of the embryology and epidemiology of the abnormality as well as a concise explanation of the anatomy of the abnormality. In addition, the methods to identify and recognize the abnormality by computed tomography is discussed. Finally, the prognosis and common treatment options for the anomaly are addressed within this comprehensive book.
In the United States, there are approximately 1 million adults with congenital heart disease, with 20,000 new patients reaching adolescence each year. With early pediatric diagnosis, improved medical, surgical and post operative care, it is now expected that 90% of patients born with congenital heart disease (CHD) will survive to adulthood. Therefore, the number of adult CHD (ACHD) patients will continue to rise. In fact, it is now estimated that for the first time in history, there are more adults living with CHD than children. The cardiologist who deals with these patients must therefore be familiar with congenital heart lesions in their uncomplicated state and know appropriate testing and follow-up methods. Also the inherent complexity of this type of cardiovascular disease really needs a comprehensive, multimedia included, practical and case base approach and assessment. The aim of this book is to provide a case base approach to adult patients with congenital heart disease including all diagnostic and treatment methods focus on physical exam, ECG, chest X-Ray, heart sounds, advanced echocardiography including of TTE & TEE, cardiac CT, CMR, catheterization, interventional procedures, surgery and also anesthesia highlights in these patients.
Practical Manual of Echocardiography in the Urgent Setting covers the essentials of echocardiography in the acute setting, from ultrasound basics to descriptions of all pertinent echocardiographic views to clear stepwise advice on basic calculations and normal/abnormal ranges.
This compact new reference:
- Provides step-by-step guidance to acquiring the correct views and making the necessary calculations to accurately diagnose cardiac conditions commonly encountered in urgent settings.
- Presents information organized by complaint/initial presentation so that readers can work from this first knowledge of the patient through the steps required to pinpoint a diagnosis.
- Covers echo basics, from sound wave characteristics/properties to common device settings to basic ultrasound formulas.
- Includes diagnostic algorithms fitted to address the differential diagnosis in the most commonly-encountered clinical scenarios.
Designed and written by frontline clinicians with extensive experience treating patients, Practical Manual of Echocardiography in the Urgent Setting is the perfect pocket-sized guide for residents in cardiology, emergency medicine, and hospital medicine; trainees in echocardiography; medical students on cardiology or emergency medicine rotations; technicians, nurses, attending physicians -- anyone who practices in the urgent setting and who needs reliable guidance on echocardiographic views, data and normal/abnormal ranges to aid rapid diagnosis and decision-making at the point of care.
This updated textbook provides an essential evidence-based approach to echocardiography and includes practical case-based instruction illustrating a wide variety of clinical scenarios in which echocardiography is a vital diagnostic option for physicians. It reflects how echocardiography has evolved into a complex multimodality method for evaluating and quantifying cardiovascular lesions, and explains the use of hemodynamic assessment of the heart using echocardiography, transesophageal and three-dimensional echocardiography, deformation imaging and assessment of myocardial perfusion, which have added a new dimension to real-time noninvasive evaluation of patients. Echocardiography highlights the clinical utility of these evolving modalities that are now crucial to the renaissance of echocardiography, and it provides a thorough clinical review of this most revealing and adaptable methods of imaging a patient. The Editors and their world-class group of contributors have created an essential reference for those in training or who already use echocardiography in their practice.
Vascular management and care has become a truly multidisciplinary enterprise as the number of specialists involved in the treatment of patients with vascular diseases has steadily increased. While in the past, treatments were delivered by individual specialists, in the twenty-first century a team approach is without doubt the most effective strategy. In order to promote professional excellence in this dynamic and rapidly evolving field, a shared knowledge base and interdisciplinary standards need to be established. Pan Vascular Medicine, 2nd edition has been designed to offer such an interdisciplinary platform, providing vascular specialists with state-of-the art descriptive and procedural knowledge. Basic science, diagnostics, and therapy are all comprehensively covered. In a series of succinct, clearly written chapters, renowned specialists introduce and comment on the current international guidelines and present up-to-date reviews of all aspects of vascular care.
Cardiac computed tomography (CT) has become a highly accurate diagnostic modality that continues to attract increasing attention. This extensively illustrated book aims to assist the reader in integrating cardiac CT into daily clinical practice, while also reviewing its current technical status and applications. Clear guidance is provided on the performance and interpretation of imaging using the latest technology, which offers greater coverage, better spatial resolution, and faster imaging while also providing functional information about cardiac diseases. The specific features of scanners from all four main vendors, including those that have only recently become available, are presented. Among the wide range of applications and issues discussed are coronary calcium scoring, coronary artery bypass grafts, stents, and anomalies, cardiac valves and function, congenital and acquired heart disease, and radiation exposure. Upcoming clinical uses of cardiac CT, such as hybrid imaging, preparation and follow-up after valve replacement, electrophysiology applications, myocardial perfusion and fractional flow reserve assessment, and plaque imaging, are also explored.
