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This book clearly explains when and how different rehabilitation techniques should be applied in the aging patient, thereby enabling readers to identify and apply those rehabilitation strategies that will maximize quality of life and functional independence in individual cases. It is specifically designed for ease of consultation and rapid retrieval of the information most relevant to clinical practice. Prominence is given to the benefits of a multidisciplinary approach to rehabilitation, with discussion of a very wide range of aspects of rehabilitation in different disease settings. The breadth of coverage is illustrated by the attention paid to less commonly addressed topics such as visual and hearing rehabilitation, the role of robotics and 3D imaging techniques, variations in approach among health care systems, and rehabilitation in end-of-life care. The authors are international academic experts in their fields, guaranteeing a high scientific standard throughout. This manual will be an invaluable tool and source of knowledge for geriatricians and physiatrists but will also appeal to a wider range of clinicians, practitioners, and students.
This text atlas focuses on the pathology and molecular genetics of sudden cardiac death in the young and in athletes, presenting the state of the art in the field as the basis for development and implementation of more effective prevention strategies, including, ultimately, molecular therapy that will cure the underlying biological defect. A wealth of high-resolution color images, accompanied by clear supporting text, are presented to document the anatomic pathology of the cardiac diseases most frequently responsible for sudden cardiac death in this population, including coronary artery diseases, cardiomyopathies, myocarditis, valve diseases, conduction system abnormalities, congenital heart diseases, and ion channel diseases. The role of the molecular autopsy in overcoming the limitations of morphological investigations and offering new insights and avenues for prevention is explained. The approach is, however, interdisciplinary, with close attention also to epidemiologic and clinical aspects. The authors draw throughout on their experience gained over 30 years in the course of a prospective study carried out in the Veneto Region, North East Italy. This text atlas will be of great value not only for cardiologists but also for geneticists, sports physicians, and residents in cardiology and pathology.
A concise and practical tool for learning the basic concepts of cardiac electrophysiology, including the diagnosis and management of cardiac arrhythmias, and the indications for patient referral. Clinically oriented, practical and a useful resource for: Allied health professionals in the lab and in the clinic Fellows The general physician who needs to know the technical aspects of electrophysiology Anyone on the front line dealing with patients that present with cardiac problems
This monograph on the adult with tetralogy of Fallot (TOF) is the first of a series dedicated to common topics in adult congenital cardiac disease (CHD). Published under the auspices of the International Society of Adult Congenital Cardiac Disease (ISACCD), the monograph provides comprehensive, timely review of the adult with TOF, the most common form of cyanotic CHD. The 6 chapters of the monograph, written by international authorities in the field, contain background information and current data on the major clinical problems facing adults with TOF.Patients born with TOF, although 'fixed,' are not 'cured'. Improving survival and quality of life for this ever-increasing adult population will continue to challenge the current and future generations of cardiologists. This monograph is intended as both an introduction to the subject and a timely, comprehensive review, more extensive than a review article and more up-to-date than a textbook. As such, this monograph should be of interest to the internist and the cardiologist who find themselves encountering adults with congenital heart defects with increasing frequency in their practice. Key references provided at the end of each chapter present the relevant literature, allowing for further reading.
With a growing population of young patients with congenital heart disease reaching adulthood, this unique new book offers an in-depth guide to managing the challenges and issues related to device therapy in this patient group. * The only book resource dedicated to pacing, cardiac resynchronization therapy and ICD therapy for the pediatric and congenital heart disease patient * Contains practical advice for pacemaker and ICD implantation, programming, trouble-shooting, managing complications and follow up * Up-to-date with the latest in device technology * Contains multiple graphics, device electrogram tracings, and radiographic images for clarity * Includes video clips and over 150 multiple choice questions with extended answers on companion website, ideal for self test * An invaluable resource for both the specialist pediatric cardiologist and the general cardiologist responsible for children with heart disease and pacing devices
Nothing is more perplexing to the clinician new to device therapy than having to deal with cardiac electrocardiograms from a device patient. Pacemakers and other implantable cardiac rhythm management devices leave their "imprint" on ECGs and can significantly change what clinicians see - or expect to see. Evaluating paced ECGs can be challenging, yet nowhere is it taught in any sort of comprehensive manner.
