Cardiologia

Written by internationally recognized experts in interventional cardiology, this comprehensive clinical reference on carotid artery stenting provides illustrated, step-by-step descriptions of techniques and details on indications, contraindications, patient selection, complications, technology, and clinical trials. The first section reviews clinical results and experience, including the CAVATAS trial findings on stroke prevention. The second section describes stenting techniques and includes information from major trials on design and application of devices. The third section presents guidelines and current regulations on establishing a carotid stenting program. The book concludes with a preview of future directions.

The 2nd Edition of this heralded companion to "Braunwald's Heart Disease" explores the molecular mechanisms of cardiology and the scientific advances that are changing the practice of cardiology today. International experts discuss the role of genetics in cardiovascular disease; the molecular basis of ischemic disease, thrombosis and hypertension; genetic mapping approaches to inherited disorders; biologically targeted agents for hypertension and heart failure; and much more. There are abundant figures and tables that illustrate key concepts.

Acute myocardial infarction (AMI) remains a major problem in the Western world. Complete and concise, Primary Angioplasty: Mechanical Interventions for Acute Myocardial Infarction provides an update on the rationale, techniques, and effectiveness of direct percutaneous mechanical revascularization for AMI. It combines a critical review of the key studies that are the foundation of evidence-based medicine with the so-called 'technology of experience.' The book puts the pathophysiologic and clinical aspects of AMI and reperfusion in an interventional perspective, highlighting the rationale for the best interventional approach to the patient with AMI. Sharing insights based on their years of experience, the chapter authors present a comprehensive review of direct angioplasty and stenting supported by a full description of cases representing different angiographic and clinical patient subsets. The innovative format includes four sections based on clinical, technical, procedural, and logistic aspects of mechanical intervention for AMI. The book may be read in a conventional way, from beginning to end, or alternatively, starting from one of the four sections, and then following all possible sequences for the remaining three sections.

"Diagnosis and Management of Hypertrophic Cardiomyopathy" is a unique, multi-authored compendium of information regarding the complexities of clinical and genetic diagnosis, natural history, and management of hypertrophic cardiomyopathy (HCM) - the most common and important of the genetic cardiovascular diseases - as well as related issues impacting the health of trained athletes. Edited by Dr. Barry J. Maron, a world authority on HCM, and with major contributions from all of the international experts in this field, this book provides a single comprehensive source of information concerning HCM.Recent advances in the field are discussed, including the importance of left ventricular outflow tract obstruction, the use of implantable defibrillators for the prevention of sudden death in young people, definition of the genetic basis for HCM and its role in clinical diagnosis and risk stratification, the development of more precise strategies for assessing the level of risk for sudden death among all patients with HCM, and the evolution of invasive interventions for heart failure symptoms, such as surgical management and its alternatives (alcohol septal ablation and dual-chamber pacing). It features contributions from all experts in the field, representing diverse viewpoints regarding this heterogeneous disease and related issues in athletes. It has information to dispel misunderstandings regarding issues associated with HCM and cardiovascular disease in athletes. This is the only comprehensive source of information available on the topic.

It is the practical experience gained in the operating room and on the wards dealing with complications and deviations from the typical or average scenario that matures and fully develops a surgeon. The typical textbook demonstrates the "right" or standard way to do things and the implicit assumption is that if these guidelines are followed then the patient and the surgeon's life will be complication free. Good results come from experience and experience is gained by making mistakes. The goal of this book is to minimize the frequency of surgical complications and maximize the outcome when they do occur by allowing the reader to learn from the operative and clinical experience of those who have gone before so that each generation can collectively stand on the shoulders of the preceding generation without the need to learn from one's own complications.This book is therefore designed less to address indications for operations than how to carry them out and provide postoperative care without complications. While the authors of the various chapters address the correct or right way to perform operations and care for patients after surgery, they have also been tasked to address and emphasize specific do's and don'ts for both intraoperative techniques and postoperative care that will reduce the incidence of complications. As some complications, alas, are inevitable, also addressed are the issues of timely recognition and appropriate treatment of complications when they do occur despite best efforts.