• 1
  • 2
pe pagina
  • 47300lei 420.00 lei

    Description:

    Echocardiography remains the most commonly used imaging technique to visualize the heart and great vessels, and this clinically oriented text by Drs. Scott D. Solomon, Justina C. Wu, and Linda D. Gillam helps you make the most of its diagnostic and prognostic potential for your patients. Part of the highly regarded Braunwald’s family of cardiology references, Essential Echocardiography expertly covers basic principles of anatomy and physiology, the appearance of normal variants across a wide range of cardiovascular diseases, and the hands-on approaches necessary to acquire and interpret optimal echocardiographic images in the clinical setting.

    Features:

    • Abundant illustrations provide a superb visual learning experience both in print and online. Images convey clear, classic examples that represent decades of experience over multiple institutions, as well as recent advances in the field.
    • More than 485 accompanying video clips mirror the images in the text, with easy-to-follow links from the figure citation to the video online.
    • Each section includes one or two clinical cases that illustrate key concepts.
    • Written by expert echocardiographers and sonographers who emphasize practical applications throughout the text, and superbly illustrated by physician-artist Dr. Bernard Bulwer.
    • Ideal for anyone currently using or learning to use echocardiography, including cardiologists, cardiology fellows, sonographers, anesthesiologists, critical care physicians, emergency physicians, radiologists, residents, and medical students.
    • 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:

    Solomon: Essential Echocardiography: A Companion to Braunwald's Heart Disease

    Section 1: Principles of Ultrasound and Instrumentation

    1. Physical Principles of Ultrasound and Generation of Images

    2. M-Mode Imaging

    3. Principles of Contrast Echocardiography

    4. Principles of Transesophageal Echocardiography

    5. Principles of 3-Dimensional Ultrasound

    6. Principles and Practical Aspects of Strain Echocardiography

    7. Understanding Imaging Artifacts

    Section 2: The Echocardiographic Examination

    8. Principles of Transthoracic Imaging Acquisition: The Standard Adult Transthoracic Echocardiographic Examination

    9. The Transthoracic Examination, View By View

    10. Three-Dimensional Echocardiography: Image Acquisition

    11. Optimization of the Patient and Equipment

    12. Utilizing Contrast Echocardiography in Practice

    13. Echo On-Call: Echocardiographic Emergencies

    Section 3: Assessment of Cardiac Structure and Function

    14. Assessment of Left Ventricular Systolic Function

    15. Left Ventricular Diastolic Function

    16. Assessment of Right Ventricular Structure and Function

    17. Assessment of the Atria

    Section 4: Echocardiography for Diseases of the Myocardium

    18. Acute Myocardial Infarction

    19. Mechanical Complications of Myocardial Infarction

    20. Long-Term Consequences and Prognosis after Myocardial Infarction

    21. Echocardiography in Heart Failure

    22. Dilated Cardiomyopathies

    23. Hypertrophic Cardiomyopathy

    24. Restrictive and Infiltrative Cardiomyopathies

    25. Echocardiography in Assessment of Cardiac Synchrony

    26. Echocardiography in Assessment of Ventricular Assist Devices

    27. Stress Echocardiography and Echo in Cardiopulmonary Testing

    Section 5: Valvular Heart Disease

    28. Mitral Valve Disease

    29. Aortic Valve Disease

    30. Tricuspid and Pulmonic Valve Disease

    31. Prosthetic Valves

    32. Echocardiography in Percutaneous Valvular Intervention

    Section 6: Diseases of the Pericardium and Great Vessels

    33. Pericardial Disease

    34. Diseases of the Aorta

    Section 7: Diseases of the Pulmonary Artery and Veins

    35. Pulmonary Embolism

    36. Pulmonary Hypertension

    Section 8: Cardiac Masses

    37. Primary and Secondary Tumors

    38. Identification of Intracardiac Thrombus

    39. Other Cardiac Masses

    Section 9: Systemic Diseases Involving the Heart

    40. Echocardiography in Infective Endocarditis

    41. Other Systemic Diseases and the Heart

    42. Echocardiography in Malignant Disease

    Section 10: Congenital Heart Disease in the Adult

    43. Atrial Septal Defect

    44. Ventricular Septal Defect

    45. Other Common Congenital Defects in Adults

    Section 11: Miscellaneous Topics in Echocardiography

    46. Handheld Echocardiography

    47. Appropriate Use of Echocardiography

    48. Echocardiography in the Context of Other Cardiac Imaging Modalities

    49. Transesophageal Echocardiography for Cardiac Surgery

    Appendix A: Reference Tables

    Appendix B: Commonly Utilized Equations in Echocardiograph

       

     


  • 565.00 lei

     

    Clinical Diagnosis of Congenital Heart Disease is the latest edition of this comprehensive, highly illustrated guide to the diagnosis of congenital heart disease.

    Divided into 31 sections, each chapter discusses a different aspect of congenital heart disease, clearly explaining history, assessment, imaging, clinical diagnosis and management techniques.

    This third edition has been fully revised to provide the latest advances in the field, with in depth discussion on new diagnostic modalities.

    Each topic concludes with a summary of key points, and includes schematic diagrams depicting abnormal anatomy and its pathophysiological consequences.

