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  • 52500lei 315.00 lei


    Pret: 525 lei 335 lei (pret valabil pana la data de 30 septembrie 2020)


    Contains detailed information on technical aspects of three-dimensional echocardiography

    Describes a variety of diseases affecting a range of cardiac structures

    Features background on physics that support the implementation of both transthoracic and transesophageal approaches


    About this Textbook


    This thoroughly revised textbook provides a practically applicable guide to three-dimensional echocardiography (3DE). Background is provided on the evolution of the technology and physics that support the implementation of both transthoracic and transesophageal approaches to 3DE. The incremental value of 3DE to assess cardiac chambers is also described. Moreover, a range of cardiac valvular diseases including the mitral, aortic, and tricuspid valve have been portrayed and illustrated in depth.These include congenital abnormalities, regurgitation and stenosis. Emphasis is also placed on technical aspects of the technique and where it can provide added value, including post-surgery assessments and evaluation of cardiac masses.

    Textbook of Three-Dimensional Echocardiography enables readers to develop a deep understanding of how to use this imaging modality. It provides a valuable resource for the echocardiography trainee looking to develop their knowledge and for the experienced practitioner seeking a comprehensive up-to-date reference.


    Table of contents (25 chapters)


    The Evolution of Three-Dimensional Echocardiography: From the Initial Concept to Real-Time Imaging

    Pages 1-8

    Mor-Avi, Victor (et al.)

    Physics and Technical Principles of Three-Dimensional Echocardiography

    Pages 9-24

    Muraru, Denisa (et al.)

    Technical Principles of Transesophageal Three-Dimensional Echocardiography

    Pages 25-35

    Vieira, Marcelo Luiz Campos (et al.)

    How to Implement Three-Dimensional Echocardiography in the Routine of the Echocardiography Laboratory

    Pages 37-52

    Muraru, Denisa (et al.)

    Routine Assessment of the Left Ventricle

    Pages 53-71

    Addetia, Karima (et al.)

    Advanced Assessment of the Left Ventricle

    Pages 73-86

    Takeuchi, Masaaki (et al.)

    The Normal Mitral Valve

    Pages 87-105

    Baldea, Sorina Mihaila (et al.)

    Mitral Valve Congenital Abnormalities and Stenosis

    Pages 107-126

    Mahmoud-Elsayed, Hani

    Degenerative Mitral Regurgitation

    Pages 127-143

    Tsang, Wendy (et al.)

    Functional Mitral Regurgitation

    Pages 145-158

    Tan, Timothy C. (et al.)

    Assessment During and After Surgery or Interventional Procedures on the Mitral Valve

    Pages 159-180

    Saric, Muhamed (et al.)

    The Normal Aortic Valve Complex

    Pages 181-191

    Hahn, Rebecca T.

    Aortic Valve Congenital Abnormalities and Stenosis

    Pages 193-199

    Hahn, Rebecca T. (et al.)

    Aortic Regurgitation

    Pages 201-208

    Baldea, Sorina Mihaila (et al.)

    Assessment After Surgery or Interventional Procedures on the Aortic Valve

    Pages 209-219

    Hahn, Rebecca T.

    Left Atrium

    Pages 221-232

    Tsang, Wendy (et al.)

    Assessment of the Right Ventricle

    Pages 233-247

    Muraru, Denisa (et al.)

    The Normal Tricuspid Valve

    Pages 249-262

    Addetia, Karima (et al.)

    Tricuspid Valve: Congenital Abnormalities and Stenosis

    Pages 263-270

    Jone, Pei-Ni (et al.)

    Organic Tricuspid Regurgitation

    Pages 271-283

    Muraru, Denisa (et al.)

    Functional Tricuspid Regurgitation

    Pages 285-297

    Song, Jae-Kwan (et al.)

    Assessment After Surgery or Interventional Procedures on the Tricuspid Valve

    Pages 299-308

    Badano, Luigi P. (et al.)

    The Right Atrium

    Pages 309-322

    Peluso, Diletta (et al.)

    The Role of 3DE in the Evaluation of Cardiac Masses

    Pages 323-350

    Faletra, Francesco Fulvio (et al.)

    X-Ray-Echo Fusion Imaging in Catheter-Based Structural Heart Disease Interventions

    Pages 351-362

    Faletra, Francesco Fulvio (et al.)



  • 17900lei 165.00 lei



    Crash Course - your effective every-day study companion PLUS the perfect antidote for exam stress! Save time and be assured you have the essential information you need in one place to excel on your course and achieve exam success.

    A winning formula now for over 20 years, each series volume has been fine-tuned and fully updated - with an improved full-colour layout tailored to make your life easier. Especially written by senior students or junior doctors - those who understand what is essential for exam success - with all information thoroughly checked and quality assured by expert Faculty Advisers, the result are books which exactly meet your needs and you know you can trust.

    Each chapter guides you succinctly through the full range of curriculum topics, integrating clinical considerations with the relevant basic science and avoiding unnecessary or confusing detail. A range of text boxes help you get to the hints, tips and key points you need fast! A fully revised self-assessment section matching the latest exam formats is included to check your understanding and aid exam preparation. The accompanying enhanced, downloadable eBook completes this invaluable learning package.

    Series volumes have been honed to meet the requirements of today’s medical students, although the range of other health students and professionals who need rapid access to the essentials of cardiology will also love the unique approach of Crash Course. Whether you need to get out of a fix or aim for a distinction Crash Course is for you!

    Provides the exam syllabus in one place - saves valuable revision time

    Written by senior students and recent graduates - those closest to what is essential for exam success

    Quality assured by leading Faculty Advisors - ensures complete accuracy of information

    Features the ever popular 'Hints and Tips' boxes and other useful aide-mémoires - distilled wisdom from those in the know

    Updated self-assessment section matching the latest exam formats - confirm your understanding and improve exam technique fast


  • 735.00 lei


    Clinical cardiac electrophysiology is one of the most rapidly expanding fields in cardiology. There are currently no comprehensive case based books in this field. A Case Review of Cardiac Electrophysiology is a case based review of cardiac electrophysiology. The aim of this book is to provide a comprehensive case based review of cardiac electrophysiology. It will include implantable device cases as well as ablation cases and difficult clinical cases and may be used as a useful review in cardiac electrophysiology for those taking board examinations. There will also be cases that will be useful for associate professionals working in the field of cardiac electrophysiology including those individuals working for industry.


  • 67400lei 570.00 lei



    This comprehensive manual reviews the management of cardiorenal syndrome in heart failure. Chapters are structured in a practically applicable and easy-to-follow format with realistic case vignettes and key clinical management questions and answers, followed by a brief discussion of underlying pathophysiological mechanisms of a patient with cardiorenal syndrome. Building from this case, key questions are posed that are relevant to the clinical management and then potential evidence-based treatment strategies are proposed. Topics covered include loop diuretic resistance in acute and chronic heart failure, abdominal congestion, low output failure and potential diuretic complications due to hyponatremia.  Cardiorenal Syndrome in Heart Failure thoroughly reviews cardiorenal syndrome from the perspective of both the cardiologist and nephrologist. Its case-based approach makes it an ideal resource for both practising and trainee cardiology and nephrology practitioners. 


    Table of contents:


    1. A Historical Perspective on Evolving Concepts of Cardiorenal Syndrome in Heart Failure

    2. Hemodynamic Insights to Cardio-Renal Syndrome: A View Looking Back to See Forward

    Part I. Insights from Pathophysiologic Mechanisms

    3. Mechanisms of Cardiorenal Syndrome: From Molecular Pathways to Novel Therapeutics

    4. Pathophysiology of Cardio-Renal Syndrome: Autonomic Mechanisms

    5. Insights on Diuretic Therapy from Clinical and Pharmacologic Perspectives

    Part II. Case-Based Discussions

    6. A Patient with Progressive Renal Insufficiency in Chronic Heart Failure with Reduced Ejection Fraction

    7. A Patient with Chronic Kidney Disease and Heart Failure with Preserved

    8. Heart Failure in a Patient with End-Stage Kidney Disease on Renal Replacement Therapy

    9. Diuretic Resistance and Chronic Heart Failure

    10. Worsening Renal Function in a Patient with Acute Heart Failure and Volume Overload

    11. Loop Diuretic Resistance in a Patient with Acute Heart Failure

    12. Diuretic Therapy Complicated by Hyponatremia

    13. A Patient with Abdominal Congestion

    14. Hepato-renal Dysfunction in a Patient with Advanced Heart Failure

    15. Low Output Heart Failure: The Cold and Wet Patient

    16. Cardiorenal Syndrome in a Patient with Mechanical Circulatory Support

    17. Patient with Severe Right Heart Failure and Preserved Left Ventricular Ejection Function

    18. Refractory Congestion: When to Use Ultrafiltration?


  • 67400lei 570.00 lei



    This book is an up-to-date, comprehensive, clinically oriented guide to the diagnosis and treatment of patients with myocarditis. The opening chapters address the classification, histopathology and molecular diagnosis, as well as the polymorphic clinical presentations, ranging from myocardial infarction with normal coronary arteries; arrhythmias of variable type and clinical severity and fulminant, acute, sub-acute or chronic heart failure; to life-threatening unexplained cardiogenic shock and sudden cardiac death. Including chapters from leading International experts in the field, it covers all key issues from bench to bedside. Topics presented include epidemiology, etiology, pathogenesis, clinical and diagnostic work-up, the role of endomyocardial biopsy and of non-invasive cardiac imaging, risk stratification, and cardiological and etiology-specific management and follow-up. For each topic, a comprehensive review of the current literature is provided and practical suggestions are offered for short- and long-term management. Lastly, future perspectives and gaps in the current knowledge are also addressed. The book also covers a key discovery of last the 2 decades, namely the autoimmune origin of myocarditis in a sizable proportion of patients, discussing in detail the role of immunosuppression and immunomodulation, as well as the need for a multidisciplinary approach to the disease. Mainly intended for cardiologists, general physicians, clinical immunologists and rheumatologists, it is also a valuable tool for residents in Cardiology, Internal Medicine, Clinical Immunology and Rheumatology.


    Table of contents:


    1. Classification, Histopathology, Immunohistology, and Molecular Diagnosis of Myocarditis

    2. Clinical Presentation of Myocarditis

    3. Endomyocardial Biopsy

    4. Genetic Basis of Myocarditis: Myth or Reality?

    5. Viral Myocarditis: From Experimental Models to Diagnosis in Patients

    6. Autoimmune Myocarditis: Animal Models

    7. Electrocardiography

    8. Standard and Advanced Echocardiography

    9. Cardiac Magnetic Resonance Imaging in Myocarditis

    10. Organ-Specific Autoimmune Myocarditis

    11. Myocarditis in Systemic Immune-Mediated Diseases

    12. Giant Cell and Hypersensitivity Myocarditis

    13. Myocarditis in Children

    14. Immunosuppressive Therapy in Myocarditis: Lessons from Clinical Trials and Future Perspectives

    15. Immunomodulation and Immunoadsorption in Inflammatory Dilated Cardiomyopathy

    16. Clinical Management and Follow-Up of Myocarditis Patients on Immunosuppressive Therapy

    17. Antiviral Therapies: A Critical Reappraisal

    18. Conventional Cardiological Therapies

    19. Arrhythmias in Myocarditis

    20. Mechanical Assist Devices and Heart Transplantation


  • 71000lei 655.00 lei



    This truly comprehensive title addresses all aspects of the evaluation and management of carotid artery disease. The extracranial carotid artery is an area of confluence for both medical and surgical specialists. Given its unique position and function in the body, disease states that involve the carotid artery require a unique approach to ensure the best outcomes for patients. Developed by a multidisciplinary team of thought leaders from across medical, surgical, and radiological disciplines, Carotid Artery Disease: Evaluation and Management provides a diverse resource where readers can find presentation, evaluation, and management recommendations for any process involving the extracranial carotid artery, be it related to atherosclerotic, traumatic, inflammatory, or even oncologic disease. Indeed this title is a unique offering in that one can find traditional, and even exclusively medical, conditions within the same binding as surgical or interventional ones. Typically, access to this type of information requires the purchase of multiple different texts, but this complete title distills the evaluation and management of carotid artery disease into a one-of-a-kind, practical, accessible reference. A much-needed and invaluable contribution to the clinical literature, Carotid Artery Disease: Evaluation and Management will be of great interest to anyone early in his or her career and needing an introduction to the field, as well as seasoned clinicians in need of state-of-the-art, refresher information.

    Table of contents:

    1. Introduction to Management of Carotid Disease

    2. Anatomy of the Carotid Artery

    3. Imaging of the Carotid Artery

    4. Introduction to Carotid Atherosclerosis

    5. Medical Management of Atherosclerotic Carotid Disease

    6. Carotid Endarterectomy

    7. Carotid Artery Stenting

    8. Radiation-Induced Stenosis

    9. Acute Carotid Occlusion

    10. Chronic Carotid Occlusion

    11. Carotid Artery Dissection

    12. Extracranial Carotid Artery Aneurysms

    13. Carotid Blowout Syndrome

    14. Carotid Artery Fibromuscular Dysplasia

    15. Giant Cell Arteritis

    16. Takayasu’s Arteritis

    17. Carotid Body Tumors: Pre-operative Management and a Review of the Literature

    18. Surgical Management of Carotid Body Tumor with Case Illustrations

    19. Carotidynia


  • 1,12300lei 930.00 lei



    This engaging book covers a multitude of topics related to heart rhythm disorders (HRDs) and uniquely familiarizes readers with the development of treatment modalities over the past several decades, including the evolution of anti-arrhythmic drugs, pacemakers, defibrillators, and catheter ablation.  Organized in ten sections, this title serves as both an archival and a contemporary resource for clinicians. The first section describes the discovery of the circulatory system by William Harvey in 1628 and outlines the development and understanding of HRD since the advent of intra-cardiac electrophysiology. Subsequent sections discuss the historical evolution of abnormal heart rhythms, such as supra and ventricular rhythms and sudden cardiac death, their treatment with drugs, surgery, pacemakers, implantable defibrillators and catheter ablation. Section nine offers a fascinating narration of the clinical evolution of overcoming heart attacks and its impact on HRDs. The final section explores potential new frontiers in HRD and the factors that may contribute to the prospective rise of cardiovascular diseases.  A ground-breaking and invaluable addition to the clinical literature, Heart Rhythm Disorders: History, Mechanisms and Management Perspectives details the pervasive nature of cardiovascular diseases in human history, their ramifications, and their projected effects on at-risk demographic populations and human health in general.  


    Table of contents:

    Part I. The Enlightenment Period in Cardiovascular Dynamics

    1. Discovery of the Circulatory System

    2. The Road to Unearthing the Conducting System of the Heart

    3. Birth of Clinical Cardiac Electrophysiology

    4. Molecular Basis of Impulse Generation and Propagation

    5. The Concept of Entrainment

    Part II. Supraventricular Tachycardias

    6. Atrioventricular Nodal Reentry

    7. Wolff–Parkinson–White Syndrome

    8. Ablative Therapy of Bypass Tracts, AV Junction, and AV Nodal Reentrant Tachycardia

    9. Atrial Tachycardia

    10. Atrial Flutter

    11. Atrial Fibrillation

    Part III. Ventricular Arrhythmias

    12. The Ventricular Premature Complex

    13. The Substrate of Ventricular Tachycardia

    14. Catheter Ablation of Ventricular Tachycardia

    15. Ventricular Tachycardia Associated with Left Ventricular Assist Device

    16. The Evolution of Coronary Intervention and Its Impact on Cardiac Arrhythmias

    Part IV. Sudden Cardiac Death and Its Associations

    17. Sudden Cardiac Death

    18. Sudden Cardiac Death in Athletes

    19. The Channelopathies and Sudden Death

    20. Hypothermia Post-Cardiac Arrest

    21. Defibrillation: A Historical Overview

    Part V. Drug Therapy

    22. Antiarrhythmic Medications

    23. Programmed Electrical Stimulation-Guided Pharmacotherapy

    Part VI. The Implantable Defibrillator

    24. The Implantable Defibrillator: A Historical Overview and its Use in Secondary and Primary Prevention

    25. Uses, Overuses, and Problems Associated with the Implantable Defibrillator

    Part VII. Risk Stratification

    26. Noninvasive Risk Stratification for Sudden Cardiac Death

    27. The Signal-Averaged ECG: Clinical Applications

    Part VIII. Abnormal Slow Rhythms

    28. The Sick Sinus Syndrome

    29. Heart Blocks

    30. Neurocardiogenic Syncope

    Part IX. Technological Advancements in Bradycardia and Heart Failure Management

    31. The Artificial Pacemaker: A Historical Overview

    32. The Evolution of Resynchronization Therapy

    Part X. New Frontiers in Heart Rhythm Disorders

    33. Obesity and Atrial Fibrillation

    34. Novel Devices for Stroke Prevention

    35. Remote Heart Rhythm Monitoring

    Back Matter


  • 61800lei 550.00 lei



    This book serves as a pocket-sized resource to aid with the diagnosis and management of cardiovascular disease in the inpatient setting. Containing up-to-date information from guidelines and clinical trials, this book is the only handbook-style reference on cardiac care designed specifically for the hospitalist. The first section of the book covers cardiac pathology with an emphasis on evidence-based and guideline-based approaches to patient care. Each chapter focuses on a specific cardiovascular disease state such as acute coronary syndrome, atrial fibrillation, pulmonary hypertension, and aortic disease. The second section examines the differential diagnoses and recommended workup for common cardiac chief complaints including chest pain, palpitations, syncope, and dyspnea. The third and final section discusses indications and interpretation of commonly used cardiac procedures and imaging modalities. This book provides a concise review over a broad range of cardiovascular disease states in an accessible handbook-style to aid with the care of these patients.  The Handbook of Inpatient Cardiology is an essential resource for physician hospitalists caring for cardiac patients on the medical ward in addition to cardiology physicians and trainees, affiliate providers, and students.


    Table of contents:


    Part I. Cardiac Pathology

    1. Acute Coronary Syndrome

    2. Stable Ischemic Heart Disease

    3. Atrial Fibrillation and Atrial Flutter

    4. Supraventricular Tachycardia

    5. Ventricular Arrhythmias

    6. Bradyarrhythmias and AV Block

    7. Pacemakers, Defibrillators, and Cardiac Resynchronization Therapy

    8. Acute Decompensated Heart Failure

    9. Chronic Heart Failure

    10. Management of Pulmonary Hypertension in the Hospital Setting

    11. Acquired Cardiomyopathies

    12. Cardiogenic Shock and Advanced Heart Failure Therapies

    13. Native Valve Disease

    14. Prosthetic Valve Disease

    15. Infective Endocarditis

    16. Peripheral Artery Disease, Carotid Artery Disease, and Renal Artery Disease

    17. Aortic Disease

    18. Pericardial Disease, Myocarditis, and Cardiac Tamponade

    19. Pulmonary Embolism and DVT

    20. Hypertension

    21. Commonly Encountered Congenital Heart Disease

    22. Pregnancy and Heart Disease

    23. Cardio-oncology

    Part II. Clinical Approach to the Patient Chief Complaint

    24. Chest Pain

    25. Palpitations

    26. Syncope

    27. Dyspnea

    28. Perioperative Cardiac Risk Assessment

    Part III. Cardiac Diagnostic Imaging and Procedures

    29. Approach to ECG Interpretation

    30. Basic Principles of Echocardiography

    31. Stress Testing, Nuclear Imaging, CT Angiography, and Cardiac MRI

    32. Left and Right Heart Catheterization

    Back Matter


  • 420.00 lei



    This thoroughly updated new edition of the classic practical textbook provides a user-friendly, authoritative guide to evaluation of common cardiovascular symptoms and evaluation and management of common cardiovascular conditions. Coverage also includes clinical challenges such as management of chronic anticoagulation, assessing and minimizing cardiac risk in noncardiac surgery, and management of the cardiac surgery patient. Numerous tables and algorithms help readers find information quickly and aid in clinical decision-making.​ Practical Cardiology, Evaluation and Treatment of Common Cardiovascular Disorders reflects the current American College of Cardiology/American Heart Association guidelines and provides a concise yet comprehensive handbook presents practical information on the common cardiovascular problems that clinicians encounter daily.


    Table of contents:


    1. Chest Pain

    2. Dyspnea

    3. Palpitations

    4. Edema

    5. Syncope

    6. Primary Prevention of Coronary Artery Disease

    7. Secondary Prevention of Coronary Artery Disease

    8. Stable Angina

    9. Unstable Angina/Non-ST Elevation Myocardial Infarction

    10. Acute ST Elevation Myocardial Infarction

    11. Primary Hypertension

    12. Approach to Secondary Hypertension

    13. Heart Failure due to Left Ventricular Systolic Dysfunction

    14. Paroxysmal Supraventricular Tachycardia

    15. Atrial Fibrillation and Atrial Flutter

    16. Ventricular Tachycardia

    17. Bradycardia

    18. Infective Endocarditis

    19. Mitral Regurgitation

    20. Aortic Regurgitation

    21. Mitral Stenosis

    22. Aortic Stenosis

    23. Tricuspid/Pulmonary Valve Disease

    24. Acute Pericarditis/Pericardial Effusion

    25. Pericardial Constriction

    26. Abdominal Aortic Aneurysms

    27. Acute Aortic Dissection

    28. Lower Extremity Ischemia

    29. Pulmonary Embolism

    30. Pulmonary Hypertension

    31. Simple Congenital Cardiac Lesions

    32. Complex Congenital Lesions

    33. Perioperative Evaluation and Management of Patients Undergoing Noncardiac Surgery

    34. Complementary and Alternative Medicine

    35. Cardio-Oncology


  • 61800lei 560.00 lei



    This book comprehensively covers the latest advances in cardiovascular medicine. Key diagnostic and treatment points are reviewed across a range of cardiovascular issues, including concurrent cardiac problems, patients with cancer, peri-operative surgical and post-trauma patients, patients in the emergency department, pregnancy in the obstetric units, and the care of critically ill patients in medical and surgical intensive care units.   Cardiology Consult Manual provides a detailed and clinically relevant guide for the cardiology practitioner of the potential cardiac issues encountered within the cardiology consult service and also a range of professionals in related disciplines. It therefore provides an important resource for all cardiology trainees, fellows, practitioners and health care providers involved in the management of patients with cardiovascular disease.  


    Table of contents:


    1. Cardiovascular Physical Examination

    2. Evaluation and Management of Chest Pain and Acute Coronary Syndrome (ACS) in the Emergency Department

    3. Cardiac Electrocardiography

    4. Primary and Secondary Prevention of Cardiovascular Disease

    5. Stable Ischemic Heart Disease

    6. Non-ST-Segment Elevation Acute Coronary Syndromes (NSTE-ACS)

    7. Acute ST-Segment Elevation Myocardial Infarction (STEMI)

    8. Evaluation of Ischemic Heart Disease: Standard Imaging and Diagnostic Testing Modalities

    9. Preoperative Evaluation and Management of the Patient Prior to Non-cardiac Surgery

    10. Diagnosis and Management of Valvular Heart Disease

    11. Common Adult Congenital Heart Disease Issues

    12. Diseases of the Pericardium

    13. Acute and Chronic Heart Failure

    14. Hypertrophic Cardiomyopathy

    15. Diagnosis, Prevention, and Treatment of Hypertensive Emergency/Hypertensive Crisis/Refractory Hypertension

    16. Syncope

    17. Supraventricular Tachycardia

    18. Atrial Fibrillation

    19. Atrial Flutter

    20. Pacemakers and Implantable Cardioverter Defibrillators

    21. Ventricular Arrhythmias: Sudden Cardiac Death

    22. Vascular Medicine

    23. Complications of Myocardial Infarction and Cardiovascular Emergencies

    24. Infective Endocarditis

    25. Pregnancy and Heart Disease for the Consulting Physician

    26. Chemotherapy, Cardiovascular Disease, and Cardiac Tumors

    27. Pulmonary Embolism


  • 32300lei 225.00 lei


    Carte tiparita la comanda!


