Cardiologia

As a leading reference on pediatric cardiology and congenital heart disease, Anderson's Pediatric Cardiology provides exhaustive coverage of pediatric cardiovascular anomalies, sequelae related to these anomalies, comorbidities and neurodevelopmental problems, and current methods for management and treatment. The newly streamlined 5th Edition addresses significant and ongoing changes in practice, including recent developments in fetal, neonatal, and adult congenital heart conditions. The outstanding illustration program provides superb visual guidance and is supplemented with a remarkable collection of more than 350 professionally curated images and videos, many new to this edition. According to Anderson’s Pediatric Cardiology, 5th edition editors, Tretter, et al: “Textbooks continue to serve as essential central repositories of knowledge for postgraduate education in paediatric cardiology, despite the widespread availability of digital learning tools. Recent studies confirm that trainees still value textbooks for their structure, depth, and accessibility, while also requesting improved pedagogy and organization.” Offers authoritative, long-term coverage of a broad spectrum of cardiology conditions, including congenital heart disease, adult congenital heart disease (ACHD), acquired heart disease, cardiomyopathies, and rhythm disturbances Features a newly streamlined format better incorporating the developmental and anatomical building blocks into clinical diagnosis and management, including diagnostic and management algorithms for quick reference guides. Learning Objectives and Chapter Summary Tables are also included Includes exquisite specimen images by Dr. Robert Anderson and Diane Spicer, dissected in easily recognizable analogous imaging planes. These are included in the over 850 anatomic, photographic, imaging, and algorithmic figures, and incorporate new images using virtual dissections of 3D datasets obtained in living patients. These images are complimented by new specimen demonstration videos by Diane Spicer Features improved organization and new content for the trainee and practicing provider, including new chapters on Physiology, The Pulmonary Circulation, Genetics, History and Physical Exam (with new high-quality auscultation audio files), Cardiac Intensive Care Unit and Mechanical Ventilation, Basic Principles of Pediatric and Congenital Cardiac Surgery, and Development and Anatomy of the Conduction System and Pathways of Abnormal Conduction Contains chapters on emerging topics including Three-Dimensional Reconstruction, Advanced Visualization, and Extended Reality, Global Burden of Pediatric Heart Disease and Health Equity, and Quantifying the Fetal Circulation in Congenital Cardiac Disease Shares the experience and knowledge of an international team of multidisciplinary experts in congenital and pediatric cardiac care An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date

La funzione delle UTIC è evoluta rapidamente da presidio di singola patologia a presidio di super-specializzazione in grado di gestire pazienti molto complessi a elevato rischio di mortalità nel corso dell’evento acuto. Ciò ha richiesto una modifica radicale delle competenze del cardiologo: da medico dedicato alla cura dell’infarto a vero e proprio intensivista, con pazienti sempre più anziani, complessi e polipatologici. A distanza di sei anni dalla precedente edizione, questo manuale, profondamente rinnovato nei testi e nell’apparato iconografico, offre un importante aggiornamento sull’approccio multidisciplinare all’emergenza cardiovascolare.Frutto dell’esperienza dei cardiologi intensivisti dell’Ospedale Alessandro Manzoni di Lecco, il volume delinea l’insieme delle competenze del moderno cardiologo intensivista e le strategie terapeutiche necessarie al trattamento di pazienti a complessità crescente. Si rivolge a tutte le figure professionali interessate alla terapia intensiva cardiologica: il cardiologo che lavora prevalentemente in UTIC di ogni livello di complessità e quello con la responsabilità durante i turni di guardia troveranno un aggiornamento sull’intero spettro delle cure intensive per i pazienti complessi tipici delle UTIC contemporanee; il medico di Pronto soccorso ricaverà indicazioni sulle attuali possibilità di trattamento in pazienti cardiovascolari complessi e sulla gestione locale o centralizzata, in base alle caratteristiche del proprio ospedale; il medico con funzioni direttive a livello delle Aziende sanitarie e delle Direzioni regionali della sanità rintraccerà i riferimenti alle indicazioni delle Società scientifiche sugli standard di trattamento e di dotazione di personale e attrezzature nella terapia intensiva cardiovascolare; gli infermieri che lavorano nelle UTIC troveranno descritte in modo chiaro e sintetico le indicazioni e le attuali strategie di trattamento delle varie sindromi cliniche.

un nuovo testo, completamente aggiornato e rinnovato rispetto alle precedenti edizioni del Manuale di Ecocardiografia Clinica,

