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Among the most recently developed procedures for treating heart disease in a minimally invasive way are the techniques for percutaneous treatment of valvular heart disease. These are important advances because the only alternative is open heart surgery, which is not an option for many high-risk patients. This issue provides a detailed description of several percutaneous procedures, including trans-catheter aortic valve implantation.

Mitral regurgitation (MR) affects millions of patients worldwide. It is a progressive condition that can worsen when left untreated, possibly leading to compensatory remodeling of the left ventricle. This can result in reduced functional capacity, poor quality of life, repeat hospitalizations, and even death from heart failure. Open, arrested heart

Braunwald's Heart Disease remains your indispensable source for definitive, state-of-the-art answers on every aspect of contemporary cardiology. Edited by Drs. Robert O. Bonow, Douglas L. Mann, Douglas P. Zipes, and Peter Libby, this dynamic, multimedia reference helps you apply the most recent knowledge in molecular biology and genetics, imaging, pharmacology, interventional cardiology, electrophysiology, and much more. Weekly updates online, personally selected by Dr. Braunwald, continuously keep you current on the most important new developments affecting your practice. Enhanced premium online content includes new dynamic cardiac imaging videos, heart sound recordings, and podcasts. With sweeping updates throughout, and contributions from a'who's who'of global cardiology, Braunwald's is the cornerstone of effective practice.Continuously access the most important new developments affecting your practice with weekly updates personally selected by Dr. Braunwald, including focused reviews,'hot off the press'commentaries, and late-breaking clinical trials. Practice with confidence and overcome your toughest challenges with advice from the top minds in cardiology today, who synthesize the entire state of current knowledge and summarize all of the most recent ACC/AHA practice guidelines. Locate the answers you need fast thanks to a user-friendly, full-color design with more than 1,200 color illustrations. Search the complete contents online at www.expertconsult.com. Stay on top of the latest advances in molecular imaging, intravascular ultrasound, cardiovascular regeneration and tissue engineering, device therapy for advanced heart failure, atrial fibrillation management, structural heart disease, Chagasic heart disease, ethics in cardiovascular medicine, the design and conduct of clinical trials, and many other timely topics. Hone your clinical skills with new dynamic cardiac imaging videos, heart sound recordings, and podcasts at www.expertconsult.com.

The 6th Edition of the indispensable Textbook of Interventional Cardiology, by Drs. Eric Topol and Paul S. Teirstein, offers you comprehensive, seasoned clinical advice on all aspects of this rapidly evolving subspecialty. You'll find balanced, expert perspectives on the scientific and clinical advances established over the last few decades so you can better decide which procedures deliver optimal results in any given situation. You'll also get an updated look at promising new techniques like transcatheter aortic valve implantation; new interventional approaches for left mainstem disease and thrombus-containing lesions; transradial intervention; and optical coherence tomography (OCT). At www.expertconsult.com you can access the complete contents of the book, plus additional case discussions and procedural videos to enhance your knowledge and skills. Rely on Dr. Topol's premier text to provide unmatched leadership in the ever-evolving practice of interventional cardiology. Achieve the best outcomes for your patients with dependable, objective advice on both proven and emerging procedures and devices. Perform effective interventions for heart disorders with the expert guidance of leading authorities who offer a fresh and balanced perspective on all aspects of interventional cardiology. Keep up with emerging procedures including transcatheter aortic valve implantation (TAVI), transradial intervention, and optical coherence tomography (OCT), as well as new interventional approaches for left mainstem disease and thrombus-containing lesions. Stay current with the latest genetic information and clinical trials. Search the complete text plus additional case discussions, download all the images, and watch procedural videos online at www.expertconsult.com.

TMLR is becoming a very popular indirect method of revascularization which will probably become yet another accepted technique for treating coronary artery disease. The articles included in this publication have all been written by experts and not only describe the technique itself but also give the first comprehensive survey on the pathological, physiological, laser technological and surgical basis necessary to understand this approach. Physicians who treat patients with coronary artery disease will find this volume most useful in their work.

This book provides an overview of new developments in angiography research. Topics discussed in this compilation include endovascular treatment of acute ischemic stroke; the application of CT angiography in the diagnosis of cardiovascular disease; cathether-based registration and motion compensation for 2-D/3-D fusion during electrophysiology procedures; headaches related to angiography and endovascular procedures; hybrid coronary revascularization and routine intra-operative completion angiography; and image registration techniques in Digital Subtraction Angiography (DSA).

In the early days of cardiac surgery, but also in the following four decades, median sternotomy and cardiopulmonary bypass were nearly always included in cardiac surgical procedures. Less invasive surgical techniques were developed with the aim of reducing perioperative trauma without compromising the surgical result, and things became more complex for cardiac surgeons. They now often had to consider the surgical access of choice and whether cardiopulmonary bypass should be used or not. Since the mid 1990s, not only have several novel minimally invasive surgical techniques been presented, but also further refinements have been recommended from time to time. This work comes to fill a gap in the field of coronary artery bypass grafting and conduit harvesting in cardiac surgery, by gathering the mature version of such new, less invasive techniques combining safety, effectiveness, simplicity, sometimes even reducing procedural costs and that always for the patient's and for the surgeon's sake.

This book discusses the different aspects of mitral regurgitation as well as diagnostic and imaging studies to evaluate the patients at risk. Treatment options for patients with mitral regurgitation are discussed including some of the new non-surgical treatments. Various medical devices and technologies have evolved recently making the traditional surgery not the only option in these patients. This book will be helpful to surgeons, cardiologists, as well as other clinicians and students interested in the diagnosis and treatment of mitral regurgitation.

