Cardiologia

Extraordinary advances in the understanding of the links between nutrition, metabolism, and cardiovascular disease have prompted a systematic reappraisal of knowledge in the field. As a result, it is now imperative that clinicians who care for patients with CVD or its key risk factors have a solid understanding of the often complex interrelationships between cardiovascular health and chronic diseases such as diabetes and obesity. Written by a team of international thought leaders in cardiology, endocrinology, diabetology and nutritional science, this important new book: Examines and updates the role of obesity, hyperlipidemia, diabetes, hypertension, thrombosis, and aging in atherogenesis Describes in detail the scientific and clinical evidence of the etiopathogenesis of ischemic heart disease as well as of peripheral and cerebrovascular disease Focuses on the 6 topics that will be of greatest interest to readers: 1) general nutrition, 2) metabolic syndrome and diabetes, 3) hyperlipidemia and atherosclerosis, 4) hypertension and cerebrovascular disease, 5) hemostasis and thrombosis, 6) aging Throughout the book, in clear and accessible text, contributors illuminate the close relationship between dietary habits, the metabolic processes of nutrients, and their impact on the cardiovascular system, always with an eye on how the physician can use this information to implement better cardiovascular prevention and improve patient care. Nutritional and Metabolic Bases of Cardiovascular Disease is ideal for those who need to update their knowledge of the links between nutrition, metabolism and CVD, from trainees, clinicians and clinical investigators in cardiovascular medicine to endocrinologists, diabetologists, and nutritionists.

Disease of the heart valves is increasingly common and frequently requires treatment, usually a combination of drug therapy and surgery to repair or replace the valve. The majority of valvular heart disease occurs in older people, and is due to degenerative disease of the valve tissue. Understanding how to diagnose, investigate and manage patients with valvular heart disease is a core skill for a wide range of doctors, including cardiologists, cardiac surgeons, general physicians, general surgeons and anaesthetists. Valvular heart disease can also occur in younger patients and can be particularly challenging to diagnose and treat in pregnant women. New advances in cardiology mean a range of valvular heart disease can be treated with percutaneous procedures avoiding the need for full cardiac surgery. This unique text covers all aspects of valvular heart disease, including normal valve anatomy and physiology, pathophysiology, modes of investigation, assessment and treatment of specific valve lesions, valve surgery (both medical and surgical aspects), treatment in pregnancy or during non-cardiac surgery, and the devastating complication of infective endocarditis, in an easy-to-read, accessible format. It contains over 150 high quality pictures and illustrations, providing contemporary diagnostic imaging (including conventional radiography, echocardiography and magnetic resonance imaging) to demonstrate the importance of imaging in diagnosis and treatment. Individual valve lesions are reviewed in turn with specific indications for intervention in line with current European guidelines. The handbook complements the curriculum for specialist training in the UK, and is relevant to candidtaes in preparation for accreditation with the British Society of Echocardiography.

The trusted landmark cardiology resource--thoroughly updated to reflect the latest clinical perspectives Includes DVD with image bank A Doody's Core Title ESSENTIAL PURCHASE for 2011! 5 STAR DOODY'S REVIEW! "This is an outstanding choice for those who strive for a firm foundation in cardiovascular medicine, as well as an up-to-date and user-friendly source that addresses every discipline in the field. The updates and enhancements to this edition have made the book easier to use."--Doody's Review Service Through thirteen editions, Hurst's the Heart has always represented the cornerstone of current scholarship in the discipline. Cardiologists, cardiology fellows, and internists from across the globe have relied on its unmatched authority, breadth of coverage, and clinical relevance to help optimize patient outcomes. The thirteenth edition of Hurst's the Heart continues this standard-setting tradition with 19 new chapters and 59 new authors, each of whom are internationally recognized as experts in their respective content areas. Featuring an enhanced, reader-friendly design, the new edition covers need-to-know clinical advances, as well as issues that are becoming increasingly vital to cardiologists worldwide. As in previous editions, you will find the most complete overview of cardiology topics available--plus a timely new focus on evidence-based medicine, health outcomes, and health quality. New Features 1548 full-color illustrations and 578 tables Companion DVD with image bank includes key figures and tables from the text The Cardiovascular Disease: Past, Present, and Future section includes a new chapter on assessing and improving quality of care in cardiovascular medicine The section on the scientific foundations of cardiovascular medicine has been thoroughly revised 2 new chapters in the section on the evaluation of the patient detail the process of effective diagnostic decision making based on technology, clinical trials, and practice guidelines A new chapter in the section on heart failure details cardiac transplantation The sections on primary heart disease include new chapters on topics such as preventive strategies for coronary artery disease and updated pharmacologic strategies for acute coronary syndromes The section on cardiopulmonary disease features new chapters on chronic cor pulmonale and sleep disorder breathing and its relationship to cardiovascular disease The section on valvular heart disease has four of the six chapter completely rewritten by new authors who are authorities in the field The final six sections feature new chapters on the environment and heart disease, surgical treatment of carotid and peripheral vascular disease and cost effective strategies in cardiology