    A concise, authoritative compilation of the essential knowledge needed to diagnose and manage cardiovascular disease

    • 37 chapters cover the major disease entities and therapeutic challenges in cardiology today
    • Chapters on major management issues such as pregnancy and heart disease, the use of anticoagulants in heart disease, and the perioperative evaluation of heart disease patients
    • Each chapter written by experts in that area, without losing the readability or coherence found in single-author texts
    • Logically organized into six sections: Prevention of Cardiovascular Disease, Ischemic Heart Disease, Arrhythmias, Valvular Disease, Cardiomyopathy and Heart Failure, and Systemic Disease and the Heart
    • NEW MATERIAL on the latest hypertension guidelines, new therapies for dyslipidemia management, new oral anticoagulants, and new antiplatelet and antithrombotic drugs
    • Organized for speed, ease of use, and clinical functionality
    • An essential quick reference for experienced physicians in the clinic or on the ward, cardiology fellows, students and residents, nurses, technicians, and other health care staff who provide care for the cardiology patient
    • More than 200 illustrations, including ECGs, imaging studies, drawings, graphs and charts
    • Emphasis on must know information makes it perfect for board review


    Table of contents:


    Section 1. Prevention

    Section 2. Coronary Heart Disease

    Section 3. Arrhythmias

    Section 4. Valvular Heart Disease

    Section 5. Heart Failure

    Section 6. Heart in Systemic Diseases


  • 430.00 lei


    A unique resource, this book is designed to determine not only your level of expertise and applicability of knowledge but also serve as an up-to-date clinical resource in the practice of cardiac sonography. 

    This powerful, long-needed resource presents the essentials of clinical echocardiography in a precise Q&A format fashioned after Clinical Echocardiography Review A Self-Assessment Tool edited by Allan L. Klein and Craig R. Asher. Whether you are just beginning your training, are already preparing for your examination, or simply want to review and increase your knowledge depth, this easy-to-use resource will help you develop the knowledge and skills you need for success. 

    • Flexible: A wide range of multiple-choice questions identified as beginner, intermediate, or advanced make it easy for you to select the level of material you want to review.  
    • Quick-reviewformat: Concise chapters by experts in the field follow an easy-to-follow, Q&A style to ensure content mastery. 
    • Concise Answer Outlines: Each question is supported by a detailed answer outline to enhance understanding and skill development. 
    • Visual: More than 400 online echo clip videos bring concepts and techniques to life and help you to internalize key essential elements of disease recognition. 
    • Clinically Oriented: More than 1,270 self-assessment questions (many with case-based images and easily accessible video files) place you in clinical scenarios. 
    • Practical: An extensive online question bank gives you unlimited opportunities for self-assessment and review.  

    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


  • 44600lei 380.00 lei



    Providing authoritative, everyday guidance in the diagnosis and management of children with congenital and acquired heart disease, Park’s Pediatric Cardiology for Practitioners is the go-to reference of choice for pediatricians, family practitioners, NPs, and PAs-as well as medical students, residents, and fellows. The 7th Edition of this core text comprehensively covers every aspect of pediatric cardiology in an easy-to-read, practical manner for the non-specialist, bringing you completely up to date with all that’s new in this fast-changing field.

    Table Of Contents:

    PART 1  Basic Tools in Routine Evaluation of Cardiac Patients
    1 History Taking
    2 Physical Examination
    3 Electrocardiography
    4 Chest Radiography
    PART 2  Special Tools in Evaluation of Cardiac Patients
    5 Noninvasive Imaging Tools
    6 Other Noninvasive Investigation Tools
    7 Invasive Procedures
    PART 3 Pathophysiology
    8 Fetal and Perinatal Circulation
    9 Pathophysiology of Left-to-Right Shunt Lesions
    10 Pathophysiology of Obstructive and Valvular Regurgitant Lesions
    11 Pathophysiology of Cyanotic Congenital Heart  Defects
    PART 4 Specific Congenital Heart Defects
    12 Left-to-Right Shunt Lesions
    13 Obstructive Lesions
    14 Cyanotic Congenital Heart Defects
    15 Miscellaneous Congenital Cardiac Conditions
    16 Vascular Ring
    17 Chamber Localization and Cardiac Malposition
    PART 5 Acquired Heart Disease
    18 Primary Myocardial Disease
    19 Cardiovascular Infections
    20 Acute Rheumatic Fever
    21 Valvular Heart Disease
    22 Cardiac Tumors
    23 Cardiovascular Involvement in Systemic Diseases
    PART 6  Arrhythmias and Atrioventricular Conduction Disturbances
    24 Cardiac Arrhythmias
    25 Disturbances of Atrioventricular Conduction
    26 Cardiac Pacemakers and Implantable Cardioverter- Defibrillators in Children
    PART 7 Special Problems
    27 Congestive Heart Failure
    28 Systemic Hypertension
    29 Pulmonary Hypertension
    30 The Child with Chest Pain
    31 Syncope
    32 Palpitation
    33 Dyslipidemia and Other Cardiovascular Risk  Factors
    34 Pediatric Preventive Cardiology
    35 Athletes with Cardiac Problems
    36 Cardiac Transplantation

    A Miscellaneous
    B Blood Pressure Values
    C Cardiovascular Risk Factors
    D Normal Echocardiographic Values
    E Drugs Used in Pediatric Cardiology



  • 30600lei 265.00 lei

     This European Society of Cardiology (ESC) Handbook on Cardiovascular Pharmacotherapy has been developed by experts from the ESC Working Group on Cardiovascular Pharmacotherapy. Its recommendations are aligned with the ESC Clinical Practice Guidelines and based on the most recent scientific evidence in cardiovascular pharmacology and pharmacotherapy. The Handbook provides up-to-date information on pharmacotherapy for cardiovascular disease prevention, and treatment of cardiovascular disease, including ischaemic heart disease, heart failure, arrhythmias, and structural heart disease. The Handbook also deals with the important problems of cardiovascular pharmacotherapy in pregnancy and lactation, kidney insufficiency, and liver disease as well as focusing on major drug interactions, a topic of extreme importance in clinical practice. Two large sections of the book provide a comprehensive A-Z formulary of cardiac and non-cardiac pharmacological agents with practical and accessible information on the most important pharmacological aspects of these agents and their use in clinical practice.

    The Handbook represents essential reading for cardiologists, general practitioners, internal medicine specialists, anaesthetists, clinical pharmacologists, geriatricians, obstetricians, and cardiovascular nurse consultants. Junior doctors and trainees in all these specialties are also likely to find this book of help.

    The print edition comes with full access to the online version that will be updated at yearly intervals to keep it up to date.

  • SCAI Interventional Cardiology Review
    La comanda in aproximativ 4 saptamani
    71600lei 665.00 lei



    Whether you’re studying for the interventional cardiology board exam, preparing for recertification, or simply want a concise review of the field, SCAI Interventional Cardiology Review, 3rd Edition, brings you up to date with recent changes in interventional cardiology while also preparing you for exam success. Written by global experts who are Society for Cardiovascular Angiography and Interventions  (SCAI) members and leaders, coverage includes all topics on the exam, with the addition of new review questions, new topics, and revised information throughout.


    ·  Contents

    ·  SECTION I. Basic Science and Pharmacology

    ·  Chapter 1: Arterial Disease—Atherosclerosis

    ·  Quiz Chapter 1: Arterial Disease-Atherosclerosis

    ·  Chapter 2: Restenosis

    ·  Quiz Chapter 2: Restenosis

    ·  Chapter 3: Platelet—Inhibitor Agents

    ·  Quiz Chapter 3: Platelet-Inhibitor Agents

    ·  Chapter 4: Anticoagulant and Fibrinolytic Agents for NSTE-ACS, PCI, and STEMI

    ·  Quiz Chapter 4: Anticoagulant and Fibrinolytic Agents for NSTE-ACS, PCI, and STEMI

    ·  Chapter 5: Vasoactive and Antiarrhythmic Drugs in the Catheterization Laboratory

    ·  Quiz Chapter 5: Vasoactive and Antiarrhythmic Drugs in the Catheterization Laboratory

    ·  SECTION II. Fundamentals of Interventions

    ·  Chapter 6: Fundamentals of X-ray Imaging, Radiation Safety, and Contrast Media

    ·  Quiz Chapter 6: Fundamentals of X-ray Imaging, Radiation Safety, and Contrast Media

    ·  Chapter 7: Coronary Hemodynamics: Pressure and Flow

    ·  Quiz Chapter 7: Coronary Hemodynamics: Pressure and Flow

    ·  Chapter 8: Intravascular Ultrasound, Optical Coherence Tomography, and Near-Infrared Spectroscopy

    ·  Quiz Chapter 8: Intravascular Ultrasound, Optical Coherence Tomography, and Near-Infrared Spectroscopy

    ·  Chapter 9: Vulnerable Plaque Imaging

    ·  Quiz Chapter 9: Vulnerable Plaque Imaging

    ·  Chapter 10: Hemodynamics for Interventional Cardiologists

    ·  Quiz Chapter 10: Hemodynamics for Interventional Cardiologists

    ·  Chapter 11: Coronary Angiography for PCI

    ·  Quiz Chapter 11: Coronary Angiography for PCI

    ·  Chapter 12: Introduction to Statistics in Clinical Research for Interventional Cardiology

    ·  Quiz Chapter 12: Introduction to Statistics in Clinical Research for Interventional Cardiology

    ·  SECTION III. Equipment

    ·  Chapter 13: Equipment Selection for Coronary Interventions

    ·  Quiz Chapter 13: Equipment Selection for Coronary Interventions

    ·  Chapter 14: Niche Devices: Atherectomy, Cutting and Scoring Balloons, and Laser

    ·  Quiz Chapter 14: Niche Devices: Atherectomy, Cutting and Scoring Balloons, and Laser

    ·  SECTION IV. Stable and Acute Coronary Syndrome PCI

    ·  Chapter 15: Coronary Stents

    ·  Quiz Chapter 15: Coronary Stents

    ·  Chapter 16: Elective Percutaneous Coronary Intervention for Stable Coronary Artery Disease and Silent Myocardial Ischemia

    ·  Quiz Chapter 16: Elective Percutaneous Coronary Intervention for Stable Coronary Artery Disease and Silent Myocardial Ischemia

    ·  Chapter 17: Acute Coronary Syndromes

    ·  Quiz Chapter 17: Acute Coronary Syndromes

    ·  Chapter 18: STEMI Intervention: Emphasis on Guidelines

    ·  Quiz Chapter 18: STEMI Intervention: Emphasis on Guidelines

    ·  Chapter 19: High-Risk Percutaneous Coronary Intervention, Cardiogenic Shock, and Acute Mechanical Circulatory Support Devices

    ·  Quiz Chapter 19: High-Risk Percutaneous Coronary Intervention, Cardiogenic Shock, and Acute Mechanical Circulatory Support Devices

    ·  SECTION V. Higher-Risk PCI and Complex Angiographic Subsets

    ·  Chapter 20: Multivessel Percutaneous Coronary Interventions

    ·  Quiz Chapter 20: Multivessel Percutaneous Coronary Interventions

    ·  Chapter 21: Bifurcation Lesions and Intervention

    ·  Quiz Chapter 21: Bifurcation Lesions and Intervention

    ·  Chapter 22: Small Vessel and Diffuse Disease

    ·  Quiz Chapter 22: Small Vessel and Diffuse Disease

    ·  Chapter 23: Left Mainstem Intervention

    ·  Quiz Chapter 23: Left Mainstem Intervention

    ·  Chapter 24: Bypass Graft Intervention and Embolic Protection

    ·  Quiz Chapter 24: Bypass Graft Intervention and Embolic Protection

    ·  Chapter 25: Complications of Coronary Intervention

    ·  Quiz Chapter 25: Complications of Coronary Intervention

    ·  Chapter 26: Chronic Total Occlusion Percutaneous Coronary Intervention

    ·  Quiz Chapter 26: Chronic Total Occlusion Percutaneous Coronary Intervention

    ·  SECTION VI. Vascular Access and Hemostasis

    ·  Chapter 27: Vascular Access: Radial and Femoral Approaches

    ·  Quiz Chapter 27: Vascular Access: Radial and Femoral Approaches

    ·  Chapter 28: Vascular Access Site Management (Closure Devices and Complications)

    ·  Quiz Chapter 28: Vascular Access Site Management (Closure Devices and Complications)

    ·  SECTION VII. Women, Prevention, and Guidelines

    ·  Chapter 29: Women and Percutaneous Interventions

    ·  Quiz Chapter 29: Women and Percutaneous Interventions

    ·  Chapter 30: Primary and Secondary Coronary Prevention

    ·  Quiz Chapter 30: Primary and Secondary Coronary Prevention

    ·  Chapter 31: PCI Guidelines for Interventional Cardiology Boards

    ·  Quiz Chapter 31: PCI Guidelines for Interventional Cardiology Boards

    ·  SECTION VIII. Peripheral Vascular Disease and Interventions

    ·  Chapter 32: Thoracic Aortic, Abdominal Aortic, and Lower Extremity Interventions

    ·  Quiz Chapter 32: Thoracic Aortic, Abdominal Aortic, and Lower Extremity Interventions

    ·  Chapter 33: Carotid and Cerebrovascular/Acute Stroke Intervention

    ·  Quiz Chapter 33: Carotid and Cerebrovascular/Acute Stroke Intervention

    ·  Chapter 34: Atherosclerotic Renal Artery Disease

    ·  Quiz Chapter 34: Atherosclerotic Renal Artery Disease

    ·  Chapter 35: Deep Venous Thrombosis

    ·  Quiz Chapter 35: Deep Venous Thrombosis

    ·  SECTION IX. Structural Heart Disease and Interventions

    ·  Chapter 36: Imaging for Structural Heart Disease

    ·  Quiz Chapter 36: Imaging for Structural Heart Disease

    ·  Chapter 37: Atrial Septal Defect and Patent Foramen Ovale

    ·  Quiz Chapter 37: Atrial Septal Defect and Patent Foramen Ovale

    ·  Chapter 38: Left Atrial Appendage Closure

    ·  Quiz Chapter 38: Left Atrial Appendage Closure

    ·  Chapter 39: Mitral Valvuloplasty and Percutaneous Mitral Valve Repair

    ·  Quiz Chapter 39: Mitral Valvuloplasty and Percutaneous Mitral Valve Repair

    ·  Chapter 40: Transcatheter Aortic Valve Replacement

    ·  Quiz Chapter 40: Transcatheter Aortic Valve Replacement

    ·  Chapter 41: Hypertrophic Cardiomyopathy

    ·  Quiz Chapter 41: Hypertrophic Cardiomyopathy

    ·  Chapter 42: Paravalvular Leaks

    ·  Quiz Chapter 42: Paravalvular Leaks

    ·  Chapter 43: Pericardial Disease Interventions

    ·  Quiz Chapter 43: Pericardial Disease Interventions

    ·  Chapter 44: Interventional Procedures in Adult Congenital Heart Disease

    ·  Quiz Chapter 44: Interventional Procedures in Adult Congenital Heart Disease

  • 47800lei 430.00 lei



    Perfect for residents, generalists, anesthesiologists, emergency department physicians, medical students, nurses, and other healthcare professionals who need a practical, working knowledge of cardiology, Netter's Cardiology, 3rd Edition, provides a concise overview ofcardiovascular disease highlighted by unique, memorable Netter illustrations. This superb visual resource showcases the well-known work of Frank H. Netter, MD, and his successor, Carlos Machado, MD, a cardiologist who has created clear, full-color illustrations in the Netter tradition. New features and all-new chapters keep you up to date with the latest information in the field.

    Includes 13 all-new chapters: Basic Anatomy and Embryology of the Heart, Stem Cell Therapies for Cardiovascular Disease, Diabetes and Cardiovascular Events, Clinical Presentation of Adults with Congenital Heart Disease, Transcatheter Aortic Valve Replacement, Deep Vein Thrombosis and Pulmonary Embolism, and more.

    Features new coverage of 3-D TEE imaging for structural heart procedures.

    Contains color-coded diagnostic and therapeutic algorithms and clinical pathways.

    Uses an easy-to-follow, templated format, covering etiology, pathogenesis, clinical presentation, diagnostic approach, and management/therapy for each topic.

    Offers dependable clinical advice from D



    Table Of Contents:


    I Introduction

    1 Basic Anatomy and Embryology of the Heart

    2 The History and Physical Examination

    3 Genetics in Cardiovascular Disease

    ·4 Effects of Exercise on Cardiovascular Health

    ·  5 Cardiovascular Epidemiology and Risk Prediction Models

    ·  6 Stem Cell Therapies for Cardiovascular Disease

    ·  II Diagnostic Testing

    ·  7 Electrocardiography

    ·  Part I

    ·  Part II

    ·  Part III

    ·  Part IV

    ·  Part V

    ·  Part VI

    ·  8 Chest Radiography

    ·  9 Echocardiography

    ·  10 Stress Testing and Nuclear Imaging

    ·  11 Cardiac Computed Tomography and Magnetic Resonance Imaging

    ·  12 Diagnostic Coronary Angiography

    ·  13 Left and Right Heart Catheterization

    ·  III Vascular Biology and Risk Factors for Coronary Artery Disease

    ·  14 Angiogenesis and Atherosclerosis

    ·  15 Hypertension

    ·  16 Management of Lipid Abnormalities

    ·  17 Diabetes and Cardiovascular Events

    ·  18 Cardiovascular Effects of Air Pollutants

    ·  19 Stable Coronary Artery Disease

    ·  20 Non–ST-Elevation Acute Coronary Syndrome

    ·  21 ST-Elevation Myocardial Infarction

    ·  22 Percutaneous Coronary Intervention

    ·  23 Coronary Artery Bypass Surgery

    ·  24 Cardiogenic Shock After Myocardial Infarction

    ·  25 Congenital Coronary Anomalies

    ·  26 Coronary Hemodynamics and Fractional Flow Reserve

    ·  27 Epidemiology of Heart Failure

    ·  28 Management of Acute Heart Failure

    ·  29 Management of Chronic Heart Failure

    ·  30 Hypertrophic Cardiomyopathy

    ·  31 Restrictive Cardiomyopathy

    ·  32 Hereditary Cardiomyopathies

    ·  33 Myocarditis

    ·  34 Cardiac Transplantation and Mechanical Circulatory Support Devices

    ·  35 Stress-Induced Cardiomyopathy

    ·  VI Cardiac Rhythm Abnormalities

    ·  36 Bradyarrhythmias

    ·  37 Supraventricular Tachycardia

    ·  38 Atrial Fibrillation

    ·  39 Atrial Fibrillation

    ·  40 Invasive Management of Atrial Fibrillation and Atrial Tachycardias

    ·  41 Ventricular Arrhythmias

    ·  42 Sudden Cardiac Death

    ·  43 Syncope

    ·  44 Cardiac Pacemakers and Defibrillators

    ·  VII Valvular Heart Disease

    ·  45 Aortic Valve Disease

    ·  46 Mitral Valve Disease

    ·  47 Cardiovascular Manifestations of Rheumatic Fever

    ·  48 Tricuspid and Pulmonic Valve Disease

    ·  49 Infective Endocarditis

    ·  50 Surgical Treatment of Valvular Heart Disease

    ·  51 Clinical Presentation of Adults With Congenital Heart Disease

    ·  52 Catheter-Based Therapies for Adult Congenital Heart Disease

    ·  53 Surgical Interventions for Congenital Heart Disease

    ·  54 Transcatheter Aortic Valve Replacement

    ·  55 Transcatheter Mitral Valve Repair

    ·  56 Pericardial Disease

    ·  57 Pericardial Disease

    ·  X Peripheral Vascular Disease

    ·  58 Renal Artery Stenosis and Renal Denervation

    ·  59 Interventional Approaches for Peripheral Arterial Disease

    ·  60 Surgery for Peripheral Vascular Diseases

    ·  61 Carotid Artery Revascularization

    ·  62 Diseases of the Aorta

    ·  63 Deep Vein Thrombosis and Pulmonary Embolism

    ·  XI Cardiac Considerations in Specific Populations and Systemic Diseases

    ·  64 Cardiovascular Disease in Pregnancy

    ·  65 Neuromuscular Diseases and the Heart

    ·  66 Cardiovascular Manifestations of Endocrine Diseases

    ·  67 Connective Tissue Diseases and the Heart

    ·  68 Cardiac Tumors and Cardio-Oncology

    ·  69 Pulmonary Hypertension

    ·  70 HIV and the Heart

    ·  71 Sleep Disorders and the Cardiovascular System

    ·  72 Cardiovascular Disease in Women and Vulnerable Populations

    ·  73 Cardiovascular Disease in the Elderly



  • 60600lei 550.00 lei

    Carte tiparita doar la comanda!

    The sixth edition of Ellestad's classic text on cardiac stress testing has been extensively updated and re-written to communicate contemporary understanding of the classical principles of stress testing to clinicians and researchers, students and seasoned practitioners alike. The current techniques for performing stress tests presented herein reflect major technologic advances in imaging, physiologic monitoring and the assessment of cardiovascular risk, addressing fundamental paradigm shifts in interventional, surgical and medical treatment of heart disease. Moreover, the text addresses the dramatic changes that are occurring in patient demographics and the environmental, socioeconomic, gender and genomic factors that crucially impact heart disease and warrant attention when performing cardiac stress testing. Chapters on the physiology of exercise testing including practical details regarding protocols for conducting the stress test, proper supervision, important parameters to be monitored, and the diagnostic and prognostic information to be gleaned from the electrocardiogram set the stage for expanded chapters on the use of cardiac imaging in conjunction with stress testing. Physiologic and metabolic considerations during stress testing are covered in detail. Application of stress testing to special populations, such as women, children, athletes, and individuals in both high and low risk groups are covered in new chapters. Finally, the authors address the use of stress testing in limited resource environments and discuss global changes in the incidence of atherosclerosis, and suggest how stress testing may evolve.

  • 56200lei 500.00 lei


    This practical book is a guide to the exercise stress test performed to determine a patient’s risk of developing coronary heart disease. Edited by Drs. Corey H. Evans and Russell D. White, the text is ideal for primary care, family medicine and sports medicine physicians, sports physiologists and trainers. Sections are devoted to performing the exercise stress test, test interpretation and application, and sports medicine applications. Additionally, common abnormal responses and risk stratification of symptomatic and asymptomatic patients are detailed, and flow charts and algorithms bolster the decision-making process. With its straightforward presentation of key material, this text is a welcome resource for those caring for athletes and patients at risk for heart disease.


