Malattie coronariche

Acute Coronary Syndrome covers the spectrum of clinical conditions ranging from unstable angina to non-ST elevation myocardial infarction and ST elevation myocardial infarction. These life-threatening disorders are a major cause of emergency medical care, hospitalization and mortality. Management of Acute Coronary Syndromes is designed to provide busy clinicians with a comprehensive guide to the investigation, diagnosis and treatment of these syndromes. It encompasses the latest technologies, including the use of biomarkers and non-invasive imaging procedures. For each condition, the reader is taken through all of the therapeutic options available; in each case the indications and contraindications are evaluated in the light of the latest clinical trials. Potential complications are dealt with in a similar fashion, permitting the reader to anticipate and manage problems as they arise. The authors also present evidence-based recommendations for long-term care of at-risk patients, encompassing pharmacologic therapies and lifestyle management. The book concludes with a comprehensive collection of appendices that include treatment algorithms, risk scores and a summary of the latest management guidelines. Management of Acute Coronary Syndromes is the most up to date and comprehensive evidence-based guide to managing acute coronary syndromes, in a compact and usable format. It will be of interest to busy specialist physicians in cardiovascular medicine, cardiac and vascular surgery, and critical care, as well as primary care physicians and hospitalists who care for patients with these syndromes.

This work, the fifth edition of what has come to be seen as a leader in its field, has been especially updated to further explore the impressive strides that have been made in the pathophysiology of heart failure at all levels. These include molecular changes and the integrated circulatory system. This edition provides an up-to-date overview of what constitutes normal cardiac function. It also contains an exhaustive guide to approaches that can be used to manage the system. Authors of the chapters provide detailed charts and graphs depicting new modalities available for treatment, management options, and syndrome etiology.

For many years, individual cardiovascular risk factors have been dealt with in isolation, often by specialists with an interest in one particular risk factor, for example hypertension or hypercholesterolaemia. There has recently been a move to emphasize the importance of reducing global cardiovascular risk, which requires clinicians to address any one of a number of different risk factors. The interplay between these various factors is important in our understanding of development of cardiovascular disease and, similarly, the synergistic effects of targeting different risk factors is important in risk reduction.This text provides a comprehensive and up-to-date review of modern cardiovascular risk management. It belongs to the "In Clinical Practice" series, which incorporate multiple illustrations using novel and effective formats. Data are frequently presented as bullet point lists or tables so that the key information is clearly available. The emphasis is on overall cardiovascular risk reduction throughout, with integration of lifestyle and pharmacological interventions.

The study of valvular heart disease has progressed rapidly over the past two decades. The understanding of etiology and natural history, the precision of noninvasive assessment, and the surgical and interventional management of valve disease have all improved dramatically. Coupled with an appreciation of physiologic principles, thoughtful interviews and physical exam, current technology allows clinicians to characterize all types of valve lesion. In addition, evolving techniques in interventional cardiology and cardiac surgery, guided by quantitative outcome analysis, have reduced the morbidity and mortality of these procedures. Reflecting all the above and evidence-based medical practice, the authors aim to provide a concise and straightforward guide to the recognition and management of valvular heart disease, complemented by current guidelines and abundant high quality images. It will be a valuable reference for all involved in the care of patients with valvular heart disease, including cardiologists in practice and training, young hospital doctors, general physicians, cardiac nurse specialists, and medical students.

Il volume fornisce una rivisitazione schematica ma, nello stesso tempo, completa e aggiornata della problematica relativa alla Sindrome Coronarica Acuta, alla luce di quanto pubblicato negli ultimi dieci anni. Premettendo i concetti di elettrocardiografia e di istofisiopatologia, viene affrontata la riclassificazione nosologica della patologia coronarica acuta derivata dall'introduzione nella pratica clinica dei nuovi marker di necrosi miocardica, sottolineando anche la necessit che il Medico valuti il rischio intrinseco alla malattia attraverso il calcolo di specifici punteggi proposti dagli studi clinici. Si analizzano, quindi, i diversi percorsi terapeutici che devono essere posti in essere, sia quelli puramente farmacologici, sia quelli pi "aggressivi." Ampio spazio viene dato alle modalit d'impiego dei nuovi trattamenti antitrombotici e alle modalit di scelta fra terapia farmacologica e approccio invasivo mediante coronarografia e angioplastica.

