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Living Longer: The heart-mind connection is written for all those
who strive for optimal long-term health and the maximal functioning
of their hearts and minds. Today's problem for the health-conscious
individual is information overload - new health studies pour out
almost daily from newspapers, radio stations and television
networks. Many of the reports are contradictory and often
This detailed reference provides practical strategies and a
scientific foundation for designing and implementing cardiac
rehabilitation services to relieve the symptoms of cardiovascular
disease patients through exercise training and risk reduction and
secondary prevention, improve quality of life, and decrease
This book will consider several clinical and interventional topics for which there is uncertainty, continued debate and/or no consensus based on current guidelines. While there are numerous guidelines in cardiology, new and on-going trials that address new drugs treatments and procedures raise many unanswered questions. Furthermore, most practicing cardiologist taking care of the patients are likely unable to digest all of these studies or guidelines and necessarily correctly apply them to their patients. If one considers in the guidelines the frequent use of Level C (consensus), there are many areas or situations where no trial exists. Also, when applying the results of a trial to an individual patient, there can be uncertainty of how this patient should be managed based on the present body of evidence.
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.
Surgical management of aortic pathologies has changed dramatically,
and this essential book fills the void with up-to-date
comprehensive information on the topic.
Written by physicians at the Arizona Heart Institute, which
pioneered the use of thoracic endoluminal grafts, "Endovascular and
Hybrid Management of the Thoracic Aorta" presents clinical
scenarios as well as controversies in this fascinating and rapidly
Discussing the etiology, diagnostic tools and management and treatment of specific pathologies of the aorta, this book is ideal for cardiovascular and vascular surgeons from all over the world. It is also of interest to residents in vascular and cardiothoracic surgery who have an interest in thoracic aortic disease management and want to be at the forefront of endovascular technology.
This practical casebook provides important insight to clinicians looking to learn about the diagnosis and management of chronic thromboembolic pulmonary hypertension (CTEPH). It systematically describes the clinical decision-making process for a variety of CTEPH cases, from common to rarely seen examples of this disease. Chapters are constructed in an easy-to-follow format designed to improve the reader's clinical decision-making. Clinical Cases in Chronic Thromboembolic Pulmonary Hypertension features not only a number of CTEPH cases of varying complexity, but also several medical conditions that may mimic CTEPH. It is therefore a vital evidence-based resource for trainee and practising internists, cardiologists, pulmonologists, cardiac surgeons and radiologists looking to expand their knowledge in this area.
Coronary artery disease (CAD) is a leading cause of mortality and morbidity worldwide. In approximately half of the patients with newly diagnosed CAD, the first presentation is either acute myocardial infarction or sudden cardiac death. This book provides current research on the characteristics, management and long-term outcomes of coronary artery disease. Chapter One begins with an overview of biological characteristics, clinical classification, and spasms of arterial grafts and antispastic management in coronary artery bypass grafting surgery. Chapter Two discusses coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in the current era, and highlights relative strengths and weaknesses of each approach. It also discusses various risk-stratification scoring systems, and consider both procedures in the context of different demographic populations, including advanced age, gender, acute coronary syndromes, previous CABG, renal failure, diabetes mellitus and left main involvement. Chapter Three focuses on contribution facts and fables of gender disparities in cardiovascular diseases. Chapter Four examines the role of multi-detector computed tomography in the detection of subclinical coronary atherosclerosis in patients without known CAD.
Sitting an accreditation examination is a daunting prospect for many trainee echocardiographers. And with an increasing drive for the accreditation of echocardiography laboratories and individual echocardiographers, there is a need for an all-encompassing revision aid for those seeking accreditation. The editors of this unique book have produced the only echocardiography revision aid based on the syllabus and format of the British Society of Echocardiography (BSE) national echocardiography accreditation examination and similar examinations administered across Europe. Written by BSE accredited members, fully endorsed by the BSE, and with a foreword by BSE past-president, DR. Simon Ray, this indispensable guide provides a valuable insight into how echocardiography accreditation exams are structured. Crucially, to support students with the more challenging video section of the exam, a companion website provides video cases, and with clear and concisely-structured explanations to all questions, this is an essential tool for anyone preparing to sit an echocardiography examination.
