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CARLO CONTI You are today confronting sensitive questions on the subject of "Cardiac surgery and heart diseases in old age" and I congratulate you on this. It is a brave and important step to discuss this multifaceted question which demands an answer and an explanation from many perspectives: From a medical perspective, there is the question of the medical feasibility and durability of treatment. From an economic angle we ask ourselves whether we can pay for everything that is medically feasible. From the patient's perspective there is the legitimate de sire and the justified need not to leave anything untried that might serve to sustain or improve the quality of life. The ethical perspectiv...
Despite all efforts and success in medical treatment, the incidence of (end-stage) chronic heart failure is increasing. Cardiac transplantation remains the only definite option; however, due to the shortage of donor organs, very few people benefit. Therefore, surgery of end-stage heart failure using conventional techniques has gained new interest after the introduction of the Batista operation. However, a clear surgical identification of the patients to be included in this group is lacking. Left ventricular reduction surgery as well as reduction of the base of the heart using mitral annuloplasty or mitral valve replacement, sparing both papillary muscles, is used in selected patients with satisfying results and good survival. Long-term mechanical support with subsequent surgical remodeling or supporting myoplasty may result in a beneficial alternative to heart transplantation.
Die Herausgeber, unter anderem zwei renommierte Mediziner, haben hier Gesundheitswissen für Manager rund um 20 wichtige Aspekte von Gesundheit und deren Förderung und Erhaltung zusammengetragen. Im Unterschied zu klassischen Gesundheitsratgebern, die häufig an den Erfahrungen eines Autors orientiert und damit wenig wissenschaftlich sind, greift das Buch auf vielfältige wissenschaftliche und medizinische Erkenntnisse zu und formuliert für den Leser praxisbasierte Aussagen.
First multi-year cumulation covers six years: 1965-70.
This book provides an overview of key conceptual and molecular technologies being deployed in immunogenomics, followed by detailed evaluations of the impact of genomics and systems biology on important areas such as cancer immunology, autoimmunity, allergy and the response to infection.
Transplant practices are discussed in the medical realm, in fictional texts and in popular advertisement. Yet how do these sectors intersect and influence each other? How can the accounts of surgeons invested in transplant practice be brought into conversation with fictional voices? Future T/Issues positions transplantation at the intersection of natural science and the humanities and adds to the discussion of organ transplantation by focusing on one specific aspect that is commonly overlooked: the idea of speculation. By engaging with speculative fiction in conversation with life writing, it contributes to a more thorough understanding of transplantation as a cultural practice, showcasing t...
New ideas about intrinsic and extrinsic cardiac intrathoracic neurons, the role of spinal cord and medullary and higher center neurons are presented. The final chapters focus on the role that autonomic neurons play in the maintenance of cardiac function in the conscious state as well as in two major clinical conditions, dysrythimias and heart failure.
Die Herzchirurgie umfasst Eingriffe bei angeborenen und erworbenen Erkrankungen des Herzens und der herznahen Gefäße. In dem Band werden alle relevanten Eingriffe in Text und Bild detailliert beschrieben. Für jede Erkrankung werden die Operationsindikationen sorgfältig herausgearbeitet. Neben der chirurgischen Intensivtherapie sind auch neue Entwicklungen wie Zelltherapie und Kunstherzimplantation berücksichtigt. Ausgewiesene Experten haben sämtliche Kapitel neu geschrieben, nur ein Teil der Zeichnungen wurde aus der Vorauflage übernommen.