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This practical surgical reference for the diagnosis and management of traumatic vascular injuries is unique in that it brings together all prominent management strategies from the various surgical subspecialties, creating a unified voice on the care of the vascular trauma patient. Management of common vascular injuries is examined from a general, trauma, vascular, orthopaedic, plastics, cardiothoracic, and neurosurgical perspective by respected experts from each of these fields. Each section has been edited by specialists in the other relevant disciplines to ensure that every chapter represents an evidence-based assessment of all of the surgical subspecialties. The clear and concise text is supplemented by dozens of surgical photographs, illustrations, tables, and charts that assist in conveying complex concepts in vascular trauma management. The "Clinical Review of Vascular Trauma" will be essential reading for any healthcare professional involved in care of the trauma patient.
A comprehensive, accessible summary of the latest research in heart disease risk factors Cardiovascular Disease (CVD) is a major cause of early death and disability across the world. The major markers of risk--including high blood cholesterol, smoking, and obesity--are well known, but studies show that such markers do not account for all cardiovascular risk. Written by a team of renowned experts in the field, this comprehensive and accessible book examines the evidence for emerging and novel risk factors, and their relationship with diet and nutrition. Fully updated throughout, Cardiovascular Disease: Diet, Nutrition and Emerging Risk Factors, 2nd Edition covers everything from the epidemiology of cardiovascular disease, to genetic factors, to inflammation and much more - offering invaluable advice on reducing risk factors and preventing CVD. This new edition: Authoritatively reports on the link between emerging aspects of diet, lifestyle and cardiovascular disease risk Focuses on novel risk factors of CVD, including the human gut microbiome and fetal and childhood origins, and how it can be prevented Features recommendations for interventions and future research Includes references, commonly asked questions that summarise the take-home messages, and an online glossary Cardiovascular Disease: Diet, Nutrition and Emerging Risk Factors, 2nd Edition is an important book for researchers and postgraduate students in nutrition, dietetics, food science, and medicine, as well as for cardiologists and cardiovascular specialists.
Concise, fact-based and packed with images and illustrations The EACVI Echo Handbook is the perfect companion for making both every day and complex clinical decisions. Designed and written by leading experts in the field of echocardiography for use in the clinical arena, this practical handbook provides the necessary information for reviewing, or consulting while performing or reporting on an echo or making clinical decisions based on echo findings. Disease-focussed and succinct, it covers the information needed to accurately perform and interpret echocardiograms, including how to set up the echo-machine to optimize an examination and how to perform echocardiographic disease assessment; the clinical indicators, procedures and contraindications. Linked to EACVI recommendations and the EACVI Core Curriculum The EACVI Echo Handbook is an essential and easily accessible manual on using echocardiography for sonographers and trainee cardiologists that should never be left behind when performing an echocardiogram.
Since the introduction of laser devices to the medical sciences this technology has created great interest. Specifically, the laser's unique physical properties and precise bio-tissue interactions render this versatile source of biologic energy an attractive tool for multiple therapeutic purposes in cardiovascular medicine. Over the course of the last 2 decades the utilization of laser technology has become an important component for the management of patients with complex cardiovascular diseases. During this time period, cutting edge laser technology including a variety of wave length generators, newly designed catheters, and a selection of advanced optic fibers have been introduced and applied in the cardiovascular circulation. Improved lasing techniques in the cardiac catheterization suites and operation rooms have been implemented for treatment of ischemic coronary syndromes, peripheral arterial occlusive disease and other atherosclerotic thrombotic conditions. Moreover, during this 20 year time frame, several multicenter and single center clinical studies have been published focusing on the role and utilization of lasers in coronary and peripheral revascularization. And within the rapidly expanding field of interventional cardiac electrophysiology, laser technology has recently revolutionized the management of fractured, abandoned and malfunctioning leads of cardiac pacemakers and automatic defibrillators. Consequently, replacing a notoriously cumbersome and high risk open heart surgery with safe and markedly efficient percutaneous laser based extraction. This textbook will provide the most authoritative, comprehensive and contemporary information covering technological progress, clinical experience and pertinent aspects of laser applications in cardiovascular medicine. It will be of interest to cardiologists, vascular surgeons and interventional radiologist as well as medical students, scientists, biomedical engineering students and graduates.
A pioneering cardiac surgeon expertly sews up the heart of surgery, the health of the nation, and the NHS.