Venous diseases are among the most commonly encountered problems at primary care level, yet they are poorly understood and often mismanaged. This concise, highly illustrated book will fill the need of all primary care staff and trainees for clear information on the diagnosis and management of the different conditions and their complications.
The best cardiovascular physiology text for USMLE and exam reviewA Doody's Core Title for 2017! Cardiovascular Physiology is a concise and enjoyable way for you to gain a fundamental knowledge of the basic operating principles of the intact cardiovascular system and how those principles apply to clinical medicine. Succinct but thorough, it focuses on the facts and concepts you must know to get a solid "big picture" overview of how the cardiovascular systemoperates in normal and abnormal situations. No other text will prove more valuable in enhancing your ability to evaluate the myriad new information you will be exposed to throughout your career, than Cardiovascular Physiology. FEATURES NEW Includes a "Perspectives" section in each chapter that identifies important unresolved issues Clarifies the details of physiologic mechanisms and their role in pathologic states Links cardiovascular physiology to diagnosis and treatment Summarizes key concepts at the end of each chapter Highlights must-know information with chapter objectives Reinforces learning with study questions at theend of each chapter
Life threatening cardiovascular conditions constitute up to fifty per cent of emergency admissions to hospital. Immediate and appropriate management is crucial. This authoritative text provides up to date guidance for cardiologists and general physicians faced with patients in a critical condition.
Based on Oxford cardiologists' wide clinical experience, the individual chapters address the practical issues of managing patients during the acute phase, combining both evidence-based and practical approaches.
The text is enhanced with schematic illustrations and real examples, boxed summaries, and tables, making the book easy to use on the wards as well as being a reference for more detailed study.
The essential resource on cardiac hemodynamics--now in a new edition Hemodynamic Rounds, Fourth Edition is intended to help cardiologists, cardiovascular fellowship trainees, residents and other members of the medical community enhance their understanding of cardiac physiology and its associated hemodynamic presentations in health and disease. This includes the basic principles of flow and pressure measurements, systemic as well as coronary hemodynamics in normal and diseased states, and changes in hemodynamics following interventional procedures ranging from TAVI and valvuloplasty to stent placement. Like its popular predecessors, this new edition draws on case studies to illustrate characteristic cardiac hemodynamic findings and discusses the essential methods used in interpreting pressure waveforms as a diagnostic and monitoring tool. The text is organized into chapters on specific areas of the heart, common cardiac pathophysiologic conditions, and hemodynamic situations resulting from different therapeutic procedures. It includes discussions of both normal and abnormal pressure waveforms. This new edition has been revised throughout to include brand new content on aortic and mitral valve stenosis and regurgitation as well as TAVI and mitral clip hemodynamics. Highlights include: Essential and easy to understand resource for those required to interpret cardiac blood flow and blood pressure tracings Covers hemodynamic assessment by cardiac disorder, plus the bedside applications of hemodynamics Revised throughout and includes brand new content on valve stenosis and regurgitation and TAVI and mitral clip hemodynamics Hemodynamic Rounds: Interpretation of Cardiac Pathophysiology from Pressure Waveform Analysis, Fourth Edition is an indispensable tool for all physicians, nurses, and students responsible for measuring and interpreting cardiac waveforms in cardiac diagnosis and monitoring.
Maximum oxygen uptake during exercise is one of the best predictors of operative mortality and of prognosis in chronic cardiac or respiratory disease. Cardio-pulmonary exercise (CPEX) tests are therefore an increasingly common component of pre-operative assessment and the management of patients with chronic cardiopulmonary problems. Part of the Oxford Respiratory Medicine Library (ORML) series, this pocketbook guides clinicians through the parameters measured in CPEX testing so that they can understand the underlying physiology and are able to interpret the results. Clinical scenarios, common patterns, key points, and practical tips all make this book easy to follow, even for those readers who have little prior knowledge of the subject.