Principali aggiornamenti, integrazioni e approfondimenti della nuova edizione

Medical Cardiovascular Physiology: From Biophysics to Pathophysiology and Clinical Practice provides a comprehensive and integrated overview of cardiovascular physiology, linking biophysical principles to pathophysiolog-ical mechanisms and clinical applications.The volume is enriched with clear illustrations, chapter summaries, review questions with answers, and focused clinical insights, offering practical tools for understanding cardiovascular function in health and disease.Designed for medical students, physicians, and healthcare professionals, this book represents an essential resource for those seeking a rigorous and clinically oriented foundation in cardiovascular physiology.

Offering expert, dependable, accurate guidance on every facet of adult and pediatric cardiac surgery, Kirklin/Barratt-Boyes Cardiac Surgery, 5th Edition, remains the gold standard text in this fast-changing field. World-renowned editors and authors from six continents provide meticulously updated information on the major changes and innovations over the past decade, including classical surgical updates, catheter-based procedures, robotics, minimally invasive approaches, and hybrid techniques. This dynamic and indispensable reference thoroughly and systematically covers the full range of new and classic surgical procedures, presenting the up-to-date clinical evidence you need to make effective management decisions for every patient.

Una guida operativa pratica per il clinico in ambiente critico, con l’obiettivo di orientare rapidamente le decisioni terapeutiche abbandonando l’approccio per “tentativi ed errori” a favore di una “early goal directed therapy” basata su dati oggettivi.Punti chiave dell’opera: Approccio Fisiopatologico: Il testo approfondisce la meccanica cardiaca attraverso lo studio del ciclo cardiaco e delle curve pressione/volume (P/V loop). Viene data grande rilevanza alla fase diastolica, spesso trascurata ma fondamentale nei moderni quadri di scompenso, e alla fisiologia del ventricolo destro, definito “The dark side of the moon” per la sua complessità e importanza prognostica. Monitoraggio Integrato: Viene analizzato l’intero spettro del monitoraggio emodinamico, considerando il catetere polmonare (Swan-Ganz) ancora come “gold standard” per i quadri complessi, ma integrando ampiamente tecniche meno invasive (termoldiluizione transpolmonare, analisi del contorno di polso) ed ecocardiografia. Il Metodo “OPLÀ“: Il cuore del manuale è l’algoritmo diagnostico-terapeutico originale OPLÀ, ideato per guidare il rianimatore attraverso quattro priorità sequenziali: Ossigenazione (bilancio DO2/VO2, lattati) Pompa (funzione sistolica) Lunghezza delle fibre (precarico/diastole) Àfterload (postcarico e perfusione). Terapia e Supporto Avanzato: Il volume tratta in dettaglio la terapia farmacologica (inotropi, vasopressori, inodilatatori) e la gestione dei fluidi, estendendosi fino all’assistenza meccanica al circolo (MCS) come Contropulsatore, IMPELLA ed ECMO. Scenari Clinici e Interventistica: Sono presenti sezioni dedicate a quadri specifici come shock (cardiogeno, settico, ostruttivo), valvulopatie e la gestione anestesiologica in cardiologia interventistica (TAVI, MitraClip, Ablazioni). In sintesi, l’opera mira a trasformare i dati numerici del monitoraggio in strategie cliniche immediate, offrendo un metodo razionale per gestire il paziente critico con tempestività.

**Selected for 2026 Doody's Core Titles in Cardiology** Part of the renowned Braunwald family of references, Acute Coronary Syndromes, Second Edition: A Companion to Braunwald’s Heart Disease provides the tools and knowledge you need for effective diagnosis, evaluation, and management of patients with acute coronary syndrome. Concise and easy to use, this fully revised volume explores the most recent tools for diagnosis and therapeutic decision-making, as well as the full range of available management strategies, providing outcomes data for each strategy. This book also includes regular updates with late-breaking clinical trials, reviews of important new articles, and the latest guidance on clinical practice, all selected and masterfully edited by Dr. Eugene Braunwald. Provides thorough discussions of ECG, established and emerging biochemical markers, angiography, nuclear cardiology, echocardiography, and cardiac MRI and CT Features an extensive treatment section that covers the latest drugs and most recent clinical trials of antithrombotic therapy, novel anti-inflammatory approaches, coronary revascularization, and approaches to reperfusion injury and ventricular remodeling Reflects the 2021 ACC/AHA Guidelines for the Evaluation and Diagnosis of Chest Pain, and features increased visual aids such as bulleted lists, graphs, tables, and algorithms throughout Discusses special considerations for the evaluation of acute coronary syndromes in the emergency department, and use of advanced technologies in cardiac critical care Covers key topics such as in-hospital complications, cardiogenic shock, transitions to post-discharge care, and cardiac rehabilitation Includes practice-oriented material that highlights management-focused, practical topics covering expert approaches for areas of uncertainty Offers guidance on the management of special populations An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date

