Provides a full understanding of the ECG in the diagnosis and management of abnormal cardiac rhythms.
Emphasises the role of the full 12 lead ECG with realistic reproduction of recordings.
The unique page size allows presentation of all 12-lead ECGs across a single page for clarity.Restructured into two clear sections, the first ‘The Basics’ explains the ECG in the simplest possible terms.
The new second section, ‘Making the most of the ECG’, has separate chapters on the ECG patterns that might be seen in healthy subjects and in patients presenting with chest pain, breathlessness, palpitations or syncope.
The five parts of the book provide a general introduction to the new language of biology; the normal structure of the heart and blood vessels; the physiopathology and the new therapeutic avenues that have been opened up by the new biology.
A concise summary of the keys that assist the cardiologist or student who seeks to learn and read more about this field. Provides practical examples to illustrate the clinical interest of the new approach.
Updates reflect current changes to the fourth edition of ECGs Made Easy.UPDATED content and illustrations reflect changes to ECGs Made Easy, 5th Edition.
The Pacemaker Clinic of the 90's teaches anatomical and electrophysiological aspects of pacing, supports the prevention of complications, and points to new developments in the field. Apart from classical indications for cardiac pacing, the book discusses the validity of the latest indications, supporting the cardiologist and the associated professional in selecting the appropriate pacing mode and pacemaker follow-up in individual patients. The Pacemaker Clinic of the 90's will be a helpful companion for years to come.
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 in Practice for further information.
For this Fourth Edition over 30 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.
Ultrasound Angioplasty is a comprehensive text, addressing the theoretical, experimental and clinical issues. The international contributions reflect the excitement, interest, spirit and cooperation in the research and development of therapeutic ultrasound.
Audience: Clinicians and basic scientists who have a direct interest in the KATP channel as well as those groups who are interested in the entire concept of myocardial protection and its relationship to academic and clinical medicine.
The easily referenced outline format allows health practitionersof all levels to understand and apply basic concepts to patientcare--perfect for cardiothoracic and general surgery residents,physician assistants, nurse practitioners, cardiologists, medicalstudents, and critical care nurses involved in the care of bothroutine and complex cardiac surgery patients.
This comprehensive guide features:Detailed presentation addressing all aspects of perioperativecare for adult cardiac surgery patientsOutline format allowing quick access to informationChronological approach to patient care starting with diagnostictests then covering preoperative, intraoperative, and postoperativecare issuesAdditional chapters discuss bleeding, the respiratory, cardiac,and renal subsystems as well as aspects of care specific torecovery on the postoperative floorUpdated references, information on new drug indications and newevidence to support various treatment/management options.
Practical and accessible, this new edition of Manual ofPerioperative Care in Adult Cardiac Surgery is the essentialreference guide to cardiac surgical patient care.
Audience: Clinicians involved in the practice of lipid lowering and investigators involved in lipid-lowering clinical trials. Scientists involved in other areas of lipid research and investigators conducting coronary angiographic trials designed to study the influence of different interventions will find a wealth of information and practical guidelines in this book.
This volume provides highlights of many of the recent and most important technological advances and concepts in cardiac electrotherapy, written by the most prominent figures in the field, for the internists, clinical cardiologists and cardiologists who are practising in arrhythmias and antiarrhythmic therapy.
The book is divided into five parts, each focusing on an exciting group of topics. Part One is a highlight of some of the hit points in arrhythmology. Part Two is a quick reference to the current concepts in non-invasive electrocardiology. Part Three, cardiac pacing, is enhanced by the introductory chapter of S. Furman, which gives the state-of-the-art in electrical cardiac stimulation for 1995. This part also reviews the technical advances, new perspectives in the indications of cardiac pacing, as well as the management of complications. Radiofrequency ablation as a challenging antiarrhythmic therapeutic strategy is thoroughly reviewed and the hottest topics are highlighted in Part Four. Part Five is dedicated to implantable cardioverter-defibrillators with several exciting topics, including driving with implantable devices.
A companion Website will include the fully searchable text, an image bank, an interactive question bank, and an EKG image with explanation test bank.
In this book, the editors bring together the different lines of evidence supportive of the idea of a diabetic cardiomyopathy. The first chapter provides an overview of the impact of cardiac dysfunction on the mortality and morbidity of the diabetic population in general, as well as a presentation of clinical aspects of heart disease in diabetes. This is followed by chapters concerned with the pathological and functional changes that occur in the heart as a result of diabetes and a description of the various therapeutic interventions that are available to reverse the effects of diabetes on the heart. Subsequent chapters focus on changes in protein synthesis, membrane function and intermediary metabolism that take place following the onset of diabetes. Since these alterations precede many of the functional and pathological changes, it may be that the processes responsible for the functional decline and tissue injury are initiated by diabetes-induced changes at the cellular and/or biochemical level.
