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A history illustrating the complexity of medical decision making and risk. Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke. Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes.
Despite recent advances in the diagnosis and treatment of symptomatic atherosclerosis, available traditional screening methods for early detection and treatment of asymptomatic coronary artery disease are grossly insufficient and fail to identify the majority of victims prior to the onset of a life-threatening event. In Asymptomatic Atherosclerosis: Pathophysiology, Detection and Treatment, Dr. Morteza Naghavi and leading authorities from the Society for Heart Attack Prevention and Eradication (SHAPE) present a new paradigm for the screening and primary prevention of asymptomatic atherosclerosis. The text focuses on accurate, yet underutilized, measures of subclinical atherosclerosis, notabl...
"This book will be useful for all physicians involved in cardiac imaging, whether they are in radiology, nuclear medicine, or cardiology, and should be mandatory for physicians engaged in gated cardiac SPECT. It is recommended without reservation." – from a review of the first edition in Radiology With gated cardiac SPECT now firmly established for the management of the cardiac patient, Drs. Germano and Berman bring you completely up to date with the multiple clinical applications as well as the recent technical developments of the modality. Clinical Gated Cardiac SPECT, Second Edition: covers all the available protocols describes a systematic approach for interpretation and reporting provides guidance for the recognition of artifacts includes flowcharts on the management of patients The relationship of gated cardiac SPECT to PET, MRI and CT is explored in separate chapters devoted to each modality. This book is essential reading for all clinicians involved in cardiac imaging.
This issue of Cardiology Clinics, edited by Sharmila Dorbala and Piotr Slomka, examines Nuclear Cardiology. Topics include Advances in SPECT Hardware and Software; Advances in PET Hardware and Software; Technical Advances and Clinical Applications of Cardiac PET/MR; Translational Coronary Atherosclerosis Imaging (NaF PET, FDG); Quantitative Nuclear Cardiology Using New Generation Equipment; Myocardial Perfusion Flow Tracers; Translational Molecular Nuclear Cardiology; Radionuclide Imaging in Congestive Heart Failure (Sarcoid, Amyloid, Viability); Clinical Applications of Imaging Myocardial Innervation; Gated Radionuclide Imaging Including Dyssynchrony Assessment; Clinical PET Myocardial Perfusion Imaging Including Flow Quantitation; and Novel Applications of Radionuclide Imaging in Peripheral Vascular Disease.
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Clinical Nuclear Cardiology—now in its fourth edition—covers the tremendous clinical growth in this field, focusing on new instrumentation and techniques. Drs. Barry L. Zaret and George A Beller address the latest developments in technology, radiopharmaceuticals, molecular imaging, and perfusion imaging. Thoroughly revised to include 20 new chapters—Digital/Fast SPECT, Imaging in Revascularized Patients, and more—this new edition provides state-of-the-art guidance on key areas and hot topics with stunning visuals. Online access to the fully searchable text at expertconsult.com includes highly illustrated case studies that let you see the problem using a variety of imaging modalities....
The mortality from ischemic heart disease has decreased in recent years. The better understanding of risk factors associated with development of coronary artery disease has significantly contributed to this decline. Improvements in medical and interventional therapy have reduced the complications associated with acute myocardial infarction as well as revascularization. After the introduction of imaging modalities, the noninvasive characterization of regional function, perfusion and metabolism allowed for more sophisticated tissue characterization to identify reversible dysfunction with high diagnostic and prognostic accuracy. We now can legitimately claim that computed tomography angiography...
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