Designed specifically for clinicians new to device therapy, "The Nuts and Bolts of Interpreting Paced ECGs and EGMs" offers practical, reliable and objective information on paced cardiac electrograms. Written in a lively, intelligent and easy to navigate style, emphasizing real-life clinical practice and practical tips, this book includes illustrated paced ECGs by skilled artists to help minimize "fuzzy" lines and emphasize key points. Each chapter concludes with a checklist of key points from each subject ("Nuts and Bolts").
This book is intended as a comprehensive, practically oriented reference on pulmonary hypertension within the context of adult congenital heart disease (ACHD). After an introductory chapter on pathophysiology, the various types of pulmonary hypertension that may be encountered in ACHD are discussed, highlighting the specifics observed within different patient categories. The diagnostic approach is then addressed in detail, and the last section of the book is devoted to management options, from conservative approaches to interventional treatment and the concept of treat and repair. Management in specific patient subjects, such as pregnant women, Fontan patients, and Down syndrome patients with Eisenmenger syndrome, is fully discussed, and guidance is also provided on palliative care. Pulmonary arterial hypertension related to congenital heart disease (PAH-CHD), despite significant similarities in lung pathohysiology, differs significantly from other types of PAH in terms of mechanism of onset, natural history and management. Mistakes and pitfalls in the management of patients with PAH-CHD are often related to a lack of knowledge or expertise in this condition. Pulmonary Hypertension in Adult Congenital Heart Disease will be a valuable resource and learning tool for all who care for patients with ACHD, both in tertiary practice and general cardiology.
This concise practical guide is designed to facilitate the clinical decision-making process in the management of LAA occlusion procedures by reviewing a number of cases and defining the various diagnostic and management decisions open to clinicians. Clinical Cases in LAA Occlusion is well illustrated but concise, enabling the reader to obtain relevant information regarding both standard and unusual cases in a rapid, easy to digest format. Each case includes a narrative description and patient management tips.
Electrical therapy of the heart has rapidly evolved over recent years with the development of the cardiac implantable defibrillator and the application of the cardiac resynchronization therapy to improve performance of the congestive failed heart. There is an impressive amount of literature produced to assess the efficacy and effectiveness of the electrical therapy. New technology is continuously introduced into the market for the treatment of electrical heart disease with optimized performance and implemented design, with approximately 600,000 new pacemakers implanted each year. Attention of the electrophysiology community has mainly focused on the biomedical aspects of electrical therapy, but the psychological, emotional, social and cognitive aspects of the implantable devices has been largely overlooked. Health-related quality of life (QoL) and, to a lesser extent, psychological disorders, i.e. anxiety and depression, have rarely been assessed as outcomes in clinical trials, and results are pointing towards the impact of the implantable devices on QoL and mental health not being direct but moderated and mediated by several biomedical as well as psychosocial variables. Furthermore, the cognitive effects of the implantable devices have rarely been assessed in empirical studies, although cognitive impairment is largely associated with the heart disorders that require implantation of an electrical device and cognitive benefits are strongly expected from the therapy. The aim of this book is to collect, appraise and condense the results of all empirical studies that have investigated, even marginally, the relationships between the implantable devices and any psychological, emotional, social and cognitive dimension. This book is a cornerstone for all involved in device utilization (physicians, nurses, technicians, industry representatives) that need to understand this topic.
The book provides an introduction to CMR imaging that is understandable and focused on the relevant information needed to using CMR imaging in clinical practice. Cardiovascular magnetic resonance (CMR) imaging has become an established imaging modality with an expanding range of clinical indications. While in the past the availability of CMR imaging was limited to a few specialist centres the method is becoming more widely available. Most clinicians therefore need to have a general understanding of the diagnostic information that can be obtained from CMR imaging, the indications for referral as well as contraindications and limitations of the method. For cardiologists and radiologists in particular, CMR imaging will become a routine diagnostic tool and training curricula in Cardiology or Radiology reflect this trend by increasingly demanding training in CMR imaging.
This book covers fully the unique needs of patients in a UK setting. Each high risk group has a chapter dedicated to specific pathophysiological nuances, exercise prescription and exercise delivery. In addition, other influences on exercise including medications, appliances etc. are covered. Each chapter is based on the latest and best evidence.
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. A unique system/disease-based approach to learning pulmonary pathophysiology as it relates to clinical medicine No other review puts disorders of lung structure and function in such clear clinical perspective as Pulmonary Pathophysiology. Bridging the gap between basic science and clinical medicine, Pulmonary Pathophysiology guides you from symptom identification to underlying disease mechanisms and through principles of management. Features: 28 case studies help you understand the correlation between science and clinical medicine Additional algorithms aid differential diagnosis and management Key Concepts help you quickly review chapter highlights New tables and charts encapsulate important information Learning Objectives and study questions reinforce your understanding of even the most difficult topics Artwork includes nearly 100 photographs and line drawings Visit www.LangeTextbooks.com to access valuable resources and study aids!