    ·         Exercise Physiology for Graded Exercise Testing: A Primer for the Primary Care Clinician


    ·         Performance of the Exercise Test

    ·         Exercise Testing Special Protocols

    ·         Testing Special Populations

    ·         Interpreting the Exercise Test

    ·         Common Abnormal Responses Seen with Exercise Testing and How to Manage Them

    ·         Nuclear Imaging with Exercise Testing

    ·         Stress Echocardiography

    ·         Stratifying Symptomatic Patients Using the Exercise Test and Other Tools

    ·         Exercise Testing as Applied to the Preoperative Patient

    ·         Exercise Testing and Other Tools for Risk Stratification in~Asymptomatic Patients

    ·         Promoting Therapeutic Lifestyle Change and the Primary Prevention of Coronary Artery Disease

    ·         Exercise Testing After Bypass or Percutaneous Coronary Intervention

    ·         Legal Aspects of Graded Exercise Testing

    ·         Measuring Physical Fitness

    ·         Generating an Exercise Prescription from the Exercise Test

    ·         The Role of Gas Analysis and Cardiopulmonary Exercise Testing

    ·         Testing Athletic Populations

    ·         Exercise Testing for the Symptomatic Athlete

    ·         Case Studies: Lessons Learned from~Interesting Cases


  • 67400lei 560.00 lei



    This textbook provides a comprehensive, yet practically orientated overview of classic and novel sports cardiology topics, based on current evidence, guidelines, recommendations and expert experience. Numerous publications have provided guidance to these issues, but it has become increasingly difficult for both students and doctors to obtain a thorough, but practicable overview for optimal clinical care of athletes and patients. This book is intended as an educational work, filling the large gaps that are still present in the current educational guidelines for medical students and cardiology trainees.  Textbook of Sports and Exercise Cardiology differs from other sports cardiology books by focusing on clear, practical recommendations based on the latest evidence, primarily targeting those who seek professional background information and education that can easily be transferred into everyday care.


    Table of contents:


    Part I. Sports Cardiology in Young Competitive Athletes

    1. Definition of Athletes and Classification of Sports

    2. The Cardiologist as Part of the Athlete Medical Team

    3. Athlete’s Heart: Basic Physiology and Adaptation to Exercise

    4. Impact of Sporting Disciplines and Body Size on the Athlete’s Heart

    5. Sudden Cardiac Death in Athletes: Incidence, Causes and Prevention Strategies

    6. Medical Evaluation of Athletes: Medical History and Physical Examination

    7. Medical Evaluation of Athletes: Electrocardiogram

    8. Medical Evaluation of Athletes: Echocardiography

    9. Medical Evaluation of Athletes: Further Imaging Modalities—Stress Echo, CT and MRI

    10. Medical Evaluation of Athletes: Exercise Testing

    11. Medical Evaluation of Athletes: Genetic Testing

    12. Specific Cardiovascular Diseases and Competitive Sports Participation: Arterial Hypertension

    13. Specific Cardiovascular Diseases and Competitive Sports Participation: Hypertrophic Cardiomyopathy

    14. Specific Cardiovascular Diseases and Competitive Sports Participation: Arrhythmogenic Right Ventricular Cardiomyopathy

    15. Specific Cardiovascular Diseases and Competitive Sports Participation: Left Ventricular Hypertrabeculation

    16. Specific Cardiovascular Diseases and Competitive Sports Participation: Valvular Heart Disease

    17. Specific Cardiovascular Diseases and Competitive Sports Participation: Arrhythmias

    18. Specific Cardiovascular Diseases and Competitive Sports Participation: Pacemakers and ICD

    19. Specific Cardiovascular Diseases and Competitive Sports Participation: Myocarditis and Myocardial Fibrosis

    20. Specific Cardiovascular Diseases and Competitive Sports Participation: Channelopathies

    21. Specific Cardiovascular Diseases and Competitive Sports Participation: Coronary Anomalies and Myocardial Bridging at Risk of Sudden Death

    22. Specific Cardiovascular Diseases and Competitive Sports Participation: Congenital Heart Disease

    23. Specific Populations: Paediatric and Adolescent Athletes

    24. Specific Populations: Female Athletes

    25. Specific Populations: Athletes of Afro-Caribbean Origin

    26. Commotio Cordis

    27. Cardiovascular Side Effects of Commonly Prescribed Medications and Performance Enhancing Drugs and Special Considerations for the Athlete

    28. Cardiac Safety in Sports Arenas

    Part II. Sports Cardiology in Recreational/Master Athletes

    29. Medical Supervision of Mass Sporting Events

    30. Incidence and Causes of Sudden Cardiac Death in Recreational Athletes

    31. Potential Cardiac Damage Induced by Strenuous Exercise

    32. The Role of Imaging

    33. Endurance Exercise and Atrial Fibrillation

    34. Sport in Extreme Environments: Cardiovascular Issues

    Part III. Exercise in Primary Prevention of Cardiovascular Disease

    35. Epidemiology: Physical Activity, Exercise and Mortality

    36. Impact of Exercise on Cardiovascular Risk Factors: Arterial Hypertension

    37. Impact of Exercise on Cardiovascular Risk Factors: Dyslipidemia

    38. Impact of Exercise on Cardiovascular Risk Factors: Diabetes Mellitus

    39. Impact of Exercise on Cardiovascular Risk Factors: Obesity

    40. Exercise and Vascular Function

    41. The Optimal Dose of Exercise

    Part IV. Exercise in Secondary Prevention and Cardiac Rehabilitation

    42. Modalities of Exercise Training in Cardiac Rehabilitation

    43. Cardiopulmonary Exercise Testing and Prescription of Exercise

    44. Exercise in Specific Diseases: Coronary Artery Disease

    45. Exercise in Specific Diseases: Heart Failure with Preserved Ejection Fraction

    46. Exercise in Specific Diseases: Heart Failure with Reduced Ejection Fraction

    47. Exercise in Specific Diseases: Heart Transplantation and Left Ventricular Assist Device

    48. Exercise in Specific Diseases: Valvular Heart Disease

    49. Exercise in Specific Diseases: Atrial Fibrillation

    50. Exercise in Specific Diseases: Pacemakers and Implantable Cardioverter Defibrillators

    51. Exercise in Specific Diseases: Abdominal Aortic Aneurysm

    Back Matter



  • 73000lei 660.00 lei

    This book provides a comprehensive overview of exercise physiology in patients with congenital heart disease and other pediatric cardiopulmonary disorders. It begins with an in-depth but pragmatic discussion of exercise physiology and the cardiopulmonary adaptations to physical activity, followed by a review of the conduct and interpretation of cardiopulmonary exercise tests. Subsequent chapters discuss exercise physiology and testing in patients with a variety of congenital heart diseases, including tetralogy of Fallot, Fontan physiology, transposition of the great arteries, aortic valve disease, and coarctation of the aorta. Additional chapters analyze other conditions commonly encountered by pediatric and congenital cardiologists such as pulmonary vascular disease, cardiomyopathies, heart transplants, and metabolic disorders. The book also examines the role of exercise testing in patients with electrophysiologic issues such as Wolff-Parkinson-White Syndrome, long QT syndrome, atrioventricular node dysfunction, and pacemakers. The presentations are enhanced by data from Boston Children�s Hospital�s vast experience with clinical exercise testing. The textbook concludes with a series of interesting and illustrative cases that build on the earlier chapters, present some fascinating physiology, and provide real-world examples of how exercise testing can inform clinical decision making. Exercise Physiology for the Pediatric and Congenital Cardiologist is a detailed, practical reference for clinicians and other health care providers engaged in exercise testing for children and adults with congenital heart disease and other conditions that may be encountered by the pediatric and congenital cardiologist. It is an essential resource for physicians, medical students, and exercise physiologists as well as researchers in cardiology, pediatrics, and cardiopulmonary fitness..

    ·  Part I. The Normal Cardiopulmonary Response to Exercise

    ·  1. Biochemistry of Exercise

    ·  2. Oxygen Delivery

    ·  3. Central Hemodynamics and Coronary Blood Flow During Exercise

    ·  4. CO2 Elimination (V̇CO2)

    ·  Part II. Conduct of the Cardiopulmonary Exercise Test

    ·  5. Laboratory Setup, Equipment, and Protocols

    ·  6. Exercise Stress Echocardiography

    ·  7. Other Modalities: Assessment of Pulmonary Response and Measurement of Cardiac Output

    ·  8. Supervision and Safety Precautions for Exercise Testing

    ·  9. Special Considerations for Children

    ·  10. Special Considerations for Adults with Congenital Heart Disease

    ·  Part III. Interpretation of the Cardiopulmonary Exercise Test

    ·  11. Peak Exercise Parameters

    ·  12. Parameters from Submaximal Exercise

    ·  13. Putting It All Together

    ·  Part IV. Prototypical Lesions

    ·  14. Repaired Tetralogy of Fallot

    ·  15. Fontan Circulation

    ·  16. Aortic Valve Disease

    ·  17. Coarctation of the Aorta

    ·  18. Systemic Right Ventricles with a Biventricular Circulation (L-Transposition and D-Transposition After Atrial Switch Operation)

    ·  19. D-Transposition s/p Arterial Switch Operation

    ·  20. Ebstein’s Anomaly

    ·  21. Pulmonary Vascular Disease

    ·  22. Exercise Testing in Pediatric Dilated Cardiomyopathy

    ·  23. Hypertrophic Cardiomyopathy

    ·  24. Coronary Anomalies

    ·  25. Metabolic Disorders

    ·  26. Exercise Testing After Pediatric Heart Transplantation

    ·  27. Cardiac Rehabilitation and Exercise Training

    ·  28. Summary of Lesions

    ·  Part V. Electrophysiologic Issues

    ·  29. Syncope, Orthostatic Intolerance, and Exertional Symptoms

    ·  30. Exercise Stress Testing: Diagnostic Utility in the Evaluation of Long QT Syndrome

    ·  31. Wolff-Parkinson-White Syndrome

    ·  32. Exercise Testing in the Management of Arrhythmias

    ·  Part VI. Part VI

    ·  33. Patients with Physiologically Normal Hearts and Lungs

    ·  34. Patients with Unusual Congenital Heart Defects and/or Intracardiac Shunts

    ·  35. Patients with Significant Lung Disease

  • 61800lei 550.00 lei

    The book is designed to provide a flowing description of the physiology of heat stress, the illnesses associated with heat exposure, recommendations on optimising health and performance, and an examination of Olympic sports played in potentially hot environmental conditions. In the first section the book examines how heat stress effects performance by outlining the basics of thermoregulation and how these responses impact on cardiovascular, central nervous system, and skeletal muscle function. It also outlines the pathophysiology and treatment of exertional heat illness, as well as the role of hydration status during exercise in the heat. Thereafter, countermeasures (e.g. cooling and heat acclimation) are covered and an explanation as to how they may aid in decreasing the incidence of heat illness and minimise the impairment in performance is provided. A novel and particular feature of the book is its inclusion of sport-specific chapters in which the influence of heat stress on performance and health is described, as well as strategies and policies adopted by the governing bodies in trying to offset the deleterious role of thermal strain. Given the breadth and scope of the sections, the book will be a reference guide for clinicians, practitioners, coaches, athletes, researchers, and students.

    ·  Part I. The Physiology of Heat Stress

    ·  1. Human Thermoregulation

    ·  2. The Biophysics of Human Heat Exchange

    ·  3. Integrative Human Cardiovascular Responses to Hyperthermia

    ·  4. Neural and Muscular Function in the Heat

    ·  Part II. Heat Illnesses and Countermeasures

    ·  5. Common Misconceptions in Classic and Exertional Heat Stroke

    ·  6. Hydration in Sport and Exercise

    ·  7. Heat-Stress Exercise and Cooling

    ·  8. Heat Acclimation

    ·  Part III. Application to Specific Sports

    ·  9. The Application of Heat Stress to Team Sports: Football/Soccer, Australian Football and Rugby

    ·  10. Heat Stress During American Football

    ·  11. Tennis in the Heat

    ·  12. Athletics: Track and Field in the Heat

    ·  13. Cycling in the Heat

    ·  14. Open-Water Swimming

    ·  15. Triathlon and Ultra-Endurance Events in Tropical Environments

  • 67400lei 560.00 lei

    Since it was introduced less than 100 years ago, analysis of the circulatory response to exercise as a measure of cardiac function has undergone remarkable development. Most recently this approach has incorporated the burgeoning technology of the last half of the 20th century to meet the physiological and diagnostic needs of scientist and clinicians. The ease of administration, economy and abundant data that characterize exercise testing for its relative staying power as the most frequently utilized noninvasive method of cardiovascular evaluation. The basic modalities of exercise electrocardiography of treadmill and bicycle have been extended by noninvasive cardiac imaging techniques, including scintigraphy and echocardiography, that have provided new insights in myocardial function during exertion and pharmacologic stress. At the same time, traditional exercise electrocardiography has also been refined by innovations that have broadened its applications. Exercise Testing: Current Concepts and Recent Advances affords the reader a state-of-the-art presentation of the diverse and expanding methods of exercise testing and their roles in patient management. The contributors to this volume include individuals who have made seminal contributions to the field during the last several decades. Indeed, it is legitimate to designate this group as a `Who's Who of Exercise Testing'. It is our hope that this book will enhance the reader's understanding of contemporary methods of exercise testing, as well as provide a glimpse into future directions of this science, that this knowledge is applied to optimal diagnosis and management of our patients.

  • Pocket Guide to Stress Testing
    La comanda in aproximativ 4 saptamani
    40000lei 370.00 lei

    The go-to handbook for those performing and analysing cardiac stress tests The stress test is key to the clinical evaluation and management of patients with known or potential cardiovascular disease. By measuring the heart's ability to respond to external stress, it can provide vital insights into the general physical condition of patients, highlighting abnormalities in blood flow, risk of coronary artery disease, and more. The Pocket Guide to Stress Testing gives cardiology professionals a complete breakdown of this everyday procedure that they can carry with them and consult on the go. This second edition has been fully revised to reflect the most up-to-date information available on the best approaches to conducting and interpreting various forms of stress test. With chapters spanning topics such as testing guidelines, nuclear imaging techniques, and emergency and aftercare protocols, the clear and practical contents cover all aspects of the subject. This essential new text includes: A complete overview of exercise stress testing, covering indications, protocols, preparation, and interpretation Guidelines for the standard treadmill test, as well as for the various pharmacological stress tests for patients unable to complete an exercise ECG test An extensive list of references and reading suggestions to help trainees to expand their knowledge End-of-chapter summaries and new tables and illustrations As the field of cardiology continues to change and develop apace, this new edition of The Pocket Guide to Stress Testing provides physicians, trainee cardiologists, and cardiac nurses with a reliable, up-to-date resource for use in everyday practice.

    ·  1 Introduction

    ·  Introduction

    ·  Pathophysiologic Considerations

    ·  Preparations and Precautions

    ·  Methodology

    ·  Endpoints to Terminate Exercise ECG Stress Tests

    ·  Indications Versus Contraindications (see Chapters 3 and 4)

    ·  Interpretations of the ECG Stress Test

    ·  Clinical Values of the Exercise ECG Test

    ·  Cardiac Arrhythmias and the Exercise ECG Test (Chapter 12)

    ·  Hemodynamic Responses to Exercise

    ·  Complications and Potential Risks (Chapters 12 and 21)

    ·  References

    ·  2 Preparations and Precautions

    ·  Introduction

    ·  Preparations and Precautions

    ·  History Taking and Physical Examination

    ·  12‐Lead Electrocardiogram

    ·  Blood Pressure (BP) Monitoring

    ·  Premature Test Termination

    ·  References

    ·  3 Indications

    ·  Introduction

    ·  Indications

    ·  References

    ·  4 Contraindications to Stress Testing

    ·  Introduction

    ·  Absolute Contraindications

    ·  Relative Contraindications

    ·  References

    ·  5 Exercise Stress ECG Test Protocols

    ·  Introduction

    ·  General Testing Procedures

    ·  Exercise ECG Testing Protocols

    ·  References

    ·  6 Stress ECG Testing with Nuclear Myocardial Perfusion Imaging Techniques

    ·  Introduction

    ·  Nuclear Perfusion Agents

    ·  Stress Test and Radiotracer Protocols

    ·  Image Interpretation

    ·  Clinical Application of Nuclear Myocardial Imaging

    ·  References

    ·  7 Stress Echocardiography

    ·  Introduction

    ·  Exercise Stress Echocardiography

    ·  Dobutamine Stress Echocardiography

    ·  Other Methods of Stress Echocardiography

    ·  References

    ·  8 Pharmacological Stress Testing

    ·  Introduction

    ·  Vasodilator Agents

    ·  Beta‐Adrenergic Agonist

    ·  References

    ·  9 Cardiopulmonary Exercise Testing

    ·  Introduction

    ·  Physiology

    ·  Procedural Aspects of CPX Testing

    ·  Measurements

    ·  Applications in Clinical Practice

    ·  Reporting

    ·  References

    ·  10 Stress Testing After Acute Coronary Syndromes

    ·  Introduction

    ·  Guidelines for Stress Testing After ACS

    ·  Exercise ECG Protocols After ACS

    ·  Myocardial Imaging

    ·  References

    ·  11 Proper Selection of the Mode of Stress Testing

    ·  Introduction

    ·  General Comments

    ·  Selection of Mode Stress Testing (see Figure 11.2)

    ·  References

    ·  12 Exercise‐induced Cardiac Arrhythmias

    ·  Introduction

    ·  Equipment

    ·  Electrophysiologic Effects of Exercise

    ·  Value of Exercise Stress Testing in Diagnosing and Managing Arrhythmias

    ·  Cardiac Arrhythmias and Termination of Exercise Testing

    ·  Classification, Diagnosis, and Clinical Significance of Exercise‐Induced Arrhythmias

    ·  References

    ·  13 Complications

    ·  Introduction

    ·  Cardiac Complications

    ·  Noncardiac Complications

    ·  Ill‐Defined and Miscellaneous Complications

    ·  References

    ·  14 Interpretation

    ·  Introduction

    ·  Physiologic Responses to Exercise

    ·  Abnormal Responses to Exercise

    ·  Electrocardiographic Changes

    ·  Hemodynamic Changes

    ·  Symptoms and Signs

    ·  Clinical Implications

    ·  Reporting

    ·  References

    ·  15 False‐Positive and False‐Negative Exercise ECG Test Results

    ·  Introduction

    ·  False‐Positive Exercise ECG Responses

    ·  False‐Negative Exercise ECG Responses

    ·  References

    ·  16 Pediatric Exercise Testing

    ·  Introduction

    ·  Indications for Exercise Testing of Children

    ·  Children’s Responses to Exercise

    ·  Performing Exercise Testing in Children

    ·  References

    ·  17 Follow‐up Care and Management

    ·  Introduction

    ·  General Principles and Goals of Exercise Stress Testing

    ·  Large Scale Studies Assessing Predictive Implications of Exercise ECG Stress Testing

    ·  Exercise ECG Parameters Associated with Prognosis

    ·  Prognostic Value of Myocardial Imaging

    ·  References

    ·  18 Value of Exercise (Stress) ECG Testing Before Engaging in Exercise Programs or Competitive Sports

    ·  Introduction

    ·  Proper Interpretation

    ·  Asymptomatic Patients

    ·  Prior to Vigorous Exercise or Competitive Sports

    ·  References

    ·  19 Exercise Prescriptions for Healthy Individuals and Cardiac Patients

    ·  Introduction

    ·  Physiology of Exercise

    ·  Exercise Prescription for Healthy Subjects

    ·  Exercise Prescription for the Cardiac Patient

    ·  References

    ·  20 Computer Technology in the Field of Exercise ECG Stress Testing

    ·  Introduction

    ·  Computer‐Driven Automated Performance of the Exercise ECG Test

    ·  Data Processing

    ·  Computerized Analysis of ST‐Segment Response to Stress

    ·  Computer Applications to Estimate Post‐Test Probability of CAD

    ·  References

    ·  21 Medicolegal Aspects of Stress ECG Testing

    ·  Introduction

    ·  The Stress Laboratory

    ·  Medical Personnel

    ·  Test Preparation (see Chapters 2 and 3)

    ·  Test Performance

    ·  Proper Emergency Equipment and Drugs

    ·  Medico‐legal Aspects as they Pertain to Stress ECG Testing

    ·  References

    ·  22 Educational Guide for Patients and Families

    ·  Introduction

    ·  Exercise ECG (Treadmill) Stress Test

    ·  Exercise‐Myocardial Perfusion Imaging (“Nuclear”) Scan

    ·  Vasodilator (Adenosine, Dipyridamole, or Regadenoson) Cardiac Perfusion Test

    ·  Dobutamine Myocardial Perfusion Imaging (“Nuclear”) Stress Test

    ·  Exercise Treadmill Test or Dobutamine Test with Echocardiography (“Stress Echocardiography”)

    ·  Important for All Tests

  • 60600lei 550.00 lei

    Carte tiparita doar la cerere!


    The sixth edition of Ellestad's classic text on cardiac stress testing has been extensively updated and re-written to communicate contemporary understanding of the classical principles of stress testing to clinicians and researchers, students and seasoned practitioners alike. The current techniques for performing stress tests presented herein reflect major technologic advances in imaging, physiologic monitoring and the assessment of cardiovascular risk, addressing fundamental paradigm shifts in interventional, surgical and medical treatment of heart disease. Moreover, the text addresses the dramatic changes that are occurring in patient demographics and the environmental, socioeconomic, gender and genomic factors that crucially impact heart disease and warrant attention when performing cardiac stress testing. Chapters on the physiology of exercise testing including practical details regarding protocols for conducting the stress test, proper supervision, important parameters to be monitored, and the diagnostic and prognostic information to be gleaned from the electrocardiogram set the stage for expanded chapters on the use of cardiac imaging in conjunction with stress testing. Physiologic and metabolic considerations during stress testing are covered in detail. Application of stress testing to special populations, such as women, children, athletes, and individuals in both high and low risk groups are covered in new chapters. Finally, the authors address the use of stress testing in limited resource environments and discuss global changes in the incidence of atherosclerosis, and suggest how stress testing may evolve.

  • 510.00 lei

    Carte tiparita doar la comanda!


    Although the general format of Stress Testing has not been changed in the Fifth Edition, the chapters have been thoroughly revised and updated. 'Take Home' messages are sprinkled throughout the book to emphasize major concepts. The chapter on electrocardiographic changes has been completely reorganized to highlight the importance of unconventional markers of ischemia. Two new chapters cover the role of exercise echocardiography and exercise testing in congestive heart failure.

    ·  1. History of Stress Testing

    ·  2. Cardiovascular and Pulmonary Responses to Exercise

    ·  3. Physiology of Cardiac Ischemia

    ·  4. Indications

    ·  5. Contraindications, Risks, and Safety Precautions

    ·  6. Parameters to Be Measured

    ·  7. Stress Echocardiography

    ·  8. Stress Testing Protocol

    ·  9. Memorial Heart Institute Protocol

    ·  10. Stress Testing After Myocardial Infarction

    ·  11. Stress Testing After Surgical Intervention and Coronary Angioplasty

    ·  12. ECG Patterns and Their Significance

    ·  13. Rhythm and Conduction Disturbances in Stress Testing

    ·  14. Predictive Implications

    ·  15. Stress Testing in Women

    ·  16. Exercise Testing in Congestive Heart Failure

    ·  17. Chest Pain and Normal Coronary Arteries

    ·  18. Blood Pressure Measurements During Exercise

    ·  19. Silent Myocardial Ischemia

    ·  20. Sports Medicine and Rehabilitation

    ·  21. Pediatric Exercise Testing

    ·  22. Radionuclide Techniques in Stress Testing

    ·  23. Metabolic Abnormalities and Drugs

    ·  24. Computer Technology and Exercise Testing

  • 420.00 lei

    Congenital anomalies are the greatest contributor to the infant death, and congenital heart diseases (CHDs) account for up to 50% of these deaths. This book provides information on the screening of the heart defect in both the first and second trimesters ad will help healthcare professionals caring for the pregnant women at the basic level of care, performing prenatal anomaly scan screening. User-friendly monograph, dedicated to obstetricians to update, refresh, and increase their knowledge and competence at the time of fetal heart examination according to clinical standard with evidence-based standard practice. Complex aspects of complete care for the patients with heart disease are clearly described. Provides practical information about how to perform prenatal fetal heart screening systematically. Enriched with advanced ultrasound images, clinical pictures, diagrams, tables and flowcharts for easy comprehension. Written by experts with enormous clinical experience from across the globe. References for further reading have been provided at the end of each chapter.