Everything you need to incorporate complementary and alternative therapies into traditional cardiology practice
..".a milestone in the inevitable merging of the two fields."--Dr. Andrew T. Weil, MD
Written by the leading experts in cardiology and integrative medicine, this practical resource delivers a critical and balanced assessment of the evidence for complementary alternative medicine (CAM) approaches and their use in conjunction with traditional therapies.
Comprehensive coverage includes: CAM treatment modalities Legal and ethical issues An important overview of the mechanistic and physiologic links between CAM and the cardiovascular system All categories identified by the NIH's National Center for Complementary and Alternative Medicine (NCCAM) study Special considerations in such vital areas as women's health, obesity, aging, and end-of-life care Useful appendix that provides reliable sources of further information for both physicians and patients
This book provides a carefully selected compilation of challenging cases representative of the situations and pathologies likely to be encountered when performing cardiovascular imaging using CT. The conditions covered include coronary artery disease, anomalous coronary arteries, congenital heart disease, coronary artery bypass grafts, infectious diseases, structural heart disease, tumors, and aortic pathology. The book also provides insights into various scanning techniques geared towards the pre-procedural use of cardiac CTA in patients undergoing atrial fibrillation ablation, thoracic endovascular aortic repair, or transcatheter aortic valve replacement. In addition, scanning techniques for some of the more difficult cases that a cardiac imager may encounter in practice are reviewed. All images are high-resolution reproductions, and subsequent cardiac catheterization images are included for cases in which obstructive coronary artery disease was revealed. Clinical Pearls in Diagnostic Cardiac Computed Tomographic Angiography is specifically designed to meet the needs of residents, fellows, and physicians who have an interest in cardiovascular CT.
Since the first edition of the Handbook on Drowning in 2005, many epidemiological data have confirmed the burden of drowning in several parts of the world. Studies have increased the understanding of effective drowning prevention strategies, rescue techniques, and treatment options. Much has been learned about submersion and immersion hypothermia, SCUBA-diving injuries, the life-saving preparations of water-related disasters and how to deal with forensic investigations. In this updated second edition, experts from around the world provide a complete overview of current research data, consensus statements and expert opinions. The book Drowning provides evidence-based practical information and has a unique informative value for various groups with tasks, duties and responsibilities in this domain. In addition, the book may be an inspiration for future networks and research initiatives.
* A step-by-step look at a growing and difficult to understand
Since the introduction of coronary angiography, a key technique in understanding coronary artery disease, a number of paradigms regarding its study and interpretation have taken place. Following an emphasis on improved angiographic and subsequent intracoronary imaging techniques, functional assessment of coronary circulation has demonstrated to have major implications for diagnosis and treatment of coronary artery disease. Fractional flow reserve, a pressure derived index of stenosis severity, constitutes the best example of the current importance of physiological assessment in clinical practice. However, the acceptance of FFR by cardiologists contrasts with important voids in knowledge on the basic principles of coronary physiology and of other available techniques that, as an alternative to FFR, allow a more comprehensive assessment of coronary circulation. This is particularly noticeable in the assessment of microcirculation, an unavoidable compartment of coronary circulation that is frequently affected in acute coronary syndromes of in the presence of cardiovascular risk factors or non-coronary heart disease. A deeper understanding of the relationship between epicardial vessel and microcirculatory involvement has started with the advent of newer imaging techniques like invasive optical coherence tomography, and non-invasive CT and NMR techniques. This book aims to be an indispensable tool for clinicians and researches in the field of coronary artery disease. It provides a balanced, comprehensive review of anatomy, physiology and available techniques, discusses both the diagnosis of epicardial vessel and microcirculatory disease, the impact of different diseases at different levels of coronary circulation, and the best way to address a separate or combined assessment of different levels of coronary circulation.