For all these imaging modalities, the application of dedicated quantitative analytical software packages enables the evaluation of the imaging studies in a more accurate, reliable, and reproducible manner. These extensions and achievements have resulted in improved diagnostics and subsequently in improved patient care. Particularly in patients with ischaemic heart disease, major progress has been made to detect coronary artery disease in an early phase of the disease process, to follow the atherosclerotic changes in the coronary arteries, to establish the functional and metabolic consequences of the luminal obstructions, and accurately to assess the results of interventional therapy.
Aside from all these high-tech developments in cardiac imaging techniques, the transition from the analogue to the digital world has been going on for some time now. For the future, it has been predicted that the CD-R will be the exchange medium for cardiac images and DICOM-3 the standard file format. This has been a major achievement in the field of standardization activities. Since these developments will have a major impact on the way images will be stored, reviewed and exchanged in the near future, an important part of this book has been dedicated to DICOM and the filmless catheterization laboratory.
Cardiovascular Imaging will assist cardiologists, radiologists, nuclear medicine physicians, image processing specialists, physicists, basic scientists, and fellows in training for these specialties to understand the most recent achievements in cardiac imaging techniques and their impact on cardiovascular medicine.
This book of 35 chapters contains an up-to-date discussion of various arterial and venous illnesses presenting major clinical applications ranging from basic pathology, haemodynamics and haemorheology to clinical features and management. Special attention has also been paid to epidemiology and prevention, discussing all the issues concerned. A special section on vascular emergency has also been included, thereby extending its usefulness to physicians and surgeons working in accident and emergency units.
Chapter objectives preview the main points in each chapter.
Stop and Review sections at the end of the chapters help you remember the most important information.
ACLS Pearls boxes offer key points and useful tips for clinical practice.
Keeping it Simple boxes provide essential information in a clear and concise manner.
Ten case studies present real-life clinical situations, allowing you to make decisions based on information in the Preparatory section.
Consistent format of case studies includes Objective, Skills to Master, Rhythms to Master, Medications to Master, Related Text Chapters, Essential Actions, and Unacceptable Actions.
A heart rate ruler is included to help you interpret ECGs.
4 x 6 pocket-size quick-reference card contains key ACLS algorithms for field use.100 new and updated photos and illustrations show key ACLS procedures and equipment. Pharmacological interventions are integrated into the chapters for a more cohesive learning experience. New streamlined approach reduces the number of pages and simplifies the information you need to know.
Each chapter has been written by acknowledged experts in the area, who have contributed significantly to that body of knowledge and are considered opinion leaders nationally and internationally. Each chapter contains the basic `how-to' of that technique, the manner in which it is best utilized or considered, and the limitations that must be taken into account in its application. In some chapters, the authors address guidelines regarding image acquisition and analysis to minimize the variations resulting from the potential error sources.
It is hoped that this work will lead to technological developments, improved performance, and more rational clinical utilization.
Access the power of your heart's intelligence to improve your focus and creativity, elevate your emotional clarity, lower your stress and anxiety levels, strengthen your immune system, promote your body's optimal performance, and slow the aging process.
The purpose of this book is to provide the reader with the background necessary to understand and successfully utilize these methodologies. Chapters summarize in detail the studies that have validated these techniques thus far, and discuss their future applications.
Are you one of the eighty-two million Americans currently diagnosed with cardiovascular disease—or one of the millions more who think they are healthy but are at risk? Whether your goal is to get the best treatment or stay out of the cardiologist’s office, your heart's health depends upon accurate information and correct answers to key questions.
In Heart 411, two renowned experts, heart surgeon Marc Gillinov and cardiologist Steven Nissen, tackle the questions their patients have raised over their decades of practice: Can the stress of my job really lead to a heart attack? How does exercise help my heart, and what is the right amount and type of exercise? What are the most important tests for my heart, and when do I need them? How do symptoms and treatments differ among men, women, and children?
Backed by decades of clinical experience and up-to-the-minute research, yet written in the accessible, down-to-earth tone of your trusted family doctor, Heart 411 cuts through the confusion to give you the knowledge and tools you need to live a long and heart-healthy life.