Get the tools and knowledge you need for effective diagnosis, evaluation, and management of patients with acute myocardial infarction. Myocardial Infarction: A Companion to Braunwald's Heart Disease, by David A. Morrow, MD, is a comprehensive, hands-on resource that provides practical guidance from a name you trust. Concise and easy to use, this text explores the most recent tools for diagnosis and therapeutic decision-making, as well as the full range of available management strategies, providing outcomes data for each strategy. Myocardial Infarction also includes regular updates with late-breaking clinical trials, reviews of important new articles, and the latest guidance on clinical practice, all selected and masterfully edited by Dr. Eugene Braunwald. Provides thorough discussions of ECG, established and emerging biochemical markers, angiography, nuclear cardiology, echocardiography, and cardiac MRI and CT. Features an extensive treatment section that covers the latest drugs and most recent clinical trials of antiplatelet therapy, coronary revascularization, gene therapy, and approaches to reperfusion injury and ventricular remodeling. Discusses special considerations for the evaluation of acute coronary syndromes in the emergency department, and use of advanced technologies in cardiac critical care. Covers key topics such as in-hospital complications, cardiogenic shock, transitions to post-discharge care, and cardiac rehabilitation. Includes Clinical Practice/Controversy chapters that highlight management-focused, practical topics covering expert approaches for areas of uncertainty. Offers guidance on the management of special populations. Online content includes animations illustrating key pathobiology, including dynamic thrombosis, platelet adherence-activation-aggregation and adverse ventricular remodeling, as well as management strategies and procedural techniques. Regularly updated Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
This volume is particularly valuable as a current standard reference. It covers all the major vascular operations - carotid endarterectomy, aortoiliac reconstructions and infrainguinal bypasses (in-situ and reversed vein, Dacron and PTFE prosthetic), thoracic and abdominal bypasses - matching each to its competing endovascular procedure. In addition, it provides excellent long-term data on such less common procedures as internal carotid bypass, vertebral artery revascularization, adjunctive procedures to enhance the patency of infrainguinal prosthetic bypass, and percutaneous intentional extraluminal revascularization. Finally, this framework is reinforced by in-depth chapters on current non-interventional management, surveillance programs to enhance long-term patency, and the ultimate challenge for all practicing vascular surgeons - the management of infected aortic grafts. Such clear, comprehensive, and current analysis should be of considerable and on-going value, both by helping vascular surgeons to make more effective decisions and to more knowledgeably discuss functional results, complication risks, life expectancy and surgical outcome issues with the patient and family.
Podrid's Real-World ECGs combines traditional case-based workbooks with a versatile Web-based program to offer students, health care professionals, and physicians an indispensable resource for developing and honing the technical skills and systematic approach needed to interpret ECGs with confidence. ECGs from real patient cases offer a complete and in-depth learning experience by focusing on fundamental electrophysiologic properties and clinical concepts as well as detailed discussion of important diagnostic findings and relevant management decisions. Six comprehensive volumes encompass more than 600 individual case studies-plus an online repository of hundreds more interactive case studies (www.realworldECGs.com)-that include feedback and discussion about the important waveforms and clinical decision-making involved. From an introductory volume that outlines the approaches and tools utilized in the analysis of all ECGs to subsequent volumes covering particular disease entities for which the ECG is useful, readers will take away the in-depth knowledge needed to successfully interpret the spectrum of routine to challenging ECGs they will encounter in their own clinical practice.
This book provides an easy-to-use guide, giving cardiologists and other physicians more confidence in training with and understanding cardiac magnetic resonance (CMR) in clinical daily practice. The case-based format promotes step-by-step learning and makes this book a helpful tool for students, residents and trainees in cardiology. An updated, comprehensive review of CMR diagnostic criteria is provided for all clinical cardiovascular applications of CMR in adult patients, from ischemic heart diseases to myocarditis, and from pericardial diseases to tumors, artifacts and incidental findings. CMR is an expanding imaging technique for cardiologists and radiologists alike. Despite several textbooks, manuals and dedicated texts, clinicians may still find it difficult to familiarize themselves with the exam and there are limited formats that provide easy access to the basic information (e.g. physics, specific applications) that are needed for training and clinical interpretation (especially case-based). By describing the basics of physics and methodology in a straightforward manner and providing meaningful clinical examples, this book will help all cardiologists dealing with cardiac imaging as well as doctors in training to quickly and accurately interpret CMR findings in their clinical practice.