Cardiovascular disease is a leading cause of death throughout the world. Chronic negative emotions such as depression and anxiety place cardiac patients at greater risk for death and recurrence of cardiovascular disease. In 2008 the editor published a book related to this topic, titled Psychotherapy with Cardiac Patients: Behavioral Cardiology in Practice (American Psychological Association). Aside from that book, there are very few resources specifically written for clinicians who treat psychologically distressed cardiac patients. Unlike other medical specialty areas such as oncology, the field of cardiology has been slow to integrate behavioral treatments into the delivery of service. Perhaps because the field has been largely defined and dominated by researchers, mental health clinicians are only starting to recognize behavioral cardiology as a viable arena in which to practice. There is a large void in the practitioner literature on behavioral cardiology. In a review of Psychotherapy with Cardiac Patients, Paul Efthim, Ph.D. wrote,'Her new book goes well beyond previous works by giving specific and detailed guidance about how to tailor psychological interventions with this variegated population.'He added,'It would benefit from even more details about treatment approaches.'This proposed volume goes beyond the editor's previous volume by providing in-depth descriptions of behavioral treatments for distressed cardiac patients written by eminent leaders in behavioral cardiology. This book describes a wide range of behavioral treatments for the common psychologically based problems encountered by clinicians who treat cardiac patients. The book is organized as follows: Part I focuses on the most psychologically challenging and common presentations of cardiac diagnosis; coronary artery disease, arrhythmia, and heart failure. This section also includes a chapter on heart transplantation, which is a treatment, not a diagnosis, but a treatment that incurs profound psychological impact for the individual. In Part II, behavioral interventions for the general cardiac population are described. Mainstream therapies such as stress management, cognitive-behavioral therapy, and medical family therapy are described, along with approaches that have less empirical support but considerable practical significance such as personality-guided therapy and interventions aimed at altering type D personality traits. The literature in behavioral cardiology has a rich history of investigating maladaptive personality traits and thus it is important to include behavioral approaches that target personality in this volume. Part III focuses on common behavioral problems encountered by clinicians who work with this patient population. Most patients who seek psychological help do so because they perceive themselves to be stressed due to their job or overextended in all areas of their life. Other people with heart disease present with sleep problems and/or an inability to motivate themselves to exercise or quit smoking. There are many practical behavioral approaches that can be helpful for patients with these difficulties and these are detailed in this section of the book. The conclusion of the book focuses on how to integrate the behavioral treatments described in the preceding chapters into a comprehensive treatment model.

Coronary Heart Disease: Clinical, Pathological, Imaging, and Molecular Profiles presents a comprehensive picture of ischemic heart disease for practitioners, students, and investigators dealing with the varied facets of this complex subject. Individual chapters introduce the anatomy of the coronary blood vessels and cardiac development, while others consider current imaging modalities utilized for ischemic heart disease, including stress echo, nuclear diagnostic tests, non-invasive coronary artery imaging, and coronary angiography. Imaging chapters provide key clinical information on techniques and indications, and include examples of both normal and abnormal patterns. The principle thrust of the book concerns coronary atherosclerosis, the pathology of which is presented in conjunction with the results of anatomic, non-invasive imaging and angiographic studies. Related chapters cover atherogenesis, presenting new insights into the pathophysiology of the vulnerable plaque, the role of progenitor cells in vascular injury, inflammation and atherogenesis, and the genomics of vascular remodeling. Additional topics covered include angina pectoris, acute coronary syndromes, healed myocardial infarction and congestive heart failure, catheter-based and surgical revascularization, and surgical treatment of myocardial infarction and its sequelae. With contributions from a diverse group of internationally-known physicians with broad experience in the diagnosis and treatment of coronary heart disease, this book will be a valuable resource for practitioners in clinical cardiology, thoracic surgery, pathology, and cardiovascular molecular research, as well as for students in training.

Landmark Papers in Cardiovascular Medicine provides a thorough and wide-ranging analysis of core examples of novel research, clinical trials and seminal papers published in the medical literature that have paved the way for breakthroughs in the management of the entire spectrum of cardiovascular disease. These papers may have produced positive, negative or equivocal findings but are regarded by the experts as having either stimulated a paradigm shift in therapeutic strategy or been the catalyst for new and improved methods of research, diagnosis or drug development. Our aim is to provide both a benchmark and inspiration for future work in the field of cardiovascular medicine and also to give the reader an insight into the mechanics and infrastructure of how high-quality evidence-based medicine has been produced. Each trial summary is punctuated by sections on'strengths and limitations','impact on the field','learning points'and'further reading'suggestions that allow for a completely holistic analysis of the data. The experts also give their views on what research is currently underway, their hopes for the future and what advances they predict will occur in each subspecialty field of cardiovascular medicine, making this book essential reading for all those individuals with an interest in the field.

Cardiac Pacing: An Illustrated Introduction will provide an introduction to all those who have or who are developing an interest in cardiac pacing. At a time in the UK when pacing is being devolved from specialist tertiary cardiac centres to smaller district general hospitals and in the USA where pacemaker implantation is no longer the responsibility of the surgeon and in the domain of cardiologists, there is a need for a text which offers a guide to pacing issues to be used alongside a comprehensive practical training programme in an experienced pacing centre

The success of the first edition of Percutaneous Treatment of Left Side Cardiac Valves has convinced us of the need to update this book in order to keep pace with the continuing rapid and dynamic evolution in the discipline. Once again, this practical guide is designed to provide the reader with complete state of the art information on the techniques and approaches to percutaneous treatment of left side cardiac valve disease. Numerous images will help the reader to understand in detail the steps of each procedure. The potential complications and expected or potential morbidity from each procedure are discussed in depth, and the best ways to manage them are carefully explained. The book is also intended as a reference covering the up-to-date knowledge contained in the literature on the application of transcatheter techniques to cardiac valves.

