Libri Patologia cardiovascolare: Novità e Ultime Uscite
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Patologia cardiovascolare

Practical Cardiovascular Medicine

Elias B. Hanna

editore: John Wiley & Sons Inc

pagine: 992

Providing a complete but succinct overview of the information cardiologists and cardiology trainees need to have at their fingertips, Practical Cardiovascular Medicine, Second Edition is an everyday primary guide to the specialty.  Provides cardiologists with a thorough and up-to-date review of cardiology, from pathophysiology to practical, evidence-based management  Ably synthesizes pathophysiology fundamentals and evidence-based approaches to prepare a physician for a subspecialty career in cardiology  Clinical chapters cover coronary artery disease, heart failure, arrhythmias, valvular disorders, pericardial disorders, congenital heart disease, and peripheral arterial disease  Practical chapters address ECG, coronary angiography, catheterization techniques, echocardiography, hemodynamics, and electrophysiological testing  Includes over 730 figures, key notes boxes, references for further study, and coverage of clinical trials  Review questions help clarify topics and can be used for Board preparation - over 650 questions in all The Second Edition has been comprehensively updated with the newest data and with both the American and European guidelines. More specifically, 20 clinical chapters have been rewritten and extensively revised. Procedural chapters have been enhanced with additional concepts and illustrations, particularly the hemodynamic and catheterization chapters. Clinical questions have been revamped, new questions have been added, including a new, 259-question section at the end of the book.   Practical Cardiovascular Medicine, Second Edition is an ideal reference for the resident, fellow, cardiologist, and any professional treating patients with cardiovascular disease. 
118,00 112,10

The Washington Manual of Cardio-Oncology

A Practical Guide for Improved Cancer Survivorship

a cura di Daniel J. Lenihan, Kathleen W. ZhangJoshua Mitchell,
e altri

editore: Wolters Kluwer Health

pagine: 380

Written by experts in cardiovascular disease, hematology, and oncology, The Washington Manual® of Cardio-Oncology: A Practical Guide for Improved Cancer Survivorship is a clinically relevant, easy-to-use primer on the detection, management, and improved cardiovascular-based patient outcomes in adults undergoing treatment for cancer or who have previously survived cancer therapy. Edited by Drs. Daniel J. Lenihan, Joshua D. Mitchell, and Kathleen W. Zhang, this concise yet comprehensive manual provides high-yield information that reflects today’s advances in risk stratification, early diagnosis, and treatment of cardiovascular disease—all in an easy-access, concisely bulleted format for on-the-go reference.   Discusses the multitude of complex adverse effects of chemotherapy, targeted therapy, immunotherapy, and radiation therapy to help optimize quality of life and prolong survival in this vulnerable patient population. Includes chapters on how cancer therapy affects the myocardium, valves, pericardium and cardiac electrical system including handy reference tables on typical side effects of commonly used cancer therapies. Provides practical guidance in an easy-to-follow format that covers definition, associated drugs/therapies, epidemiology, diagnosis (history, physical exam, and diagnostic testing), treatment, and outcome/prognosis. Covers the role of non-invasive imaging modalities in the diagnosis and screening for cardiovascular disease including echocardiography, MRI, and nuclear imaging. Addresses frequently encountered clinical scenarios such as preoperative or pre-high-risk treatment evaluation with up-to-date expert consensus recommendations. Details emerging treatments and optimal use of non-invasive imaging in cardiac amyloidosis. Features easy-to-use flow-charts and tables that aid in the differentiation of cardiac masses. The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by Wolters Kluwer Health under license from Washington University.   Enrich Your eBook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.
75,00 71,25

Malattie cardiovascolari. Approccio clinico e scientifico

Giuseppe Biondi Zoccai

editore: Minerva Medica

pagine: 592

Le malattie cardiovascolari continuano a rappresentare la principale causa di morte e disabilità. Questo libro, dedicato a tale tema cruciale della medicina, è stato pensato per offrire uno strumento innovativo e agile a studenti di medicina, medici e specialisti, cardiologi e non, interessati ad approfondire tutti i temi principali pertinenti. La novità dell’opera rientra precisamente nella geometria dei capitoli, tutti scritti da esperti riconosciuti della materia. In particolare, il lettore vi troverà sempre all’inizio di ogni contributo un caso clinico pertinente all’argomento, quindi una sintesi del tema fisiopatologico o clinico specifico, e infine uno studio scientifico commentato, tale da metterne in luce, oltre ai risultati, uno o più aspetti metodologici di rilievo. La sezione centrale si avvicina per forma e contenuti ad altri testi di cardiologia, ma l’abbinamento caso clinico - sintesi del tema - studio scientifico costituisce una novità sostanziale.
53,00 47,83