Edizione italiana sulla terza in lingua inglese a cura di Fabrizio Monaco e Jacopo D’Andria Ursoleo.  Lo studio invasivo dell’emodinamica costituisce le basi della comprensione della fisiologia cardiovascolare negli stati di salute e nei processi patologici. Molte delle conoscenze ad oggi consolidate derivano dal contributo fornito alla disciplina da innumerevoli medici negli ultimi otto decenni, e, nonostante ciò, questo è un campo che rimane in continua espansione, con nuove scoperte e continue migliorie. La valutazione emodinamica è ormai una componente cardine dei protocolli di cateterizzazione cardiaca; tuttavia, questo aspetto è spesso trascurato da molti cardiologi e programmi di formazione in cardiologia, che danno largo spazio, invece, alle tecniche angiografiche e interventistiche o alle metodiche non invasive quali l’ecocardiografia, la tomografia computerizzata cardiaca e la risonanza magnetica. Senza dubbio queste tecniche permettono di studiare minuti dettagli anatomici che in passato non erano acquisibili, ma presentano anche dei limiti riguardo alla loro capacità di valutare l’impatto della patologia cardiaca sulla fisiologia. In aggiunta, è importante eseguire queste valutazioni in modo meticoloso, dal momento che le condizioni dei pazienti sottoposti a valutazione emodinamica possono essere misconosciute o erroneamente diagnosticate per errori di misura o interpretazione. Tuttavia, l’attuale espansione del campo della cardiologia interventistica strutturale ha portato a un rinnovato interesse nell’emodinamica, dal momento che alcuni dei suoi principi e delle pratiche, spesso dimenticati, sono di enorme importanza durante questo tipo di procedure. È quindi indispensabile per un cardiologo astuto maneggiare con dimestichezza i principi dell’emodinamica clinica e della valutazione emodinamica invasiva per poter correttamente eseguire e interpretare i test diagnostici, potendo trattare quindi molte malattie cardiovascolari.Questo libro mira a fornire informazioni sull’emodinamica, a partire dall’analisi delle forme d’onda ottenute nel laboratorio di cateterismo cardiaco. Verranno discussi approfonditamente, con l’ausilio di illustrazioni di numerose forme d’onda emodinamiche derivanti dalla pratica clinica, la normale fisiologia e l’intero spettro degli stati fisiopatologici che si può incontrare nel laboratorio di cateterizzazione cardiaca e nelle unità di terapia intensiva. La terza edizione contiene nuove figure e aggiornamenti di tutte le sezioni e l’aggiunta dei paragrafi riguardanti le valutazioni emodinamiche ecocardiografiche nel contesto della malattia valvolare mitralica, aortica e della cardiomiopatia ipertrofica. Questa edizione, inoltre, dispone di due nuovi capitoli, uno sul monitoraggio al letto del paziente nell’unità di terapia intensiva e uno sulla funzione diastolica del cuore.Quest’opera è concepita per l’utilizzo da parte dei medici specializzandi in cardiologia (inclusi sia coloro che seguono la formazione in cardiologia generale, sia coloro che la seguono in cardiologia interventistica e strutturale), dei cardiologi e dei cardiologi interventisti in preparazione agli esami di certificazione o di rinnovo della certificazione, nonché del personale infermieristico e tecnico di laboratorio di emodinamica. Anche gli infermieri specializzati in cardiologia, i medici assistenti, il personale infermieristico delle unità coronariche, i medici di terapia intensiva e i medici in formazione in medicina interna possono trovare i contenuti di questo testo interessanti e utili per la pratica clinica. Michael Ragosta, MD

Le basi dell'ECG - dal Tracciato alla Diagnosi, giunto alla sua 10ª edizione e celebrato come "classico della medicina" dal Br