Debates and controversies about how to treat difficult problems or conditions abound in cardiac electrophysiology. This issue attempts to bring together a variety of controversial subjects and to present differing views on how to resolve these questions so clinicians will have a handy guide to the most current thinking about these difficult subjects.

It is now 20 years since thoracoscopic surgery first entered everyday hospital practice, revolutionizing surgery and offering major benefits to patients. The intervening years have witnessed rapid progress, with the development of a variety of specialized techniques and equipment. This superbly illustrated book provides authoritative and comprehensive descriptions of the various minimally invasive techniques that are currently employed in thoracic and cardiac surgery. A wide range of thoracoscopic procedures are explained and discussed, and detailed attention is also paid to robotic and robot-assisted surgical techniques. Throughout, the emphasis is on clear description of procedures and identification of practical aspects of relevance in surgical practice. The authors are some of the world's most experienced thoracic and cardiac surgeons, and many of them have contributed greatly to the exploration and development of the field.

Part of the Monographs in Cardiac Surgery Series – Introducing ‘basic science into the cardiac operating room'. Fast systematic review of small areas of cardiac surgery including up-to-date information. This will allow more rapid publication than the alternative cardiac surgery ‘tomes'. This entry into the series will provide readers with a complete review of the current understanding in mitral valve surgery and include extensive details on the diagnosis and surgical management of patients with mitral valve disease.

Interventional cardiology refers to catheter-based treatment of cardiovascular diseases. This dynamic new field is one of the fastest growing fields in medicine. In the United States, more than a million percutaneous coronary interventions (PCI) are performed annually; moreover, the number of procedures performed will likely continue to increase. The field of interventional cardiology has evolved dramatically over the past decade with the availability of embolic protection devices, drug eluting stents, mechanical thrombectomy catheters, etc. Interventional cardiology represents a rapidly moving target for the cardiologist who seeks to integrate recent advances into their clinical practice. The advent of newer technology presents both an opportunity as well as numerous challenges for the cardiologist to treat patients optimally. Interventional Cardiology: Essential Clinicians Guide (Oxford American Cardiology Library) aims to provide clinicians with concise, easily accessible guidance on the pre-procedural, procedural and post procedural aspects of PCI in general situations and in various specific clinical settings. The volume features evidence-based discussion on patient selection, vascular access, general principles of PCI, and various specific settings and optimal post procedure management of these patients. This handbook focuses on tailoring stent type to the individual patient, taking into account specific risk factors and comorbidities, appropriate use of embolic protection and thrombectomy catheters. Highly practical in format, content and style, Interventional Cardiology: Essential Clinician's Guide serves as a succinct, yet comprehensive, easily accessible point-of-care reference for busy practitioners. Useful tools, such as treatment algorithms, charts, tables and illustrations assist in making this volume a practical reference tool.

The most authoritative, comprehensive, and current cardiac surgery resource – completely updated and in full color DVD with surgical video clips In Cardiac Surgery in the Adult, 4e the world's foremost cardiovascular surgeons and physicians deliver thorough, up-to-date coverage of operative strategy, decision-making, technique, and pre and postoperative management for treating the adult cardiac patient. Editor Lawrence H. Cohn takes you through the optimal treatment of congenital, acquired, infectious, and traumatic diseases of the heart and great vessels. The book begins with a history of cardiac surgery and basic cardiac science, then moves into all types of cardiac surgery, providing both practicing surgeons and residents insight into the very latest surgical protocols. Presented in full color for the first time, the fourth edition of Cardiac Surgery in the Adult is aligned with up-to-the-minute developments in the field including recent surgical trends in minimally invasive cardiac surgery. Unparalleled in both scope and clinical rigor, the fourth edition contains 70 chapters that highlight every important topic in cardiovascular surgery. FEATURES An update of the most recent surgical perspectives and techniques in ischemic and valvular heart disease, diseases of the great vessels, cardiac arrhythmias, and more New and refreshed content on pivotal trends and topics, including the use of robotic surgery, minimally invasive valve and coronary artery bypass surgery, stem-cell induced regenerative medicine, tissue engineering, and percutaneous valve procedures and much more New full-color design—with many illustrations enhanced expressly for this edition—facilitates the comprehension of surgical procedures throughout Important opening section on the fundamentals of cardiac surgery, from its origins to the surgical anatomy of the heart, cardiac surgical physiology, risk stratification, and the statistical treatment of surgical outcome data Key chapters on the perioperative and postoperative management of cardiac patients from internationally recognized experts in the field Coverage of trends that highlight patient demographics, with a focus cross-training surgeons in endovascular skills through coverage of such topics as percutaneous intervention and endovascular graft technology Companion DVD with procedure-simplifying video clips

Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy, 4th Edition, by Drs. Kenneth A. Ellenbogen, Bruce L. Wilkoff, G. Neal Kay, and Chu-Pak Lau, helps you deliver superior clinical outcomes using the latest, most successful cardiac electrophysiology techniques. Expertly and practically incorporate today's technical developments in device and ablation therapies into your practice, and stay on the edge of this rapidly advancing field. Strengthen your skills in challenging new areas like ICD therapy in hereditary arrhythmias, interventional techniques for device implantation, implantable cardiovascular monitors, leadless pacing, and the biologic pacemaker. Watch experts perform these cutting-edge procedures online at www.expertconsult.com to help maximize your efficiency and solve a broader range of heart rhythm challenges than ever before.Manage more patients and handle a broader range of conditions by following the newest standards in pacing, defibrillation, and resynchronization technologies. Apply the latest procedures with guidance from world authorities who contribute fresh perspectives on the challenging clinical area of cardiac electrophysiology. Confidently treat your patients with the newest, state-of-the-art techniques for atrial and ventricular pacing modes; ICD therapy in hereditary arrhythmias; interventional techniques for device implantation; guidelines for managing device and lead advisories; implantable cardiovascular monitors; leadless pacing and ICDs; and the biologic pacemaker. Mirror the performance of the experts as they perform step-by-step procedures in intervention, implantation, and ablation therapies in the online videos. Search the complete contents online, link to PubMed, download the image gallery, review practice guidelines, and view all of the videos at www.expertconsult.com.

The thoroughly updated second edition of this key textbook provides an authoritative discussion of cardiovascular disease for the practicing primary care clinician. It examines a variety of disease states with emphasis on risk factors, risk estimation, and established cardiac disease. The book also explores the co-morbid conditions that surround cardiovascular disease. It includes key points, algorithms, case studies, recommendations on evidence-based practice, and summary boxes. A key resource for the busy practitioner, the Second Edition of Comprehensive Cardiovascular Medicine in the Primary Care Setting is designed to give residents, fellows, and primary care physicians the skills to confidently perform assessments, initiate and maintain efficacious therapy, and know when a referral to a cardiologist is advisable.

Dynamic Echocardiography combines textbook, case-based, and multimedia approaches to cover the latest advances in this rapidly evolving specialty. The experts at the American Society of Echocardiography (ASE) present new developments in 3D echocardiography, aortic and mitral valve disease, interventional and intraoperative echocardiography, new technologies, and more. You'll have everything you need to apply the latest techniques in echocardiography and get the best results…in print and online at www.expertconsult.com.Stay current on aortic and mitral valve disease, prosthetic heart valve disease, interventional and intraoperative echocardiography, transesophageal echocardiography, CAD, complications of MI, pericardial disease and intracardiac masses, myocardial diseases, heart failure filling pressures, CRT, CHD, and new technologies. Understand the advantages of 3D echocardiography and see how to effectively use this novel technique. Appreciate the visual nuances and details of echocardiography thanks to beautiful, full-color illustrations. Tap into the expertise of authorities from the American Society of Echocardiography.

An all-in-one guide to mechanical assist devices for the treatment of heart failure This complete guide addresses all of the clinical scenarios encountered by the health care team during the pre-operative, intra-operative, and post-operative periods following device implantation. In addition, it outlines the specific attributes of various technologies that are currently utilized by clinicians, giving you a practical view of how the latest devices work. You'll also find a mini-catalog of the spectrum of current devices, complete with their technical and clinical specifications. Drawing on the latest published data and the combined global expertise of a renowned author team, Mechanical Circulatory Support puts the field's most essential perspectives right at your fingertips. FEATURES: The unmatched mechanical circulatory device sourcebook, covering the physiological, technical, regulatory, and clinical aspects of ventricular assist devices Full-color presentation features a wide range of photographs, radiographs, tables, and clearly labeled clinical and schematic illustrations Essential insights into the physiology of heart failure, which provides a basic foundation of knowledge for understanding the role of mechanical circulatory assistance in the management of heart failure Logical two-part organization consisting of: Clinical Considerations in mechanical circulatory support, including device history/development and indications for device therapy; perioperative management; complications; and special considerations (use in infants/children, pulmonary hypertension during LVAD support, and more) Device-Specific Considerations, which provides a mini-catalog of manufacturer's devices—-from short-term devices to long-term continuous flow devices—-and highlights technical and clinical specifications for each product Guide to appropriate device selection using a simplified framework in an industry that produces an increasing array of short- and long-term therapies Helpful chapter introductions provide essential background information that places each chapter topic in its proper clinical and technical context Conclusions at the end of each chapter offer a concise summary of chapter material Full chapter-ending references provide opportunities for further research

A left ventricular assist device (LVAD) is a surgically implanted pump that helps the left ventricle pump blood to the rest of the body. The purpose of this issue is to let cardiologists know about the latest devices, their complications, and the clinical situations in which they are most beneficial.

The minimally-invasive or endoscopic mitral valve surgery is one of the most attractive and most interesting areas of the modern heart surgery. The book describes first all practical steps necessary in a clinic from the idea of the introduction of the minimally-invasive mitral valve surgery up to practical realization of the operation program. The initial explanation of organizational and financial aspects allows an exact resource planning and protects against wrong expectations and failures. An extensive and detailed representation of the reconstruction technologies possible today as well as the specific features of her endoscopic application allow quick learning of the surgical technology. Numerous tips and tricks and informative pictures of the most frequent findings and the accompanying reconstruction technologies underline the practical orientation of the book.

Epicardial ablation is a relatively new technique that is less invasive than traditional surgical ablation. It shows promise in certain patient populations. This issue of Cardiac Electrophysiology Clinics is one of the first collections of articles on this cutting edge technique.

Fundamentals of Cardiac Pacing was just honored with 4 Stars from Doody's Book Review! An introductory guide to cardiac pacing, Fundamentals of Cardiac Pacing covers the key topics that residents, fellows, nurses, and other clinical personnel must be familiar with in order to care for the growing number of patients with cardiac pacemakers. This concise and clearly written handbook covers all dimensions of cardiac pacing including indications, technology, implantation techniques, programming, diagnostics, and follow-up as well as evidence-based guidelines for pacemaker implantation, avoidance of complications, and patient preparedness. This is a straightforward, complete and essential guide to the long-term care of patients with cardiac pacemakers, and is the perfect resource for any health care professional.