The Angina Monologues speeds from the transporting of a donor’s heart up the motorway hard shoulder, to cautionary stories of excessive intervention gone awry in US hospitals, to a traumatic trip to bring advanced cardiac surgery to the Palestinian West Bank. Nashef tells heart-stopping stories of transplants, coronary artery bypasses, aorta repair, and cardiac arrest. He also delivers humane advice about medical realities rarely observed: the futility of obsessing over diet, the necessity of calculating risks, the role of decision making, the resilience of doctor and patient alike, and the threadbare brilliance of the NHS.
Nashef is a magnificently warm and likeable doctor and writer; and he has the best imaginable bedside manner.
Stroke is one of the UK's five main killers (the others are heart disease, cancer, lung and liver disease). Nearly 1.2 million in the UK have survived a stroke - and so are at risk of another. Stroke is preventable. Up to 10,000 strokes a year could be prevented if more people sought help from A&E earlier Stroke affects around 150,000 people each year in the UK, with about 49,000 episodes proving fatal. This book aims to help people prevent another stroke (or another cardiovascular event) and to live a full life after a stroke. Topics include: The brain and blood supply - why and how a stroke may happen Key warning symptoms Causes and types of stroke, mainly ischaemic, but also haemorrhagic, and including TIAs (transient ischaemic attacks) Risk factors for stroke - modifiable and otherwise; and the overlap with dementia Diagnosis and treatment Lifestyle changes to prevent another stroke Living with disability Advice for carers Further information and sources of advice.
This new edition of Medical Management of Heart Failure will provide the full spectrum of medical options, ICU management and rehabilitation, while also prepare the reader for the second volume of Comprehensive Management of Heart Failure by introducing the surgical options in heart failure from transplant to the more noninvasive procedures in the interventional radiology department. The contributing authors are all key opinion leaders in the medical management of heart failure. This volume is designed to integrate with its sister surgery title, but also alone be the definitive guide to the medical management of heart failure.
This book provides the most up-to-date coverage of the combined use of imaging modalities in order to acquire important functional and morphological information on cardiovascular disease and enhance disease detection. The recent developments in PET/MRI, cardiac CT, PET/CT and SPECT/CT and their impact on clinical practice are explained and special attention is also devoted to imaging parameters and protocols for use in practice and research. The utility of multimodality imaging techniques for diagnosis and evaluation is discussed in the context of various clinical scenarios, including ischemic cardiomyopathy, myocarditis, myocardial fibrosis, cardiac sarcoidosis and atherosclerotic plaque disease. Written by renowned researchers and clinicians, the book is an ideal concise reference on today's most advanced imaging techniques. It will appeal to all clinicians, trainees and technicians who are involved in the diagnosis and risk assessment of cardiovascular disease.
This book reviews the surgical management of the mitral and tricuspid valves. It provides a detailed examination of the recent exponential improvements in the understanding of the pathophysiology of the disease processes affecting these valves, which has resulted in significant changes in the strategies that can be applied. Chapters include analysis of the basic sciences related to the anatomy and physiology of the mitral and tricuspid valves, pre-operative imaging of these valves, illustrating the variety of pathologies encountered, and critically a comprehensive step-by-step approach to the peri-operative management and surgical techniques pertaining to each pathological process. Operative Mitral and Tricuspid Valve Surgery systematically covers all major topics involved in the current practice of an adult cardiac surgeon who performs operations on the mitral and tricuspid valves. It is therefore suitable for the cardiac intensive care unit specialist interested in improving their knowledge of cardiac patient management. It is an essential resource for all adult cardiac surgeons and cardiac intervention specialists at any stage of their career.
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 practical book describes a systematic approach to the ultrasound examination of the fetal heart based on accepted screening recommendations. The written content is enhanced by images and videos of both normal and abnormal sonographic findings. Fetal Cardiology: A Practical Approach to Diagnosis and Management goes further than simply describing core screening views. It includes extended views of the fetal heart, the use of Doppler techniques and assessment of fetal cardiac function. "Variants" which can be encountered in practice are described as well as the features of the major groups of cardiac abnormalities and fetal arrhythmias. Because the authors include experienced fetal and paediatric cardiologists, the focus is not only on diagnostic features but also the approach to postnatal care and prognosis. This content is enhanced by inclusion of chapters relating to associated fetal abnormalities, the genetics of congenital heart disease and new imaging modalities such as MRI of the fetal heart. The book equips all those using ultrasound to image the fetus with a clear concise reference to meet the challenge of new guidelines and to expand their knowledge of complementary echocardiographic techniques and management. It details why prenatal recognition of congenital heart disease is being prioritised to allow for parental choice, recognition of associated abnormalities and improvement of postnatal outcome. As such, this book will be important for all professionals, whether they be a cardiologist, fetal medicine specialist, sonographer or midwife.