The ESC Textbook of Intensive and Acute Cardiovascular Care

a cura di Marco Tubaro, Pascal VranckxSusanna PriceChristiaan VrintsEric Bonnefoy
e altri

editore: Oxford University Press

pagine: 1088

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU's, ethical issues and quality of care. SECTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other cardiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients' case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacemaker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic techniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.
254,00 226,06

Netter cardiologia

George A. Stouffer, Marschall S. Runge
e altri

editore: Edra

pagine: 576

Le malattie cardiovascolari sono la causa prevalente di mortalità e morbilità nel mondo e il progresso della ricerca è continu
39,00 35,00

Diastology

Clinical Approach to Heart Failure with Preserved Ejection Fraction

Allan L. Klein, Mario J. Garcia

editore: Elsevier - Health Sciences Division

pagine: 544

Accounting for more than 40% of all heart failure problems, diastolic heart failure is a complex and often difficult diagnosis with rapidly evolving diagnostic management protocols. Diastology: Clinical Approach to Heart Failure with Preserved Ejection Fraction, 2nd Edition, brings you up to date and equips you to successfully diagnose and manage even the most challenging incidences of diastolic heart failure and their comorbidities. It incorporates the latest guidelines for the diagnostic evaluation of the patient with suspected or known diastolic dysfunction, provides a comprehensive review of clinical conditions associated with heart failure with preserved ejection fraction, and describes the complementary role of imaging modalities and novel therapeutic approaches. Keeps you current with recent extensive changes in the understanding of the mechanisms of diastolic heart failure with preserved ejection fraction (HFpEF) that have resulted in dramatic changes in treatment guidelines. Covers the latest molecular, genetic, and cellular mechanisms behind diastolic heart failure as a basis for the latest clinical approaches, diagnosis, and treatment of common and uncommon pathological conditions such as hypertensive heart disease, cardiomyopathies, arterial and valvular diseases, pericardial diseases, congenital heart disease, diabetes mellitus, and metabolic syndrome. Features 50 video cases, new key summary points, new multiple-choice review questions, and six new chapters: Evaluation of Diastolic Function by Radionuclide Techniques; Diastology Stress Test; ASE/EACVI Diastolic Guidelines; Valve Disease; Perioperative Assessment of Diastolic Dysfunction; and Pulmonary Hypertension. Reviews new techniques and indices for assessing diastolic function, such as 3D echo, strain rate imaging, late gadolinium enhancement and T1-mapping by CMR, and novel nuclear scintigraphic methods - as well as the traditional indices of LV filling, LA function, and tissue Doppler indices. Covers emerging topics such as the role of neurohormones, global and regional systolic function of the left ventricle, chronotopic incompetence and pacing, aging, perioperative assessment, and more. Presents information in a quick-retrieval format, covering Epidemiology, Pathophysiology, Diagnostic Evaluation, Differential Diagnosis, Treatment, and Future Directions. Helps you learn efficiently and prepare for self-assessment with key summaries and multiple-choice questions and answers for each chapter. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
186,00 176,70

Terapia intensiva cardiovascolare

a cura di S. Savonitto, A. Farina

editore: Il Pensiero Scientifico

pagine: 476

Il volume guida il lettore attraverso la gestione pre-ospedaliera delle emergenze cardiologiche, le indicazioni a ricovero in
52,00 46,40

Valvular Heart Disease: A Companion to Braunwald's Heart Disease

Robert O. Bonow

editore: Elsevier - Health Sciences Division

pagine: 608

Covering the full range of diagnosis and treatment for valvular heart disease, this award-winning reference provides the information you need for safe and effective practice. Part of the Brauwald's family of heart disease references, Valvular Heart Disease, 5th Edition, brings you fully up to date with the latest procedures, imaging modalities, basic science, diagnostic criteria, and treatment guidelines in this fast-changing area. Internationally renowned authors Dr. Catherine M. Otto and Dr. Robert O. Bonow help you apply today's best, evidence-based medical and surgical approaches in your daily practice. Covers current topics such as transcatheter aortic valve replacement (TAVR), timing of intervention for mitral regurgitation, imaging guidance of transcatheter valve procedures, management of prosthetic valve, advanced imaging of the aortic and mitral valves, management of valve disease in pregnant women, and advances in diagnosis and treatment of endocarditis. Contains new chapters on the imaging approach before TAVR, transcatheter valve-in-valve implantation for prosthetic valve stenosis, and management of pulmonic valve disease. Provides summaries of ACC, AHA, and ESC guidelines for guidance on best practices. Includes all the latest imaging modalities for a full understanding of tools needed for the most accurate physiologic understanding and accurate diagnoses. Offers access to 80 videos that help you visualize heart valve anatomy and dysfunction, as well as important techniques and procedures. Features an extensive number of new and updated illustrations of anatomy and physiology, methodology, flow charts, and clinical examples-750 high-quality images in all. Reorganizes chapters to closely link imaging and interventional approaches for aortic and mitral valve disease. Emphasizes evidence-based approaches with outcome data and relevant references. 2014 BMA Medical Book Awards 1st Prize Award Winner in Cardiology category. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
181,00 171,95