As patients live longer and need to be treated over the long term and the management of pediatric cardiology problems and congenital heart disease moves more into the mainstream, turn to Pediatric Cardiology for current clinical guidance. Trust Dr. Robert Anderson, godfather of cardiac morphology, to bring you coverage of potential cardiovascular anomalies, all potential diseases related to anomalies or developmental problems, and methods for management and treatment. New contributors from all over the world-including 70% new to this edition-present the latest challenges in the field and emphasize the adolescent and post-operative outcomes for management. Now, in full color, this leading reference offers you everything you need to treat and manage pediatric heart conditions. A comprehensive and exhaustive reference of fundamental and clinical aspects of heart disease in infancy and childhood.The contributors are well-known experts in the field and the editors are a world class group who have published extensively in the field.Emphasizes the treatment of corrected congenital heart disease for coverage of the clinical management of cardiac problems in the adolescent and young adult. Integrates development in chapters on lesions to make physiology clinically relevant for the specific cardiac lesions. Provides the latest clinical perspectives on neonate cardiac development management issues so you can offer the best long-term care. Presents the contributions of 70% new authors, from all over the world, in a consistent format to make referencing global perspectives quick and easy. Captures the nuances of the anatomical structure of lesions through full-color illustrations depicting morphologic, congenital, and surgically corrected examples for exceptional visual guidance.

With truly stunning 3D pictures and movies, Shiota is now ready to show the clinical value of 3D echocardiography in daily practice. This new book provides the reader with a definitive viewpoint on the benefits of utilizing 3D echocardiography with author's personal clinical experience in cardiac imaging. A case presentation style is used to show the clear difference between 2D and 3D echocardiography seen in patients, along with state-of-the-art cardiac 3D images, both normal and abnormal.

Evidence based Cardiology was first published in 1998 to universal acclaim. Now, with the move towards more patient focused health care and at the same time increased emphasis on health economics, evidence-based practice is a more important force in health care delivery than ever. This new third edition, written by the world's leading cardiologists, provides graded evidence-based reviews of the major trials together with recommendations for optimum management, and now includes new grading and recommendation methodology. This is a unique book in the field of cardiology, and the largest evidence based clinical cardiology text.

With your heavy case load, you can't afford to waste time searching for answers. Cardiology, 3rd Edition, by Drs. Crawford, DiMarco, and Paulus, offers you just the practical, problem-based guidance you need to quickly overcome any clinical challenge. 8 color-coded sections cover the 8 major clinical syndromes of cardiovascular disease—each section a virtual'mini textbook'on its topic! 40 new chapters keep you up to date with the latest advances in the field, while more than 2,000 lavish, high-quality illustrations, color photographs, tables, and ECGs capture clinical manifestations as they present in practice. It's current, actionable information that you can put to work immediately for your patients!Offers a problem-based approach that integrates basic science, diagnostic investigations, and therapeutic management in one place for each cardiovascular disease so you can quickly find all of the actionable knowledge you need without flipping from one section to another. Features introductory bulleted highlights in each chapter that present the most pertinent information at a glance. Presents abundant algorithms to expedite clinical decision making. Includes more than 2,000 lavish, high-quality illustrations, color photographs, tables, and ECGs that capture clinical manifestations as they present in practice, and promote readability and retention.Includes 40 new chapters including Inherited Arrhythmia Syndromes, Implantable Cardioverter-Defibrillators and Cardiac Resynchronization Therapy in CHD, Management of the Cyanotic Patient with CHD, Special Problems for the Cardiology Consultant Dealing with Bariatric/Gastric Bypass — and many more — that equip you with all of the latest knowledge. Presents'Special Problem'sections—many new to this edition—that provide practical advice on problems that can be difficult to treat.

Written by pioneers in the field of interventional cardiology, this critical text provides readers with the information and expert guidance needed to perform safe and effective transcatheter aortic valve implantations (TAVI). The book is supplemented by visual aids, including more than 200 color illustrations and downloadable resources with bonus footage that detail each preprocedural, intraprocedural, and postprocedural step of TAVI—enabling readers to utilize TAVI devices correctly to improve patient results. The book focuses on the CoreValve and Edwards devices, but also provides practical, basic information applicable to any transcatheter aortic valve device.