The safe and trusted way to prevent and reverse heart disease Written in plain English and packed with tons of authoritative advice, Preventing & Reversing Heart Disease For Dummies includes the most up-to-date information on coronary heart disease and its treatment. This resource covers new ways to diagnose and treat both short- and long-term complications of heart disease, the latest medications, updated diet and exercise plans, the lowdown on recognizing the risk factors and warning signs of a heart attack, determining if you have heart disease, distinguishing between angina, heart attack, and stroke, and much more. It is projected that by the year 2020, heart disease will be the leading cause of death throughout the world. As the magnitude of cardiovascular diseases continue to accelerate globally, the pressing need for increased awareness and a stronger, more focused national and international response has become more important than ever. Preventing & Reversing Heart Disease For Dummies tackles this vital subject with compassion and authority, outlining the steps you can take to help ensure you don't become just another statistic. Helps you find the right doctor and handle a managed care plan Covers all thirteen types of heart disease and discusses the key differences that may determine their progression and treatment Illustrates how simple changes in diet may be enough to prevent heart disease Shows how you can reverse some of the effects of heart disease through exercise If you're suffering from or are at risk of heart disease-or love someone who is-Preventing & Reversing Heart Disease For Dummies empowers you to take control of heart health and get on a path to a longer, healthier life.
In the past two decades a number of studies have shown that abnormalities in the function and structure of coronary microcirculation can be detected in several cardiovascular diseases. On the basis of the clinical setting in which it occurs, coronary microvascular dysfunction (CMD) can be classified into four types: CMD in the absence of any other cardiac disease; CMD in myocardial diseases; CMD in obstructive epicardial coronary artery disease; and iatrogenic CMD. In some instances CMD represents an epiphenomenon, whereas in others it represents an important marker of risk or may contribute to the pathogenesis of myocardial ischemia, thus becoming a possible therapeutic target. This book provides an update on coronary physiology and a systematic assessment of microvascular abnormalities in cardiovascular diseases, in the hope that it will assist clinicians in prevention, detection and management of CMD in their everyday activity.
This book is book aims to provide the beginner with a concise, practical and systematic guide to interpreting ECGs. It will serve not only as a starter text but also as an immediate bedside reference manual. Starting to Read ECGs: The Basics begins with fundamentals such as how to perform, record and interpret a normal ECG before progressing onto more complex topics, including what effects anatomical abnormalities of the heart, cardiac and non-cardiac conditions can have on the ECG. Each chapter has been supplemented with a multitude of images and diagrams to illustrate points and ease understanding, and concludes with both a summary of key points to reinforce knowledge and a quiz for reflective learning. Starting to Read ECGs: The Basics is an updated version of that previously published by CriticAir and an essential resource for medical students, junior doctors, nurses, paramedics and other health care professionals involved in the recording and interpretation of ECGs who wish to build their knowledge and confidence.
Lower your blood pressure in just two weeks with the #1 rated diet When high blood pressure becomes chronic, it's called hypertension a condition that affects 970 million people worldwide, and is classified by the World Health Organization as a leading cause of premature death. While medications can help, nothing beats dietary and lifestyle modifications in the fight against high blood pressure, and the DASH diet is a powerful tool in your arsenal. Focusing on lowering sodium intake and increasing fiber, vitamins, and minerals can help lower your blood pressure in as little as two weeks. It's no wonder that the DASH Diet is ranked as the number 1 diet for three years in a row and is endorsed by the American Heart Association, The National Heart, Blood, and Lung Institute, and The Mayo Clinic. DASH Diet for Dummies is your ultimate guide to taking control of your body once and for all. Originally conceived to alleviate hypertension, the DASH Diet has been proven effective against a number of conditions including Type 2 diabetes, metabolic syndrome, PCOS, weight loss, and more. DASH Diet for Dummies contains all the information you need to put the diet into practice, including: * Over 40 DASH-approved recipes, including meals, snacks, and desserts *100+ DASH-approved foods, including meats, seafood, sweets, and more * Tips for navigating the grocery store and choosing healthier fare * A 14-day Menu Planner to help you get started today The DASH Diet is built upon the principles of healthy eating and getting the most nutritional bang for your buck. Doctors even recommend DASH to their healthy patients as an easy, stress-free way to adopt the food habits that will serve them for life. DASH Diet for Dummies is your roadmap on the journey to good health, so get ready to start feeling better every day.