A full-color guide to understanding, evaluating, and treating heart disease in fetuses and newborns A Doody's Core Title for 2011! 4 STAR DOODY'S REVIEW! "The illustrations are superb, with many full-color presentations and very clear radiographs and echocardiographic images...This is a well-written and concise book which has been needed to update the first edition published nearly a decade ago. It is well suited for the advanced trainee to use clinically and prepare for board exams...it presents the essentials in a very readable and beautifully illustrated manner."--Doody's Review Service Neonatal Cardiology is the trusted go-to guide for pediatricians and neonatologists needing concise, practical guidance on the evaluation and management of newborns with heart disease and other cardiac functional abnormalities. Focusing on physiology, mechanics, and presentation of congenital heart disease, this full-color resource provides a succinct, yet complete overview of neonatal cardiology. Neonatal Cardiology opens with discussions of basic aspects of embryology of the heart and a review of normal and abnormal muscle function. From there, you are led through the clinical assessment of patients with an array of cardiac abnormalities. Management and treatment follow, beginning with a basic chapter on the principles of medical management, followed by drug therapy and post-operative care. The book concludes with a chapter on Epidemiology, Etiology, and Genetics of Congenital Heart Disease. Features: Full-color presentation with new radiographic images and explanatory illustrations of normal and abnormal anatomy, blood flow patterns, and the effects of various treatment options Suggested readings appear at the end of each chapter for more in-depth study Includes coverage of:Excessive pulmonary blood flow, cyanosis, inadequate systemic perfusion, cardiomyopathies, and arrhythmias,Cardiovascular drug therapy,Neurology of congenital heart disease, andPerinatal Cardiovascular Physiology

Clinical management and signs are the focus of this practical cardiogenetic reference for those who are involved in the care for cardiac patients with a genetic disease. With detailed discussion of the basic science of cardiogenetics in order to assist in the clinical understanding of the topic. The genetic causes of various cardiovascular diseases are explained in a concise clinical way that reinforces the current management doctrine in a practical manner. The authors will cover the principles of molecular genetics in general but also specific to cardiac diseases. They will discuss the etiology, pathogenesis, pathophysiology, clinical presentation, clinical diagnosis, molecular diagnosis and treatment of each cardiogenetic disease separately. Therapy advice, ICD indications, indications for and manner of further family investigation will all be covered, while each chapter will also contain take-home messages to reinforce the key points. The chapters reviewing the different diseases will each contain a table describing the genes involved in each. Each chapter will also contain specific illustrations, cumulatively giving a complete, practical review of each cardiogenetic disease separately. Special emphasis will be given to advice on how to diagnose and manage cardiogenetic diseases in clinical practice, which genes should be investigated and why, and the pros and cons of genetic testing. Guidelines for investigation in families with sudden cardiac death at young age will also be included. This book will be written for the general cardiologist and the clinical geneticist who is involved in cardiac patients and will provide answers to question such as: Which genes are involved and which mutations? What is the effect of the mutation at cellular level? Which genes should be tested and why? What is the value of a molecular diagnosis? Does it influence therapy? And when should the first degree relatives be tested and in which way?

Gli adattamenti cardiovascolari dell

La filosofia con cui è stato concepito questo testo è quella dell'utilità pratica: il testo mira ad essere essenziale, sintetico e di agevole tazione. Il testo-atlante è rivolto a tutti gli Specialisti che si interessano di patologia vascolare, ai cultori delle metodiche ultrasonografiche, ai Medici di Medicina Generale, agli Studenti di Medicina e Chirurgia, agli specializzandi in Medicina Interna, Angiologia, ologia, Nefrologia, Neurologia, Chirurgia e Radiologia; il testo potrà inoltre essere di grande interesse per i dottori in scienze infermieristiche. Il testo-atlante è strutturato in due parti: nella prima parte vengono descritte le metodiche ultrasonografiche che portano alla diagnosi delle più frequenti patologie di interesse vascolare, mentre nella seconda parte vengono trattati i farmaci di maggior impiego con le relative indicazioni terapeutiche, i nuovi anticoagulanti orali, le indicazioni chirurgiche e di radiologia interventistica. Questo testo-atlante è il frutto dell'esperienza di molti Specialisti che si dedicano alla diagnosi e alla cura dei pazienti affetti da malattie vascolari.