Cardiomyopathy is a type of heart disease in which the heart becomes abnormally enlarged, thickened and/or stiffened. As a result, the heart muscle's ability to pump and/or receive blood is impaired. This book describes the most recent advances in cardiomyopathies- one of the leading causes of hospitalization worldwide. Dilated cardiomyopathy (DCM), also known as congestive cardiomyopathy, is a condition in which the heart becomes weakened and enlarged, and as a result, cannot pump blood efficiently. The causes, effects, as well as the severity of DCM are described in this book, as well as the types of therapy that are effective, such as anti-inflammatory or immunosuppressive therapy. There has been a general decrease of cardiac involvement in HIV-positive subjects in recent years due mostly to antiretroviral therapeutic advances. This reasons behind this trend are explored. In addition, the types of risk factors that can reduce severe cardiocirculatory pathologies incidence (such as tobacco smoking and alcohol abuse)are explained as well. Apoptosis, or cell death, is considered a key event during myocardial infarction and in the development of ischemic cardiomyopathy. This book describes the role of caspase-cleaved cytokeratin-18 (ccCk-18) in ischemic cardiomyopathy. This book details the clinical significance of left ventricular false tendons, which consist of thin fibrous or fibromuccular structures, and their association with localized subaortic hypertrophy. The diagnostic and prognostic cardiac imaging in hypertrophic cardiomyopathies (HCM) and dilated cardiomyopathies as explored as well, in addition to the role of nuclear imaging techniques in the broad setting of cardiomyopathies. Cardiomyopathies often lead to sudden cardiac death (SCD). This book describes the three main pathological entities of this group- hypertrophic cardiomyopathy (HCM), dilated cardiomyopathy (DCM) and arrhythmogenic right ventricular cardiomyopathy (ARVC). This book also details the epidemiology, pathology, diagnosis and treatment of the American Trypanosomiasis- a zoonosis caused by a parasite, the Trypanosoma Cruzi. Recent statistics show that 60% of Americans are overweight. Being obese is often a precursor to coronary artery disease as well as heart failure. This book explains such obesity-related cardiomyopathies. In addition, this book explores hypertrophic obstructive cardiomyopathy (HOCM), a primary myocardial disease, and the effective treatments for this condition. Both clozapine-associated myocarditis and cardiomyopathy lead to significant cardiovascular compromise and clinical deterioration over a short period of time. This book describes such conditions, as well as the type of therapy (such as clozapine therapy) that follows a diagnosis. Heart transplantation is usually the treatment of choice for certain types of cardiomyopathy. However, the donor rate in many countries is low, causing a significant problem especially as the number of potential recipients increases. Thus, this book explains the types of non-transplant surgical options for cardiomyopathy, including high-risk coronary bypass surgery. This book details the meaning of serum pro-BNP levels in different cardiac diseases, the usefulness of some arterial pressure waveform system and assesses the feasibility of the cardiac cycle efficiency (CCE). In addition, factors affecting tumor Necrosis factor-alpha (TNF alpha) in heart disease are reviewed in this book, as well as the Takotsubo Syndrome (TTS), characterized by an acute, reversible cardiomyopathy that can either involve apical or midventricular segments. Atherosclerotic cardiovascular diseases (CVD) are the leading cause of mortality worldwide. A non invasive imaging methodology, allowing the early detection of vulnerable atherosclerosis in selected individuals, is explored, prior to the occurrence of any symptoms. An overview of all radiotracers that have been experimentally eval

Challenges for the treatment of valvular heart disease include the growing need for effective yet less invasive interventions and therapies to treat these progressive conditions. With the development of potential new treatments, it is crucial for cardiac physicians to be well informed on the pathophysiology, assessment, treatment options and their outcomes of valvular diseases. Written by a highly experienced and internationally recognized group of cardiologists, cardiac surgeons, and researchers, Valvular Heart Disease offers insights into the widely varying hemodynamic effects and clinical course of heart valve conditions, as well as the contemporary management of these conditions. Offering a broad perspective on these diseases, Valvular Heart Disease expands on the recent guidelines developed by the major heart societies in the United State and Europe.

This compendium of cardiac CT angiographic cases is a sampling of the breadth of real-world cases encountered in a busy practice with examples of pathology and normal variants. Dr. Claudio Smuclovisky has assimilated the key image?ndings from cardiac CT and coupled these with comp- mentary imaging documentation and key clinical history pieces that de?ne the diagnosis of each case. These cases include not only coronary artery anatomy, anomalies, and pathology but also thoracic and cardiac ano- lies and pathology encountered when performing cardiac CT angiography. Importantly, these cases serve as examples that enhance the educational experience for less-experienced interpreters, while providing a reference for more-experienced imagers. Documented within are also many unusual?ndings not routinely encountered in a low-volume practice. Experience and exposure to the breadth of cardiac anatomic variants and disease p- cesses are a major component of building an imaging fund of knowledge. Cases of congenital heart disease, for example (less frequently enco- tered in the adult population), have important clinical and prognostic value that require communication to the referring physician. These attributes may not be fully characterized or may be missed if the CT angiography (CTA) imager is only focused on the coronary arteries and not the entire set of images. This compendium will widen the exposure of new interpreters and also serve as a reference when dif?cult cases are encountered.

Critical Care of Children with Heart Disease will summarize the comprehensive medical and surgical management of the acutely-ill patient with congenital and acquired cardiac disease. The aim of the book is to teach bedside physicians, nurses and other caregivers, basic and practical concepts of anatomy, pathophysiology, surgical techniques and peri-operative management of critically ill children and adults with congenital heart disease, allowing these professionals to anticipate, prevent or else treat such pathologies. The book will cover specific cardiac lesions, review their anatomy, pathophysiology, current preoperative, intraoperative and postoperative assessment and management; medical and surgical complications will be briefly described with each lesion further discussed in specific chapters. In addition, the book will have dedicated chapters to management of cardiac patients on extracorporeal membrane oxygenation, hemofiltration, hemo or peritoneal dialysis and plasma exchange. Practical guidelines for cardiovascular nursing care will be also included.

In theory, treatment decisions and assessments of response to therapy in critically ill patients should usually be based on measures of physiological function. Nevertheless, the most appropriate use of the information embodied in such measures is often unclear, and rarely supported by prospective clinical trials. In reality, the bedside clinician is therefore forced to rely primarily on physiological principles when deciding upon the best treatment. Unfortunately, however, the necessary knowledge base of the clinician is often less than optimal for the purpose, and habit or prior training may be more influential than science. Against this background, this second, revised edition of Applied Physiology in Intensive Care Medicine aims to help overcome the fundamental unevenness in clinicians'understanding of applied physiology. It is divided into three sections. The first comprises a series of'physiological notes'that concisely and clearly capture the essence of the physiological perspectives underpinning our understanding of disease and response to therapy. The second section contains more detailed associated reviews on measurement techniques and physiological processes, while the third provides a number of seminal studies on diverse topics in intensive care. This up-to-date compendium of practical bedside knowledge essential to the effective delivery of acute care medicine has been written by some of the most renowned experts in the field. It will serve the clinician as an invaluable reference source on key issues regularly confronted in everyday practice.