Atherosclerotic cardiovascular disease remains the leading cause of death worldwide, yet our understanding of its biology has evolved more profoundly in the past two decades than in the previous fifty years. Traditional paradigms centred on established clinical scores, ischaemia and flow-limiting stenoses have undoubtedly shaped modern cardiology, but they increasingly revealed intrinsic limitations. Most myocardial infarctions originate from non-obstructive, biologically active plaques that progress silently long before clinical manifestation, and first events frequently occur in individuals classified as low risk by conventional assessment tools. This textbook embraces a modern vision of coronary artery disease, integrating advanced mechanistic knowledge, emerging risk factors, state-of-the-art imaging and contemporary pharmacological strategies to elucidate the underpinnings of modern clinical management of atherosclerosis, from understanding of traditional and non-traditional plaque progression risk factors to defining how these processes can be favourably haltered through targeted interventions. Through contributions from leading experts in cardiovascular medicine, Treating the Atherosclerotic Plaque 2.0 provides a comprehensive and up-to-date synthesis of the groundbreaking evidence that has reshaped our understanding, management and treatment of atherosclerosis. Non-invasive imaging modalities such as coronary computed tomography angiography quantify the burden and phenotype of disease across the entire coronary tree, while intracoronary techniques including IVUS, NIRS and OCT allow for near-histological assessment of plaque composition, inflammation and microstructure. These tools have transformed our capacity to refine risk, identify high-risk individuals and guide therapeutic intensification. Clinical and mechanistic imaging trials have established an almost continuous log-linear association between on-treatment LDL-cholesterol levels and reductions in major cardiovascular events, paralleled by regression of atheroma burden and stabilisation of plaque morphology. Moreover, renewed focus on novel lipid-related biomarkers and residual inflammatory risk is shaping the next frontier of preventive cardiology, offering additional avenues to further reduce the residual risk. This textbook offers clinicians, researchers and trainees a rigorous and practical roadmap to navigate this paradigm shift - from relying only on traditional clinical scores and ischaemia to detecting, characterising and actively modifying atherosclerotic disease

Written and edited by the world’s leading ACHD experts, Diagnosis and Management of Adult Congenital Heart Disease, Fourth Edition, provides up-to-date, must-know information in this increasingly important field. It offers essential guidance on anatomical issues, clinical presentation, diagnosis, and management options available to clinicians and allied professionals who work with adults with congenital heart disease. Comprehensive and practical, this outstanding resource is invaluable for all involved with the care challenges and opportunities of the ever-growing number of patients born with CHD, the most common inborn defect worldwide. Presents each CHD lesion-oriented chapter in a consistently templated format covering incidence, genetics, morphology, presentation, investigations and imaging, and treatment and intervention(s) Focuses on clinically practical and actionable content and an all-new, freely accessible section with basic information for ACHD patients and non-ACHD caregivers on individual CHD lesions Contains 350 illustrations featuring ECGs, echocardiograms, CTs, MRIs, full-color anatomic drawings, and graphic diagrams Discusses key topics such as pregnancy, arrhythmia and heart failure management, psychosocial issues in ACHD, supportive and palliative care for end-stage ACHD, cardiac rehab, liver interactions, ventricular mechanical support, transplantation, and advice regarding patients undergoing non-cardiac surgery Provides content specifically for nurses, nurse practitioners, and other allied professionals who, now more than ever, play an important role in the care of the adult with CHD An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date

Covering both the science behind transesophageal echocardiography (TEE) and its uses for monitoring and diagnosis, Perrino and Reeves’ Practical Approach to Transesophageal Echocardiography, Fifth Edition, provides the information you need for all levels of transesophageal echocardiography usage and testing. Expertly edited by Drs. Albert C. Perrino, Jr, Scott T. Reeves, Joshua M. Zimmerman and Chirojit Mukherjee, this concisely written manual features numerous figures and review questions in every chapter, allowing you to quickly digest and apply critical information in actual clinical settings. Covers key topics such as 2D imaging, Doppler echo, valvular disease, and specific clinical challenges Features more than 300 end of chapter multiple-choice review questionswith answers and rationales as well as over 400 clinical and procedural video clips. Discusses common artifacts and pitfalls, as well as techniques and tricks for optimizing TEE images Contains valuable appendices covering cardiac cross section criteria, cardiac dimensions, hemodynamic calculations, valve prostheses, and more Shares the knowledge and expertise of two new editors: Joshua Zimmerman of the University of Utah School of Medicine and Chirojit Mukherjee of Helios Park Clinic in Germany