Pathophysiology of Heart Disease

An Introduction to Cardiovascular Medicine

Leonard S. Lilly

editore: Wolters Kluwer Health

pagine: 512

Enthusiastically acclaimed by medical students and faculty worldwide, this text is specifically designed to prepare students for their first encounters with patients with cardiovascular disease. Thoroughly revised by internationally recognized Harvard Medical School faculty and a team of select cardiology fellows and internal medicine residents, this seventh edition equips students with a clear, complete, and clinically relevant understanding of cardiovascular pathophysiology, setting a strong foundation for patient diagnosis and management. New seventh edition highlights: Review questions and answers in each chapter prepare students for course and board exams. New contributors include cardiology fellows and internal medicine residents, who worked closely with faculty to extend coverage of clinically pertinent issues for medical students. Updated content reflects the latest understanding of mechanisms of cardiac disease and technological advances. Classic student-friendly features: Full-color illustrations help readers visualize and quickly grasp key concepts. Medical imaging and color clinical photographs show real-world examples of many clinically relevant cardiovascular conditions. Introductory chapter outlines and end-of-chapter summaries provide organized, quick review of core information. Bonus online study tools: Animations help support understanding of complex, dynamic disease processes. Interactive question bank reinforces learning and improves retention.
59,00 52,00

Vascular Medicine: A Companion to Braunwald's Heart Disease

Mark Creager, Joshua A. Beckman
e altri

editore: Elsevier - Health Sciences Division

pagine: 960

With authoritative coverage of everything from recent discoveries in the field of vascular biology to recent clinical trials and evidence-based treatment strategies, Vascular Medicine, 3rd Edition, is your go-to resource for improving your patients' cardiovascular health. Part of the Braunwald family of renowned cardiology references, this updated volume integrates a contemporary understanding of vascular biology with a thorough review of clinical vascular diseases, making it an ideal reference for vascular medicine specialists, general cardiologists, interventional cardiologists, vascular surgeons, and interventional radiologists. Incorporates technologic advances in vascular imaging - including ultrasound, MRI, CTA, and catheter-based angiography - along with more than 230 new figures, providing an up-to-date and complete view of the vascular system and vascular diseases. Covers novel antithrombotic therapies for peripheral artery disease and venous thromboemboism, advances in endovascular interventions for aortic aneurysms, and today's best surgical treatments for vascular diseases. Includes seven new chapters: Pathobiology of Aortic Aneurysms; Pathobiology and Assessment of Cardiovascular Fibrosis; Large Vessel Vasculitis; Medium and Small Vessel Vasculitis; Epidemiology and Prognosis of Venous Thromboembolic Disease; Fibromuscular Dysplasia; and Dermatologic Manifestations of Vascular Disease. Discusses methods for aggressive patient management and disease prevention to ensure minimal risk of further cardiovascular problems. Keeps you current with ACC/AHA and ECC guidelines and the best ways to implement them in clinical practice. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices
185,00 175,75

Fisiopatologia del cuore

Leonard S. Lilly

editore: Piccin-Nuova Libraria

pagine: 480

Le malattie cardiovascolari rappresentano uno dei più importanti problemi di sanità pubblica, in Italia e in molti altri paesi
45,00 42,75