Heart failure is the biggest killer in the western world, with an estimated 5 million cases in the US alone and at least 400 000 new cases being diagnosed each year, but the number of clinical books going into detail on surgical management have been limited. The management of heart failure has undergone great changes in the last few years. There is very little comprehensive information about co-ordinated care of patients with heart failure. There has been a growth in heart failure cardiology and in the community treatment of heart failure, which have not been taught in medical schools or teaching hospitals. Traditionally surgical procedures have revolved predominantly around the transplant procedure, but more non-transplant methods are gaining in popularity. This book set will provide the full spectrum of 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 surgical management of heart failure. This surgical volume is designed to integrate with its sister medical volume but also be the definitive guide to the surgical management of heart failure.

In On Bypass: Advanced Perfusion Techniques, editors Linda Mongero and James Beck have distilled the complex field of extrac- poreal circulation and intraoperative mechanical support down to its most basic and important components. By identifying the critical pieces of the complex puzzle that is cardiopulmonary bypass and having these presented by a truly all star cast of contributing authors, On Bypass represents a comprehensive, in depth compilation of the current sta- of the art in cardiopulmonary bypass technology and techniques. In chapters dedicated to engineering, cannulation, blood flow, prime solutions, and ultrafiltration, the reader is exposed to detailed descr- tions of the foundations of cardiopulmonary bypass technology. Other chapters illuminate the nuances of perfusion in special situations, such as pediatric, minimally invasive, and aortic surgery. Extension of ext- corporeal support beyond the operating room is covered expertly in a chapter on EeMO and long term pulmonary support. But this book goes beyond the traditional boundaries of a perfusion manual, and it is significantly strengthened by clinically oriented chapters dedicated to separation from cardiopulmonary bypass, the inflammatory response, and echocardiography. Finally, the editors draw upon their more than 50 years of experience as cutting edge perfusionists in a chapter on policies and procedures, which constitutes required reading for anyone managing a perfusion program. In sum, On Bypass represents an authoritative compendium of the most recent and best knowledge in every area relevant to cardiopul- nary bypass and perfusion.

Cardiac Resynchronization Therapy continues to evolve at a rapid pace. Growing clinical experience and additional clinical trials are resulting in changes in how patients are selected for CRT. This new edition of the successful Cardiac Resynchronization Therapy builds on the strengths of the first edition, providing basic knowledge as well as an up-to-date summary of new advances in CRT for heart failure. Fully updated to include information on technological advances, trouble shooting and recent key clinical trials, and with nine new chapters, this expanded text provides the latest information, keeping the reader up-to-date with this rapidly evolving field. The second edition of Cardiac Resynchronization Therapy is an essential addition to your collection.

A PDA verision of this book is now available, powered by Skyscape. Click here to order and to find out more. Cardiology is a rapidly changing and expanding field with management protocols changing regularly and newer categories of treatment options being discovered, with greater emphasis on the prevention of cardiovascular diseases. Swanton's Cardiology (formerly Pocket Consultant: Cardiology) is a highly practical, user-friendly reference and learning text which is of great value to a wide variety of staff working with cardiac patients. Now in its sixth edition, this best-selling book has been highly praised for its readability, conciseness and clear illustrations and offers a clear and didactic style, presenting information in the form of lists and tables for quick and easy reference. The sixth edition now offers: a new design for easier navigation and use highly practical advice with clear tables for quick and easy reference five new chapters including Pregnancy and Heart Disease and Echocardiography In addition, Swanton's Cardiology covers some subjects in cardiology that are not well covered in clinical training, and this book will help fill any gaps in the reader's clinical course, for example, sections on congenital heart disease, pacing, and cardiac investigations.

This book, a clinically oriented survey of cardiology, is written for post-graduate students of general medicine, who are required to have a sound knowledge of cardiology, a common speciality encountered in the examination and while practising as a physician. This book bridges the gap between elaborate texts and very precise handbooks. It deals with specific cardiovascular diseases. In each chapter, relevant features of basic cardiac science have been described briefly including pathogenesis along with elaboration on clinical features and management. Applied pharmacotherapeutics of important drugs and management procedures are explained as and where required. Summarization is incorporated in complex topics. The text accompanies ample line diagrams, tables and flow charts to make the subject matter easily unerstandable. This book can also cater to the need of knowledge thirsty undergraduates wishing to have an edge over others and those attempting competitive exams.

This collection of current and future concepts of neovascularization offers fascinating insights into refining a powerful therapeutic tool which has not yet had the chance to live up to the expectations and needs of the medical community. It examines current refinements in the fundamental concept of neovascularization and describes the most recent developments, which in the future might pave the way towards a new era of therapeutic applications.

