Category: Cardiology

Left Atrial Appendage Closure: Mechanical Approaches to Stroke Prevention in Atrial Fibrillation

Left Atrial Appendage Closure: Mechanical Approaches to Stroke Prevention in Atrial Fibrillation

Percutaneous left atrial appendage (LAA) closure is an emerging technology for thromboembolic prevention in patients with atrial fibrillation (AF). The first human implantation of an LAA device occurred in 2001, and since then four devices have received CE mark approval. These devices are being widely used in Europe for LAA closure in patients who are poor candidates for long-term oral anticoagulation. In the US, the WATCHMAN device (Boston Scientific) is anticipated to receive FDA approval imminently for AF patients who are warfarin-eligible. This approval is projected to significantly expand the indications for LAA closures worldwide. Thus, the volume of procedures is anticipated to escalate. This book discusses the epidemiology of AF as a cause of stroke; the use of LAA closure in the reduction of thromboembolism with AF; early surgical approaches and novel surgical devices for LAA closure; and current percutaneous approaches and devices available for LAA closure. The emphasis of this book is on percutaneous technical approaches and contemporary trial results on the leading devices (PLAATO, WATCHMAN, Amplatzer Cardiac Plug, and LARIAT). It also reviews unapproved devices in development, in both clinical and pre-clinical phases.

 

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Short Stay Management of Atrial Fibrillation

Short Stay Management of Atrial Fibrillation

This book provides a road map for the efficient and successful management of atrial fibrillation (AF) in the short stay unit. It describes the problem, defines the measures of successful treatment, elucidates interventions, and supplies the tools for achieving quality care. Organized in four parts, it covers the impact of AF on patient populations; the presentation and management of AF; the transition to the outpatient environment; and systems management. Topics include the economic consequences of AF; cardioversion and cardiac implantable electronic devices in AF management; education of the AF patient and discharge planning; and quality metrics in AF. The book also provides order sheets and process criteria with which institutions can successfully manage the AF patient in the short stay unit, thus optimizing patient outcomes, patient satisfaction, and operational efficiencies. Short Stay Management of Atrial Fibrillation is a valuable resource for cardiologists, emergency medicine physicians, electrophysiologists, and other healthcare professionals involved in AF management.

 

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Short Stay Management of Acute Heart Failure

Short Stay Management of Acute Heart Failure

This book provides a road map for defining the care of acute heart failure (HF) patients in the short stay or observation unit setting. Supported by the Society of Cardiovascular Patient Care, a quality improvement organization that trains and accredits over 1,000 hospitals for heart failure, chest pain, and atrial fibrillation management, it presents a description of the problem, defines the measures of success, elucidates the implementation of interventions required to be successful, and provides the tools to insure quality HF management. Fully updated and revised, the Third Edition discusses administrative and regulatory issues relating to HF management; pathophysiology and demographics of acute HF; emergency department assessment and treatment of acute HF; admission, treatment, and disposition of acute heart failure in short stay units; and resources such as clinical pathways, algorithms, and patient education tools that can be directly utilized in various healthcare settings. Short Stay Management of Acute Heart Failure, Third Edition, is an essential guide for cardiologists, emergency physicians, and hospital administrators, as well as for institutions wishing to be recognized as quality heart failure centers.

 

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Cardiovascular Magnetic Resonance Imaging 2nd ed

Cardiovascular Magnetic Resonance Imaging 2nd ed

The significantly updated second edition of this important work provides an up-to-date and comprehensive overview of cardiovascular magnetic resonance imaging (CMR), a rapidly evolving tool for diagnosis and intervention of cardiovascular disease. New and updated chapters focus on recent applications of CMR such as electrophysiological ablative treatment of arrhythmias, targeted molecular MRI, and T1 mapping methods. The book presents a state-of-the-art compilation of expert contributions to the field, each examining normal and pathologic anatomy of the cardiovascular system as assessed by magnetic resonance imaging. Functional techniques such as myocardial perfusion imaging and assessment of flow velocity are emphasized, along with the exciting areas of artherosclerosis plaque imaging and targeted MRI. This cutting-edge volume represents a multi-disciplinary approach to the field, with contributions from experts in cardiology, radiology, physics, engineering, physiology and biochemistry, and offers new directions in noninvasive imaging. The Second Edition of Cardiovascular Magnetic Resonance Imaging is an essential resource for cardiologists and radiologists striving to lead the way into the future of this important field.

 

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PART I

PART II

Cardiovascular Hemodynamics: An Introductory Guide

Cardiovascular Hemodynamics: An Introductory Guide

The second edition of this key resource provides a broad and fundamental overview of basic cardiovascular (CV) hemodynamic principles with a focus on clinical assessment of CV physiology. Extensively updated, the book includes new coverage on noninvasive hemodynamic assessment and the effects of selected interventions on CV hemodynamics. It provides an introduction to the basic concepts such as preload, afterload, myocardial contractility, and cardiac output. Subsequent chapters examine the effects of interventions such as vasodilators, beta blockers, pressor agents, inotropes, and different forms of invasive circulatory support. The book also focuses on various methods of hemodynamic evaluation including echocardiography, CT/MRI, noninvasive hemodynamic assessment, and cardiac catheterization. The book concludes with a discussion of proper diagnosis, evaluation, and management of patients using hemodynamic data on a variety of specific disease states.
An invaluable contribution to the Contemporary Cardiology Series, the Second Edition of Cardiovascular Hemodynamics: An Introductory Guide is an essential resource for physicians, residents, fellows, medical students, and researchers in cardiology, emergency medicine, critical care, and internal medicine.