  • 61800lei 550.00 lei

    This title reviews the bioethical issues in congenital heart disease and other difficult pediatric cardiology and cardiac surgical situations. It provides considered opinions and recommendations as to the preferred actions to take in these cases, stressing the importance of making informed decisions that are bioethically sound and doing so using considered reasoning of all the related sensitive issues. Bioethical Controversies in Pediatric Cardiology and Cardiac Surgery provides detailed recommendations on potential solutions to make bioethical decisions in difficult clinical scenarios. There is particular emphasis on controversies involving surgery for hypoplastic left heart syndrome, futility, informed consent, autonomy, genomics, and beneficence. It is intended for use by a wide range of practitioners, including congenital heart surgeons, pediatric cardiologists, pediatric intensivists, nurse practitioners, physician’s assistants, and clinical ethicists.

  • 600.00 lei

    Cardiology is becoming an increasingly complex field understood by only a select group of medical specialists. This publication demystifies many difficult topics in interventional cardiology and cardiac catheterisation, commencing with the basics of laboratory instrumentation and technology and progressing to a comprehensive review of both new and established cardiac interventions. Unlike other publications that are directed mainly towards clinicians, this text is specifically written to assist newcomers such as such as medical trainees, nurses, technicians, scientific staff and other allied health professionals understand the wonders of interventional cardiology, and includes extensive explanations of the techniques of angiography, and new percutaneous. The comprehensive information presented herein, written by recognised specialists in their respective fields, will no doubt prove of great benefit to clinician and non-medical specialist alike.


    ·  1 The cardiac imaging and monitoring systems

    ·  2 Non-invasive physiological monitoring

    ·  3 Determination of oxygen status in human blood

    ·  4 Coagulation and the coagulation cascade

    ·  5 Thrombosis, heparin and laboratory monitoring of heparin therapy

    ·  6 Laboratory coagulation assays


    ·  7 Radiation safety in the cardiac catheterisation laboratory

    ·  8 Infection control procedures

    ·  9 Nursing care of the cardiac catheterisation patient

    ·  10 Vascular access site management and arterial closure

    ·  11 Medical management of the cardiac patient undergoing coronary angiography


  • 49000lei 430.00 lei

    This book provides a guide for the management of patients with cardiovascular emergencies in the ER. It covers a broad range of the most important and frequent acute cardiovascular events including coronary syndromes, aortic syndromes, pulmonary embolism, and left heart failure. Pragmatic in nature, chapters discuss frequent clinical presentations in a thorough fashion while emphasizing a practical and concise approach to diagnosis and treatment. In addition, the book explores how new knowledge and technological advances are improving the quality of patient care in the emergency room, highlighting technological advances in the use of pharmacotherapy, biomarkers, and imaging techniques such as X-ray, echocardiography, CT, MRI, and nuclear. Cardiology in the ER: A Practical Guide is an essential resource for physicians and related professionals, residents, and fellows in cardiology, emergency medicine, intensive and critical care, and internal medicine.

    ·  1. Chest Pain in the ER

    ·  2. Dyspnea in the ER

    ·  3. Suspected Cardiovascular Syncope in the ER

    ·  4. Optimizing the Use of Biomarkers in the ER

    ·  5. Acute Coronary Syndromes in the ER

    ·  6. Acute Aortic Syndromes in the ER

    ·  7. Cardiac Tamponade in the ER

    ·  8. Cardiogenic Shock in the ER

    ·  9. Pulmonary Embolism in the ER

    ·  10. Hypertensive Crisis in the ER

    ·  11. Tachyarrhythmias in the ER

    ·  12. Bradyarrhythmia in the ER

    ·  13. Acute Left Heart Failure in the ER

    ·  14. Cardiac Arrest in the ER

    ·  15. Prosthetic Valve Thrombosis in the ER

    ·  16. Pacemaker Emergencies in the ER

    ·  17. Cardiology Bedside Interventions in the ER

  • 67400lei 550.00 lei

    The second edition of this key resource provides a broad and fundamental overview of basic cardiovascular (CV) hemodynamic principles with a focus on clinical assessment of CV physiology. Extensively updated, the book includes new coverage on noninvasive hemodynamic assessment and the effects of selected interventions on CV hemodynamics. It provides an introduction to the basic concepts such as preload, afterload, myocardial contractility, and cardiac output. Subsequent chapters examine the effects of interventions such as vasodilators, beta blockers, pressor agents, inotropes, and different forms of invasive circulatory support. The book also focuses on various methods of hemodynamic evaluation including echocardiography, CT/MRI, noninvasive hemodynamic assessment, and cardiac catheterization. The book concludes with a discussion of proper diagnosis, evaluation, and management of patients using hemodynamic data on a variety of specific disease states. An invaluable contribution to the Contemporary Cardiology Series, the Second Edition of Cardiovascular Hemodynamics: An Introductory Guide is an essential resource for physicians, residents, fellows, medical students, and researchers in cardiology, emergency medicine, critical care, and internal medicine.

  • 60000lei 550.00 lei


    The Portfolio Diet for Cardiovascular Disease Risk Reduction: An Evidence Based Approach to Lower Cholesterol through Plant Food Consumption examines the science of this recommended dietary approach to reduce cholesterol in addition to other risk factors for cardiovascular disease. With a thorough examination into the scientific rationale for the use of this diet, discussions are included on the experimental findings both for the diet as a whole, and its four principle food components: nuts and seeds, plant based protein, viscous fibers, and plant-sterol-enriched foods. Environmental and ethical considerations of the diet are also discussed, showing the ramifications of food choice on health and beyond. Referenced with data from the latest relevant publications and enhanced with practical details (including tips, dishes, and menus), the reader is enabled to meet the goals of cholesterol lowering and cardiovascular disease risk reduction while also taking the health of the planet into consideration.

    • Provides the scientific basis for the selection of the foods included in the Dietary Portfolio and the experimental evidence demonstrating cholesterol lowering and cardiovascular risk factor reduction
    • Provides an understanding of the current guidelines for lowering cholesterol and other risk factors of cardiovascular disease, explaining how the Dietary Portfolio effects these components and compares to other diet based approaches
    • Provides a holistic view of the Dietary Portfolio by investigating issues of sustainability and ethics in the food system
    • Allows readers to acquire the skills to successfully construct a potent cholesterol-lowering diet
    • Includes tips, recipes and meal planning aids


    ·  Introduction

    ·  Chapter 1: The Power of Diet in CVD Risk Factor Reduction

    ·  Abstract

    ·  Introduction

    ·  A Healthy Weight

    ·  Blood Pressure

    ·  Blood Lipids

    ·  The Framingham Equation

    ·  The Framingham Equation and Diet

    ·  Chapter 2: Development and Evidence Base

    ·  Abstract

    ·  Introduction

    ·  Key Points

    ·  Major Dietary Portfolio Studies

    ·  Chapter 3: How It Works: Mechanisms of Action

    ·  Abstract

    ·  Introduction

    ·  Plant Sterols

    ·  Fiber

    ·  Nuts and Seeds

    ·  Plant-based Protein

    ·  Chapter 4: The Pantry: Tips and Tricks

    ·  Abstract

    ·  Introduction

    ·  Starting Up

    ·  Portfolio Foods Serving Sizes

    ·  Key Portfolio Foods: Quick Facts

    ·  Tips for Keeping on Track With the Portfolio Diet

    ·  Tips for Eating a Plant-Based Diet

    ·  Chapter 5: Recipes

    ·  Smoothies

    ·  Overnight Oats

    ·  Oat Bran

    ·  Topping Suggestions

    ·  Banana on Toast

    ·  Mediterranean Style Tofu Scramble

    ·  Lemony Edamame Avocado Toast

    ·  Walnut Oat Bran Muffins

    ·  Fluffy Oat Bran Pancakes

    ·  Almond Butter and Jelly Sandwich

    ·  Apple Oat Bran Muffins

    ·  Banana Peach Smoothie

    ·  Aunt Nettie’s Tofu Scramble

    ·  Veggie BLT

    ·  Sesame Tofu Lettuce Wrap

    ·  Chickpea “Egg” Salad

    ·  Edamame Tabbouleh

    ·  Creamy Broccoli Almond Soup

    ·  Mac and “Cheese”

    ·  Spicy Glass Noodle Salad

    ·  Pot O’ Risotto

    ·  Fried Barley

    ·  Soy-Chili

    ·  Black Bean Barley Salad

    ·  Soy Bean Dip

    ·  Baba Ganoush

    ·  Curried Almond Hummus

    ·  Eggplant Bites

    ·  Apple Pie Mixed Nuts

    ·  Oat Energy Bar

    ·  Salt and Vinegar Eggplant Pickles

    ·  Oat Bran Bread with Psyllium

    ·  BBQ Bites

    ·  Oat Bran Cookies

    ·  Ratatouille

    ·  Oven Baked “Meatballs” and Almond “Parmesan”

    ·  Cashew Stir Fry With Crispy Tofu

    ·  Okra Dal

    ·  Nut Loaf

    ·  Sweet Potato Pie

    ·  Miso Soup

    ·  Sweet Potato Barley

    ·  Creamy Mushroom, Barley Risotto

    ·  Barley, Mushroom Casserole

    ·  Tender Ginger Tofu

    ·  Chili-non-Carne

    ·  Nutty Lentil Loaf

    ·  Ginger Fuyu Persimmon

    ·  Flan

    ·  Psylly buns

    ·  Fudgy Brownies

    ·  Ginger Peach Crumble

    ·  Blueberry Lemon Cake

    ·  Chocolate Mousse

    ·  Almond Cluster Cookies

    ·  Strawbarley Pudding

    ·  Tangy Lemon Tart

    ·  Barley Raisin Cookies

    ·  Almond, Fruit Fondue

    ·  Chapter 6: Why a Plant-Based Diet?

    ·  Abstract

    ·  Introduction

    ·  A Plant-Based Diet and Health

    ·  Plant-Based Diets and the Planet


    ·  Ethical Considerations

  • 88600lei 535.00 lei

    Pret: 886 lei 535 lei (pret valabil pana la data de 29 septembrie 2020)



    This atlas comprehensively describes the application of computed tomography (CT) and magnetic resonance (MR) imaging in real-world scenarios using 192 illustrative clinical cases. These imaging techniques are revolutionizing the diagnostic and therapeutic approach for cardiovascular patients and are progressively becoming viable sub-specialties among radiologists and cardiologists. Clinical Atlas of Cardiac and Aortic CT and MRI features clinically relevant case-based examples of how CT and MR imaging techniques can be applied to identify the pathological features of a range of acquired and congenital heart diseases. Using more than 1000 high-quality figures of distinctive CT and MR imaging features of most cardiovascular diseases, both acquired and congenital, it therefore provides a valuable resource for both specialist and non-specialist radiology/cardiology practitioners seeking to develop a deep understanding of how to recognize the features of a variety of heart diseases using CT and MR imaging techniques.


    Table of contents:


    1. Cardiac Anatomy and Coronary Artery Anomalies

    2. Ischemic Cardiomyopathy

    3. Myocardial Infarction with Nonobstructive Coronary Arteries (MINOCA)

    4. Nonischemic Cardiomyopathy

    5. Structural Heart Disease and Guidance of Percutaneous Procedures

    6. Congenital Heart Disease

    7. Cardiac Masses and Tumors

    8. Pericardial Disease

    9. Aortic Disease


  • 130.00 lei

    Aparent, consecinta a atator progrese majore in diagnosticul bolilor cardiovasculare, electrocardiografia clasica tinde sa devina cenusareasa explorarilor cardiovasculare. in realitate nimic nu este mai fals pentru ca, in profida progreselor stiintifice si tehnice exploivize, electrocardiografia clinica isi pastreaza in continuare intreaga valoare. Electrocardiografia ramane metoda de selectie si de neinlocuit pentru o categorie tot mai vasta si mai periculoasa de suferinte cardiace-tulburarile de ritm. Actualmente, cand prin medicatie sofisticata, manopere interventionale sau interventii chirurgicale de anvergura se reuseste prezervarea functiei de pompa a inimii pentru o perioada indelungata, indiferent de suferinta cardiaca initiala, tot mai frecvent decesul bolnavilor este conditionat de aparitia tulburarilor de ritm fatale, de regula precedate de alte tulburari de ritm care pot fi diagnosticate prin electrocardiografie. Electrocardiografia are rol in diagnosticul de sindrom(hipertrofii, blocuri de ramura, etc) sau ca element de diagnostic adjuvant(intoxicatii medicamentoase, etc).

  • 130.00 lei

    Urgentele cardiovasculare continua sa detina primul loc ca incidenta, severitate si risc de deces. Frecvent, rapiditatea interventiei terapeutice este aceea care decide viata sau moartea bolnavilor. De aceea, se impune cunoasterea si aplicarea, cel putin intr-o prima etapa, a unor algoritmi simpli de diagnostic si tratament care sa ofere bolnavilor sansa de a supravietui. Este ceea ce incearca sa ofere Urgente cardiovasculare in camera de garda. Desigur, dupa aplicarea primelor masuri de diagnostic si tratament, medicul va avea timp sa consulte si sa recurga la toate manoperele si terapiile recomandate in ghiduri sau in tratate de specialitate.

  • 73000lei 650.00 lei


    This book explains how hypertension affects 20-50% of the adult population in developed countries. Heart failure is the result of the hypertension's effects on the heart and it represents a growing public health problem. In this context the international scientific community is continuously struggling to develop better strategies in screening, diagnosing and treating hypertension and its deleterious effects. Thus, this field is continuously changing, with new important information being added constantly. This volume will offer both insights into the intimate mechanisms of transition from hypertension to heart failure and clinical practice advice on the prevention and treatment of heart failure in hypertensive population. The mechanisms which explain the progression from hypertension to heart failure will be also covered exhaustively by offering two chapters referring to the diagnosis of heart failure in hypertensive population and one regarding echocardiography which is the most frequently used imaging method in clinical practice. The reader will be also provided with information on cardiovascular magnetic resonance which has the unique advantage of differentiating hypertensive heart failure from other pathologies associated with increased myocardial thickness. This book is a useful tool for clinicians but also to the research community interested in heart failure and consequences of hypertension on heart who want to be up-to-date with the new developments in the field. 


    Table of contents:


    Part I. Epidemiological Aspects

    1. Epidemiological Aspects (Prevalence and Risk of Heart Failure Related to Blood Pressure)

    Part II. Mechanisms of Heart Failure in Arterial Hypertension

    2. Genetics of Hypertension and Heart Failure

    3. Blood Pressure Variability and Blood Pressure Load

    4. Hemodynamic Mechanisms

    5. Neural Mechanisms

    6. Natriuretic Peptides

    7. Renal Mechanisms and Heart Failure

    8. Heart Failure and Metabolic Factors

    9. Role of Central Blood Pressure and Arterial Stiffening

    10. Pathophysiology of Hypertensive Heart Disease

    Part III. Diagnosis of Heart Failure in Hypertensive Patients

    11. Role of Echocardiography

    12. The Additive Value of Cardiovascular Magnetic Resonance Imaging in Hypertensive Heart Disease

    13. Biomarkers

    Part IV. Complications of Hypertensive Heart Disease

    14. Atrial Fibrillation and Other Arrhythmias in Hypertensive Heart Disease

    15. Arterial Hypertension and Flash Pulmonary Edema

    16. The Role of Drug Therapy in Lowering Mortality and Morbidity: From Established Heart Failure to High-Risk Hypertension

    Part V. Prevention of Heart Failure in Hypertension

    17. Non-pharmacological Treatment

    18. Blood Pressure-Lowering Treatment and the Prevention of Heart Failure: Differences and Similarities of Antihypertensive Drug Classes

    19. Regression Under Treatment of Left Ventricular Hypertrophy and Other Structural Alterations

    Part VI. Treatment of Heart Failure in Hypertensive Patients

    20. New Drugs for the Hypertensive Failing Heart

    21. Heart Failure with Preserved Ejection Fraction: Current Management and Future Strategies

    22. Treatment of Acute Heart Failure in Hypertensive Crisis

    Part VII. Invasive Approaches

    23. Carotid Baroreceptor Stimulation

    24. Renal Nerve Ablation

    Part VIII. Hypertension, Heart Failure and Guidelines

    25. Prevention and Treatment of Heart Failure in Hypertension Guidelines

    Back Matter


  • Cardiac Rehabilitation Manual
    La comanda in aproximativ 4 saptamani
    84300lei 700.00 lei

    Illustrated throughout with practical algorithms and photographic figures ? Includes practical chapters designed to imprint the information memorably ? Designed from the guidelines to expand knowledge to the more detailed practicalities of managing individual patients ? Uniquely based around picking strategies for patients with specific cardiovascular issues About this book This book fulfills the need for practical guidance among all professionals involved in the management of these patients, from residents and fellows of cardiology and internal medicine, surgical teams, physiotherapy professionals, critical care physicians and family medicine practitioners. The thoroughly updated content takes into account recent developments in cardiac rehabilitation, and incorporates practical advice on how to use guidelines in clinical practice. There will be one new chapter on patients with cardiac resynchronization therapy and all the others will be updated to keep up-to-date with the guidelines and current practice. Cardiac rehabilitation is of key importance to ameliorate long-term morbidity and mortality resulting from cardiac diseases and events. However, much of the current literature is dense, unwelcoming and academic in style and format. For those physicians understanding the scope of cardiac rehabilitation there is a need to distill the guidelines and various management options available to them into a concise practical manual. Up until now, all references have looked at the general options, but there is definite need to investigate the practicalities of individual patient groups. About the authors Univ. Prof. Dr. Josef Niebauer, MBA is a specialist in internal medicine, cardiology and sports medicine. He heads the Institute of preventive and rehabilitative sports medicine at the Paracelsus Medical University Salzburg and is also responsible for the Olympic Centre Salzburg-Rif.

  • 1,57500lei 1260.00 lei



    As a leading reference on pediatric cardiology and congenital heart diseaseAnderson's Pediatric Cardiology provides exhaustive coverage of potential pediatric cardiovascular anomalies, potential sequelae related to these anomalies, comorbidities and neurodevelopmental problems, and current methods for management and treatment. The fully revised 4th Edition addresses significant and ongoing changes in practice, including recent developments in fetal, neonatal, and adult congenital heart conditions as well as expanded content on intensive care, nursing issues, and societal implications. The outstanding illustration program provides superb visual guidance, and is now supplemented with a remarkable collection of more than 200 professionally curated, author-narrated videos.

    Table Of Contents:

    Structural and Functional Development
    1 Terminology
    2 Anatomy
    3 Embryology of the Heart
    4 Etiology of Congenital Cardiac Disease
    5 Myocardium and Development
    6 Physiology of the Developing Heart

    Prenatal Congenital Heart Disease
    7 Magnetic Resonance Assessment of the Fetal Circulation in Congenital Heart Disease
    8 Imaging and Quantifying the Fetal Circulation in Congenital Cardiac Disease: Ultrasound
    9 Pharmacologic Intervention in the Fetus
    10 Percutaneous Intervention in the Fetus, Including Postnatal Management
    11 The Placenta in Congenital Heart Disease
    12 Optimizing Prenatal Support of the Mother and Family

    General Topics
    13 Prevalence of Congenital Cardiac Disease
    14 Economic Implications of Congenital Heart Disease in Developed Countries
    15 Prematurity and Cardiac Disease
    16 Surgical Techniques
    17 Diagnostic Catheterization, Including Adults With Congenital Cardiac Disease
    18 Interventional Techniques
    19 Cross-Sectional Echocardiography and Doppler Imaging
    20 Three-Dimensional Echocardiography
    21 Magnetic Resonance Imaging and Computed Tomography: Diagnostic Imaging, Image Management, and Assessment of Physiology and Function
    22 Electrophysiology, Pacing, and Defibrillation
    23 Cardiopulmonary Exercise Testing
    24 Pediatric Cardiovascular Data, Analysis, and Critical Appraisal of the Literature
    25 Cardiovascular Risk Factors in Youth

    Specific Lesions
    26 Isomerism of the Atrial Appendages
    27 Anomalous Systemic Venous Return
    28 Pulmonary Venous Abnormalities
    29 Interatrial Communications
    30 Division of Atrial Chambers (“Cor Triatriatum”)
    31 Atrioventricular Septal Defects
    32 Ventricular Septal Defect
    33 Diseases of the Tricuspid Valve
    34 Diseases of the Mitral Valve
    35 Tetralogy of Fallot With Pulmonary Stenosis
    36 Tetralogy of Fallot With Pulmonary Atresia
    37 Transposition
    38 Congenitally Corrected Transposition
    39 Double-Outlet Ventricle
    40 Common Arterial Trunk
    41 Arterial Duct: Its Persistence and Its Patency
    42 Pulmonary Stenosis
    43 Pulmonary Atresia With Intact Ventricular Septum
    44 Congenital Anomalies of the Aortic Valve and Left Ventricular Outflow Tract
    45 Coarctation and Interrupted Aortic Arch
    46 Congenital Coronary Anomalies
    47 Vascular Rings, Pulmonary Arterial Sling, and Related Conditions
    48 Artery of the Fifth Aortic Arch
    49 Abnormal Positions and Relationships of the Heart
    50 Arteriovenous Communications
    51 Other Malformations of the Ventricular Outflow Tracts
    52 Cardiac Tumors
    53 Kawasaki Disease
    54 Acute Rheumatic Fever
    55 Chronic Rheumatic Heart Disease
    56 Infective Endocarditis
    57 Pericardial Diseases in Children
    58 Aortopathies in Pediatric Cardiology and Cardiac Surgery
    59 Cardiologic Aspects of Systemic Disease
    60 Systemic Hypertension

    Heart Failure and Transplantation
    61 Cardiomyopathies
    62 Cardio-oncology
    63 Myocarditis
    64 Acute Circulatory Failure: Pharmacologic and Mechanical Support
    65 Chronic Heart Failure: Physiology and Treatment
    66 Chronic Mechanical Circulatory Support
    67 Heart and Heart-Lung Transplantation

    Functionally Univentricular Heart
    68 Introduction: The “Fontan Pathway
    69 Anatomic Considerations in the Functionally Univentricular Heart
    70 Physiologic Principles to Maximize Outcome in Patients With a Functionally Univentricular Heart
    71 Fontan Pathway From Birth Through Early Childhood
    72 Interstage Management
    73 Longer-Term Outcomes and Management for Patients With a Functionally Univentricular Heart

    Beyond the Heart
    74 Systemic Circulation
    75 Pulmonary Hypertension
    76 Neurodevelopmental and Psychosocial Outcomes in Children and Young Adults With Complex Congenital Cardiac Disease
    77 Congenital Cardiac Disease in the Setting of Genetic Syndromes
    78 Acute and Chronic Renal Consequences of Cardiac Disease in Children
    79 Pharmacogenetics in the Treatment of Congenital and Acquired Cardiac Disease During Childhood
    80 Pregnancy and Congenital Heart Disease
    81 Preparing the Young Adult With Complex Congenital Cardiac Disease to Transfer From Pediatric to Adult Care
    82 Psychological and Social Aspects of Pediatric Cardiac Disease
    83 Ethical Issues in Pediatric Cardiology and Congenital Heart Disease
    84 Clinical Care Pathways Supporting the Care of Children and Young People With Congenital Heart Disease
    85 Discharge Planning, Communications With the Team Providing Care in the Ambulatory Setting and the “Medical Home
    86 Growth and Nutrition
    87 Quality Improvement in Congenital Cardiac Disease
    88 Global Burden of Pediatric Heart Disease and Pediatric Cardiac Care in Low- and Middle-Income Countries
    89 Screening in Pediatric and Congenital Cardiac Disease
    90 Anesthetic Considerations for Cardiac and Noncardiac Surgery in the Child With Congenital Cardiac Disease
    91 Telemedicine in Pediatric Cardiology




  • Atlas of Pediatric Cardiac CTA
    La comanda in aproximativ 4 saptamani
    730.00 lei

    Atlas of Pediatric Cardiac CTA is a concise visual guide to the imaging of congenital heart disease in infants and children. The book focuses on the utilization of cardiac CTA imaging for pediatric patients as distinct from adult patients, with an emphasis on techniques for retrospective and prospective scanning, reduction of the radiation dose, and CT data processing and analysis. It also describes cardiac CTA evaluation search patterns to assess the complex anatomy in congenital heart patients. As pediatric patients often present with multiple findings, separate chapters are devoted to the major structures of the cardiovascular system, accompanied with extensive imaging examples of the atria, ventricles, great vessels, coronary arteries, lungs and airways, and the situs. The book concludes with a review of shunts, procedures, and surgeries used in the management of this disorder. Atlas of Pediatric Cardiac CTA is a valuable resource for radiologists, cardiologists, and other clinicians involved in the care of pediatric patients with congenital heart disease.