When Stephen Westaby witnessed a patient die on the table during open-heart surgery for the first time, he was struck by the quiet, determined way the surgeons walked away. As he soon understood, this detachment is a crucial survival strategy in a profession where death is only a heartbeat away. In Open Heart, Westaby reflects on over 11,000 surgeries, showing us why the procedures have never become routine and will never be. With astonishing compassion, he recounts harrowing and sometimes hopeful stories from his operating room: we meet a pulseless man who lives with an electric heart pump, an expecting mother who refuses surgery unless the doctors let her pregnancy reach full term, and a baby who gets a heart transplant-only to die once it's in place.
For readers of Atul Gawande's Being Mortal and of Henry Marsh's Do No Harm, Open Heart offers a soul-baring account of a life spent in constant confrontation with death.
500 Multiple Choice Questions with Discussion
Ramdas G. Pai, MD, Professor of Medicine, Loma LindaUniversity, CA, USA
Padmini Varadarajan, MD, Associate Professor of Medicine,Loma Linda University, CA, USA
Echocardiography is an essential tool for the modern-daycardiologist and routinely used in the diagnosis, management andfollow-up of patients with suspected or known heart diseases.
This best-selling book now returns in a fully revised newedition, once again providing cardiologists andcardiology/echocardiography trainees with a rapid reference,self-assessment question and answer guide to all aspects ofechocardiography.
Packed with full-color images and written by experiencedechocardiographers, the book covers:applied ultrasound physicspractical hydrodynamicsvalvular heart diseasemyocardial diseasescongenital heart diseasenon-invasive hemodynamicssurgical echocardiography
Containing 500 case-based questions, including clearexplanations and discussions for every question,Echocardiography Board Review, 2nd Edition, isthe perfect preparation guide for all those about to take theNational Board of Echocardiography’s Board exam, includingcardiology and echocardiography trainees and specialist physicianspreparing for re-certification. Sonographers planning to takeRDCS or RDMS certification examinations should find this book veryhelpful as well.
Of related interestPractical Manual of Echocardiography in the Urgent Setting
Fridman, ISBN 978-0-470-65997-7
Successful Accreditation in Echocardiography: A Self-AssessmentGuide
Banypersad, ISBN 978-0-470-65692-1
The role of the endothelium, especially of the coronary intravascular species is a relatively new and fascinating development in the diagnosis and treatment of cardiac disease. Three major aspects of endothelial function receive attention in this volume: its regulatory role in myocardial function, evidence for which is gradually forthcoming, with possible great implications for disease states such as volume overload and failure its role in the calcium metabolism of vascular smooth muscle cells and the effects of calcium antagonists and the endothelial dysfunction generated by coronary angioplasty and its possible restoration by cholesterol reduction.
The topic of imaging atherosclerotic lesions in the coronary arteries is discussed with the emphasis on advanced methods: single photon emission computed tomography (SPECT), positron emission tomography (PET), and magnetic resonance imaging techniques. A wholly new development is the characterization of the atherosclerotic lesion by Raman spectroscopy using a laser beam to illuminate the vascular wall.
Various aspects of inflammation related to the pathogenesis of acute coronary syndromes, in particular unstable angina, are illuminated, as well as the role of blood-borne substances as risk factors for atherosclerosis. Transgenic mice carrying the gene for human APOE*3 Leiden are being used successfully to study the environmental and genetic factors that influence the remnant lipoprotein metabolism. Possibilities for gene therapy to treat atherosclerosis in the clinic are being investigated in animal models.
Finally, as the book is based on 50 years of Cardiology in Leiden, the history of its development up to the present day is the topic of a separate chapter. This book is intended for cardiologists, internal medicine specialists, nuclear medicine specialists, thoracic surgeons, cardiovascular radiologists and basic scientists in the field of the cardiovascular system.
There is a desperate need to heighten understanding of the remodeling process at the molecular, cellular, and arterial level. Vascular remodeling is a well established concept in the field of atherosclerosis and hypertension, but only in recent years has its applicability to the field of restenosis become pivotal. Accordingly, the editors perceived the need to assemble the first book dedicated to the concept of coronary artery remodeling in restenosis, in order to clearly review the experiments leading to the remodeling hypothesis and integrate this with the neointimal hyperplasia (tumor) model for the development of the restenotic lesion.
The authors of this book present their experience to facilitate the understanding of the mechanisms for coronary restenosis and remodeling. The various experimental models, clinical issues, and basic mechanisms are reviewed in detail, resulting in a fresh approach to a vexing clinical problem. Arterial Remodeling: A Critical Factor in Restenosis will be useful to the physician and trainee who have an interest in restenosis, and specifically in the major pathophysiologic process which determines the fate of arterial healing in patients following percutaneous coronary revascularization. It is hoped that this book will lay the foundation for more effective therapies that will reduce the chance of constrictive remodeling and improve the long-term efficacy of non-surgical coronary revascularization in the future.