Il progresso compiuto negli ultimi anni dalla Cardiochirurgia ha consentito di estendere l'indicazione al trattamento a pazienti con maggiori comorbidità e profilo di rischio globale più elevato. Ciò ha richiesto un consensuale sviluppo di tecniche di terapia intensiva postoperatoria progressivamente più avanzate. Questo volume, indirizzato a tutti i Medici che operano nelle Unità di Terapia Intensiva Cardiovascolare, quali cardioanestesisti, cardiochirurghi, cardiologi, rianimatori ed intensivisti, analizza il complesso scenario perioperatorio del paziente cardiochirurgico, valutando l'impatto di questa chirurgia specialistica sui vari organi ed apparati. Il manuale si propone come una guida per l'inquadramento del paziente cardiochirurgico, per la sua gestione postoperatoria e per il trattamento delle specifiche complicanze, descrivendo inoltre le modalità di cura necessarie al supporto ed alla sostituzione delle diverse funzioni d'organo.

Practical Peripheral Vascular Intervention, Second Edition is a how-to guide to state-of-the-art vascular interventional procedures for all arteries and veins outside the coronary vascular system. Chapters on each artery cover indications for interventional procedures, vascular anatomy, access, diagnostic angiography, and specific interventional techniques used by experienced practitioners. This thoroughly updated edition includes an expanded section on intracranial stenting, additional material on venous filters, venous thrombosis, and central venous occlusion, and more chapters reviewing all cardiac noninvasive modalities. More than 300 large-size illustrations show trainees and clinicians the best approach to treatment. A bound-in DVD shows challenging case examples of procedures in each chapter.

This Textbook will give the reader a detailed understanding of the use of 3D echo covering a wide range of topics; from the evolution of RT3D echo to the role of RT3D echo in drug trials, including chapters on the Principles of Transthoracic and Transesophageal Real-time 3D echocardiography. Other books in this area are more varied, less specific.

This fully updated, new edition of ABC of Interventional Cardiology is an easy-to-read, practical guide for the non-specialist. It presents the complex aspects of interventional cardiology in a clear and concise manner, and explains the different interventions for coronary artery disease, valvular and structural heart disease, and electrophysiology, ordered by clinical setting. The ABC of Interventional Cardiology covers the core knowledge on techniques and management, and highlights the evidence base. Illustrated in full colour throughout, with new images and graphics, it includes key evidence and guidelines, new drug treatments and devices, with recommendations for further reading and additional resources in each chapter. It is ideal for GPs, hospital doctors, medical students, catheter laboratory staff and cardiology nurses.

The fifth edition of Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the gold standard for management of adult patients undergoing cardiac surgery. The easily referenced outline format allows health practitioners of all levels to understand and apply basic concepts to patient care--perfect for cardiothoracic and general surgery residents, physician assistants, nurse practitioners, cardiologists, medical students, and critical care nurses involved in the care of both routine and complex cardiac surgery patients. This comprehensive guide features: Detailed presentation addressing all aspects of perioperative care for adult cardiac surgery patients Outline format allowing quick access to information Chronological approach to patient care starting with diagnostic tests then covering preoperative, intraoperative, and postoperative care issues Additional chapters discuss bleeding, the respiratory, cardiac, and renal subsystems as well as aspects of care specific to recovery on the postoperative floor Updated references, information on new drug indications and new evidence to support various treatment/management options. Practical and accessible, this new edition of Manual of Perioperative Care in Adult Cardiac Surgery is the essential reference guide to cardiac surgical patient care.

The population is ageing, and most cardiovascular diseases are more common in older people. Older people often present atypically, have multiple co-morbidities, and are vulnerable to therapeutic delays or errors. The healthcare needs of the elderly differ from those of younger patients and are more complex, related to the physical and psychological changes associated with ageing and other disease processes in the elderly population. In addition, the response to treatment may alter with ageing, yet many elderly patients with cardiovascular disease are not looked after by specialists. Cardiovascular Disease in the Elderly provides user-friendly advice in a field that has limited evidence but contributes significantly to the workload not only of cardiologists but also of elderly care physicians and general practitioners. It reflects current UK and international guidelines and provides key evidence based references. Wherever possible, published guidelines are incorporated to ensure the book reflects current recommended management. It indicates where practice differs from that of younger adults, and provides guidance on the ethical and clinical dilemmas particular to the elderly. The handbook covers many aspects of cardiovascular disease in the elderly and focuses on common problems, including heart failure, atrial fibrillation and isolated systolic hypertension.