Acute Coronary Syndrome covers the spectrum of clinical conditions ranging from unstable angina to non-ST elevation myocardial infarction and ST elevation myocardial infarction. These life-threatening disorders are a major cause of emergency medical care, hospitalization and mortality. "Management of Acute Coronary Syndromes" is designed to provide busy clinicians with a comprehensive guide to the investigation, diagnosis and treatment of these syndromes. It encompasses the latest technologies, including the use of biomarkers and non-invasive imaging procedures.
For each condition, the reader is taken through all of the therapeutic options available; in each case the indications and contraindications are evaluated in the light of the latest clinical trials. Potential complications are dealt with in a similar fashion, permitting the reader to anticipate and manage problems as they arise. The authors also present evidence-based recommendations for long-term care of at-risk patients, encompassing pharmacologic therapies and lifestyle management.
The book concludes with a comprehensive collection of appendices that include treatment algorithms, risk scores and a summary of the latest management guidelines.
"Management of Acute Coronary Syndromes" is the most up to date and comprehensive evidence-based guide to managing acute coronary syndromes, in a compact and usable format. It will be of interest to busy specialist physicians in cardiovascular medicine, cardiac and vascular surgery, and critical care, as well as primary care physicians and hospitalists who care for patients with these syndromes.
This important title brings together a distinguished panel of thought-leaders, known for their insights into the development and application of minimally-invasive surgical and endovascular techniques, to provide a comprehensive and discerning compendium of our most current knowledge and state-of-the-art procedures in the management of cerebral vascular diseases. Written in a style that is accessible to students and experienced practitioners alike, the book covers all the important recent advances that have reshaped the field in dramatic ways. Emphasizing how surgical and endovascular techniques are complementary, the volume includes illuminating chapters on the nexus of endovascular and conventional "open" cerebrovascular surgery, including patient assessment and practice in a hybrid operating environment, utilizing the best methods to achieve optimal outcomes. A major addition to the clinical literature, Management of Cerebrovascular Disorders: A Comprehensive, Multidisciplinary Approach will be of significant interest to neurosurgeons, neurologists, neuroradiologists, neurointensivists, students, residents, fellows, and specialized attending physicians.
Magnetic resonance imaging (MRI) is a technique used in biomedical imaging and radiology to visualize internal structures of the body. Because MRI provides excellent contrast between different soft tissues, the technique is especially useful for diagnostic imaging of the brain, muscles, and heart. In the past 20 years, MRI technology has improved significantly with the introduction of systems up to 7 Tesla (7 T) and with the development of numerous post-processing algorithms such as diffusion tensor imaging (DTI), functional MRI (fMRI), and spectroscopic imaging. From these developments, the diagnostic potentialities of MRI have improved impressively with an exceptional spatial resolution and the possibility of analyzing the morphology and function of several kinds of pathology. Given these exciting developments, the Magnetic Resonance Imaging Handbook: Imaging of the Cardiovascular System, Thorax, and Abdomen is a timely addition to the growing body of literature in the field. Offering comprehensive coverage of cutting-edge imaging modalities, this book: Discusses MRI of the heart, blood vessels, lungs, breasts, diaphragm, liver, gallbladder, spleen, pancreas, adrenal glands, and gastrointestinal tract Explains how MRI can be used in vascular, posttraumatic, postsurgical, and computer-aided diagnostic (CAD) applications Highlights each organ's anatomy and pathological processes with high-quality images Examines the protocols and potentialities of advanced MRI scanners such as 7 T systems Includes extensive references at the end of each chapter to enhance further study Thus, the Magnetic Resonance Imaging Handbook: Imaging of the Cardiovascular System, Thorax, and Abdomen provides radiologists and imaging specialists with a valuable, state-of-the-art reference on MRI.