Builds on the basic knowledge outlined in the classic ECG Made Easy
Emphasises the individuality of every ECG and uses full 12-lead ECG recordings to provide a realistic reproduction of the clinical environment.
The unique page size allows presentation of all 12-lead ECGs across a single page for clarity.
Each chapter begins with a brief account of the relevant history and examination and ends with a short account of what might be done once the ECG has been interpreted.
Now integrated throughout the book is text on electrophysiology and electrical devices. With pacemakers and implanted defibrillators now common among patients on general medical take, this material guides the reader in recognising their purpose and making a preliminary analysis of any malfunction.
The first section presents current knowledge about pathology, vascular mechanics and compensatory mechanisms active during atherogenesis. It explores the early lesion, complications of plaques and early detection of plaques.
Section II reviews several key methodological issues of B-mode ultrasound imaging and some of the most current data. Quantitative B-mode ultrasound is an established non-invasive tool widely used in large epidemiologic studies and interventional clinical trials of atherosclerosis.
The last section addresses the most promising areas of development in vascular imaging. This involves new techniques to evaluate the atherosclerotic bed, to follow atheroma progression/regression and to evaluate vascular mechanics in atherosclerotic arteries. The last chapter places the application of non-invasive imaging in perspective.
This is the first time that a single volume has described cell communication in the normal heart and under different pathological conditions such as heart failure, coronary disease, myocardial ischemia and cardiac arrhythmias. In this way the process of cell communication is analyzed at different levels of complexity, providing the reader with a wide view of this field and its relevance to cardiology.
The easily referenced outline format allows health practitionersof all levels to understand and apply basic concepts to patientcare—perfect for cardiothoracic and general surgeryresidents, physician assistants, nurse practitioners,cardiologists, medical students, and critical care nurses involvedin the care of both routine and complex cardiac surgerypatients.
This comprehensive guide features:
Detailed presentation addressing all aspects of perioperativecare for adult cardiac surgery patients
Outline format allowing quick access to information
Chronological approach to patient care starting with diagnostictests then covering preoperative, intraoperative, and postoperativecare issues
Additional chapters discussing bleeding, the respiratory,cardiac, and renal subsystems in depth, and aspects of carespecific to recovery on the postoperative floor
Completely updated references
Extensive illustrations, including NEW figures depictingoperative techniques
14 helpful appendices covering order and flow sheets,protocols, commonly used drug dosages, and procedures
Practical and accessible, the Manual of Perioperative Care inAdult Cardiac Surgery is the essential reference guideto cardiac surgical patient care.
Unique Flip and See section at the end of the book allows you to see each rhythm side-by-side with a normal ECG rhythm, while a written walkthrough explains the important differences between the rhythms.
Excuse Me! features highlight frequently asked student questions with easy-to-understand answers. Conversational language and clear illustrations and cartoons make the information easy to remember and fun to learn.New and updated information across the entire book includes coverage of new pacemaker strips and now includes 12-lead interpretation and 12-lead axis identification.
New cartoons have been added to make key points memorable and entertaining.
Updated algorithms reflect the new 2010 ECC Guidelines.
Completely redesigned Cohn's Pocket Guide for ECG Interpretation, a plastic heart rate ruler, aids both students and practitioners in rhythm interpretation. Expanded appendix provides illustrations of ECG complexes as they relate to heart damage.
This book will assist clinical cardiologists, nuclear medicine physicians, fellows in cardiology and nuclear medicine, radiochemists, basic research fellows, and technicians, in understanding the new advances in clinical cardiac PET.
Unstable Coronary Artery Syndromes, Pathophysiology, Diagnosis and Treatment will offer the clinician a reference book which coherently discusses the pathophysiology of acute ischemic syndromes as well as remarks diagnosis and treatment strategies. Geared toward internists and cardiologists, the book should allow the reader to understand the pathophysiology of unstable coronary artery syndromes and subsequently apply this knowledge to patient care.
The book remains divided into 5 parts. The first part is a general introduction to the new terminology. The second part is devoted to the normal structure of the heart and vessels. Parts 3 and 4 deal with physiopathology. One of the important contributions of molecular biology to cardiology is a better understanding of the general process of adaptation of the heart and vessels to a permanent mechanical overloading. Such a process is generally called remodeling, and results from coordinate changes in the expression of the genes. The last part of the book includes information on gene and cellular therapy.