  • 835.00 lei

    This is the definitive text, spanning the whole spectrum of interventional cardiology, including structural heart disease � Covers the very latest techniques and devices to provide practical, evidence-based guidance on treating a full range of coronary lesions � Written by an expert team of international authors, providing comprehensive advice for both the intervention trainee and cardiologists planning to work with catheterization � Includes a wealth of high-quality colour figures and photographs, to provide greater clinical context � Based on the European curriculum and guidelines for practice New to this Edition: � Fully updated and revised to include the latest trials, technology, and novel techniques that have become recognised since the first edition in 2010 � Includes brand new content, including a new section on the future of interventional cardiology and multiple new chapters on special devices in percutaneous coronary intervention Cardiac catheterization and coronary angiography remain key tools in the management of patients with coronary heart disease. Although this is the most frequently used method of coronary revascularization, general training in cardiology rarely offers more than the opportunity to assist a more senior operator to perform angioplasty procedures. This textbook, covering key procedures and fully revised and updated to include the latest trials, technology, and new techniques, is essential reading. The Oxford Textbook of Interventional Cardiology, 2nd edition spans the whole spectrum of interventional cardiology procedures, including a novel section on the future of interventional cardiology, and multiple new chapters covering special devices in percutaneous coronary intervention. Written by an expert team of international authors, this book offers guidance on all aspects of interventional cardiology according the European curriculum, and covers the evidence-based guidelines for a comprehensive view of the field.

  • 88700lei 820.00 lei


    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.


    Table Of Contents:


    Heart Failure: A Companion to Braunwald’s Heart Disease, Fourth Edition


    Section 1 Basic Mechanisms of Heart Failure

    1. Molecular Basis for Heart Failure

    2. Cellular Basis for Heart Failure

    3. Cellular Basis for Myocardial Regeneration and Repair

    4. Myocardial Basis for Heart Failure: Role of Cardiac Interstitium

    Section 2 Mechanisms of Disease Progression in Heart Failure

    5. Molecular Signaling Mechanisms of the Renin-Angiotensin System in Heart Failure

    6. Adrenergic Receptor Signaling in Heart Failure

    7. Role of Innate Immunity in Heart Failure

    8. Oxidative Stress in Heart Failure

    9. Natriuretic Peptides in HF

    10. Systolic Dysfunction in Heart Failure

    11. Alterations in Ventricular Function: Diastolic Heart Failure

    12. Alterations in Ventricular Structure: Role of Left Ventricular Remodeling and Reverse Remodeling in Heart Failure

    13. Alterations in the Sympathetic and Parasympathetic Nervous Systems in Heart Failure

    14. Alterations in the Peripheral Circulation in Heart Failure

    15. Alterations in Kidney Function Associated with Heart Failure

    16. Alterations in Skeletal Muscle in Heart Failure

    17. Alterations in Cardiac Metabolism

    Section 3 Etiological Basis for Heart Failure

    18. Epidemiology of Heart Failure

    19. Heart Failure as a Consequence of Ischemic Heart Disease

    20. Heart Failure as a Consequence of Dilated Cardiomyopathy

    21. The Restrictive and Infiltrative Cardiomyopathies and Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy

    22. Cardiac Amyloidosis

    23. Heart Failure as a Consequence of Hypertrophic Cardiomyopathy

    24. Heart Failure as a Consequence of Genetic Cardiomyopathy

    25. Heart Failure as a Consequence of Hypertension

    26. Heart Failure as a Consequence of Valvular Heart Disease

    27. Heart Failure as a Consequence of Congenital Heart Disease

    28. Heart Failure as a Consequence of Viral and Nonviral Myocarditis

    29. Heart Failure in the Developing World

    30. Heart Failure and Human Immunodeficiency Virus

    Section 4 Clinical Assessment of Heart Failure

    31. Clinical Evaluation of Heart Failure

    32. Cardiac Imaging in Heart Failure

    33. Biomarkers and Precision Medicine in Heart Failure

    34. Hemodynamics in Heart Failure

    Section 5 Therapy for Heart Failure

    35. Disease Prevention in Heart Failure

    36. Management of Acute Decompensated Heart Failure


    37. Contemporary Medical Therapy for Heart Failure Patients with Reduced Ejection Fraction

    Guidelines: Management of Heart Failure with a Reduced Ejection Fraction

    38. Management of Arrhythmias and Device Therapy in Heart Failure


    39. Treatment of Heart Failure with Preserved Ejection Fraction


    40. Management of Heart Failure in Special Populations: Older Patients, Women, and Racial/Ethnic Minority Groups

    41. Gene and Stem-Cell Based Therapies in Heart Failure

    42. Neuromodulation in Heart Failure

    43. Pulmonary Hypertension

    44. Cardiac Transplantation

    45. Circulatory Assist Devices in Heart Failure

    46. Cardio-Oncology and Heart Failure

    47. Disease Management and Telemedicine in Heart Failure

    48. Management of Comorbidities in Heart Failure

    49. Quality and Outcomes in Heart Failure

    50. Decision Making and Palliative Care in Advanced Heart Failure



  • 1,01000lei 870.00 lei


    The atlas provides a clear, concise, yet comprehensive review of common cardiovascular diseases occurring in patients with cancer. Cancer and cardiovascular disease are the two most common conditions worldwide. In clinical practice we frequently encounter patients who have established cardiovascular disease and subsequently develop cancer or are survivors of cancer with subsequent cardiovascular complications related to chemotherapy and or radiation. Most of the chapters are case based, followed by images and a discussion on current (evidence based, wherever available) investigations and treatment outline.


    Table of contents:


    1. Global Burden of Cancer and Cardiovascular Disease

    2. Utility of Cardiac Ultrasound Imaging in Oncology, a Case Based Illustration

    3. Cancer Treatment-Related Cardiotoxicity: Role of Cardiovascular Magnetic Resonance Imaging

    4. Imaging to Diagnose Myocarditis, Cardiomyopathy, Tumor and Thrombus

    5. Takotsubo Syndrome and Cancer

    6. Mechanism and Prevention of Cardiomyopathy Due to Chemotherapy

    7. Radiation Related Cardiovascular Disease

    8. Acute Coronary Syndrome in Patients with Cancer

    9. Arterial Complications in Patients with Cancer

    10. Carotid Artery Disease in Patients with Cancer

    11. Venous Diseases in Malignancy

    12. Cardiac Masses

    13. Surgical Treatment for Cardiac Sarcomas

    14. Cardiac Arrhythmia and Device Management in Patients with Cancer

    15. Endocarditis

    16. Pericardial Disease, Constrictive Pericarditis and Restrictive Cardiomyopathy in Patients with Cancer

    17. Exercise Therapy and Cardiovascular Benefits in Patients with Cancer


  • 60000lei 550.00 lei

     Co-edited and written by an interdisciplinary team of experts in oncology and cardiology, this book is a clinically useful resource on these overlapping topics:

    • Cardiac complications in patients receiving cancer therapy

    • The treatment of cancer in patients with cardiovascular disease

    • The treatment of cardiovascular disease in patients with cancer

    When relevant to medical practice, epidemiology and basic science are also included in the discussion and each chapter is written by an oncologist and a cardiologist. Additionally, the chapters follow a similar format to make the book truly interdisciplinary, user-friendly, and clinically applicable to specialists and non-specialists who care for patients with both cancer and cardiovascular disease.

  • 785.00 lei


    This concise and handy manual provides straightforward, up-to-date guidance for cardiologists and other practitioners on the management of cancer patients with cardiac problems, whether they be due to the cancer itself or to antineoplastic treatment. Detailed attention is devoted to the various forms of cardiotoxicity associated with chemotherapy and radiotherapy. The drugs commonly responsible for each toxicity are identified and clear advice is offered on monitoring techniques and treatment approaches. In addition, the issue of cardiotoxicity due to cancer treatment in particular patient groups – children, the elderly, and those with pre-existing cardiac disease – is addressed separately, with guidance on when and how antineoplastic (and/or cardiological) treatments should be modified. Further sections describe the correct responses to cardiac problems secondary to the cancer itself, including thromboembolic disorders and electrolyte imbalances, and the diagnosis, treatment, and follow-up of cardiac tumors.  A closing section considers how to improve cooperation between oncologists, cardiologists, and general practitioners to ensure that cancer patients’ cardiovascular needs are met in a multidisciplinary approach.


    Table of Contents:

    List of Contributors

    I: Introductory Aspects

    1: Epidemiology of Cancer: Prevalence, Incidence of Neoplastic Diseases and Trends in Survival i

    1.1 Background

    1.2 Cancer Distribution

    1.2.1 Incidence of All Cancers Excluding Nonmelanoma Skin Cancers

    1.2.2 Mortality of All Cancers Excluding Nonmelanoma Skin Cancers

    1.3 Lung Cancer

    1.3.1 Incidence

    1.3.2 Mortality

    1.3.3 Risk Factors

    1.3.4 Survival

    1.4 Breast Cancer

    1.4.1 Incidence

    1.4.2 Mortality

    1.4.3 Risk Factors

    1.4.4 Survival

    1.5 Colorectal Cancer

    1.5.1 Incidence

    1.5.2 Mortality

    1.5.3 Risk Factors

    1.5.4 Survival

    1.6 Prostate Cancer

    1.6.1 Incidence

    1.6.2 Mortality

    1.6.3 Risk Factors

    1.6.4 Survival

    1.7 Discussion

    1.8 European Code Against Cancer


    2: Cancer, Heart Diseases, and Common Risk Factors: Smoke

    2.1 Key Points

    2.2 Epidemiology

    2.3 Cigarette Smoke: Chemical–Physical Characteristics

    2.4 Pathophysiology

    2.5 Smoke as Risk Factor for Cancer and Other Diseases

    2.6 Conclusions


    3: Cancer, Heart Diseases and Common Risk Factors: Diet and Physical Activity

    3.1 Background

    3.2 Diet

    3.2.1 Dietary Supplements

    3.2.2 Prevention of Cardiotoxicity

    3.2.3 Traditional and Alternative Dietary Patterns (. Table 3.1)

    3.3 Physical Activity

    3.3.1 Physical Activity and Cardiovascular Diseases

    3.3.2 Physical Activity in Cancer Prevention (. Fig. 3.5)

    3.3.3 Physical Activity After Cancer Diagnosis

    3.3.4 Cardiovascular Disease, Cancer, and Physical Activity


    II: Cardiac Problems as a Consequence of Cancer

    4: Thromboembolic Disorders as a Consequence of Cancer

    4.1 Introduction

    4.2 Clinical Aspects

    4.3 Screening for Occult Cancer in Patients with Idiopathic VTE

    4.4 Primary Thromboprophylaxis and Identification of High-Risk Outpatients

    4.4.1 Surgical Prophylaxis

    4.4.2 High-Risk Cancer Outpatients Identification for Primary Thromboprophylaxis

    4.4.3 Multiple Myeloma

    4.5 Appropriate Immediate and Long-Term Treatment for Patients with Acute Thromboembolism and t

    4.5.1 Acute Treatment (First 10 Days)

    4.5.2 Long-Term (First 3 Months) and Extended Therapy (No Planned Stop Date)

    4.5.3 Treatment of Catheter-Related DVT

    4.5.4 Vena Cava Filters

    4.6 Management of Recurrent VTE on Anticoagulation Therapy [55, 63–67]

    4.7 Treatment Strategy in Patients with Thrombocytopenia


    Suggested Reading: Society Guidelines

    5: Arrhythmias and Electrolyte Imbalances as Consequences of Cancer

    5.1 Arrhythmias

    5.2 Electrolyte Imbalances

    5.2.1 Hypokalemia

    Clinical Manifestations


    5.2.2 Hyperkalemia

    Clinical Manifestations

    Treatment [19, 20]

    5.2.3 Hypercalcemia

    Clinical Manifestations

    Treatment [19, 20]

    5.2.4 Hypocalcemia

    Clinical Manifestations


    5.2.5 Hypomagnesemia

    Clinical Manifestations

    Treatment [19, 20]

    5.2.6 Hypermagnesemia

    Clinical Manifestations


    5.2.7 Hyponatremia

    Clinical Manifestations

    Treatment [25, 26]

    5.2.8 Hypernatremia

    Clinical Manifestations

    Treatment [28]

    5.2.9 Hyperphosphatemia

    Clinical Manifestations


    5.3 Tumor Lysis Syndrome

    5.3.1 Clinical Manifestations

    5.3.2 Treatment [38–40]


    III: Oncologic Treatments and Cardiotoxicity

    6: Molecules, Drugs, and First-­Line Therapies: A Guide for the Cardiologist

    6.1 Introduction: Cardiovascular Toxicity with First-Line Therapy in Solid Tumors, Risk, and Ben

    6.2 First-Line Therapy in Different Cancers: Challenges and Pitfalls with Cardiotoxic Drugs

    6.2.1 Breast Cancer


    Anthracyclines and Taxanes Alone or in Combinations

    Anti-HER2 Agents

    Endocrine Therapy (Tamoxifen, Aromatase Inhibitors, Fulvestrant)

    6.2.2 Colorectal Cancer and Other Upper Gastrointestinal Malignancies


    Anti-VEGF Agents


    Anti-EGFR Agents

    Cetuximab and Panitumumab

    6.2.3 Lung Cancer

    Platinum-Based Chemotherapy


    Anti-EGFR and Anti-ALK TKIs

    6.2.4 Genitourinary Cancers (Renal Cell Carcinoma and Prostate and Bladder Cancer)

    Multitarget TKIs Used in Renal Cell Carcinoma

    Systemic Therapy Used for Prostate Cancer

    LHRH Agents and Antiandrogen (Chemical Castration)

    New Antiandrogen (Abiraterone and Enzalutamide)

    6.2.5 Rare Tumors

    Imatinib Used as First-Line Therapy in GIST

    Anti-BRAF Agents (Vemurafenib, Trametinib) Used in BRAF- Mutated Advanced Melanoma

    Chemotherapy Agents Used Upfront for Metastatic Sarcomas

    6.3 Recommendations


    7: The Pharmacologist’s Point of View: Mechanisms of Cardiotoxicity

    7.1 Introduction

    7.2 Anticancer Agents Associated with Cardiotoxicity

    7.2.1 Anthracyclines

    7.2.2 Fluoropyrimidines

    7.2.3 Microtubule-Targeting Agents

    7.2.4 Alkylating Agents

    7.2.5 Proteasome Inhibitors

    7.2.6 Tyrosine Kinase Inhibitors




    VEGFR Inhibitors


    Tyrosine Kinase Inhibitors Targeting the VEGF Pathway



    Other VEGF-Targeting TKIs

    7.3 Cardio-oncological Early Detection and Prevention: The Future


    8: Cardiotoxicity: Left Ventricular Dysfunction

    8.1 Which Drugs Are Involved

    8.1.1 Definition and Graduation of LVD

    8.1.2 Anthracycline-Related LVD

    8.1.3 Non-anthracycline-Related LVD

    8.1.4 Targeted Therapy and LVD


    Bevacizumab and TKI Small Cell

    8.2 How to Monitor

    8.2.1 LV Systolic Function

    8.2.2 LV Diastolic Function

    8.2.3 Myocardial Deformation

    8.2.4 Use of Biomarkers

    8.3 How to Treat

    8.3.1 Left Ventricular Dysfunction Induced by Anthracyclines

    8.3.2 Left Ventricular Dysfunction Induced by Trastuzumab


    9: Cardiotoxicity: Cardiac Ischemia

    9.1 Introduction

    9.2 Fluoropyrimidines

    9.2.1 Pathophysiology

    9.2.2 Incidence

    9.2.3 Clinical Presentation

    9.2.4 Laboratory Analysis Data

    9.2.5 Challenges in Diagnosis

    9.2.6 Therapy

    9.2.7 FP Therapy Must Be Stopped Immediately When Cardiotoxicity is Detected

    9.2.8 Time to Recovery

    9.2.9 Rechallenge

    9.3 Anti-VEGFR

    9.3.1 Pathophysiology

    9.3.2 Therapy

    9.4 Other Drugs Which Have Been Involved in Acute Cardiac Ischemia or in Increased Risk of Myoca

    9.4.1 BCR-ABL-Targeted Tyrosine Kinase Inhibitors

    9.4.2 All-Trans Retinoic Acid

    9.4.3 Platinum Compounds

    9.4.4 Interleukin-2 (Il-2) and Alpha-Interferon

    9.4.5 Taxanes

    9.4.6 Aromatase Inhibitors

    9.4.7 Androgen Deprivation Therapy


    10: Cardiotoxicity: Hypertension

    10.1 Introduction

    10.2 Proteinuria

    10.3 Hypertension

    10.4 Cardiotoxicity

    10.4.1 Anti-vascular Endothelial Growth Factor Agents

    10.4.2 Antihuman Epidermal Growth Factor Receptor 2

    10.4.3 Anti-active Breakpoint Cluster Region Abelson Receptor

    10.4.4 Prevention and Management of Cardiotoxicity

    10.5 Renal Dysfunction


    11: Cardiac Arrhythmias in Cancer Patients

    11.1 Introduction

    11.1.1 Incidence of Cardiac Arrhythmias

    11.2 Atrial Fibrillation

    11.2.1 Epidemiology

    11.2.2 Pathophysiology

    11.2.3 Clinical Considerations

    11.2.4 Therapy

    11.3 Bradyarrhythmias

    11.3.1 Thalidomide

    11.3.2 Paclitaxel

    11.3.3 Other Drugs

    11.4 Ventricular Arrhythmias Without QT Prolongation

    11.5 Diagnosis of Cardiac Arrhythmias

    11.6 Arrhythmias and Targeted Therapy

    11.6.1 Vandetanib

    11.6.2 Sunitinib and Sorafenib

    11.6.3 Lenvatinib

    11.6.4 Ponatinib

    11.7 Monitoring and Management of Cardiac Arrhythmias Due to Targeted Therapy


    12: Radiotherapy: Clinical Aspects and Cardiotoxicity

    12.1 Pathophysiology

    12.2 Acute Toxicity

    12.2.1 Acute Pericarditis

    12.2.2 Ventricular Dysfunction

    12.2.3 Cardiac Ischemia

    12.3 Late Toxicity

    12.3.1 Coronary Artery Disease (CAD)

    12.3.2 Left Ventricular (LV) Dysfunction

    12.3.3 Valvular Heart Disease (VHD)

    12.3.4 Chronic Pericarditis

    12.3.5 Arrhythmias

    12.4 Clinical Presentation

    12.5 Diagnosis of RIHD

    12.5.1 Coronary Artery Disease

    12.5.2 LV Systolic and Diastolic Dysfunction

    12.5.3 Restrictive Cardiomyopathy

    12.5.4 Valve Disease

    12.5.5 Pericardial Disease

    12.6 Prevention Strategies in Subjects Treated By RT

    12.7 Therapy

    12.8 Vascular RT Complications


    13: Cardiotoxicity in Children

    13.1 General Considerations

    13.2 Etiology and Pathophysiology

    13.2.1 Therapeutic Agents Responsible for Cardiotoxicity

    13.2.2 Preexisting Cardiovascular Disease or Cardiac Risk Factors and Comorbidities

    13.3 Cardiovascular Manifestations

    13.4 Cardiologic Clinical Setup of a Childhood Cancer Patient or Survivor

    13.5 Preventive Strategies

    13.6 Practical Surveillance Program


    14: Cardiotoxicity in the Elderly

    14.1 Introduction

    14.2 Characteristics of Elderly People

    14.3 Evaluating Older Patients for Screening Purpose: The Comprehensive Geriatric Assessment (CGA

    14.4 The Frail Cancer Patient: Definition and Identification

    14.5 Selected Physiologic Age-Related Changes

    14.5.1 Multi-morbidity and Co-morbidity

    14.5.2 Unusual Presentations of Illness in the Elderly

    14.6 Drug Therapy in the Elderly

    14.7 Drug-Related Problems in the Elderly

    14.7.1 Before Starting a New Drug

    14.7.2 After Starting a Drug

    14.7.3 Ongoing

    14.7.4 Cardiac Effect of Anticancer Therapy in the Elderly

    14.7.5 Anthracycline

    Duration and Frequency of Administration

    Type of Anthracycline


    15: Treatments in Patients with Cancer and Cardiac Diseases

    15.1 Introduction

    15.1.1 Risk of Worsening of Cardiac Status Due to the Tumor

    15.1.2 Antineoplastic Treatments Interfering with the Cardiovascular Function

    15.1.3 Pharmacological Interactions Between Cardiac and Antineoplastic Drugs

    Metabolic Interactions

    Cumulative Effects

    15.2 Practical Approach to the Patient with Cardiovascular Disease

    15.2.1 Dilated and/or Hypokinetic Cardiomyopathies (CMP)

    15.2.2 Hypertension

    15.2.3 Coronary Artery Disease (CAD)

    Treatment Options for Chronic CAD

    Treatment Options for CAD with Acute Coronary Syndrome (ACS)

    15.2.4 Arrhythmias

    15.2.5 Valvular Heart Disease

    Native Valve Disease

    Prosthetic Valves

    15.2.6 Varicose Veins

    15.2.7 Patients with Cardiac Implantable Electronic Devices (CIED) Who Need Radiotherapy

    15.3 Practical Approach to the Patient with Cardiac Implantable Electronic Devices [22, 23]

    15.3.1 Before Starting Radiotherapy

    15.3.2 During Radiotherapy

    15.3.3 After Radiotherapy


    16: Hematopoietic Stem Cell Transplantation and Cardiotoxicity

    16.1 Introduction

    16.2 Pretransplant Evaluation

    16.2.1 Medical History

    16.2.2 Twelve-Lead Electrocardiogram (ECG)

    16.2.3 Chest X-Ray

    16.2.4 Assessment of Left Ventricular Ejection Fraction (LVEF)

    16.2.5 Noninvasive Stress Testing

    16.2.6 Cardiac Biomarkers

    16.3 Clinical Manifestation of Cardiac Complication

    16.3.1 Early Manifestations

    As a Consequence of High-Dose Chemotherapy

    As a Consequence of Radiotherapy

    16.3.2 Infectious Complications


    Myocarditis and Pericarditis

    16.3.3 As a Consequence of Hematopoietic Stem Cell Reinfusion

    Dimethyl Sulfoxide (DMSO)