Get quick access to essential ECG information with the Pocket Guide for ECGs Made Easy, 6th Edition. Reflecting the American Heart Association's 2015 ECC resuscitation guidelines, this full-color guide contains key points and selected ECG rhythm strips to help you correctly identify ECG rhythms whether you're in the classroom or in the field. Each rhythm covered in the guide includes a brief description, a summary of heart rhythm characteristics, and a sample ECG rhythm strip. And with its numerous illustrations, call-out boxes, full-color layout, and easy-to-read, conversational style, this portable reference makes essential information not only easy to find, but also easy to understand. Easy-to-read, conversational tone makes understanding the information quick and easy. Brief description of each dysrhythmia is accompanied by a summary of heart rhythm characteristics and a sample ECG rhythm strip. Numerous tables, boxes, and full-color illustrations highlight and summarize key information. ECG Pearl boxes offer useful hints for interpreting ECGs, such as the importance of the escape pacemaker. NEW! Expanded coverage of ambulatory monitoring provides more in-depth guidance in this critical area. NEW! AHA compliance ensures information reflects the American Heart Association's 2015 ECC resuscitation guidelines. NEW! Updated content mirrors the updates in the core text, ECGs Made Easy, 6th Edition.
Recently reported experimental retrograde coronary venous techniques protect the acute- ly ischemic myocardium and appear to be a sound approach for temporary support of the severely jeopardized myocardi urn. The current brief report refers to important features of coronary venous interventions, describes apparent improvements, and discusses persist- ing difficulties in research and developmental evaluation of results. Taking note of the need of informing the scientific community, the recently established International Work- ing Group on Coronary Sinus Interventions (2) wishes to become a forum in which free discussion and criticism should be encouraged in the hope of stimulating research and the development and application of safe methods in the treatment of coronary disease. The eventual objective is to more fully define the limitations of applications and those ranges in which they can be applied without incurring any risks. Our ultimate goal is to maxi- mize the efficiency of applications while at the same time preventing the occurrence of undesirable side effects. References I. Beck CS (1949) Revascularization of the heart. Surgery 26: 82-88 2. Faxon D, Mohl W (1984) Summarizing statement of the panel of Working Groups. In: Mohl W, Wolner E, Glogar D (eds) The Coronary Sinus. SteinkopffVerlag, Darmstadt, pp 549-550 3. Meerbaum S, Lang TW, Osher JV et al (1976) Diastolic retroperfusion of acutely ischemic myo- cardium. Am J Cardiol 37: 558-98 4.
The Heart in Systemic Autoimmune Diseases, Second Edition, provides an overview on our current understanding of major complications relating to the heart and autoimmune diseases. It includes the latest information on the new pathogenetic mechanisms involved, along with clinical manifestations of these important comortbidities. Mortality in autoimmune diseases, in particular, rheumatoid arthritis and SLE, has increased when compared with the general population. This excess mortality is largely due to cardiovascular diseases (CVDs)-particularly those of atherosclerotic origin, such as ischemic heart disease-and is gaining recognition in all branches of medicine, from cardiology, to internal medicine, and from rheumatologists to orthopedics.
Although disorders of the coagulation system are uncommon in pregnancy, the two main hazards - haemorrhage and thromboembolism - are leading causes of direct maternal death in the UK and worldwide. Gynaecologists may encounter abnormal haemostasis as a cause of intractable menorrhagia or perioperative haemorrhage, and thromboembolism is a significant risk for women undergoing major gynaecological surgery. This book brings together various aspects of haemostasis in relation to obstetrics and gynaecology to provide practical guidance to clinicians, who may only occasionally encounter these problems. Emphasis is placed on the need for good working relationships and close liaison between obstetricians and gynaecologists, anaesthetists, haematologists and blood transfusion services. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for haemorrhage and thrombosis. It is also a valuable guide for all healthcare professionals working in the field.
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