Case-based and heavily illustrated, Intraoperative and Interventional Echocardiography: Atlas of Transesophageal Imaging, 2nd Edition covers virtually every clinical scenario in which you're likely to use TEE. Drs. Donald C. Oxorn and Catherine M. Otto provide practical, how-to guidance on transesophageal echocardiography, including new approaches and state-of-the-art technologies. More than 1,500 images and accompanying videos sharpen your image acquisition and analysis skills and help you master this challenging technique. Real-world cases, hundreds of procedural videos, and abundant, detailed figures and tables show you exactly how to proceed, step by step, and get the best results. Each case begins with a brief presentation and discussion, and integrates clinical echocardiography, surgical pathology, and other imaging data. Clear descriptions of preoperative pathology guide you in choosing the best approach to common problems. The practice-based learning approach with expert commentary for each case helps you retain complex information and apply it in your daily practice. Every chapter has been thoroughly revised, with discussions of new technology and new techniques, including several techniques that are on the verge of becoming mainstream. New chapters cover current transcatheter valve therapies and device closures. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.
Co-edited and written by an interdisciplinary team of experts in oncology and cardiology, this book is a clinically useful resource on these overlapping topics: * Cardiac complications in patients receiving cancer therapy * The treatment of cancer in patients with cardiovascular disease * The treatment of cardiovascular disease in patients with cancer When relevant to medical practice, epidemiology and basic science are also included in the discussion and each chapter is written by an oncologist and a cardiologist. Additionally, the chapters follow a similar format to make the book truly interdisciplinary, user-friendly, and clinically applicable to specialists and non-specialists who care for patients with both cancer and cardiovascular disease.
This book offers a practical guide to endovascular treatment of cerebrovascular disease and provides a concise reference for the related neurovascular anatomy and the various disorders that affect the vascular system. Fully revised and updated, the information is accessible and easy to read. It discusses fundamental principles underlying cerebral and spinal angiography; interventional techniques, devices, and practice guidelines; and commonly encountered cerebrovascular disorders for which interventional and endovascular methods are appropriate. New topics and features include: intracerebral and intraventricular hemorrhage; intracranial tumor embolization; vasculitis work-up and management; percutaneous carotid artery puncture technique; and pediatric aspects of neurointerventional techniques and disease states. Handbook of Cerebrovascular Disease and Neurointerventional Technique, 3rd Edition, is a portable and concise resource for interventional neuroradiologists, neurologists, neurosurgeons, cardiologists, and vascular surgeons.
This book focuses on the importance of regulatory RNAs in the vasculature. The main topics discussed include the role of regRNAs in vascular development and angiogenesis, ischemic cardiovascular disease and repair mechanisms, diabetic and metabolic vascular disease, atherosclerosis and vascular inflammation, as well as diagnostics of vascular disease using circulating miRNAs. Lastly, it offers an overview of emerging topics such as microvesicle-mediated miRNA cellular trafficking and the vascular importance of long non-coding RNAs. It is an invaluable resource for academics, researchers and students working in the field of vascular biology.
This book identifies the key determinants in the management of hypertensive outpatients with Cardiac Target Organ Damage. It sheds light on current international guidelines by directly applying them to six representative clinical cases that reflect situations frequently encountered during clinical routine rather than emergencies or rare occurrences. The book enables cardiologists and angiologists alike to gain an overview of the most frequent cardiac dysfunctions related to hypertension: left atrial enlargement, aortic root dilatation, diastolic dysfunction, systolic dysfunction, left and right ventricular enlargement. Each case is illustrated and analyzed in detail - from family and personal history to treatment and follow-up - providing readers with valuable guidance that will help them to select the best suited diagnostic tool and treatment for each patient.
Thoracic Outlet Syndrome is an essential reference for physicians involved in the diagnosis, referral and treatment of the condition. Thoracic outlet syndrome (TOS) is made up of a constellation of problems resulting from pathology at the thoracic outlet in the neck. Busy specialty practice see multiple affected patients in every clinic, however TOS can often be difficult to diagnosis. This book explores all possible ancillary care issues surrounding this complex condition, including rehabilitation, disability, natural history, and medicolegal issues, and aims to stimulate research, discussion, and a sense of community between professionals involved in this area. Vascular, thoracic, and neurosurgeons, neurologists, psychiatrists and psychologists, physical therapists, occupational medicine specialists, and pain specialists alike, will find this book to be a must have for successfully treating, referring and diagnosing TOS in clinical practice.