    16.4 Cardiac Complications of GvHD

    16.4.1 Immunosuppressive Therapy

    Cyclosporine and Tacrolimus (Calcineurin Inhibitors)

    Mycophenolate Mofetil


    16.5 Long-Term Complications

    16.5.1 Risk Factors

    16.5.2 Follow-Up

    16.5.3 Interventions


    17: Cardiotoxicity in Long-Term Survivors

    17.1 General Consideration of Cancer Survivorship

    17.2 Cardiotoxicity and Cancer Treatment

    17.2.1 Definition

    17.2.2 Classification

    17.2.3 Pathogenesis

    17.2.4 Diagnosis

    17.3 Antineoplastic Drugs Associated With Chronic Cardiotoxicity

    17.3.1 Anthracyclines and Other Agents Associated with Type 1 Cardiotoxicity

    17.3.2 Cardiotoxicity of Type II Agents

    17.4 Cardiac Toxicity in Cancer Survivors

    17.4.1 Definitions of “Cardiotoxicity” in Cancer Survivors

    17.4.2 Risk Factors of Cardiotoxicity

    17.4.3 Early Diagnosis of Cardiac Toxicity

    17.4.4 Treatment of Cardiotoxicity in Cancer Patient Survivors

    17.4.5 Prevention of Chemotherapy-Related Cardiac Dysfunction (CRCD)

    17.4.6 Follow-Up of Chemotherapy-Related Cardiac Dysfunction (CRCD) in Cancer Survivors

    17.5 Conclusions


    IV: Cardiac Tumors

    18: Cardiac Malignancies: Clinical Aspects

    18.1 Symptoms

    18.2 Physical Examination

    18.3 ECG Abnormalities


    19: Secondary Cardiac Tumors

    19.1 Introduction

    19.2 Pathophysiology

    19.3 Neoplastic Pericardial Disease

    19.3.1 General Considerations

    19.3.2 Clinical Manifestations

    Typical Cardiac Tamponade

    Atypical Cardiac Tamponade

    Constrictive or Effusive Constrictive Pericarditis

    Asymptomatic Pericardial Effusions

    19.3.3 Diagnosis of Neoplastic Pericardial Diseases


    Computed Tomography

    Magnetic Resonance Imaging (MRI)

    Positron Emission Tomography (PET) with 18-Fluorodeoxiglucose (18FDG)

    Cytology of the Pericardial Fluid [9]

    Neoplastic Markers in the Pericardial Fluid

    19.4 Practical Diagnostic Imaging Approach in Neoplastic Pericardial Disease

    19.4.1 Treatment of Neoplastic Pericardial Disease

    Treatment of Cardiac Tamponade

    Prevention of Recurring Tamponade

    Treatment of Pericardial Metastases

    19.5 Myocardial Metastases

    19.5.1 General Considerations

    19.5.2 Clinical Manifestations

    19.5.3 Diagnostic Imaging (See Also 7 Chap. 24 for Further Details)

    Electrocardiography (ECG)

    Echocardiography (. Fig. 19.5)

    Computed Tomography and Magnetic Resonance Imaging (. Fig. 19.6)



    19.5.4 Treatment of Myocardial Metastases

    19.6 Endocavitary Metastases

    19.6.1 General Considerations

    19.6.2 Clinical Manifestations

    19.6.3 Cardiac Imaging (See Also 7 Chap. 24 for Further Details)

    19.6.4 Treatment of Endocavitary Metastases


    20: Primary Cardiac Malignancies: Epidemiology and Pathology

    20.1 Epidemiology

    20.2 Clinical Features

    20.3 Surgical Pathology

    20.4 Tumor Grading and Staging

    20.5 Treatment and Prognosis

    20.6 Key Points

    20.7 Cardiac Sarcomas

    20.7.1 Angiosarcoma




    Clinical Features


    Differential Diagnosis


    20.7.2 Undifferentiated Pleomorphic Sarcomas




    Clinical Features


    20.7.3 Osteosarcoma




    Clinical Features


    Differential Diagnosis

    20.7.4 Myxofibrosarcoma



    Clinical Features


    Differential Diagnosis

    20.7.5 Leiomyosarcoma




    Clinical Features


    20.7.6 Rhabdomyosarcoma




    Clinical Features

    Pa thology

    Differential Diagnosis

    Somatic Genetics

    20.7.7 Synovial Sarcoma




    Clinical Features


    Differential Diagnosis



    20.7.8 Miscellaneous Sarcomas


    20.8 Primary Cardiac Lymphoma

    20.8.1 Definition

    20.8.2 Epidemiology

    20.8.4 Clinical Features

    20.8.5 Pathology

    20.8.7 Differential Diagnoses

    20.8.8 Prognosis

    20.8.9 Key Points: Primary Cardiac Lymphoma

    20.9 Tumors of the Pericardium

    20.9.1 Solitary Fibrous Tumor



    Clinical Features



    Differential Diagnosis


    20.9.2 Malignant Mesothelioma



    Clinical Features



    Differential Diagnosis


    20.9.3 Germ Cell Tumors




    Clinical Features


    Differential Diagnosis



    21: Diagnosis of Primary Cardiac Malignancies: Echocardiography

    21.1 Echocardiography

    21.1.1 Transthoracic Echocardiography

    21.2 Echocardiographic Contrast Agents

    21.3 Transesophageal Echocardiography (TEE)

    21.4 Three-Dimensional Echocardiography (3D-ECHO)

    21.5 Pitfall


    22: Diagnosis of Primary Cardiac Malignancies: Magnetic Resonance

    22.1 Introduction

    22.2 MRI Technique and Protocol

    22.2.1 Morphological and Functional Evaluation

    22.2.2 Tissue Characterization

    22.2.3 MRI Pulse Sequences

    T1-Weighted Pulse Sequence

    T2-Weighted Pulse Sequence

    T2*-Weighted Pulse Sequence

    SSFP Images

    First Pass Perfusion

    Early Enhancement

    Late Gadolinium Enhancement (LGE)

    22.3 Benign Tumors and Pseudomass

    22.3.1 Pseudomass

    22.3.2 Lipoma

    22.3.3 Myxoma

    22.3.4 Cardiac Hemangioma

    22.3.5 Fibroma

    22.3.6 Rhabdomyoma

    22.3.7 Fibroelastoma

    22.3.8 Cystic Tumor of the Atrioventricular Node

    22.3.9 Paraganglioma

    22.4 Malignant Tumors

    22.4.1 Sarcoma

    22.4.2 Lymphoma

    22.4.3 Cardiac Metastasis

    22.5 Future Perspectives


    23: Other Imaging Techniques: Computed Tomography and Positron Emission Tomography

    23.1 Introduction

    23.2 Computed Tomography

    23.2.1 Limits

    23.3 Positron Emission Tomography (PET)

    23.3.1 Pitfalls [10]


    24: Surgical Treatment of Primary Cardiac Malignancies

    24.1 Background

    24.2 Clinical Scenarios

    24.2.1 Background

    24.2.2 Clinical Features

    24.2.3 Malignant Tumor Types and Cardiac Chamber Involvement: Surgeon’s Tips

    Cardiac Sarcomas


    Sarcomas of Various Lines of Differentiation



    Primary Malignancy of the Pericardium

    24.3 Surgery

    24.3.1 Resectability

    24.3.2 What Does the Surgeon Need to Know from the Available Diagnostic Tools to Judge About T

    Chest X-Ray

    2-D and 3-D Echocardiography (TTE)

    Computed Tomography (CT)

    Gated Cardiac Magnetic Resonance Imaging (MRI)

    Positron Emission Tomography (PET)/CT

    Cardiac Catheterization

    24.3.3 Surgical Considerations

    Surgical Approaches

    Complex Tumor Resection

    24.3.4 Survival Outcome


    25: Cardiac Tumors: Multimodality Approach, Follow-Up, and Prognosis

    25.1 Primary Cardiac Lymphomas

    25.2 Primary Cardiac Sarcomas

    25.2.1 Radiotherapy

    25.3 Follow-Up and Prognosis


    V: Improving the Cooperation Between Oncologists, Cardiologists, and General Practitioners

    26: Understanding the Most Common Oncologic and Cardiologic Terms

    26.1 Intents of Chemotherapy

    26.2 Antineoplastic Drugs

    26.3 Common Chemotherapeutic Regimen Adopted in the Clinical Practice According to Tumor Type

    27: What the Oncologist Needs to Know: How to Ask for a Cardiology Consultation

    27.1 When and Why to Ask for a Cardiologic Consultation

    27.1.1 Timing of the Consultation

    27.1.2 Different Situations for a Consultation

    27.1.3 Asking a Consultation Before Initiating Anticancer Treatment

    27.1.4 What Is the Key Question?

    27.2 How to Ask the First Cardio-oncologic Consult: What the Cardiologist Needs to Know in Eva

    27.3 Consultation for a Suspected Cardiovascular Problem

    27.3.1 When Reporting a Suspected Cardiovascular Problem the Oncologist Has to Focus on

    27.3.2 The Oncologist Should Also Report to the Cardiologist in Order to Help the Differential

    27.4 Asking a Cardiovascular Follow-Up

    27.5 How to Help the Cardiologist to Implement Cardiovascular Treatment

    27.6 Helping the Management of Cardiovascular Treatment: What the Cardiologist Has to Know?

    27.7 Some Practical Considerations


    28: What the Cardiologist Needs to Know: How to Write the Consultation

    28.1 Background: Clinical Facts Acquired in the Visit

    28.2 Conclusions: Cardiological Interpretation

    28.3 Cardiological Suggestions in the Cancer Patient

    28.3.1 Drug Prescription

    28.3.2 Cardiovascular Exams and Invasive Procedures

    28.3.3 Anticancer Treatment Discontinuation for Cardio-toxicity

    28.4 The Equilibrium Between Cardiological and Oncologic Needs

    28.5 Messages to the Patient


    29: What the General Practitioner Needs to Know: When to Consult the Cardiologist and/or the On

    29.1 Introduction

    29.1.1 What the General Practitioner Can Do to Solve These Problems

    29.2 Deep-Vein Thrombosis (DVT)

    29.2.1 Diagnosis

    29.2.2 Treatment

    29.2.3 Recurrent DVTs in Cancer Patients

    29.2.4 DVT Prevention

    29.2.5 Central Venous Catheters (CVCs)

    29.3 Long-Term Side Effects

    29.4 Drug Interactions

    29.5 Most Frequent Cardiac Problems in Cancer Patients

    29.6 Dyspnoea

    29.6.1 Causes of Dyspnoea [22]

    29.6.2 Assessment of Dyspnoea

    29.6.3 Investigations (Personalised for Each Individual Patient)

    29.6.4 Management of Dyspnoea

    General Measures

    Treatment of Reversible Causes and Disease-Specific Measures [22]

    Symptomatic Measures: Drugs

    Symptomatic, Non-pharmacological Measures [22]

    29.7 Peripheral Oedema

    29.7.1 Treatment

    29.8 Superficial Thrombophlebitis

    29.8.1 Superficial Thrombophlebitis in a Healthy Vein




    29.8.2 Superficial Thrombophlebitis in a Varicose Vein



    29.8.3 Superficial Thrombophlebitis of the Great Saphenous Vein Progressing into the Deep Femora

    29.8.4 Superficial Thrombophlebitis of the Small and Great Saphenous Veins not Extending to the

    29.8.5 Superficial Thrombophlebitis Affecting Other Parts of the Body



  • 1,09200lei 960.00 lei



    From anatomy and diagnostic criteria through specific mapping and ablation techniques, Catheter Ablation of Cardiac Arrhythmias, 4th Edition, covers all you need to know in this fast-changing field. Ideal for practitioners who need a comprehensive, user-friendly ablation text for the electrophysiology lab or office setting, this authoritative reference offers quick access to practical content, using dynamic videos, detailed tables, and high-quality images to help you apply what you learn in your practice.

    Table Of Contents:




    1. Biophysics and Pathophysiology of Radiofrequency Lesion Formation

    2. Guiding Lesion Formation During Radiofrequency Energy Catheter Ablation

    3. Irrigated Radiofrequency Catheter Ablation

    4. Catheter Cryoablation: Biophysics and Clinical Applications

    5. Cardiac Anatomy for Catheter Mapping and Ablation of Arrhythmias


    6. Fundamentals of Intracardiac Mapping

    7. Catheter Three-Dimensional Mapping Systems

    8. Remote Catheter Navigation Systems

    9. Intracardiac Echocardiography, Computed Cardiac Tomography, and Magnetic Resonance Imaging for Guiding Mapping and Ablation


    10. Ablation of Focal Atrial Tachycardias

    11. Ablation of Cavo-Tricuspid Isthmus-Dependent Atrial Flutter

    12. Ablation of Nonisthmus-Dependent Flutters and Atrial Macroreentry

    13. Ablation of Postoperative Atrial Tachycardia in Congenital Heart Disease


    14. Pulmonary Vein Isolation for Atrial Fibrillation

    15. Pulmonary Vein Isolation by a Cryoballoon Catheter

    16. Ablation of Non-Pulmonary Vein Triggers

    17. Substrate-Based Ablation for Atrial Fibrillation

    18. Ablation of AF Drivers: Focal Impulse and Rotor Modulation (FIRM)

    19. Ablation of Persistent and Long-Lasting Persistent Atrial Fibrillation

    20. Epicardial and Endocardial Hybrid Ablation for Atrial Fibrillation


    21. Ablation of Atrioventricular Junctional Tachycardias: Atrioventricular Nodal Reentry, Variants, and Focal Junctional Tachycardia

    22. Atrioventricular Junction Ablation for Heart-Rate Control of Atrial Fibrillation


    23. Ablation of Free-Wall Accessory Pathways

    24. Ablation of Posteroseptal Accessory Pathways

    25. Ablation of Superoparaseptal and Midseptal Accessory Pathways

    26. Ablation of Atriofascicular Accessory Pathways and Variants

    27. Special Problems in Ablation of Accessory Pathways


    28. Ablation of Ventricular Outflow Tract Tachycardias

    29. Ablation of Idiopathic Left and Right Ventricular and Fascicular Tachycardias

    30. Ablation of Ventricular Tachycardia in Coronary Artery Disease

    31. Ablation of Ventricular Tachycardia Associated with Nonischemic Cardiomyopathy

    32. Ablation of Unstable Ventricular Tachycardia and Idiopathic Ventricular Fibrillation

    33. Substrate-Based Ablation for Ventricular Tachycardia

    34. Epicardial Approach to Catheter Ablation of Ventricular Tachycardia

    35. Ablation of Ventricular Tachycardia with Congenital Heart Disease

    36. Ablation of Genetically Triggered Ventricular Tachycardia

    37. Ablation of Ventricular Tachycardia with Percutaneous Hemodynamic Support


    38. Complications Associated with Radiofrequency Catheter Ablation of Arrhythmias

    39. Atrial Transseptal Catheterization

    40. Special Considerations for Ablation in Pediatric Patients



  • 44000lei 400.00 lei

     Get a quick, expert overview of the many key facets of adult congenital heart disease (ACHD) with this concise, practical resource by Drs. Seshadri Balaji, Ravi Mandapati, and Gary Webb. This easy-to-read reference presents a case-based approach to this fascinating and complex field.


                 Presents cases provided by ACHD specialists of patients with arrhythmia issues, which are evaluated by an international panel of arrhythmia experts.

                 Provides commentary and practical guidance on management of complex cases by today’s leaders in the field.

                 Consolidates today’s available information and experience in this emerging area into one convenient resource.

    Table Of Contents:

    1. Sudden death risk in congentially corrected transposition with ventricular dysfunction

    2. Complex transposition with risk of sudden death while awaiting transplant

    3. Atrial flutter in a repaired Tetralogy of Fallot patient with unusual venous anatomy

    4. Unrepaired primum atrial septal defect with atrial fibrillation and broad complex tachycardia

    5. Ebstein’s Anomaly after tricuspid valve replacement needing pacemaker implantation

    6.  Transposition with atrial switch and risk of sudden death

    7. Ebstein's anomaly with atrial tachycardia

    8. Resynchronization therapy and sudden death management in congentially corrected transposition

    9. Post-Maze atrial tachcyardia

    10. Fontan patient with Brady and Tachyarrhythmia issues

    11. Transposition with Mustard operation patient with risk of sudden death

    12. Complex congenital heart disease with brady-tachy syndrome and anti-tachycardia pacing

    13. Tetralogy of Fallot and Biventricular Heart Failure

    14. Transposition patient with Mustard’s operation and brady-tachy issues

    15. A criss-cross heart with brady-tachy issues

    16. Repaired complete atrio-ventricular septal defect patient with late bradyarrhythmia

    17. Post Ventricular septal defect repair with bradyarrhythmias and 

  • 1,38600lei 1200.00 lei



    The third edition of this established reference is the product of the combined efforts of many professionals – obstetricians, pediatric cardiologists, sonographers, molecular biologists, and medical physicists – and is a comprehensive guide intended for anyone interested in scanning the fetal cardiac system.



    Table of Contents:


    List of contributors

    1. Cardiac morphogenesis

    2. Cardiac anatomy and examination of specimens

    3. Placental implantation and development

    4. Placental circulations

    5. Technical advances in fetal echocardiography

    6. Epidemiology of congenital heart disease: Etiology, pathogenesis, and incidence

    7. Indications for fetal echocardiography: Screening in low- and high-risk populations

    8. Circulation in the normal fetus and cardiovascular adaptations to birth

    9. Development of fetal cardiac and extracardiac Doppler flows in early gestation

    10. Examination of the normal fetal heart using two-dimensional echocardiography

    11. The three vessel and tracheal view

    12. First and early second trimester fetal heart screening

    13. Four-dimensional ultrasound examination of the fetal heart using spatiotemporal image correlation (STIC)

    14. Three- and four-dimensional ultrasound in fetal echocardiography: A new look at the fetal heart

    15. Magnetic resonance imaging: Techniques and normal fetal cardiovascular physiology

    16. Magnetic resonance imaging: Abnormalities of the fetal circulation

    17. Abnormal visceral and atrial situs and congenital heart disease

    18. Cardiac malpositions and syndromes with right or left atrial isomerism

    19. Pulmonary vein anomalies

    20. Ebstein malformation and tricuspid valve pathology

    21. Intracardiac shunt malformations

    22. Atrioventricular septal defect (“atrioventricular canal”)

    23. Double-inlet ventricle

    24. Lesions of the right heart

    25. Ventricular outflow tract anomalies (“conotruncal anomalies”)

    26. Tetralogy of Fallot

    27. Double-outlet right ventricle

    28. Truncus arteriosus

    29. Transposition of the great arteries

    30. Left heart malformations

    31. Aortic arch anomalies

    32. Coarctation of the aorta and interrupted aortic arch

    33. Diseases of the myocardium, endocardium, and pericardium during fetal life and cardiomyopathy in the fetus

    34. Ultrasound examination of the fetal coronary circulation

    35. The fetal venous system: Normal embryology, anatomy, and physiology and the development and appearance of anomalies

    36. Fetal cardiac tumors

    37. The fetal thymus

    38. Extracardiac Doppler investigation in fetuses with congenital heart disease

    39. Electrophysiology for the perinatologist

    40. Fetal bradycardia

    41. Fetal tachyarrhythmia

    42. Cardiac diseases in association with hydrops fetalis

    43. Congestive heart failure in the fetus

    44. Twin-twin transfusion syndrome: Impact on the cardiovascular system

    45. Fetal interventions for congenital heart disease

    46. Doppler evaluation in fetal growth restriction

    47. Venous flow dynamics: Intrauterine growth restriction and cardiac decompensation

    48. Evaluation of fetal cardiac function: Techniques and implications

    49. Genetics and cardiac anomalies

    50. Cardiac defects in chromosomally abnormal fetuses

    51. Associated anomalies in congenital heart disease

    52. Chromosome microarray analysis of the fetal heart

    53. Congenital cardiovascular malformations and the fetal and neonatal circulation

    54. Intrapartum evaluation of fetal well-being

    55. Intrapartum and delivery room management of the fetus with congenital heart disease

    56. The neonate with congenital heart disease: Medical and interventional management

    57. Infants with congenital heart disease in the first year of life

    58. Neurodevelopment in congenital heart disease: Intrauterine Doppler and fetal and neonatal magnetic resonance imaging

    59. Postnatal neurodevelopment in congenital heart disease: Short- and long-term neurodevelopment and interventions

    60. Genetic counseling in families with congenital heart defects

    61. Cardiac disease in pregnancy

    62. Maternal diseases and therapies affecting the fetal cardiovascular system




  • Operative Cardiac Surgery
    La comanda in aproximativ 4 saptamani
    1,82000lei 1500.00 lei

     The sixth edition of this acclaimed and established operative atlas continues to provide a unique level of comprehensive detail on operative surgery of the heart and great vessels.

    With an international list of authors, the chapters have been updated and complemented by the same high quality artwork that has established this operative guide as the gold standard reference for the cardiac surgeon.

    This new edition retains the format of initial principles and justification for the procedure, followed by preoperative investigations and preparation, the operative procedure, and postoperative management. New chapters have been added on the latest techniques such as minimal invasive surgery, robotic surgery and off-pump bypass surgery.

    The chapters are arranged in seven sections, with each section emphasising the overall management of patients, tricks of the trade of individual authors and discussion of technical and clinical judgement.

    With this new and updated edition, Operative Cardiac Surgery remains the pre-eminent operative guide to a full range of cardiac conditions.

    Video clips of cardiac procedures, both common and rare, are included within the VitalSource edition.

  • 57200lei 500.00 lei



    Patients with cardiac conditions routinely present for noncardiac surgeries, requiring special protocols for perioperative assessment and management by the anesthesiologist. Essentials of Cardiac Anesthesia for Noncardiac Surgery: A Companion to Kaplan’s Cardiac Anesthesia provides current, easily accessible information in this complex area, ideal for general anesthesiologists and non-cardiac subspecialists. From preoperative assessment through postoperative care, this practical reference covers all perioperative approaches to today’s patients with cardiac conditions.

    Table Of Contents:

    Kaplan's Essentials of Cardiac Anesthesia for Noncardiac Surgery

    Section 1

    1. Perioperative Cardiovascular Evaluation and Management for Noncardiac Surgery

    2. Perioperative Approach to the High-Risk Cardiac Patient

    3. Care of the Patient with Coronary Stents Undergoing Noncardiac Surgery

    4. Cardiovascular Implantable Electronic Device Management in Noncardiac Surgery

    5. The LVAD-Supported Patient Presenting for Non-Cardiac Surgery

    6. Patients with Prior Heart Transplants for Noncardiac Surgery

    7. Pulmonary Hypertension in Noncardiac Surgical Patients

    8. Adult Congenital Heart Disease in Noncardiac Surgery

    Section 2

    9. Cardiovascular Monitoring in Noncardiac Surgery

    10. Echocardiography in Noncardiac Surgery

    11. Cardiovascular Pharmacology

    12. General Anesthesia, Regional Anesthesia, and Monitored Anesthesia Care for Cardiac Patients

    13. Vascular Surgery: Endovascular and Open Surgery

    14. The Cardiac Patient for Thoracic Noncardiac Surgery

    15. Anesthesia for Cardioversion and Electrophysiologic Procedures

    16. Cardiac Patients Requiring Emergent Non-Cardiac Surgery

    17. Cardiac Patients for Transplant Operations

    18. The Pregnant Patient with Cardiac Disease

    19. Goal-Directed Fluid Therapy, Perioperative Pain Management, and Enhanced Recovery

    Section 3

    20. Management of Cardiovascular Problems in the Postanesthesia Care Unit

    21. Critical Care Medicine in the Operating Room and Intensive Care Unit

    22. Perioperative Care to Reduce Major Adverse Cardiac Events and Mortality in Noncardiac Surgery



  • Cardiac Intensive Care, 3e
    La comanda in aproximativ 4 saptamani
    1,04500lei 840.00 lei



    Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field.

