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Controversies in Cardiology

Author : John A. Ambrose

Publisher : Springer

Page : 415 pages

File Size : 34,6 MB

Release : 2015-09-10

Category : Medical

ISBN : 3319204157

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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.



Controversy in Cardiology

Author : E.K. Chung

Publisher : Springer Science & Business Media

Page : 311 pages

File Size : 15,8 MB

Release : 2012-12-06

Category : Medical

ISBN : 3642860001

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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.



State of the Heart

Author : Haider Warraich

Publisher : Macmillan + ORM

Page : 213 pages

File Size : 37,48 MB

Release : 2019-07-23

Category : Medical

ISBN : 1250169712

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Book Description

In State of the Heart, Dr. Haider Warraich takes readers inside the ER, inside patients' rooms, and inside the history and science of cardiac disease. State of the Heart traces the entire arc of the heart, from the very first time it was depicted on stone tablets, to a future in which it may very well become redundant. While heart disease has been around for a while, the type of heart disease people have, why they have it, and how it’s treated is changing. Yet, the golden age of heart science is only just beginning. And with treatments of heart disease altering the very definitions of human life and death, there is no better time to look at the present and future of heart disease, the doctors and nurses who treat it, the patients and caregivers who live with it, and the stories they hold close to their chests. More people die of heart disease than any other disease in the world and when any form of heart disease progresses, it can result in the development of heart failure. Heart failure affects millions and can affect anyone at anytime, a child recovering from a viral infection, a woman who has just given birth or a cancer patient receiving chemotherapy. Yet new technology to treat heart failure is fundamentally changing just what it means to be human. Mechanical pumps can be surgically sown into patients’ hearts and when patients with these pumps get really sick, sometimes they don’t need a doctor or a surgeon—they need a mechanic. In State of the Heart, the journey to rid the world of heart disease is shown to be reflective of the journey of medical science at large. We are learning not only that women have as much heart disease as men, but that the type of heart disease women experience is diametrically different from that in men. We are learning that heart disease and cancer may have more in common than we could have imagined. And we are learning how human evolution itself may have led to the epidemic of heart disease. In understanding how our knowledge of the heart evolved, State of the Heart traces the twisting and turning road that science has taken—filled with potholes and blind turns—all the way back to its very origin.



Secondhand Smoke Exposure and Cardiovascular Effects

Author : Institute of Medicine

Publisher : National Academies Press

Page : 240 pages

File Size : 47,24 MB

Release : 2010-02-21

Category : Medical

ISBN : 0309138396

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Book Description

Data suggest that exposure to secondhand smoke can result in heart disease in nonsmoking adults. Recently, progress has been made in reducing involuntary exposure to secondhand smoke through legislation banning smoking in workplaces, restaurants, and other public places. The effect of legislation to ban smoking and its effects on the cardiovascular health of nonsmoking adults, however, remains a question. Secondhand Smoke Exposure and Cardiovascular Effects reviews available scientific literature to assess the relationship between secondhand smoke exposure and acute coronary events. The authors, experts in secondhand smoke exposure and toxicology, clinical cardiology, epidemiology, and statistics, find that there is about a 25 to 30 percent increase in the risk of coronary heart disease from exposure to secondhand smoke. Their findings agree with the 2006 Surgeon General's Report conclusion that there are increased risks of coronary heart disease morbidity and mortality among men and women exposed to secondhand smoke. However, the authors note that the evidence for determining the magnitude of the relationship between chronic secondhand smoke exposure and coronary heart disease is not very strong. Public health professionals will rely upon Secondhand Smoke Exposure and Cardiovascular Effects for its survey of critical epidemiological studies on the effects of smoking bans and evidence of links between secondhand smoke exposure and cardiovascular events, as well as its findings and recommendations.



Controversies in the Management of STEMI, An Issue of the Interventional Cardiology Clinics

Author : Timothy D. Henry

Publisher : Elsevier Health Sciences

Page : 200 pages

File Size : 31,47 MB

Release : 2016-09-17

Category : Medical

ISBN : 0323463185

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Book Description

This issue of Interventional Cardiology Clinics, guest edited by Dr. Timothy Henry, will cover controversies in the management of STEMI. Topics discussed in this issue include: Systems of care; false positive activation; time to treatment; in hospital STEMI; optimal antiplatelet; advanced cardiogenic shock; out of hospital cardiac arrest; and global challenges, among other topics.



Core Topics in Cardiac Anesthesia

Author : Jonathan H. Mackay

Publisher : Cambridge University Press

Page : 0 pages

File Size : 18,64 MB

Release : 2012-03-15

Category : Medical

ISBN : 9780521196857

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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.



How Tobacco Smoke Causes Disease

Author : United States. Public Health Service. Office of the Surgeon General

Publisher :

Page : 728 pages

File Size : 34,8 MB

Release : 2010

Category : Government publications

ISBN :

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Book Description

This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.



Heart 411

Author : Marc Gillinov, M.D.

Publisher : Harmony

Page : 562 pages

File Size : 13,40 MB

Release : 2012-01-31

Category : Health & Fitness

ISBN : 0307719928

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Book Description

The definitive guide to heart health from two of America's most respected doctors at Cleveland Clinic, the #1 hospital for heart health in America. 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.



The ESC Textbook of Intensive and Acute Cardiovascular Care

Author : Marco Tubaro

Publisher : Oxford University Press

Page : 800 pages

File Size : 20,75 MB

Release : 2021-03-08

Category : Medical

ISBN : 0192589199

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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.



Myocardial Ischemia: Mechanisms, Reperfusion, Protection

Author : Morris Karmazyn

Publisher : Springer Science & Business Media

Page : 538 pages

File Size : 16,32 MB

Release : 1996-08-28

Category : Medical

ISBN : 9783764352691

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Book Description

Myocardial ischemia and subsequent reperfusion of the ischemic myocardium represent complex phenomena encompassing numerous physiological processes. This book aims at enhancing our understanding of these processes and stresses recent important developments in this very active area of research. The concise, state-of-the-art reviews cover recent advances in many fields important to the area of myocardial ischemia and reperfusion including physiology, pathology, pharmacology, biochemistry and molecular biology with reference to clinical relevance and applicability of these findings. Major areas which are highlighted include vascular mechanisms resulting in myocardial ischemia, cellular events in the ischemic, postinfarcted and reperfused myocardium as well as new exciting developments in cardiac protection that involve both novel pharmacological approaches as well as endogenous cardioprotective mechanisms such as preconditioning. Aimed at both the basic and clinical cardiovascular investigator, the book comprehensively reviews the rapid progress made in recent years in understanding the etiology of myocardial ischemia and reperfusion. It will further serve as an authoritative reference for all those interested in learning about the important developments in the treatment of myocardial ischemic and reperfusion disorders.