Медицина
Различные книги в жанре МедицинаTransradial Access: Techniques for Diagnostic Angiography and Percutaneous Intervention
Transradial Access: Techniques for Diagnostic Angiography and Percutaneous Intervention offers a single source for both novice and experienced interventional cardiologists for safely and effectively performing transradial catheterization procedures. First described in 1989, the transradial approach for coronary angiography and percutaneous interventions has seen a constant and progressive increase around the world as a result of significantly reduced procedural complications, shorter hospital stays, increased patient satisfaction, and lower associated costs compared with the transfemoral approach.
Yet despite its apparent benefits, adoption of this technique in the United States has been slow, largely due to the increased technical aspects of entering a smaller artery, accessing the central circulation and engaging the coronary arteries from this approach. In addition, until recently the technique was not routinely taught in the majority of training programs. This book flattens that learning curve by highlighting the technical aspects of transradial diagnostic and interventional procedures, and includes detailed discussion of:
Normal vascular anatomy of the hand and arm Indications and contraindications for transradial access procedures Patient and catheter selection Tips and tricks for both beginner and advanced operators Procedural pitfalls and potential complications
Techniques are demonstrated in detail using both still images and video. Whether you are an experienced transfemoral operator who wants to refine and expand your technique or a new transradial operator looking to master the technique, this comprehensive text holds the key to mastering this revolutionary procedure.
Anatomy for Cardiac Electrophysiologists: A Practical Handbook
This highly visual handbook integrates cardiac anatomy and the state-of-the-art imaging techniques used in today's catheter or electrophysiology laboratory, guiding readers to a comprehensive understanding of both normal cardiac anatomy and the structures associated with complex heart disease.
Well organized, easily navigable, and superbly illustrated in a landscape format, this unique text invites the reader on a visual intracardiac journey via stunning images and schematic illustrations, including such imaging modalities as computed tomography, magnetic resonance imaging, ultrasound, radiography, and 3D mapping. Each chapter couples the electrophysiology perspective with detailed descriptions of the anatomic features relevant to a wide variety of arrhythmias, including:
Supraventricular tachycardias Atrial fibrillation Ventricular arrhythmias
With an overview of general cardiac anatomy, congenital malformations, standard catheter positioning, and potential pitfalls, Anatomy for Cardiac Electrophysiologists provides a solid foundation and quick reference for trainees as they prepare for the realities of the catheter laboratory as well as an excellent refresher for experienced operators.
Understanding Your Pacemaker or Defibrillator : What Patients and Families Need to Know
Everything you need to know about a pacemaker or defibrillator
Implantable cardiac devices are life-saving tools that have been in use for decades. But when you or a loved one has been advised to get a pacemaker, implantable cardioverter-defibrillator (ICD), or cardiac resynchronization therapy (CRT) device, where do you turn for practical information about what life with your device will be like? The fact is that no single source provides patients and their families with the real-life information they need and want. Until now.
Understanding Your Pacemaker or Defibrillator: What Patients and Families Need to Know fills this void with a wealth of useful information for patients who have or require an implantable device. Written from a uniquely comprehensive perspective by three very diverse experts—an experienced cardiologist who has worked with thousands of cardiac device patients and their families, a certified cardiac device specialist who also specializes in patient psychology, and a patient living with an implanted cardiac device—this book explains everything you need to know about living with a pacemaker, ICD, or CRT device:
• Normal and abnormal heart function • Misperceptions about implantable devices • What to expect during and after the procedure • Follow-up care and possible complications • Practicalities of living with an implanted device
Using accessible, understandable language, Understanding Your Pacemaker or Defibrillator will answer your questions (even the ones you didn't know to ask!), allay your fears, and help you live a long and healthy life with your device.
The Cardiorenal Syndrome : A Clinician's Guide to Pathophysiology and Management
Cardiorenal syndrome – the presence of significant renal insufficiency and heart failure simultaneously – constitutes one of the most vexing and difficult challenges facing clinicians and researchers today. Given the fundamental role of the kidneys in maintaining fluid and electrolyte balance within the body, it comes as no surprise that renal abnormalities are inextricably linked with congestive heart failure. What is surprising is that recent data have indicated that renal dysfunction is a more critical determinant of mortality than heart failure itself.
In The Cardiorenal Syndrome: A Clinician's Guide to Pathophysiology and Management, experts from around the world clearly outline the current issues associated with this increasingly prevalent condition, provide invaluable insight into its pathophysiology, and highlight the risks, benefits, and rationales for both practical and promising prevention and treatment strategies, including: • Diuretics • Role of ACE inhibitors/ angiotensin receptor blockers in renal dysfunction • New «designer» peptides for heart failure • Inotropes and neurohormonal blockade • Dialysis and ultrafiltration • Renal cell therapy • Left ventricular assist device implantation • Renal and/or heart transplantation
While recognition of the role of renal dysfunction in the progression of heart failure is a pivotal advance, many questions about the scope and impact of this condition remain. This book serves as a touchstone for cardiovascular specialists and internists as they encounter the diverse varieties of cardiorenal syndrome and attempt to navigate the radically different and evolving therapeutic options in their quest to provide optimal individualized care for their patients.
Transseptal Catheterization and Interventions
The first comprehensive resource on transseptal catheterization.
Although the transseptal technique was described half a century ago, it has remained essentially unchanged. Recent advances in cardiac electrophysiology and left heart interventions have led to renewed interest in the technique as a means of delivering modern therapeutic interventions.
