Controversies in Cardiology


Book Description

This book will consider several clinical and interventional topics for which there is uncertainty, continued debate and/or no consensus based on current guidelines. While there are numerous guidelines in cardiology, new and on-going trials that address new drugs treatments and procedures raise many unanswered questions. Furthermore, most practicing cardiologist taking care of the patients are likely unable to digest all of these studies or guidelines and necessarily correctly apply them to their patients. If one considers in the guidelines the frequent use of Level C (consensus), there are many areas or situations where no trial exists. Also, when applying the results of a trial to an individual patient, there can be uncertainty of how this patient should be managed based on the present body of evidence.




Bioethical Controversies in Pediatric Cardiology and Cardiac Surgery


Book Description

This title reviews the bioethical issues in congenital heart disease and other difficult pediatric cardiology and cardiac surgical situations. It provides considered opinions and recommendations as to the preferred actions to take in these cases, stressing the importance of making informed decisions that are bioethically sound and doing so using considered reasoning of all the related sensitive issues. Bioethical Controversies in Pediatric Cardiology and Cardiac Surgery provides detailed recommendations on potential solutions to make bioethical decisions in difficult clinical scenarios. There is particular emphasis on controversies involving surgery for hypoplastic left heart syndrome, futility, informed consent, autonomy, genomics, and beneficence. It is intended for use by a wide range of practitioners, including congenital heart surgeons, pediatric cardiologists, pediatric intensivists, nurse practitioners, physician’s assistants, and clinical ethicists.




Controversy in Cardiology


Book Description

The purpose of this book is not to discuss in depth various topics in medicine nor to describe in detail all possible controversial subjects in car diology. The primary intention is to describe common cardiac problems with significant controversial viewpoints frequently encountered in our daily practice. This book presents 19 chapters, including the Coronary Arteries in Fatal Coronary Events, Prophylactic Antiarrhythmic Therapy in Acute Myocar dial Infarction, Mobile Coronary Care-Is It Really Needed?, The Use of Artificial Pacemakers in Acute Myocardial Infarction, Treatment of Car diogenic Shock, Serum Digitalis Level-Practical Value, Factors Modifying the Efficacy of Digitalis, Hyperlipidemia and Vascular Disease, Antianginal Agents for Coronary Heart Disease, Anticoagulation Therapy for Coronary Heart Disease, When to Operate on Congenital Heart Diseases, Indications for Coronary Artery Surgery and Patient Selection, Car diomyopathy: Diagnostic Criteria and Classification, Therapeutic Approach to Idiopathic Hypertrophic Sub aortic Stenosis, Current Concepts of Hemiblocks, Physical Activity and Coronary Heart Disease, His Bundle Electrocardiography-Its Clinical Value, Computerized Electrocar diography-Its Practical Value, and Echocardiography-Its Practical Value. As the title of the book indicates, the "pro and con" viewpoints are described in each chapter, and the authors final conclusions are expressed at the end of each. It is hoped that the book will be provocative as well as educational and practical. The contents are intended to be clinical, concise, and practical, so that this book will provide all physicians with up-to-date materials that will assist them directly in the daily care of their patients with common cardiac problems.




Core Topics in Cardiac Anesthesia


Book Description

Since the publication of the first edition of Core Topics in Cardiac Anaesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anaesthesia, Second Edition is essential reading for residents and fellows in anaesthesia and cardiac surgery and clinical perfusionists.




The ESC Textbook of Intensive and Acute Cardiovascular Care


Book Description

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.




Contemporary Debates and Controversies in Cardiac Electrophysiology, Part II, An Issue of Cardiac Electrophysiology Clinics


Book Description

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.




