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Leading practitioners from the University of Pennsylvania review all aspects of heart failure diagnosis and management, with a particular emphasis on office-based/ambulatory care. Following the problem-solving steps used in an office-based practice, the authors provide extensive coverage of the presenting signs and symptoms of heart failure, as well as the tools with which to evaluate left-ventricular function, hemodynamics, and exercise performance. They also discuss the complex, evidenc-based therapeutic options for treating patients with dyspnea, fatigue, or edema, following the new ACC/AHA heart failure guidelines that are specifically and directed at targeted symptoms.
M. Gabriel Khan, MD, concisely assembles in a reader friendly format all the clinically useful information that an internist needs in both his daily rounds and abusy office practice to find correct clinical diagnoses and choose optimal pharmacologic therapies for their patients. Highlights include a simplified method for recognition of, and a practical therapeutic approach to, arrhythmias, as well as a more logical approach to drug management of hypertension than that given by the Joint National Committee, instructive algorithms that simplify the diagnosis and treatment of syncope, and extensive diagnostic information on hypertrophic cardiomyopathy. A large number of illustrative electrocardiograms that help to clarify the most often misinterpreted of all cardiologic tests and extensive discussions of practical cardiovascular pharmacology complete this magisterial survey.
Recognized scientists and clinicians from around the world discuss the most recent molecular approaches to understanding the cardiovascular system in both health and disease. The authors focus on all components of the system, including blood vessels, heart, kidneys, and the brain, and cover disease states ranging from vascular and cardiac dysfunction to stroke and hypertension. The methods described for identifying the genes that cause susceptibility to cardiovascular diseases emphasize the possibility of discovering new drug targets. Authoritative and ground-breaking, Cardiovascular Genomics offers an unprecedented examination of both the cutting-edge scientific approaches now possible and the results obtained from them in the new science of cardiovascular genomics.
A comprehensive survey of nonsurgical treatment for a variety of heart diseases that affect the cardiac valves, the heart muscle, and the structure of the heart. The authors describe who these procedures are useful for, how to do them, and how well they work. Major topics of discussion include percutaneous techniques for valvular heart disease, septal defects at both the atrial and ventricular levels, adjunctive therapies during coronary interventions, and angioplasty to treat extracardiac vascular disease, as well as reviews of the cutting-edge imaging modalities now being used in interventional procedures. An accompanying CD-ROM contains video demonstrations of catheterization and and the imaging portions of these procedures.
In the four pages committed to a discussion of myocardial infarction in the first edition of Harrison’s Principles of Internal Medicine, published in 1950, there was no mention of use of the laboratory for management of patients. Thirty years later, when the first edition of Braunwald’s Heart Disease, A Textbook of Cardiovascular Medicine was published, 2 out of the 1943 pages in the text contained a discussion of the laboratory examinations in acute myocardial infarction. Our knowledge base of the multitude of ways that physicians can and should use the clinical chemistry laboratory has expanded dramatically since these classic texts were published. The nomenclature has changed: terms s...
The cause of diabetes mellitus is metabolic in origin. However, its major clinical manifestations, which result in most of the morbidity and mortality, are a result of its vascular pathology. In fact, the American Heart Association has recently stated that, “from the point of view of cardiovascular medicine, it may be appropriate to say, diabetes is a cardiovascular disease” (1). But diabetic vascular disease is not limited to just the macrovasculature. Diabetes mellitus also affects the microcirculation with devastating results, including nephropathy, neuropathy, and retinopathy. Diabetic nephropathy is the leading cause of end-stage renal disease in the United States, while diabetic re...
Now in its fourth edition, the Atlas of Heart Failure provides a comprehensive up-to-date overview of normal cardiac function, the mechanisms of dysfunction in heart failure, and the therapeutic approaches that are available to manage the syndrome. Designed to provide a detailed and comprehensive visual exposition of all aspects of cardiac function and dysfunction, this atlas contains several hundred images, each accompanied by detailed captions, carefully selected by expert authors, and reviewed by the editor.
James C. Fang, MD, and Gregory S. Couper, MD, have assembled a panel of prominent surgeons and cardiologists to review the latest clinical, scientific, and investigational surgical and mechanical approaches to heart failure in hopes of improving the lives of this challenging group of patients. Topics range from such traditional strategies as high-risk surgical revascularization in advanced coronary artery disease, to more novel approaches such as ventricular reconstruction and mechanical assist devices. Many chapters are contributed by the original pioneers of specific surgical techniques, which provide s invaluable perspective from personal experience.
This is a powerful, first-hand account of a religious ministry that reaches out to console, heal, and build the lives of poor and desperate immigrants who come to the United States in search of a better life. Daniel G. Groody talked with immigration officials, 'coyote' smugglers, and immigrants in detention centers and those working in the fields. The picture that emerges starkly contrasts with the negative stereotypes about Mexican immigrants: Groody discovered insights into God, family, values, suffering, faith, and hope that offer a treasury of spiritual knowledge helpful to anyone, even those who are materially comfortable but spiritually empty. This book has a message that reaches across borders, divisions, and preconceptions; it reaches all the way to the heart.
Critical Decisions in Thrombosis and Hemostasis. The authors use algorithms, or decision trees, to guide clinicians through diagnosis of thrombosis (blood clotting and arterial blockage) and hemostasis (excessive bleeding or failure of blood to clot.) These two problems are often life threatening and must be dealt with swiftly and effectively. Following a step-by-step decision tree is a proven method of conveying information quickly. There are three major sections to this book - Venous Thrombosis, Arterial Thrombosis, and Hemostasis. Each section includes clinical assessment, diagnosis and therapy, including the latest drug therapies.