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Heart Failure: From Research to Clinical Practice: Volume 3

Heart Failure: From Research to Clinical Practice: Volume 3

“Heart Failure: From Research to Clinical Practice” contains chapters that describe the current views on the biological mechanisms, clinical assessment, diagnosis and evidence-based treatments of the condition.
Topics in this volume range from basic research at cell and molecular level to patient care in everyday clinical practice and provide essential background information and analyses of recent advances for a deeper understanding of the issues involved.
With contributions from international experts in their specified fields and are suitable for both beginners and more advanced readers. This volume includes not only the essential information for clinical practice but also the latest information from the contemporary guidelines and the recommendations from leading societies. It also covers ongoing research and puts forward new hypotheses that can be tested in future research.
This comprehensive volume will provide a valuable resource for both research students and expert clinicians.

 

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Congenital Heart Disease and Adolescence (Congenital Heart Disease in Adolescents and Adults)

Congenital Heart Disease and Adolescence (Congenital Heart Disease in Adolescents and Adults)

This book provides medical care givers with detailed information on those aspects of adolescence that are of significance in the setting of congenital heart disease (CHD), from anatomic and physiologic changes to behavioral issues. In addition, it explains how care should be organized in order to ensure that the needs of adolescents with CHD are fully met. Both theoretical and practical aspects of the switch from a pediatric to an adult health perspective in CHD patients are outlined in detail, drawing attention to the importance of a structured transition plan and other best practices. As the survival of children with complex CHD improves further, the number of adolescents with CHD will continue to grow. Awareness of the challenges that these patients face is essential if they are to be appropriately prepared to assume adult roles and functioning. Readers will find Congenital Heart Disease and Adolescence to be an excellent source of relevant knowledge and guidance. It has been written for a broad audience, bearing in mind that care in adolescents is an interdisciplinary task involving close collaboration among physicians, specialists, nurses, patients, and relatives.

 

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Echocardiography in Pediatric and Adult Congenital Heart Disease Second Edition

Echocardiography in Pediatric and Adult Congenital Heart Disease Second Edition

Effectively evaluate congenital heart disorders with Echocardiography in Pediatric and Adult Congenital Heart Disease ! Expert clinicians at the Mayo Clinic and other leading institutions provide a comprehensive review of echocardiographic evaluation and diagnosis of congenital heart disease in both pediatric and adult patients. Covering the full range of congenital abnormalities as well as valve prostheses and the transplanted heart, this respected cardiology reference provides you with all the state-of-the-art knowledge you need to successfully assess challenging cardiac lesions and defects.
Features:

  • Obtain the maximum diagnostic value from all of the latest imaging approaches , including tissue Doppler, three-dimensional echocardiography, intracardiac and intraoperative transesophageal echocardiography, and cardiac magnetic resonance imaging and MR angiography.
  • Master new strategies for evaluating interventional and VAD patients, performing functional assessments of the left and right ventricle, and much more.
  • Update and expand your clinical skills with new chapters on Systemic Diseases, Interventional Echocardiography in Congenital Heart Disease, and Echo Assessment of Mechanical Circulatory Support , plus extensive updates throughout.
  • Visualize the full gamut of echocardiographic findings with the aid of more than 1,300 illustrations , over 900 in full color, as well as over 300 online video clips.
  • Interpret findings with greater ease thanks to an increased number of correlative anatomic images.
  • Find and apply information quickly via concise, practical, accessible chapters.
  • Test your knowledge with multiple-choice questions, only available in the eBook , testing comprehension of the main principles from each chapter

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Pregnancy and Congenital Heart Disease (Congenital Heart Disease in Adolescents and Adults)

Pregnancy and Congenital Heart Disease (Congenital Heart Disease in Adolescents and Adults)

This book describes the risks facing patients with congenital heart disease who wish to become pregnant and the ways in which these patients can best be followed and treated during pregnancy. In addition, the organization of care around the delivery is discussed in detail. The first section provides clear advice on pre-pregnancy risk estimation, counseling of patients, medication use, and inheritance. The specific risks associated with congenital heart defects of differing severity are then explained, with guidance on monitoring and management. The coverage includes simple lesions such as atrial and ventricular septal defects, conditions associated with moderate risk, including tetralogy of Fallot and coarctation, and complex disease such as a Fontan or Mustard repair. The final section is devoted to delivery and considers the mode of delivery, anesthetic use, and postpartum care. Readers will find much information that is underreported in the literature, and the book goes well beyond the European Society of Cardiology guidelines, for example, by considering medical conditions not defined as high risk and addressing the organization of care thoroughly.

 

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Pulmonary Hypertension in Adult Congenital Heart Disease (Congenital Heart Disease in Adolescents and Adults)

Pulmonary Hypertension in Adult Congenital Heart Disease (Congenital Heart Disease in Adolescents and Adults)

This book is intended as a comprehensive, practically oriented reference on pulmonary hypertension within the context of adult congenital heart disease (ACHD). After an introductory chapter on pathophysiology, the various types of pulmonary hypertension that may be encountered in ACHD are discussed, highlighting the specifics observed within different patient categories. The diagnostic approach is then addressed in detail, and the last section of the book is devoted to management options, from conservative approaches to interventional treatment and the concept of treat and repair. Management in specific patient subjects, such as pregnant women, Fontan patients, and Down syndrome patients with Eisenmenger syndrome, is fully discussed, and guidance is also provided on palliative care.
Pulmonary arterial hypertension related to congenital heart disease (PAH-CHD), despite significant similarities in lung pathohysiology, differs significantly from other types of PAH in terms of mechanism of onset, natural history and management. Mistakes and pitfalls in the management of patients with PAH-CHD are often related to a lack of knowledge or expertise in this condition. Pulmonary Hypertension in Adult Congenital Heart Disease will be a valuable resource and learning tool for all who care for patients with ACHD, both in tertiary practice and general cardiology.

 

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