Until now, the knowledge required for safely gaining access to the left atrium to perform catheter ablation for atrial fibrillation or other interventions has existed only in original publications and review articles. This textbook brings all of the relevant information about this technique under one cover, with top experts in each area addressing anatomy, indications, transseptal puncture, visualization technologies, interventional devices, challenging cases, complications, and emerging tools. Electrophysiologists and interventional cardiologists will find Transseptal Catheterization and Interventions invaluable for their work. For teachers and trainees, it will be a welcome teaching tool and resource.
Transseptal Catheterization and Interventions was listed by the American Journal of Cardiology as one of the «Good Books in Cardiovascular Disease in 2010». – American Journal of Cardiology Vol. 107, Issue 8, Pages 1250-1251
Transseptal left heart catheterization is here to stay. It already plays an important role in the repertoire of both interventional cardiologists and clinical electrophysiologists, and it will play an increasingly important role in the future.
Perinatal Cardiology: A Multidisciplinary Approach
Perinatal cardiology is an important developing field as high quality ultrasound is used on a growing number of pregnant women, and diagnosis prior to birth will become a more common occurrence. In addition, highly sensitive noninvasive diagnostic tools, advances in neonatal care and anesthesia, evolution of transcatheter interventional procedures and performance of complicated surgical procedures in the neonate and young infant have advanced to such an extent that almost all congenital cardiac defects can be diagnosed and “corrected.” Illustrated with over 500 figures, this book by leaders in the fields of pediatric cardiology, neonatology, pediatric cardiovascular surgery and interventional pediatric cardiology focuses on congenital heart defect issues during the perinatal period: prenatal (before birth) and neonatal (first month after birth). This book discusses the three major areas of perinatal cardiology: 1. Provides an overview of advances in perinatology, neonatology, cardiology and cardiac surgery in making early diagnosis and offering treatment options for patients with CHD. 2. The concept of the multidisciplinary approach to managing infants with congenital cardiac lesion. 3. Evidence-based therapeutic approaches to successfully treat the fetus and the newborn with congenital cardiac lesions.
The 4 Stages of Heart Failure
This book applies practical clinical concepts to the latest four-stage model of heart failure from preclinical risk and early asymptomatic disease to classic symptomatic heart failure and finally advanced heart failure. This framework emphasizes a tailored approach to ongoing heart failure assessment to guide therapy and improve outcomes.
Features: • Illustrated with over 250 full-color figures • Specific recommendations backed by clinical trial data • Practical algorithms for diagnosis and therapy Topics include: • Prevention of heart failure • Identification and treatment of structural heart disease prior to heart failure • How to combine lifestyle changes, medications, and devices to improve outcomes • Reversing decompensated heart failure • Key indicators of advanced heart failure and appropriate treatment options • Emerging new therapies
Hot Topics in Financial and Legal Matters for General Practice
Medical practice is not only a specialist occupation but also a business. Practice finance and law are complex matters and it is becoming increasingly difficult to run a successful practice in the present climate. With the pressures facing GPs and practice managers at an all-time high it is now essential to work ‘on’ as well as ‘in’ the practice. To do this practices need to reorganise to create time to undertake these hugely important tasks. This compendium of hot topics around accounting, banking and legal issues will be of enormous use to practice managers and GPs. The topics have been carefully selected to be as up to date and applicable to current issues as possible. The topics include: changes to the GP contract and their financial impact, tax returns, partnership roles, disputes and changes, incorporation, practice mergers and federations, GP property ownership, loans, security and overdrafts, recruitment of partners, salaried GPs and locums, retirement and pensions, the types of private work available. The easy-to-read topics are support by worked examples and tables throughout. This book will assist with the success of a practice in terms of earnings, quality of life and indeed patient care. It will help GPs and practice managers find and take the time to work ‘on’ as well as ‘in’ the business.
A Guide to Staff Employment in General Practice
GPs (doctors)and practice managers confront many issues in staff management. A Guide to Staff Employment in General Practice provides detailed procedures for navigating these sometimes difficult issues. At the same time, the book identifies relevant UK law and draws on authoritative advice from bodies such as Acas. Although it contains expert information on employment law, expert knowledge is not required to use this book. It has an easy-to-use style and gives step-by-step guidance throughout. Information is accompanied by meticulous cross-referencing and details of the pertinent employment law are readily available in the appendices. The book accesses current law and good practice, allowing readers to manage any specific issue. The book covers a wide range of topics, including: the employment contract – the key to the many employment rights – and how to change the contract legally; managing disciplinary procedures; performance management (including sickness absence); dismissal; equality; maternity rights; appraisal; workplace stress. The book also contains a chapter on recent developments, such as GP federations and their employment implications. This guide has been compiled by a practice adviser with many years' experience of advising, representing and training GP practices. Not only does the author know how employment law works, but he also knows how general practice works. Readership: GP staff partners, practice managers, HR personnel in (English) Clinical Commissioning Groups, GP trainers who may need an employment manual to take trainees through learning situations; trainee practice managers.
I Don't Know What It Is But I Don't Think It's Serious
I Don’t Know What It Is but I Don’t Think It’s Serious provides a broad analysis of the issues behind medical confidence and decision making. It looks at how the GP role is seen and the status that backs it, and explores the issues patients and others bring to the consultation. The book also covers: • practical communication skills around the issue of uncertainty, such as teasing out reasons for attendance and reassurance techniques • sharing the burden with patients • dealing with things that have gone wrong • using the same skills we acquire for good consulting to become better organised and more effective • informing our personal development plans. The book does not solve all a GP’s problems. It seeks to understand the ones that undermine us and help us to cope, to enjoy and to look forward to the uncertainty of whatever is going to happen tomorrow. The book supports the need for using communication skills training as the basis for both registrar and ongoing medical education, trying to make these seem solutions rather than problems. All chapters are lightly referenced and have a conclusion, with anecdotal text boxes peppered amongst the text to ease the strain of reading.