Clearly written and focussing on patient care, this book can be used at various levels of experience and knowledge. It is an ideal resource for study.

A practical guide in the clinical application of fibrinolytic therapy in a variety of life-threatening disorders. This is a guide for physicians taking care of acutely ill patients either at intensive care units, coronary care units, ambulances or emergency departments.

This fully updated revision of the well-received first edition continues to provide a clear, comprehensive and up-to-date account of the role of lipid management in the prevention of coronary heart disease. Appropriate for the clinician managing lipid problems in either the primary or secondary care setting, the well-respected author team consider all aspects of screening, diagnosis and risk assessment, and management. The science underlying lipid metabolism is put into context for the practising physician, including recent developments in inflammation, plaque biology and the transition to serious events. Risk factor modification, including lifestyle change and cholesterol lowering by diet and medication are discussed fully. Landmark clinical trials, and the messages that can be drawn from them, are highlighted throughout. The practical focus is maintained through the consideration of specific patient groups demonstrating particular clinical importance, management difficulties or highlighting areas of current controversy. With a balanced, readable style and clear explanatory illustrations, this second edition provides invaluable advice for primary care and specialist clinicians, whether in training or in practice, in the management of lipid disorders and the prevention of cardiovascular events.

Cardiology is a rapidly changing and expanding field. Management protocols change regularly, new categories of treatment options are being discovered, and there is a new focus on the prevention of cardiovascular diseases.Pocket Consultant: Cardiology is a highly practical, user-friendly guide to this expanding field. Now in its fifth edition, this book has been highly praised for its readability, conciseness and clear illustrations, and is an indispensable guide for those dealing with common cardiological problems. The author, the current president of the British Cardiac Society, is internationally known in the field of clinical cardiology. This is an ideal book for the junior doctor who wants a quick, easily understandable guide to cardiology. This title is now available for the PDA, powered by Skyscape - to buy your copy click here

Surgeons refer to this classic text again and again, partly because of the clarity of its innovative format, so useful and popular that it has been copied by others. This technical manual, now in its fourth edition, profiles all of the commercially available stents and some of those in early registry. The technical specifications of the stent and delivery systems are tabulated; each stent is illustrated in its unexpanded, mounted and expanded form (depending on the type of stent). Angiograms show the stent in situ. Handbook of Coronary Stents is a necessary adjunct for all those involved in interventional cardiology.

Acute coronary syndrome (ACS) is at present the most common clinical entity requiring admission of a patient to an inpatient cardiology service. In the past, evaluation and treatment options for patients with this syndrome were either empirical or based on observational reports of clinical outcomes. Recent clinical trials have resulted in a deeper, evidence-based understanding of the pathophysiology, presentation, risk assessment, and management of the acute coronary syndrome and its subsets (e.g., unstable angina and myocardial infarction). This book organizes the data gleaned from these trials to present the best use of individual forms of evaluation and treatment to provide optimal patient outcome. It is a clear, concise source for everything the cardiologist, cv surgeon, emergency physician or others on the frontlines of caring for patients with chest pain need to know and the only book on this topic that is evidence-based.

All junior doctors and in particular trainee cardiologists will at some point in their training be involved in managing acute coronary syndromes and other cardiac emergencies. This handbook sets out the recognized clinical steps to take and backs them up with an analysis of the evidence supporting these decisions. "Evidence-Based Coronary Care" will provide junior doctors with the answers they seek when dealing with difficult clinical situations. Evidence-Based medicine is still very topical, and this book will adopt a similar style to James: Evidence-Based Obstetrics in setting out the clinical management plan on the verso page and the evidence supporting that plan on the recto page.