Cardiovascular Pathology


Book Description

Cardiovascular Pathology, Fourth Edition, provides users with a comprehensive overview that encompasses its examination, cardiac structure, both normal and physiologically altered, and a multitude of abnormalities. This updated edition offers current views on interventions, both medical and surgical, and the pathology related to them. Congenital heart disease and its pathobiology are covered in some depth, as are vasculitis and neoplasias. Each section has been revised to reflect new discoveries in clinical and molecular pathology, with new chapters updated and written with a practical approach, especially with regards to the discussion of pathophysiology. New chapters reflect recent technological advances with cardiac devices, transplants, genetics, and immunology. Each chapter is highly illustrated and covers contemporary aspects of the disease processes, including a section on the role of molecular diagnostics and cytogenetics as specifically related to cardiovascular pathology. Customers buy the Print + Electronic product together! Serves as a contemporary, all-inclusive guide to cardiovascular pathology for clinicians and researchers, as well as clinical residents and fellows of pathology, cardiology, cardiac surgery, and internal medicine Offers new organization of each chapter to enable uniformity for learning and reference: Definition, Epidemiology, Clinical Presentation, Pathogenesis/Genetics, Light and Electron Microscopy/Immunohistochemistry, Differential Diagnosis, Treatment and Potential Complications Features six new chapters and expanded coverage of the normal heart and blood vessels, cardiovascular devices, congenital heart disease, tropical and infectious cardiac disease, and forensic pathology of the cardiovascular system Contains 400+ full color illustrations and an online image collection facilitate research, study, and lecture slide creation




Pediatric Cardiac Surgery


Book Description

Pediatric cardiac surgery is a dynamic, fast-moving field. Busy practitioners, like you, need clear and comprehensive guidance you can rely on to ensure optimal patient care. For over 25 years Pediatric Cardiac Surgery has been the gold-standard reference for pediatric and adult congenital heart surgeons, pediatric and congenital cardiologists, intensivists, anesthesiologists, residents and nurses. Now, in this thoroughly revised fourth edition, you again get trusted, complete coverage of the field with timely new features and expert reviews of critical topics including heart transplantation, emerging modalities for diagnosing congenital heart and tracheal defects, the surgical technique of Fontan conversion with arrhythmia surgery, the medical challenges of managing adult CHD patients, and more. This new edition includes: Contributions from over 65 world-renowned experts More beautiful illustrations, by renowned medical illustrator Rachid Idriss, which have brought acclaim to previous editions Reviews of the embryology, physical findings, diagnostic criteria, and therapeutic choices for each disease entity and describes the latest in surgical techniques in each chapter All-new chapters that guide readers through new treatment options and other key developments since the publication of the third edition highlighting recent advances in congenital heart surgery. All-new new chapters that review advances in right ventricular to pulmonary artery conduits, arrhythmia surgery, double outlet ventricles, and adult congenital heart disease, among other key topics.




The Cholesterol Controversy


Book Description

The Cholesterol Controversy recounts the long-running debate surrounding the relationship between cholesterol and coronary heart disease. Focusing primarily on events in the UK and the personalities involved, the story is unraveled here, from the origins of the controversy in the 1950s, to the discovery, development and trials of statins in the 1970s, 80s and 90s, culminating with recent concerns over the efficacy of ezetimibe and safety of torcetrapib.




Hemodynamics and Cardiology: Neonatology Questions and Controversies E-Book


Book Description

Hemodynamics and Cardiology, a volume in Dr. Polin’s Neonatology: Questions and Controversies Series, offers expert authority on the toughest cardiovascular challenges you face in your practice. This medical reference book will help you provide better evidence-based care and improve patient outcomes with research on the latest advances. Reconsider how you handle difficult practice issues with coverage that addresses these topics head on and offers opinions from the leading experts in the field, supported by evidence whenever possible. Find information quickly and easily with a consistent chapter organization. Get the most authoritative advice available from world-class neonatologists who have the inside track on new trends and developments in neonatal care. Stay current in practice with coverage on issues such as the clinical implications of near-infrared spectroscopy in neonates, MRI imaging and neonatal hemodynamics, and hybrid management techniques for congenital heart disease.