This volume is an excellent guide that comprehensively illustrates hypertensive disorders of pregnancy, especially preeclampsia, in both the basic and clinical aspects. Preeclampsia is a pregnancy-specific multi-organ disorder and a leading cause of maternal and neonatal mortality. The pathophysiology of pregnancy-specific disorders was long unknown, but recently many new findings have been reported from the point of view of pathophysiology. Furthermore, this complication of pregnancy, especially preeclampsia, is a potent risk factor for chronic conditions such as cardiovascular disease, diabetes mellitus, kidney disease, and hypertension. The book is composed of seven parts including genetic background, pathology, pathophysiology, and the latest prediction and treatment of preeclampsia. Specific basic topics such as immunological maladaptation, placental adenosine signaling, and new prediction markers are also expounded by experts. Thus it benefits not only obstetricians, pediatricians, nephrologists, diabetologists, and cardiologists, but also immunologists, endocrinologists, geneticists, pathologists, biologists, and molecular biologists who are interested in the treatment of hypertension in pregnancy.
Fetal cardiology is an important part of management for high-risk pregnancies: one in every 100 babies is born with a heart problem. Fully updated, this second edition of Fetal Cardiology covers all aspects of fetal heart disease and relevant non-cardiac aspects of diagnosis and management. This handbook provides clinically relevant guidance in a concise, practical format which is ideal for use in the clinic and as a quick reference for the reader. Featuring new chapters on the three vessel trachea view and neurodevelopment issues in fetal cardiac disease, and brand new high-quality annotated images; this new edition is the definitive pocket guide to the subject. Clearly structured to allow a systematic approach to diagnosis, decision making, and patient counselling, Fetal Cardiology is perfect as a refresher for experienced clinicians in fetal and cardiological care, or as an informative overview for the paediatrician, echocardiographer, and trainees in associated disciplines.
Cardiac Catheterization and Coronary Intervention is the first handbook-sized practical training guide for cardiology medical and technical personnel who want easily accessible, detailed information on how to perform a comprehensive left and/or right heart catheterization procedure, choose the correct catheter for coronary and graft angiography, perform a diagnostic coronary angiogram and interpret and understand their findings. Based on international cardiology and interventional
This text describes and illustrates with some 700 detailed anatomic and surgical drawings the whole spectrum of surgical procedures employed to treat acquired and congenital diseases of the heart and great vessels in adults and children. A rather traditional chapter on history of cardiac surgery precedes chapters dedicated to quality improvement, followed by ICU management in adult and pediatric cardiac surgery, and techniques of extracorporeal circulation in both age groups. Further special topics are cardiovascular tissue engineering, minimally invasive cardiac surgery, endovascular treatment of aortic diseases, and cardiac assist devices, including total artificial heart. Written by 71 internationally recognized experts from 40 cardiac units in Central Europe and North America, this book will be invaluable not only for both novice and experienced surgeons, but also for all physicians, nurses, and technicians caring for patients with heart disease of any type, at any age.
This book reviews all aspects of the diagnosis and management of heart disease in women, covering areas such as gender differences in metabolic syndrome, hypertension and atherogenesis. Gender differences in cardiovascular diseases are widespread, but while gender medicine takes into account the effects of sex and gender on the health of women and men, traditionally, women have been underrepresented in cardiovascular clinical trials, in management of different cardiac diseases and drug use. Gender Differences in the Pathogenesis and Management of Heart Disease deals with the gender-specific differences in cardiac physiology and diseases and brings into perspective the critical significance of gender in management of cardiovascular disease presentations and management. As such it is of enormous use to all clinical staff who manage women with cardiovascular disease.
This fifth edition of Autonomic Failure covers the many recent advances made in our understanding of the autonomic nervous system. There are numerous new chapters and extensive revisions of all other contributions. This book makes diagnosis increasingly precise by fully evaluating the underlying anatomical and functional deficits, thereby allowing more effective treatment. This new edition continues to provide a rational guide to aid in the recognition and management of autonomic disorders for practitioners from a variety of fields, including neurology, cardiology, geriatric medicine, diabetology and internal medicine.
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