    Table Of Contents:

    Section I. Introduction

    1. Evolution of the Coronary Care Unit: Past, Present, and Future

    2. Ethical Issues of Care

    3. Physical Examination

    Section II. Scientific Foundation of Cardiac Intensive Care

    4. The Role of the Cardiovascular System in Coupling the External Environment to Cellular Respiration

    5. Regulation of Cardiac Output

    6. Coronary Physiology and Pathophysiology

    7. Pathophysiology of Acute Coronary Syndromes: Plaque Rupture and Atherothrombosis

    8. Regulation of Hemostasis and Thrombosis

    Section III. Coronary Artery Disease

    Acute Myocardial Infarction

    9. Diagnosis of Acute Myocardial Infarction

    10. Use of the Electrocardiogram in Acute Myocardial Infarction

    11. Reperfusion Therapies for Acute ST- Elevation Myocardial Infarction

    12. Adjunctive Pharmacologic Therapies in Acute Myocardial Infarction

    Complications of Acute Myocardial Infarction

    13. Post-Myocardial Infarction Cardiogenic Shock

    14. Right Ventricular Infarction

    15. Mechanical Complications of Acute Myocardial Infarction

    16. Supraventricular and Ventricular Arrhythmias in Acute Myocardial Infarction

    17. Conduction Disturbances in Acute Myocardial Infarction

    Complications of Percutaneous Interventional Procedures

    Section IV. Noncoronary Diseases: Diagnosis and Management

    18. Acute Heart Failure and Pulmonary Edema

    19. Acute Fulminant Myocarditis

    20. Stress (Takotsubo) Cardiomyopathy

    21. Distributive Shock

    22. Cardiorenal Syndrome

    23. Sudden Cardiac Death

    24. Diagnosis and Treatment of Ventricular Tachycardia

    25. Diagnosis and Treatment of Unstable Supraventricular Tachycardia

    26. Acute Presentations of Valvular Heart Disease

    27. Hypertensive Emergencies

    28. Acute Aortic Syndromes: Diagnosis and Management

    29. Acute Pericardial Disease

    30. Acute Respiratory Failure

    31. Massive Acute Pulmonary Embolism

    32. Pulmonary Hypertension

    33. Hemodynamically Unstable Presentations of Congenital Heart Disease in Adults

    34. Overdose of Cardiotoxic Drugs

    Section V. Pharmacologic Agents in the Cardiac Intensive Care Unit

    35. Anticoagulation: Antithrombin Therapy

    36. Anti-platelet Therapy

    37. Inotropic and Vasoactive Agents

    38. Intensive Diuresis and Ultrafiltration

    39. Antiarrhythmic Electrophysiology and Pharmacotherapy

    40. Analgesics, Tranquilizers, and Sedatives

    41. Pharmacologic Interactions

    Section VI. Advanced Diagnostic and Therapeutic Techniques: Indications and Technical Considerations

    42. Central Venous Access Procedures

    43. Temporary Pacing

    44. Pericardiocentesis

    45. Invasive Hemodynamic Monitoring

    46. Temporary Mechanical Circulatory Support Devices

    47. Ventricular Assist Device Therapy in Advanced Heart Failure

    48. Heart Transplantation for Advanced Heart Failure

    49. Emergency Airway Management

    50. Mechanical Ventilation

    51. Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest

    52. Palliative Care



  • 90000lei 800.00 lei



    Part of the highly regarded Braunwald’s family of cardiology references, Clinical Arrhythmology and Electrophysiology, 3rd Edition, offers complete coverage of the latest diagnosis and management options for patients with arrhythmias. Expanded clinical content, clear illustrations, and dynamic videos keep you fully abreast of current technologies, new syndromes and diagnostic procedures, new information on molecular genetics, advances in ablation, and much more.


    Key topics such as inherited channelopathies; atrial fibrillation; ventricular tachycardia; hypertrophic cardiomyopathy, arrhythmogenic cardiomyopathy, and congenital heart disease.

    Dozens of videos depicting key mapping techniques, and fluoroscopy images illustrating techniques for electrophysiologic catheter positioning, atrial septal puncture, and pericardial access, cryoablation, and left atrial appendage exclusion procedures.

    Grounds clinical techniques in basic science for managing complex patients.

    Consistent organization, showing every arrhythmia in a similar manner for quick reference.

    New To This Edition:

    New management options with increased clinical content.

    Expert Consult™ 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.

    Table Of Contents:

    Issa: Clinical Arrhythmology and Electrophysiology 3e

    1. Molecular Mechanisms of Cardiac Electrical Activity

    2. Cardiac Ion Channels

    3. Electrophysiological Mechanisms of Cardiac Arrhythmias

    4. Electrophysiological Testing: Tools and Techniques

    5. Conventional Intracardiac Mapping Techniques

    6. Advanced Mapping and Navigation Modalities

    7. Ablation Energy Sources

    8. Sinus Node Dysfunction

    9. Atrioventricular Conduction Abnormalities

    10. Intraventricular Conduction Abnormalities

    11. Focal Atrial Tachycardia

    12. Typical Atrial Flutter

    13. Macroreetrant Atrial Tachycardia

    14. Atrial Tachyarrhythmias in Adults with Congenital Heart Disease

    15. Atrial Fibrillation

    16. Inappropriate Sinus Tachycardia

    17. Atrioventricular Nodal Reentrant Tachycardia

    18. Typical Atrioventricular Bypass Tracts

    19. Atypical Bypass Tracts

    20. Paroxysmal Supraventricular Tachycardias

    21. Wide Complex Tachycardias

    22. Ventricular Arrhythmias in Ischemic Heart Disease

    23. Idiopathic Focal Ventricular Tachycardia

    24. Fascicular Ventricular Tachycardia

    25. Ventricular Tachycardia in Nonischemic Dilated Cardiomyopathy

    26. Bundle Branch Reentrant Ventricular Tachycardia

    27. Epicardial Ventricular Tachycardia

    28. Arrhythmias in Hypertrophic Cardiomyopathy

    29. Ventricular Tachycardia in Arrhythmogenic Right Ventricular Cardiomyopathy

    30. Ventricular Arrhythmias in Adults with Congenital Heart Disease

    31. Ventricular Arrhythmias in Inherited Channelopathies

    32. Complications of Catheter Ablation of Cardiac Arrhythmias



  • The Echo Manual, 4e
    La comanda in aproximativ 4 saptamani
    96000lei 770.00 lei


    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.  Ideal for residents, fellows, and others who need a comprehensive, clinically focused understanding of echocardiography, The Echo Manual, 4th Edition, has been thoroughly revised with updated information, new chapters, and new video clips online. Written primarily by expert authorities from the Mayo Clinic, this best-selling reference remains a practical guide to the performance, interpretation, and clinical applications of today’s echocardiography.


    Table of Contents:



    1: Transthoracic M-mode and Two-Dimensional Echocardiography

    Two-Dimensional Echocardiography

    Parasternal Position

    Apical Position

    Subcostal Position

    Suprasternal Notch Position

    M-Mode Echocardiography


    2: Transthoracic Three-Dimensional Echocardiography


    3D Image Acquisition

    The Left Ventricle

    Validation Against cMRI

    Left Ventricular Mass

    3D Speckle Tracking Echocardiography

    Left Ventricular Shape

    The Right Ventricle

    Right Ventricular Shape

    The Left Atrium

    3D Imaging of the Valves

    Mitral Stenosis

    The Tricuspid Valve



    3: Transesophageal Echocardiography



    Preparation and Potential Complications


    Training of physicians and the Role of Sonographers

    Multiplane Transesophageal Echocardiography Imaging Views

    Primary Views

    Upper Esophageal Views

    Midesophageal Views

    Transgastric Views


    3D Transesophageal Echocardiography: Basic Concepts and Clinical Applications


    4: Doppler Echocardiography and Color Flow Imaging: Comprehensive Noninvasive Hemodynamic Assessment

    Doppler Echocardiography

    Pulsed Wave Doppler Echocardiography

    Left Ventricular Outflow Tract

    Mitral Inflow Velocity at the Tip

    Mitral Inflow Velocity at the Mitral Annulus

    Pulmonary Vein Velocity

    Right Ventricular Outflow Tract

    Hepatic Vein

    Superior Vena Cava

    Descending Thoracic Aorta

    Abdominal Aorta

    Continuous Wave Doppler Echocardiography

    Intracardiac Pressures

    RV or Pulmonary Artery Systolic Pressure

    Pulmonary Artery Diastolic Pressure

    Left Atrial Pressure

    Transvalvular And Intracavitary Gradients

    Color Flow Imaging

    Stroke Volume and Cardiac Output

    Pulmonary-Systemic Flow Ratio (QP/QS)

    Continuity Equation and Pisa

    Regurgitant Volume, Fraction, and Orifice Area

    Volumetric Method

    Proximal Isovelocity Surface Area (PISA) Method

    Pressure Halftime




    Interesting and Challenging Doppler Recordings


    5: Tissue Doppler and Strain Imaging

    Tissue Doppler Imaging

    Assessment of Myocardial Relaxation

    Evaluation of Regional and Global Systolic Function

    Cardiac Time Intervals

    Evaluation of Thick Walls

    E/e’ as a prognostic tool

    2-Dimensional Speckle Tracking Echocardiography (2D-STE)

    RV and LV Function

    Normal Values

    RV Function

    LV Function

    Hypertrophic Cardiomyopathy

    Athlete’s heart

    Amyloid Heart Disease: (See Chapter 18)


    Coronary Artery Disease/Ischemia


    Chronic Renal Failure

    Cardiac Transplant



    Valvular Heart Disease

    Evaluation of Dyssynchrony and Positive response to CRT

    Prediction of Clinical Outcome or Ventricular Arrhythmia

    LA and 3-D Speckled LV Strain


    6: Contrast Echocardiography

    Agitated Saline Contrast Echocardiography

    Evaluation of Shunts

    Augmentation of the Doppler Velocity Signal

    Miscellaneous Indications for Agitated Saline Contrast Echocardiography

    Echocardiogrpahy With Ultrasound Enhancing Agent (UEA)

    Contrast Agent–Ultrasound Interaction

    Ultrasound Enhancing Agent Administration and Imaging Protocols

    Clinical Applications of Contrast Echocardiography

    Left Ventricular Opacification and Enhancement of Definition of the Endocardial Border

    Off-Label Use of UEA for Myocardial Perfusion Imaging

    Safety and Contraindications of Ultrasound Enhancing Agents

    Noncardiac Applications of Contrast Ultrasound Imaging



    7: Quantification of Left-sided Cardiac Chambers: Mass, Volumes, and Ejection Fraction

    Left Ventricular Size and Shape

    Left Ventricular Linear Dimensions

    Left Ventricular Mass and Geometry

    Linear Method of LV Mass

    Area-length and Truncated Ellipsoid Methods of LV Mass

    Direct Volume-Based Measure of LV Mass

    LV Shape

    LV Volume Assessment

    2D Volumes

    3D Volumes

    LV Systolic Function

    Ejection Fraction

    Fractional Shortening

    Stroke Volume

    Systolic Velocity of Myocardial Tissue or Mitral Annulus (Tissue Doppler and Strain Imaging)

    Regional Wall Motion Analysis

    Speckle-Tracking Echocardiography

    Left Atrial Size and Volume

    La Contractility


    8: Assessment of Diastolic Function

    Diastolic Function

    Two-Dimensional Echocardiography

    Doppler Flow Velocities

    Mitral Flow Velocities

    Mitral Annulus Velocities

    Mitral Inflow Propagation Velocity (Vp)

    Pulmonary Vein Flow Velocities

    Tricuspid Flow Velocities

    Tricuspid Regurgitation Velocity

    Hepatic Vein Flow Velocities

    Superior Vena Cava Flow Velocities

    Cardiac Time Intervals

    Index of Myocardial Performance (Tei Index)

    Time Interval from the Onset of Mitral Inflow to the Onset of Early Diastolic Mitral Annulus Velocity

    Techniques for Diastolic Doppler Parameters

    Grading of Diastolic Dysfunction (OR Diastolic Filling Pattern)

    ASE/EACVI Recommendation for Diastolic Function Evaluation

    Normal Diastolic Filling Pattern

    Abnormal Patterns

    Strain Imaging for Diastolic Function Assessment

    Evaluation of Diastolic Function in Specific Situations

    Atrial Fibrillation and Sinus Tachycardia

    Hypertrophic Cardiomyopathy

    Restrictive Cardiomyopathy Vs Constrictive Pericarditis

    Valvular Heart Diseases

    Mitral Annulus Calcification

    Diastolic Exercise Test

    Clinical Applications of Diastolic Function Evaluation


    9: Right Heart Assessment and Pulmonary Hypertension

    Right Atrial Size

    Right Ventricle

    Right Ventricular Wall Thickness

    Right Ventricular Linear Dimensions

    Right Ventricular Volumes

    Right Ventricular Systolic Function

    Longitudinal Measures of Right Ventricular Systolic Function

    TAPSE and S′

    RV Strain Imaging

    Myocardial Performance Index

    RV 2D Fractional Area Change

    RV 3D Ejection Fraction

    Pulmonary Artery Imaging

    Pulmonary Veins

    Pulmonary Vein Stenosis

    Pulmonary Artery Hemodynamics

    PA Systolic Pressure

    PA Diastolic Pressure

    Mean PA Pressure

    Caveats In Pulmonary Artery Pressure Calculation

    Rvot Doppler Profile

    Pulmonary Vascular Resistance

    Pulmonary Vascular Capacitance

    Determination of Type of Pulmonary Hypertension by Echocardiography

    Mitral Inflow Velocity Pattern in Pulmonary Hypertension

    Assessing Severity of Pulmonary Hypertension by Echocardiography

    Acute Cor Pulmonale and Pulmonary Embolism

    Transthoracic Echocardiography

    Transesophageal Echocardiography

    Echocardiography in Liver Disease

    New Treatment for Chronic Thromboembolic Pulmonary Hypertension


    10: Cardiomyopathies

    Dilated Cardiomyopathy

    Two-Dimensional Echocardiography

    Doppler (Pulsed Wave, Continuous Wave, Tissue Doppler) and Color Flow Imaging

    Echocardiography in the Management of Dilated Cardiomyopathy

    Hypertrophic Cardiomyopathy

    Two-Dimensional and M-Mode Echocardiography

    Doppler (Pulsed Wave, Continuous Wave) and Color Flow Imaging

    Septal Reduction Therapy

    Transesophageal Echocardiography and Three-Dimensional Echocardiography


    Athlete Heart Versus Hypertrophic Cardiomyopathy

    Restrictive Cardiomyopathy

    Arrhythmogenic Right Ventricular Dysplasia or Cardiomyopathy

    Noncompaction Cardiomyopathy (Isolated Left Ventricular Noncompaction)


    11: Heart Failure, LVAD, and Transplantation

    Algorithm for Using Echocardiography in Heart Failure

    Heart Failure with Reduced EF

    Heart Failure with Preserved EF

    High-Output Heart Failure

    Echocardiography In Lvad Recipients—The Cardiac “Chimera”

    Continuous LVAD Hemodynamics

    The Trade-Off Between Pump Output and Flow Pulsatility

    LV and LA Unloading

    Aortic Valve Opening Status

    Hemodynamic Impact of the LVAD on Right-Sided Chambers

    Role of Echocardiography in LVAD Patients

    Preoperative Evaluation

    Evaluation of the Left Heart Chambers

    Right Ventricular Function and TR

    Aortic Regurgitation

    Patent Foramen Ovale

    Postoperative Assessment

    Postoperative Evaluation of Left Heart Chambers

    Right Ventricular Function and TR

    Assessment of Aortic and Mitral Regurgitation

    Pump Flow and Total Cardiac Output

    Postoperative Instability

    Impeller Thrombosis

    Cannula Kinking or Obstruction (Fig. 11-15)

    Long-Term Echo Considerations in Patients with LVAD

    Optimal LVAD Settings—“RAMP Studies”

    Assessment of Clinical Deterioration or Abnormal LVAD Parameters Associated with LVAD Dysfunction

    Low Forward Cardiac Output and Low Pump Flow with Increased Systolic/Diastolic (S/D) Velocity Ratio

    Low Forward Cardiac Output and Low Pump Flow with Low Cannula Flow and Aortic Valve Opening Every Cycle

    Low Forward Cardiac Output, Low Pump Flow with Low Cannula Flow and Aortic Valve Permanently Closed

    High Pump Flow with Low Forward Cardiac Output

    Myocardial Recovery

    Heart Transplantation


    12: Pericardial Diseases

    Congenitally Absent Pericardium

    Pericardial CYST

    Pericardial Effusion and Tamponade

    Echocardiographically Guided Pericardiocentesis

    Pericardial Effusion Versus Pleural Effusion

    Pericardial Fat

    Constrictive Pericarditis

    Mayo Clinic Diagnostic Criteria for Constriction

    Cautions and Caveats in the Diagnosis of Constriction

    Differentiation from Restrictive Cardiomyopathy and Other Mimickers

    Effusive-Constrictive Pericarditis

    Transient Constrictive Pericarditis

    Transesophageal Echocardiography

    3D Echocardiography in Pericardial Disease

    Cardiac CT, MRI, AND Nuclear Imaging

    Clinical Impact of Echocardiography on Pericardial Diseases


    13: Native Valvular Heart Disease

    Aortic Stenosis

    Two-Dimensional and M-Mode Echocardiography

    Doppler Echocardiography

    Definition of Severe Aortic Stenosis

    Types of Severe Aortic Stenosis

    Dobutamine Echocardiography in Low-Flow Low-Gradient Severe Aortic Stenosis


    What Is Normal LVEF in Aortic Stenosis?

    Diastolic Function and Strain Imaging in Aortic Stenosis

    Severe Pulmonary Hypertension with Severe Aortic Stenosis

    Natural History and Progression of Aortic Stenosis

    Role of Exercise in Patients with Aortic Stenosis

    Transesophageal Echocardiography

    Clinical Implications

    Mitral Stenosis

    Two-Dimensional and M-Mode Echocardiography

    Three-Dimensional Echocardiography

    Doppler and Color Flow Imaging

    Definition of Mitral Stenosis Severity


    Exercise Hemodynamics

    Transesophageal Echocardiography

    Strain Imaging

    Tricuspid Stenosis

    Pulmonary Stenosis

    Aortic Regurgitation

    Two-Dimensional and M-Mode Echocardiography

    Doppler and Color Flow Imaging

    Mitral Regurgitation

    The Carpentier Classification

    Mitral Valve Prolapse and Flail

    Functional Mitral Regurgitation

    Semiquantitative Assessment of MR Severity

    Volumetric Assessment of MR Severity

    Proximal Isovelocity Surface Area (PISA) Method for MR Severity

    Simplification of the PISA Method

    MR Severity Criteria

    Exercise Echocardiography for MR

    Transesophageal Echocardiography

    Tricuspid Regurgitation

    Two-Dimensional and M-Mode Echocardiography

    Doppler and Color Flow Imaging

    Pulmonary Regurgitation

    Timing of Surgery for Valvular Disease


    14: Prosthetic Valve Evaluation

    Two-Dimensional Echocardiography

    Doppler Echocardiography

    Timing of Echocardiography after Implantation


    Prosthesis-Patient Mismatch

    Calculation of Prosthetic Effective Orifice Area

    Thrombolytic Therapy for Prosthetic Valve Obstruction

    Anticoagulation and Antiplatelet Therapy for Prosthetic Valves


    Transesophageal Echocardiography

    Hemolysis After Mitral Valve Repair or Replacement

    Clinical Impact


    Transcatheter Valve Replacement


    15: Infective Endocarditis

    Predisposing Conditions and Clinical Presentation

    Diagnosis of Infective Endocarditis

    Echocardiographic Imaging


    Local Valvular Destruction

    Perivalvular Extension of Infection


    Approach to Echocardiographic Imaging


    16: Stress Echocardiography

    Historical Perspective



    Mayo Clinic Experience

    The Stress Echo Team


    Image Acquisition

    Image Interpretation

    Exercise Echocardiography

    Dobutamine Stress Echocardiography

    Dobutamine/Pacing Stress Echocardiography

    Dipyridamole Stress Echocardiography

    Diagnostic Accuracy

    Hypertensive Blood Pressure Response During Stress Echo

    Assessment of Myocardial Viability

    Diastolic Stress Echocardiography

    Hemodynamic Supine Bike for Valvular Heart Diseases

    Hypertrophic Cardiomyopathy

    Dobutamine Echo For Low-Flow, Low-Gradient Aortic Stenosis

    Risk Stratification

    Recent Advances and Future Directions


    17: Coronary Artery Disease, Acute Myocardial Infarction, Takotsubo Syndrome

    Evaluation of Chest Pain Syndrome

    Acute Myocardial Infarction

    Infarct Size and LV Remodeling

    MI Complications and Cardiogenic Shock

    Right Ventricular Infarct

    Ventricular Septal Rupture

    Papillary Muscle Rupture

    Secondary Functional Mitral Regurgitation

    Acute Dynamic Left Ventricular Outflow Tract Obstruction

    True Ventricular Aneurysm and Thrombus

    Free Wall Rupture and Pseudoaneurysm

    Pericardial Effusion and Tamponade

    Acute Myocardial Infarction with Normal Coronary Arteries, Including “Takotsubo” or Apical Ballooning Syndrome

    Diastolic Function in CAD

    Risk Stratification

    Evaluation of the Coronary Arteries and Flow Reserve


    18: Cardiac Diseases Due to Systemic Illness, Genetics, or Medication

    Infiltrative Disorders



    Endocrine Disorders

    Thyroid disease



    Inflammatory Diseases

    Ankylosing Spondylitis

    Behçet Disease

    Rheumatoid Arthritis

    Systemic Lupus Erythematosus

    Systemic Sclerosis (Scleroderma)