This companion to Braunwald's Heart Disease equips you with all of today's most effective therapeutic guidelines and management solutions for the full range of heart disease patients. It reflects the most recent standards for drug management as well as the latest in new technologies. Reorganized to mirror your changing practice, each cardiovascular-problem-based section offers a chapter on pharmacologic treatment (with a minimum of pathophysiology)...a chapter on catheter-based or minimally invasive interventions...and a discussion of surgical options. You'll also find a brand-new chapter on gene therapy and stem cell therapy, plus new chapters on many other rapidly developing areas of practice. The result is an outstanding single-volume source for state-of-the-art, clinically oriented guidance on both common and unusual areas of cardiovascular treatment.Facilitates the decision-making process clinicians face when choosing among various cardiovascular therapeutic options.covers the latest concepts in pathophysiology, evaluation, and management of patients with cardiovascular disordersAddresses pharmacological, interventional, and surgical management approaches for each type of cardiovascular disease, putting advice on the full range of therapeutic options at your disposal. Keeps you current with brand-new chapters on gene therapy and stem cell therapy • unstable and chronic stable angina • management of unstable angina and non-ST-elevation myocardial infarction • devices for heart failure and arrhythmias • prevention of ischemic disease • the regulatory approval process for new cardiovascular drugs and devices • and more. Delivers a fully revised section on'Heart Failure'that explores cardiac resynchronization therapy, surgical interventions, ambulatory management, hospital management, and cardiac transplantation and circulatory support devices. Offers a completely updated section on'Other Cardiovascular Conditions'that addresses issues such as pharmacologic treatment of cardiovascular disease during pregnancy • care for adults with congenital heart disease • treatment of primary pulmonary hypertension • prevention and treatment of infective endocarditis • treatment of pericardial disease • and rehabilitation of the patient with cardiovascular disease. Reflects a new emphasis on the role of diet and exercise in the management of cardiovascular problems in conformity with ACC/AHA/ESC guidelines.

Aim of the volume is to give an overview of the state of the art on the emerging cardiac pathologies such as acute coronary syndromes, atrial fibrillation, sudden death, heart failure, global cardiovascular prevention and syncope. The volume chapters, written by leading experts in these fields, offer the latest information about epidemiology, pathophysiology, diagnosis and novel treatments of these pathologies. Addressed to cardiologists, internists, first aid clinicians, practitioners, it will be very helpful also for residents, nurses and all health professionals involved in the management of cardiac pathologies.

Gregory D. Skalkeas Professor Emeritus, Academician, President of the Foundation of Biomedical Research of the Academy of Athens Vascular surgery has acquired a well-established identity throughout the Eu- pean Union, where vascular diseases are still the leading cause (40%) of death and disability. Proper management of vascular diseases is dependent on public awareness and appropriate training of specialists. Tis stands true for every medical d- cipline. For vascular surgery it has an additional aspect because, besides the required above-average standard of technical dexterity, the vascular surgeon should also be well versed in a variety of subjects such as molecular biology, in the use of ultrasound and – with the introduction of endovascular techniques – a skilful operator of guidewires and laparoscopic instruments. All the ac- mulated know-how and skills required for proper management of the vascular patient demand a rapid change in the training of vascular surgeons and an - depth knowledge of the various manifestations of vascular diseases. Te information necessary for the above is disseminated through books, journals and the internet. Most of the time, however, articles in journals refect the experience and enthusiasm of the authors on the subject but not the level of knowledge of the medical community as a whole. Electronic information is fast and reliable but always gives the reader the impression of being short-lived. Books, on the other hand, allow a refection of what has been written and a true interactive role for the reader.

Coronary stenting is the most commonly used method of myocardial revascularization, with approximately 2 million stents implanted in 2004 throughout the world. The development of drug eluting stents has resulted in very low rates of repeat intervention and will further increase the scope for percutaneous coronary intervention.The evidence from larg

'Cardiovascular Medicine, 3rd edition'offers the most up-to-date, user-friendly guidance on the evaluation, diagnosis and medical and surgical treatment of heart and vascular disease and will be relevant to the practice of every cardiologist, cardiac surgeon, vascular surgeon, diabetologist, cardiac radiologist and any physician who manages cardiac patients. Drs Willerson, Cohn, Wellens and Holmes – and over 150 world authorities – offer their decades of scientific and clinical experience. The book and DVD are designed to provide comprehensive coverage of every aspect of cardiovascular medicine from cardiac signs and symptoms and the full range of cardiac imaging techniques through management of peripheral vascular disease and the genetic basis for cardiovascular disease to preventive cardiology. DVD content: Video imagery for selected chapters; Full text of the book; Interactive narrated heart sounds database containing correlative videos and images

This 3rd edition presents cutting-edge standards of pacing and defibrillation to keep you at the forefront of this rapidly expanding field. You'll find coverage of all the new devices and management strategies you need to solve a full range of clinical problems using today's best approaches. Written by world authorities on pacing and devices for cardiac care, this new full-color 3rd edition is the more practical than ever!Addresses the management of patients with a broad range of conditions, including sinus node disease, carotid sinus hypersensitivity, tachyarrhythmias, heart failure, and more.Details cardiac pacing in pediatric patients.Illustrates vital concepts and techniques with over 745 x-rays and figures.Explains how to approach pacemaker generator changes.Reviews fundamental concepts such as how to pace the heart and how leads, power sources, programmers, and electronic circuitry work.Contains a new chapter on resynchronization trials.Includes an image bank and video clips of key procedures on DVD-ROM to help you understand and implement the latest techniques.Offers technical information on both new and old devices to help you make the correct choice for every patient.Provides new material on implantation, with key updates to all aspects of this challenging clinical area.

Cardiac resynchronization therapy (CRT) is one of the most exciting new advances in the treatment of chronic severe (NYHA symptom class) heart failure associated with dyssynchronous ventricular contraction that is refractory to medical treatment. In all randomized trials CR has resulted in improved NYHA symptom class, exercise capacity and quality