150 ECG Cases presents clinical problems in the shape of simple case histories together with the relevant ECG. Detailed answers concentrate on the clinical interpretation of the results and give advice on what to do. The book can be used as a standalone method of practising ECG interpretation, and even with the most difficult ECGs a beginner will be able to make an accurate description of the trace and will be guided towards the key aspects of the interpretation. The unique page size allows presentation of 12-lead ECGs across a single page for clarity. Several of the cases incorporate chest X-rays and coronary angiograms illustrating the appearances that are associated with various cardiac conditions. All the cases are graded in difficulty and are cross-referenced to the new editions of ECG Made Easy and ECG Made Practical for further information. This Fifth Edition has been re-ordered into two parts: Part 1 Everyday ECGs: The 75 ECGs in this section are examples of those commonly seen in clinical practice. There are several examples of the most important abnormalities, together with examples of common variations of normality. Part 2 More Challenging ECGs: The 75 ECGs in this section are more demanding and include ECG patterns seen less often in clinical practice. For this Fifth Edition over fifteen per cent new ECGs have been included, mainly to provide clearer examples, though the book deliberately retains some technically poor records to maintain a 'real-world' perspective
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.
Interpreting an ECG correctly and working out what to do next can
seem like a daunting task to the non-specialist, yet it is a skill
that will be invaluable to any doctor, nurse, or paramedic when
evaluating the condition of a patient.
This book delineates the state of the art of the diagnosis and treatment of J wave syndromes, as well as where future research needs to be directed. It covers basic science, translational and clinical aspects of these syndromes. The authors are leading experts in their respective fields, who have contributed prominently to the literature concerning these topics. J wave syndromes are one of the hottest topics in cardiology today. Cardiac arrhythmias associated with Brugada syndrome (BrS) or an early repolarization (ER) pattern in the inferior or infero-lateral ECG leads are thought to be mechanistically linked to accentuation of transient outward current (Ito)-mediated J waves. Although BrS and ER syndrome (ERS) differ with respect to magnitude and lead location of abnormal J waves, they are thought to represent a continuous spectrum of phenotypic expression termed J wave syndromes. ERS is divided into three subtypes with the most severe, Type 3, displaying an ER pattern globally in the inferior, lateral and right precordial leads. BrS has been linked to mutations in 19 different genes, whereas ERS has been associated with mutations in 7 different genes. There is a great deal of confusion as to how to properly diagnose and treat the J wave syndromes as well as confusion about the underlying mechanisms. The demonstration of successful epicardial ablation of BrS has provided new therapeutic options for the management of this syndrome for which treatment alternatives are currently very limited, particularly in the case of electrical storms caused by otherwise uncontrollable recurrent VT/VF. An early repolarization pattern is observed in 2-5% of the US population. While it is clear that the vast majority of individuals exhibiting an ER pattern are not at risk for sudden cardiac death, the challenge moving forward is to identify those individuals who truly are at risk and to design safe and effective treatments.
'Heart Failure in Clinical Practice' provides a toolkit for clinicians to guide them in the diagnosis and treatment of patients with suspected heart failure. Algorithms and flow diagrams are included to give the reader an illustrated snapshot of the decisions involved in the management of these patients.
Most postgraduate examinations now include radiographic interpretation. This may be presented as a slide show of as a film-viewing session. Radiographs and other imaging modalities are also used ubiquitously in the viva section of most such examinations including those of the American Boards and professional societies and universities worldwide. This series of Clinical Film Viewing will assist candidates to prepare for this process. Each book examines a particular system or technique followed by profusely illustrated cases typical of those presented in postgraduate examinations. The Cardiovascular System is aimed at candidates for postgraduate examinations in all specialties and especially those doctors with some training in cardiovascular disease who need to assess their knowledge of the subject. This book is particularly applicable to candidates for postgraduate examinations in radiology.
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