    Giant Cell Arteritis

    Granulomatosis with Polyangiitis

    Churg-Strauss Syndrome

    Hereditary—Connective Tissue Disease

    Marfan Syndrome

    Ehlers-Danlos syndrome—Type IV

    Loeys-Dietz Syndrome

    Hereditary—Neuromuscular Diseases

    Duchenne Muscular Dystrophy

    Friedreich Ataxia

    Storage Diseases

    Fabry Disease


    Infectious Diseases and the Heart


    Human Immunodeficiency Virus

    Chagas Disease

    Diseases Secondary to Systemic Therapies

    Drug-Induced Cardiac Diseases

    Radiation-Induced Cardiac Diseases

    Miscellaneous Systemic Diseases

    Hypereosinophilic Syndrome

    Renal Failure

    Liver Disease


    19: Cardiac Tumors and Masses






    Malignant Tumors of the Heart

    Nonneoplastic Masses

    Papillary Fibroelastoma

    Hamartoma of Mature Cardiac Myocytes




    20: Diseases of the Aorta

    Aortic Aneurysm

    Thoracic Aortic Aneurysm

    Sinus of Valsalva Aneurysm

    Abdominal Aortic Aneurysm

    Aortic Atherosclerosis

    Acute Aortic Syndromes

    Aortic Dissection


    Penetrating Aortic Ulcer

    Aortic Intramural Hematoma

    Incomplete Aortic Rupture


    Aortic Tumor and Mass

    Coarctation of the Aorta


    21: Congenital Heart Disease

    Segmental Approach to Congenital Heart Defects

    Image Orientation in Congenital Heart Defects

    Clinical Presentations of Congenital Heart Defects

    Prenatal and Neonatal

    Pediatric and Adult Presentations of Congenital Heart Disease

    Malformations Associated with Shunt Physiology

    Atrial Septal Defects

    Atrioventricular Septal Defects—Complete and Partial Forms

    Ventricular Septal Defects

    Anomalous Pulmonary Venous Connections

    Anomalous Systemic Veins

    Patent Ductus Arteriosus

    Obstruction to Blood Flow

    Coarctation of the Aorta

    Ventricular Outflow Tract Obstruction

    Coronary Artery Fistulae

    Complex Congenital Cardiac Malformations

    Ebstein Anomaly

    Tetralogy of Fallot

    Complete Transposition of the Great Arteries

    Congenitally Corrected Transposition of the Great Arteries

    Univentricular Atrioventricular Connections


    22: Interventional Echocardiography

    Interventional Echocardiography and Structural Heart Disease

    Interventional Echocardiography: Basic Principles

    Radiation Safety

    Transcatheter Aortic Valve Replacement

    Preprocedure Echocardiographic Evaluation

    Intraprocedural Echocardiography

    TEE Guidance of Transseptal Puncture

    Transcatheter Closure of Prosthetic Valve Paravalvular Regurgitation

    Baseline Echocardiographic Assessment of PVR

    TEE Localization of Mitral PVR or Periprosthetic Leak

    Procedural Imaging for PVR Closure

    Transcatheter Edge-to-Edge Mitral Valve Repair

    Preprocedure Imaging for Edge-to-Edge TMVR

    Procedural Imaging for Edge-to-Edge TMVR

    Transcatheter Mitral Valve Replacement

    Transcatheter Left Atrial Appendage Occlusion

    Preprocedural Assessment for LAA Occlusion

    Procedural Guidance During LAA Occlusion

    Echocardiographic Follow-Up Imaging Postimplant


    23: Adult Intraoperative Echocardiography

    IOTEE Importance in Cardiac Surgery

    IOTEE Importance in Noncardiac Surgery

    IOTEE Implementation in Cardiac Surgery

    General Considerations

    Aortic Stenosis

    Aortic Regurgitation

    Tricuspid Regurgitation

    Mitral Valve Regurgitation

    Mitral Valve Repair

    Mitral Valve Replacement

    Hypertrophic Cardiomyopathy



    24: Intracardiac and Intravascular Ultrasound

    Intracardiac Echocardiography

    Detailed Description of ICE Examination

    Three- and Four-Dimensional Intracardiac Echocardiography

    Applications of Intracardiac Echocardiography

    Electrophysiology Procedures

    Device Closure Procedures

    Paravalvular Leak

    Other Applications

    Intravascular Ultrasound (IVUS)


    25: Vascular Tonometry and Imaging for Cardiovascular Risk Assessment

    Arterial Tonometry

    Aortic Pulse Wave Velocity

    Central (Aortic) Blood Pressure


    Carotid Ultrasound for Intima-Media Thickness and Plaque

    Brachial Artery Reactivity Testing



    26: Handheld Cardiac and Point-of-Care Ultrasound



    Historical Development

    Current Models

    Diagnostic Capabilities

    Operator Experience

    Diagnostic Strengths

    Diagnostic Limitations

    Handheld Cardiac Ultrasound as an Extension of the Physical Examination

    Point-of-Care Lung Ultrasound

    Point-of-Care Ultrasound in Critical Care

    Handheld Cardiac Ultrasound in Medical Education

    Appropriate Use



    27: Physics of Ultrasound

    Ultrasound Physics

    Ultrasound Imaging Systems and Controls

    Imaging Artifacts

    Echocardiographic Examination

    Digital Echocardiography

    Echocardiography Report


    28: The Future of Echocardiography

    General Aspects

    The Future of Echocardiography in Ischemic Heart Disease

    Assessment of Left Ventricle Function and Geometry Using 3DE

    Hybrid Imaging with Coronary Tomography and 3D Speckle-Tracking Stress Echocardiography Fusion

    The Future of Echocardiography in Valvular Heart Disease

    Echocardiography in the Assessment of Valve Stenosis

    Echocardiography in the Assessment of Valve Regurgitation

    Repercussion of Valve Lesions on Cardiac Function

    Semiautomated Valve Software Analysis

    The Future of Echocardiography in Structural Heart Disease Interventions

    Percutaneous Closure of Interatrial Shunts

    Left Atrial Appendage Closure

    Percutaneous Closure of Paravalvular Leakages

    Transcatheter Aortic Valve Replacement

    Percutaneous Mitral Valve Repair

    Other Future Perspectives

    Hypertrophic Cardiomyopathy

    Flow Visualization through Echocardiography

    Conclusions/Final Remarks


    29: Artificial Intelligence and Echocardiography: Current Status and Future Directions

    Learning and Validation

    Limitations of AI Systems

    AI-Guided Examination

    Image Analysis

    Echocardiographic Measurements

    Comprehensive Echocardiography Reporting Using AI

    AI-Enhanced Echo Reading

    Future Directions






  • Interactive Electrocardiography
    La comanda in aproximativ 4 saptamani
    67000lei 550.00 lei

    Improve your electrocardiogram interpretation skills with this outstanding workbook/electronic resource! Interactive Electrocardiography, 3rd Edition is an ideal learning tool for expanding and refining your interpretation skills at any level. A comprehensive collection of common and uncommon electrocardiograms works seamlessly with an interactive electronic tutorial to provide an easy-to-use learning resource and navigable reference library for healthcare workers of differing specialties and experience. 500 common and uncommon ECGs (300 are new!) are grouped into three levels of complexity: beginning, intermediate, and advanced ? perfect for systematic review at your own pace. Unique electronic features include tracings with labeled color-coded annotation arrows and accompanied by a clinical history, interpretation, and list of diagnostic keywords. The keywords can be used for quick searches when retrieving examples of specific electrocardiogram findings and diagnoses. The workbook contains life-size reproductions of each electrocardiogram on the electronic tutorial. Simply examine the workbook, then code the answer electronically and receive immediate feedback. The electronic tutorial provides additional clinical information, expert author electrocardiogram interpretation, annotations, comments, key word listings, multiple-choice questions, and diagnostic categories unique for each tracing reinforcing key interpretation concepts. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

  • 90000lei 780.00 lei

    The Visual Guide to Neonatal Cardiology coves the spectrum of cardiac conditions that could occur in the neonate. Presented in seven sections the book covers: embryogenesis of the normal and abnormal hearts; anatomy and physiology of the neonatal heart as it relates to the fetal heart and the heart of an older child; epidemiology and genetics of cardiac defects;  approach to history–taking and physical examination of the newborn suspected to have cardiac disease;  manifestations of neonatal cardiac disease; non–invasive and invasive diagnostic tool to assess the neonatal heart; medical, electrophysiological, transcatheter and surgical treatment modalities for neonates with heart disease; and specific cardiac lesions that manifest in the neonatal age group.  

    This book:


    ·         Contains over X illustrations, including clinical photographs, chest roentgenograms, electrocardiograms, echocardiograms, angiocardiograms, 3D computed tomogramphy, magnetic resonance imaging, pathologic specimens, and other relevant visual aids

    ·         Discusses the natural history of fetal heart disease and the rationale, indications, technique, and impact of fetal cardiac intervention 

    ·         Reviews the anatomy and physiology of the neonatal cardiovascular system, including differences within the fetal, transitional, neonatal, child and adult circulatory system

    ·         Highlights key steps for taking a patient history, including detailed discussion of the cardiac examination such as, inspection, palpation and auscultation of heart sounds and murmurs 

    ·         Presents over 35 morphologic conditions with sections covering introduction, epidemiology, etiology with accepted or postulated embryogenesis, pathophysiology, clinical presentation, physical examination findings, diagnostic evaluation, management, and prognosis

    ·         Includes a neonatal formulary reviewing selected medications currently used for treatment of perioperative low cardiac output, congestive heart failure, pulmonary hypertension, sedation, pain and anticoagulation in neonates

    This book is an ideal resource for pediatric cardiologists, neonatologists, pediatric cardiac pathologists, fellows–in–training, residents, students, nurses, sonographers, technicians, and other professionals treating newborns with heart disease.  


  • Structural Heart Cases
    La comanda in aproximativ 4 saptamani
    76100lei 650.00 lei


    Using a practical, case-based format, this superbly illustrated atlas by Dr. Paul Sorajja is a comprehensive collection of more than 130 professional experiences in treating structural heart disease. Organized by pathology, each case presents key clinical points for practitioners at all levels, from beginner to expert. Cases are provided by interventionalists and surgeons with extensive hands-on experience, and edited by experts in the field


    Includes more than 130 cases covering the full range of structural procedures formitral valve disease, aortic valve disease, prosthetic valve disease, congenital heart disease, hypertrophic cardiomyopathy, and tricuspid disease.

    Features more than 500 detailed instructional images for quick visual comprehension of essential aspects of each case.

    Each case includes clinical information, diagnostic images, bulleted learning points, and explanations and rationales for every step of the procedure.

    Covers catheter-based therapy for structural heart disease - an increasingly important and rapidly growing therapy for valvular heart disease.

    Provides operator pitfalls and errors to help optimize success with each procedure.

    Allows practitioners at all levels of experience to explore, gain insight, and learn important keys for success.

    Expert Consult™ 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.

    Table Of Contents:

    Section I: Mitral disease
    Transcatheter repair
    1. Uncomplicated transcatheter mitral valve repair with MitraClip
    2. Commissural mitral regurgitation therapy
    3. Advanced steering in the left atrium for an aortic hugger
    4. Transcatheter repair of ruptured papillary muscle
    5. Optimal intraprocedural guidance for mitral therapy
    6. Challenges of transcatheter therapy for functional mitral regurgitation
    7. The zip-and-clip technique in transcatheter mitral valve repair
    8. Mitral annular calcification and transcatheter mitral valve repair
    9. Optimization for multiple clip placement
    10. Importance of hemodynamics for assessing residual regurgitation
    11. Use of low profile pressure wire for simultaneous left atrial pressure during repair
    12. Barlow's valve therapy
    13. Transcatheter mitral repair for cardiogenic shock
    14. A space too small for additional clipping
    15. Treatment of leaflet perforation with vascular plugs
    16. Occluder therapy for residual mitral regurgitation after transcatheter repair
    17. Clip-to-annuloplasty ring
    18. Transcatheter repair of severe mitral regurgitation after surgical annuloplasty
    19. Unsuccessful transcatheter repair after prior cardiac surgery
    20. MitraClip in a patient with radiation heart disease
    21. A difficult case of transcatheter mitral valve repair
    22. Stuck on the atrial septum
    23. Ensuring mitral leaflet insertion
    24. One of my most difficult transcatheter repair cases
    25. Single leaflet device attachment and clip embolization
    26. Lessons learned from a difficult MitraClip case
    27. Percutaneous treatment of ventricular dysfunction and secondary mitral regurgitation (Accucinch)
    28. Percutaneous annuloplasty for severe mitral regurgitation (MitraAlign)
    29. Left ventricular therapy for mitral regurgitation (Myocor)
    30. Coronary sinus approach for mitral regurgitation (Carillon)
    31. Plugging a hole near a mitral surgical ring
    32. Anatomical intelligence and image fusion for image guidance of transcatheter mitral valve repair
    Valve replacement
    33. Computed tomography imaging for transcatheter mitral replacement
    34. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Twelve)
    35. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Tendyne)
    36. Retrograde transcatheter mitral valve replacement for mitral regurgitation (Tiara)
    37. Antegrade valve replacement in severe mitral annular calcification
    38. Self expanding prosthesis for severe mitral annular calcification
    39. Retrograde valve replacement in severe mitral annular calcification with a rail
    40. Management of LVOT obstruction from mitral valve replacement
    41. Transcatheter valve placement in a mitral ring
    Balloon commissurotomy
    42. Hemodynamic assessment of mitral disease
    43. Balloon mitral valvuloplasty for rheumatic mitral stenosis
    44. Rupture of mitral valve with balloon mitral valvuloplasty
    45. The banking technique for Inoue balloon movement

    Section II Aortic valve disease
    Valve replacement
    46.  Caseous mitral annular calcification distorting the aortic annulus
    47. Transfemoral balloon-expandable transcatheter aortic valve replacement (Sapien 3)
    48. Double Valve Transcatheter Therapy for Mitral and Aortic Stenosis
    49. Transvenous antegrade transcatheter aortic valve replacement
    50. Valve embolization in transcatheter aortic valve replacement
    51. Transcatheter aortic valve therapy for ascending aortic dissection with aortic regurgitation
    52. Superior placement to overcome severe left ventricular outflow tract calcification
    53. Retrieval of transaortic sheath marker loss
    54. Left ventricular perforation during transcatheter aortic valve replacement
    55. Subaortic ring therapy
    56. Bicuspid aortic valve therapy - transcatheter challenges
    57. Transcatheter aortic valve-in-valve therapy with high risk of coronary obstruction
    58. A difficult case of transcatheter aortic valve replacement
    59. Valve embolization during transcatheter aortic therapy
    60. Transcaval transcatheter aortic valve replacement
    61. Subclavian management during transcatheter aortic valve replacement
    62. Rapid ventricular pacing and demise of left ventricular function
    63. Pure aortic regurgitation treatment
    64. Aortic regurgitation treatment in the presence of a left ventricular assist device
    65. Prosthetic valve thrombosis
    66. Fractures and twists during transcatheter aortic valve implantation
    67. Transcatheter aortic valve therapy without pre-procedural computed tomography

    Section III Prosthetic valve
    Paravalvular regurgitation
    68. Computed tomography for paravalvular leak closure
    69. Retrograde repair of aortic paravalvular regurgitation
    70. Retrograde repair of mitral paravalvular regurgitation
    71. Retrograde Repair of a Multi-Orifice Mitral Paravalvular Leak by Hopscotch Technique
    72. Antegrade repair of mitral paravalvular regurgitation
    73. Benefit of accurate transseptal puncture in paravalvular closure
    74. Challenging echocardiographic imaging for leak closure
    75. Coronary dissection from paravalvular leak closure
    76. Treatment of Coronary Obstruction after  Paravalvular Leak Closure
    77. Papillary muscle rupture during paravalvular leak closure
    78. Step up technique with coronary guidewire use for paravalvular leak closure
    79. The anchor wire technique for aortic paravalvular leak closure
    80. Venous-arterial rail and anchor
    81. Simultaneous plug placement for paravalvular leaks
    82. Closure of aorta to right ventricle fistula
    83. The aortic-arterial rail technique
    84. Repair of paravalvular regurgitation in a balloon-expanding prosthesis

    85. Mitral valve-in-valve therapy with an apical rail
    86. Antegrade mitral valve-in-valve therapy
    87. Bioprosthetic valve fracture at the time of valve-in-valve TAVR
    88. Self-expanding prosthesis for aortic valve-in-valve
    89. Small prosthesis therapy
    90. Transcatheter valve-in-valve therapy for tricuspid disease
    91. Complex self-expanding aortic valve therapy
    92. A very difficult case of valve-in-valve therapy
    93. Antegrade balloon-expandable valve for tricuspid valve-in-valve therapy
    94. Complex tricuspid valve-in-valve therapy
    95. Fusion imaging for apical access and mitral valve placement
    96. Fusion Imaging for Mitral Valve-in-Valve Replacement
    97. Challenging case of surgical mitral ring therapy

    Section IV Cardiomyopathy
    Hypertrophic cardiomyopathy
    98. Mitral valve abnormalities in hypertrophic cardiomyopathy
    99. Closure of eccentric atrial septal defect" and place in congenital section
    100. Reversed pulsus paradoxus
    101. Percutaneous mitral valve repair in hypertrophic cardiomyopathy
    102. Recurrent obstruction after percutaneous plication in hypertrophic cardiomyopathy
    103. Complicated alcohol septal ablation
    104. Untoward myocardial targeting with contrast during alcohol septal ablation
    105. Case selection for alcohol septal ablation
    106. Assessment of aortic stenosis in hypertrophic cardiomyopathy

    Dilated cardiomyopathy
    107. Volume reduction through infarct exclusion

    Section V Congenital abnormalities, pseudoaneurysms, and shunts
    Patent ductus arteriosus
    108. Closure of patent ductus arteriosus

    Patent foramen ovale
    109. Complicated patent foramen ovale closure
    110. Techniques of ASD Closure with Deficient Rims
    111. Closure of patent foramen ovale (Helex)

    Coarctation of the aorta
    112. Transcatheter open-cell stent implantation for treatment of native coarctation of the aorta

    Ventricular septal defect
    113. Transcatheter device closure of a post myocardial infarction ventricular septal defect
    114. Gerbode therapy
    115. Congenital muscular ventricular septal defect closure
    116. Treatment of post-infarct ventricular septal defect
    117. Patent foramen ovale closure from the right internal jugular vein

    118. Pulmonary homograft therapy
    119. Treatment of a chicken wing left atrial appendage
    120. Complicated left atrial appendage closure
    121. Pearls from a case of left atrial appendage closure
    122. Residual leak treatment after left atrial appendage closure

    123. Closure of multiple pseudoaneurysms in the ascending aorta
    124. Apical pseudoaneurysm
    125. Transventricular therapy of pulmonary homograft

    Atrial shunt creation
    126. Induction of left-to-right atrial shunting for heart failure (Corvia)

    Section VI Tricuspid disease
    Tricuspid regurgitation
    127. Transcatheter tricuspid valve annuloplasty with pledgets implantation for severe tricuspid regurgitation
    128. Imaging for the tricuspid valve: tips and techniques
    129. Tricuspid transcatheter repair
    130. Transcatheter tricuspid valve repair with the FORMA Repair System
    131. Transapical valve in tricuspid ring



  • Atlas of Cardiac Surgical Techniques, 2e
    La comanda in aproximativ 4 saptamani
    1,18600lei 970.00 lei



    Get expert, step-by-step guidance on a wide variety of both open and interventional cardiac surgical techniques. Atlas of Cardiac Surgical Techniques, 2nd Edition, helps you expand your surgical repertoire and hone your skills with a vividly illustrated, easy-to-navigate text, procedural videos online, and pearls and pitfalls throughout. This revised atlas covers the surgical procedures you need to master, including minimally invasive techniques, robotic surgery, aortic dissection, and much more.

    Table Of Contents:

    Section 1: Basic Techniques

    Section 2: Operations for Coronary Artery Disease

    Section 3: Operations for Valvular Heart Disease
    17. ROSS PROCEDURE     

    Section 4: Operations for Aortic Disease

    Section 5: Miscellaneous Operations



  • 1,33000lei 1070.00 lei



    Trusted by generations of cardiologists for the latest, most reliable guidance in the field, Braunwald’s Heart Disease, 11th Edition, remains your #1 source of information on rapidly changing clinical science, clinical and translational research, and evidence-based medicine. This award-winning text has been completely updated, providing a superior multimedia reference for every aspect of this fast-changing field, including new material about almost every topic in cardiology.

    New To This Edition:

    A unique update program by Dr. Braunwald creates a "living textbook" by featuring weekly Hot off the Press, periodic Late-Breaking Clinical Trials (including links to authors’ presentation slides), and monthly Focused Reviews.

    More than a dozen new chapters cover Chronic Lung Disorders and Cardiovascular Disease; Transcatheter Treatment of Congenital Heart Disease; Approach to the Patient with Valvular Heart Disease; Obesity and Cardiometabolic Disease; Environmental Exposures and CVD; Approach to the Patient with Cardiac Arrhythmias; Cardio-oncology, Precision Medicine, and more.

    New information on clinical cardiovascular genetics; MR PET; MR device compatibility; fibrosis; fusion imaging; OCT; IVUS; left atrial appendage exclusion approaches and other topics.

    Many new videos that elucidate coronary, peripheral, valvular, congenital heart diseases and other cardiovascular diseases.

    Expert Consult™ 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.

    Table Of Contents:

    1 Global Burden of Cardiovascular Disease

    2 Ethical Decisions in Cardiovascular Medicine

    3 Clinical Decision Making in Cardiology

    4 Measurement and Improvement of Quality of Care: Relevance to Cardiovascular Clinical Practice

    5 Critical Evaluation of Clinical Trials

    6 Personalized and Precision Cardiovascular Medicine

    7 Principles of Cardiovascular Genetics

    8 Drug Therapeutics and Personalized Medicine

    9 Biomarkers and Their Use in Precision Medicine

    10 The History and Physical Examination: An Evidence-Based Approach

    11 Evaluation and Management of the Noncardiac Surgical Patient

    12 Electrocardiography

    13 Exercise Testing

    14 Echocardiography

    Appropriate Use Criteria: Echocardiography

    15 The Chest Radiograph in Cardiovascular Disease

    16 Nuclear Cardiology

    17 Cardiovascular Magnetic Resonance

    18 Cardiac Computed Tomography

    Appropriate Use Criteria: Multimodality Imaging in Stable Ischemic Heart Disease and Heart Failure

    19 Cardiac Catheterization

    20 Coronary Angiography and Intracoronary Imaging

    21 Approach to the Patient With Heart Failure

    22 Mechanisms of Cardiac Contraction and Relaxation

    23 Pathophysiology of Heart Failure

    24 Diagnosis and Management of Acute Heart Failure

    Guidelines: The Hospitalized Patient With Heart Failure

    25 Management of Patients With Heart Failure With Reduced Ejection Fraction

    Guidelines: Management of Heart Failure with a Reduced Ejection Fraction

    26 Heart Failure with a Preserved Ejection Fraction

    Guidelines: Heart Failure with a Preserved Ejection Fraction

    27 Devices for Monitoring and Managing Heart Failure

    Guidelines: Cardiac Resynchronization Therapy and Implantable Cardioverter- Defibrillators for Heart Failure with a Reduced Ejection Fraction

    28 Surgical Management of Heart Failure

    29 Mechanical Circulatory Support

    30 Cardiovascular Regeneration and Repair

    31 Management of Patients with Advanced Heart Failure

    32 Approach to the Patient with Cardiac Arrhythmias

    33 Genetics of Cardiac Arrhythmias

    34 Mechanisms of Cardiac Arrhythmias

    35 Diagnosis of Cardiac Arrhythmias

    Guidelines: Ambulatory Electrocardiographic and Electrophysiological Testing

    36 General Therapy for Cardiac Arrhythmias

    37 Supraventricular Arrhythmias

    38 Atrial Fibrillation: Clinical Features, Mechanisms, and Management

    Guidelines: Atrial Fibrillation

    39 Ventricular Arrhythmias

    40 Bradycardia Arrhythmias

    41 Pacemakers and Implantable Cardioverter-Defibrillators

    Guidelines: Cardiac Pacemakers and Cardioverter-Defibrillators

    42 Cardiac Arrest and Sudden Cardiac Death

    43 Hypotension and Syncope


    44 The Vascular Biology of Atherosclerosis

    45 Risk Markers and the Primary Prevention of Cardiovascular Disease

    46 Systemic Hypertension: Mechanisms and Diagnosis

    47 Systemic Hypertension: Management

    Guidelines: Treatment of Hypertension

    48 Lipid Disorders and Cardiovascular Disease

    Guidelines: Management of Lipids

    49 Nutrition and Cardiometabolic Diseases

    50 Obesity and Cardiometabolic Disease

    51 Diabetes and the Cardiovascular System

    Guidelines: Diabetes and Heart Disease

    52 Environmental Exposures and CVD

    53 Exercise and Sports Cardiology

    54 Comprehensive Cardiac Rehabilitation

    55 Complementary Approaches to Heart Disease Management

    56 Approach to the Patient with Chest Pain

    57 Coronary Blood Flow and Myocardial Ischemia