Cardiovascular Hemodynamics for the Clinician, 2nd Edition, provides a useful, succinct and understandable guide to the practical application of hemodynamics in clinical medicine for all trainees and clinicians in the field. * Concise handbook to help both practicing and prospective clinicians better understand and interpret the hemodynamic data used to make specific diagnoses and monitor ongoing therapy * Numerous pressure tracings throughout the book reinforce the text by demonstrating what will be seen in daily practice * Topics include coronary artery disease; cardiomyopathies; valvular heart disease; arrhythmias; hemodynamic support devices and pericardial disease * New chapters on TAVR, ventricular assist devices, and pulmonic valve disease, expanded coverage of pulmonary hypertension, fractional flow reserve, heart failure with preserved ejection fraction and valvular heart disease * Provides a basic overview of circulatory physiology and cardiac function followed by detailed discussion of pathophysiological changes in various disease states
In recent years, there have been no books published on paediatric cardiac pathology despite enormous developments in genetics, a marked explosion of paediatric transplant programmes, surges in knowledge of fetal cardiac pathology and understanding of congenital heart disease, and the emergence of a flourishing cardiac imaging discipline. This book will be the first unified and comprehensive source of reference for childhood heart disease, covering the full field of paediatric cardiac pathology, in one volume. Comprising the twenty-five year experience of a single pathologist; the full spectrum of the pathology of heart disease, from the fetus to the adult is uniquely presented here. Richly illustrated, with over 800 colour photographs; general and paediatric pathologists alike will be able to examine the microscopic features of the conditions described, with a specific focus on metabolic disease for practitioners, worldwide.
A practical resource covering both elective and emergency procedures for the practicing vascular and endovascular clinician This book provides medical professionals (vascular surgeons, interventional cardiologists, interventional radiologists, endovascular neurologists, vascular medicine specialists) with a reference guide to the most common and accepted approach to endovascular management of peripheral vascular disease. It also addresses urgent interventions in the acute setting of the various vascular beds, and covers emerging areas such as stroke intervention and endovascular treatment of pulmonary embolism and vascular trauma. Edited by a multidisciplinary team, Endovascular Interventions offers in-depth coverage of the field in seven parts: Overview; Supra-Aortic Intervention in High Risk Patients: Innominate, Subclavian, Carotid, Vertebral and Intracranial Interventions; Interventions of the Aorta; Renal and Mesenteric Interventions; Lower Extremity Interventions; Venous Disease; and Vascular Trauma. Each section covers the technical aspects of the procedures as well as the fundamental clinical aspects which are necessary in the evaluation of patients considered for interventions. Chapters feature illustrations, case studies, key learning points, equipment lists, and sample questions and answers which can be used for Board exam practice. Practical review of vascular and endovascular medicine covering both elective and emergency procedures Illustrated, templated chapters provide rapid answers to questions and include case studies, key learning points, and equipment lists Includes sample questions and answers that are handy for Board exam practice Edited by multidisciplinary experts Endovascular Interventions is an excellent review book for all practicing and aspiring vascular and endovascular specialists.
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
Thrombotic and bleeding disorders affect at least 10 million people in the US alone. There has also been a great deal of concern over travel-related deep vein thrombosis and therefore much more interest and research into the field of blood clotting. This new and concise practical guide will cover all the essentials one needs to know when managing thrombotic and bleeding disorders. The field of haematology is undergoing major advances in thrombosis research, including significant additions to recommended treatment protocols. The Essential Guide to Coagulation will distil the most clinically, up-to-date and relevant material from the literature for all those working in the field.Faced with a bleeding patient, it may be difficult to discern whether blood loss is due to a local factor or secondary to an underlying haemostatic defect. There are a range of simple and specialized laboratory texts which can be performed to further define the cause of bleeding in a patient. Since the first edition there have been many developments in the field including many new anticoagulant drugs. These new classes of direct thrombin inhibitors slow the coagulation cascade by directly binding to thrombin, a clotting factor essential in the clotting process. If thrombin is blocked, clot formation is delayed. A key component of this guide will be the latest treatment strategies available for patients.
This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients. Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan. This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world.
This new edition of the bestselling step-by-step introduction to cardiac pacemakers now includes additional material on CRT and an accompanying website. It retains the effective use of full-page illustrations and short explanations that gained the book such enormous popularity and now provides information on recent advances in cardiac pacing, including biventricular pacing for the treatment of heart failure.
Mathematical and numerical modelling of the human cardiovascular system has attracted remarkable research interest due to its intrinsic mathematical difficulty and the increasing impact of cardiovascular diseases worldwide. This book addresses the two principal components of the cardiovascular system: arterial circulation and heart function. It systematically describes all aspects of the problem, stating the basic physical principles, analysing the associated mathematical models that comprise PDE and ODE systems, reviewing sound and efficient numerical methods for their approximation, and simulating both benchmark problems and clinically inspired problems. Mathematical modelling itself imposes tremendous challenges, due to the amazing complexity of the cardiovascular system and the need for computational methods that are stable, reliable and efficient. The final part is devoted to control and inverse problems, including parameter estimation, uncertainty quantification and the development of reduced-order models that are important when solving problems with high complexity, which would otherwise be out of reach.
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