Heart Failure: A Companion to Braunwald's Heart Disease

Douglas L. Mann, G. Michael Felker

editore: Elsevier - Health Sciences Division

pagine: 760

Up-to-date, authoritative and comprehensive, Heart Failure, 4th Edition, provides the clinically relevant information you need to effectively manage and treat patients with this complex cardiovascular problem. This fully revised companion to Braunwald's Heart Disease helps you make the most of new drug therapies such as angiotensin receptor neprilysin inhibitors (ARNIs), recently improved implantable devices, and innovative patient management strategies. Led by internationally recognized heart failure experts Dr. G. Michael Felker and Dr. Douglas Mann, this outstanding reference gives health care providers the knowledge to improve clinical outcomes in heart failure patients. Focuses on a clinical approach to treating heart failure, resulting from a broad variety of cardiovascular problems. Covers the most recent guidelines and protocols, including significant new updates to ACC, AHA, and HFSA guidelines. Covers key topics such as biomarkers and precision medicine in heart failure and new data on angiotensin receptor neprilysin inhibitors (ARNIs). Contains four new chapters: Natriuretic Peptides in Heart Failure; Amyloidosis as a Cause of Heart Failure; HIV and Heart Failure; and Neuromodulation in Heart Failure. Covers the pathophysiological basis for the development and progression of heart failure. Serves as a definitive resource to prepare for the ABIM's Heart Failure board exam. 2016 British Medical Association Award: First Prize, Cardiology (3rd Edition). Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
169,00 160,55

Cardiovascular Physiology

Mosby Physiology Monograph Series

Achilles J. Pappano, Withrow Gil Wier

editore: Elsevier - Health Sciences Division

pagine: 300

Gain a foundational understanding of cardiovascular physiology and how the cardiovascular system functions in health and disease. Cardiovascular Physiology, a volume in the Mosby Physiology Series, explains the fundamentals of this complex subject in a clear and concise manner, while helping you bridge the gap between normal function and disease with pathophysiology content throughout the book. Helps you easily master the material in a systems-based curriculum with learning objectives, Clinical Concept boxes, highlighted key words and concepts, chapter summaries, self-study questions, and a comprehensive exam to help prepare for USMLEs. Keeps you current with the latest concepts in vascular, molecular, and cellular biology as they apply to cardiovascular function, thanks to molecular commentaries in each chapter. Includes clear, 2-color diagrams that simplify complex concepts. Features clinical commentaries that show you how to apply what you've learned to real-life clinical situations. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. Complete the Mosby Physiology Series! Systems-based and portable, these titles are ideal for integrated programs. Blaustein, Kao, & Matteson: Cellular Physiology and Neurophysiology Cloutier: Respiratory Physiology Koeppen & Stanton: Renal Physiology Johnson: Gastrointestinal Physiology White, Harrison, & Mehlmann: Endocrine and Reproductive Physiology Hudnall: Hematology: A Pathophysiologic Approach Appendix - Comprehensive MCQ review examination Keywords/concepts
39,00 37,05

Aortic complexities

Germano Melissano, Roberto Chiesa

editore: Edi. Ermes

pagine: 528

Treatments for aortic diseases have undergone explosive advances in the last decade. So too has our understanding of aortic disease processes. This progress in understanding and available treatments has come with the cost of increasing complexity.Roberto Chiesa and Germano Melissano have edited a unique jewel of a book which deals with the many complexities of these advances in the pathogenesis of aortic diseases, their endovascular and open treatments and the management of treatment complications.This volume, entitled Aortic Complexities, contains chapters by all those international innovators and thought leaders who have contributed the most to recent improvements in the management of aortic diseases. Accordingly it should be an invaluable up-to-date source of information for any physician or surgeon whose interests are focused on the aorta.Professor Chiesa and Professor Melissano are to be congratulated for bringing together the leading experts in the aortic arena to produce a text which provides a cutting-edge view of the current state of the art in aortic diseases and their treatment. Aortic Complexities will be a must-have volume for all libraries and for all those interested in the aorta, its newer treatments and associated complexities.
65,00 61,75

Practical Cardio-Oncology

Susan Dent

editore: CRC Press

pagine: 240

95,00 90,25

Manual of Cardiovascular Medicine 5° Edition

Brian P. Griffin

editore: Lippincott Williams and Wilkins

pagine: 1058

Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. An ideal reference for residents, fellows, practitioners, and nurse practitioners, Manual of Cardiovascular Medicine, 5th Edition is a concise, up-to-date overview of key topics in cardiology. Using a practical, outline format, this best-selling title presents evidence-based approaches to cardiovascular diagnosis, diseases, and treatment - perfect for daily practice or exam preparation. A new, larger format and content that is thoroughly up to date; organized by disease and treatment so you can find what you're looking for quickly. With a focus on guidelines and the evidence basis for cardiovascular disease management, coverage includes approaches to common clinical syndromes and investigations, including drug therapy. Updated content with the latest innovations in cardiovascular medicine- including percutaneous approaches to valve disease, device management of cardiogenic shock, and the heart in the athlete. Clear diagrams, high-quality ECGs, and helpful summary tables provide excellent visual reinforcement to the text. Authoritative perspectives from the experienced staff and fellows at the Cleveland Clinic provide practical guidance in performance of common cardiovascular procedures and integration of devices. Enrich Your eBook Reading Experience with Enhanced Video, Audio and Interactive Capabilities! Read directly on your preferred device(s), such as computer, tablet, or smartphone Easily convert to audiobook, powering your content with natural language text-to-speech Adapt for unique reading needs, supporting learning disabilities, visual/auditory impairments, second-language or literacy challenges, and more
98,00 93,10

Mechanical Circulatory and Respiratory Support

John Foster Fraser, Michael Stevens
e altri

editore: Academic Press Inc

pagine: 852

Mechanical Circulatory and Respiratory Support is a comprehensive overview of the past, present and future development of mechanical circulatory and respiratory support devices. Content from over 60 internationally-renowned experts focusses on the entire life-cycle of mechanical circulatory and respiratory support - from the descent into heart and lung failure, alternative medical management, device options, device design, implantation techniques, complications and medical management of the supported patient, patient-device interactions, cost effectiveness, route to market and a view to the future. This book is written as a useful resource for biomedical engineers and clinicians who are designing new mechanical circulatory or respiratory support devices, while also providing a comprehensive guide of the entire field for those who are already familiar with some areas and want to learn more. Reviews of the most cutting-edge research are provided throughout each chapter, along with guides on how to design new devices and which areas require specific focus for future research and development.
185,00 175,75

Diagnostic Pathology: Cardiovascular

Dylan V. Miller, Monica P. Revelo

editore: Amirsys, Inc

pagine: 552

Part of the highly regarded Diagnostic Pathology series, this updated volume by Drs. Dylan V. Miller and Monica P. Revelo is an ideal point-of-care reference for the accurate diagnosis of complex cardiovascular specimens. Concise, focused chapters, supported by tables, diagrams, radiographs, and photographs, provide essential information to keep you up to date with new cardiac devices, the increased use of molecular panels, WHO updates, and much more. Hundreds of images, including photomicrographs, spectacular gross images, electron micrographs, and vivid medical illustrations Separate sections on specimens encountered in the settings of biopsy, surgical resection, and autopsy Time-saving reference features include bulleted text, tables of diagnostic criteria, annotated images, and an extensive index Thoroughly updated content includes new cardiac devices that require pathologic evaluation; increasing volumes of established devices in surgical and autopsy specimens; the increasing use of molecular panels in the evaluation of cardiomyopathy, aortic diseases, sudden cardiac death, and myocarditis; and updates from an international consensus on cardiac tumor reporting (ICCR) A new chapter on TAVR (transcatheter) valves, plus updates to the chapters on prosthetic valves, LVADs, stents (including a description of 2 new methods of preparing sections that can be done in any histology lab), and more A new section, Autopsy Evaluation of Cardiovascular Disease, includes 9 chapters from the Diagnostic Pathology: Hospital Autopsy volume Updates from the new edition of the WHO blue book for cardiac tumors Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
226,00 214,70

Lifestyle in Heart Health and Disease

Ronald Ross Watson, Sherma Zibadi

editore: Academic Press Inc

pagine: 334

Lifestyle and Heart Health and Disease provides a comprehensive evaluation of lifestyle factors that modify heart function and structure. It includes coverage of a wide range of lifestyle factors, including physical activity, alcohol, tobacco, drugs of abuse, nutrition and psychosocial factors. The book clearly presents the scientific evaluation of published research relating to general responses by scientists, physicians and patients, along with new research on the role of lifestyle in the prevention, amelioration and causation of cardiac remodeling and disease.
176,00 167,20

Endothelium and Cardiovascular Diseases

Vascular Biology and Clinical Syndromes

Antonio Carlos Palandri Chagas, Francisco R. M. Laurindo
e altri

editore: Academic Press Inc

pagine: 758

Endothelium and Cardiovascular Diseases: Vascular Biology and Clinical Syndromes provides an in-depth examination of the role of endothelium and endothelial dysfunction in normal vascular function, and in a broad spectrum of clinical syndromes, from atherosclerosis, to cognitive disturbances and eclampsia. The endothelium is a major participant in the pathophysiology of diseases, such as atherosclerosis, diabetes and hypertension, and these entities are responsible for the largest part of cardiovascular mortality and morbidly. Over the last decade major new discoveries and concepts involving the endothelium have come to light. This important reference collects this data in an easy to reference resource. Written by known experts, and covering all aspects of endothelial function in health and disease, this reference represents an assembly of recent knowledge that is essential to both basic investigators and clinicians.
185,00 175,75

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