    Key Points

    • Highly illustrated guide to diagnosis of congenital heart disease
    • Fully revised, third edition with in depth discussion on new diagnostic modalities
    • Each topic features a summary of key points and schematic diagrams of abnormal anatomy

     

  • 17100lei 155.00 lei

     

    Description:

     

    Everything you need to know about the cardiovascular system... at a Glance!

    The Cardiovascular System at a Glance is the essential reference guide to understanding all things circulatory. Concise, accessible, and highly illustrated, this latest edition presents an integrated overview of the subject, from the basics through to application. Featuring brand new content on stroke, examination and imaging, heart block and ECGs, and myopathies and channelopathies, The Cardiovascular System at a Glance goes one step further and offers new and updated clinical case studies and multiple-choice questions on a supplementary website.

    Integrates basic science and clinical topics

    Offers bite-size chapters that make topics easy to digest

    Includes coverage of anatomy and histology, blood and haemostasis, cellular physiology, form and function, regulation and integration of cardiovascular function, history, examination and investigations, pathology and therapeutics

    Filled with highly visual, colour illustrations that enhance the text and help reinforce learning

     

    Table of Contents:

     

    1 Overview of the cardiovascular system

    Blood vessel functions

    Anatomy and histology

    2 Gross anatomy and histology of the heart

    Gross anatomy of the heart (Figure 2.1)

    Structure of the myocardium

    Coronary circulation (Figure 2.6)

    3 Vascular anatomy

    The systemic circulation

    The pulmonary circulation

    The splanchnic circulation

    The lymphatic system

    4 Vascular histology and smooth muscle cell ultrastructure

    Exchange vessel structure

    Smooth muscle cell ultrastructure

    Blood and body fluids

    5 Constituents of blood

    Plasma

    Blood cells

    6 Erythropoiesis, haemoglobin and anaemia

    Erythropoiesis

    Haemoglobin

    Anaemia

    7 Haemostasis

    Primary haemostasis (Figure 7.1)

    Formation of the blood clot (Figures 7.2, 7.3)

    Inhibitors of haemostasis and fibrinolysis

    Defects in haemostasis

    8 Thrombosis and anticoagulants

    Thrombosis

    Antiplatelet drugs (Figure 8.2)

    Anticoagulant drugs (Figure 8.3)

    Some laboratory investigations

    9 Blood groups and transfusions

    Blood groups

    The ABO system

    Rh groups

    Other blood groups

    Complications of blood transfusions

    Blood storage

    Cellular physiology

    10 Membrane potential, ion channels and pumps

    Resting membrane potential (Figure 10.1)

    Ion channels and gating (Figure 10.2)

    Ion pumps and exchangers (Figure 10.3)

    Ion pumps and membrane potential

    11 Electrophysiology of cardiac muscle and origin of the heartbeat

    Ventricular muscle action potential (Figure 11.1)

    Role of Na+–Ca2+ exchange

    Sinoatrial node

    Other regions of the heart (Figure 11.2)

    12 Cardiac muscle excitation–contraction coupling

    Initiation of contraction

    Generation of tension

    Relaxation mechanisms

    Regulation of contractility

    Influence of heart rate

    13 Electrical conduction system in the heart

    Electrical conduction in cardiac muscle (Figure 13.1)

    Conduction pathways in the heart (Figure 13.2)

    Abnormalities of impulse generation or conduction (see also Chapters 48–53)

    14 The electrocardiogram

    Recording the ECG

    General features of the ECG (Figure 14.2)

    Basic interpretation of the ECG (Figure 14.5)

    15 Vascular smooth muscle excitation–contraction coupling

    Regulation of contraction by Ca2+ and myosin phosphorylation (see shaded area in left cell of Figure 15.1)

    Vasoconstricting mechanisms

    Effects of IP3 and diacylglycerol

    Ca2+ influx mechanisms

    Ca2+ removal and vasodilator mechanisms (see right cell of Figure 15.1)

    Form and function

    16 Cardiac cycle

    Atrial systole (A)

    Ventricular systole

    Ejection

    Diastole – relaxation and refilling

    The pressure–volume loop

    Heart sounds and murmurs

    17 Control of cardiac output

    Filling pressure and Starling’s law of the heart

    Importance of Starling’s law

    The autonomic nervous system

    Venous return and vascular function curves

    18 Haemodynamics

    Relationships between pressure, resistance and flow

    Blood viscosity

    Laminar flow

    Wall tension

    19 Blood pressure and flow in the arteries and arterioles

    Factors controlling arterial blood pressure

    Blood pressure and flow in the arteries

    Arterioles and vascular resistance

    20 The microcirculation and lymphatic system and diapedesis

    Organization of the microcirculation

    Movement of solutes across the capillary wall

    The blood–brain barrier

    Diapedesis

    The lymphatic system

    21 Fluid filtration in the microcirculation

    Movement of water across the capillary wall

    Water filtration and absorption

    Pulmonary and systemic oedema

    22 The venous system

    Venous and arterial compliance

    The veins as capacitance vessels

    Effects of posture

    The skeletal muscle pump

    The respiratory pump

    Effect of cardiac contraction

    23 Local control of blood flow

    Autoregulation

    Metabolic and reactive hyperaemia

    Metabolic factors

    Other local mechanisms

    24 Regulation of the vasculature by the endothelium

    Nitric oxide

    Other endotheliumderived relaxing mechanisms

    Endotheliumderived constricting factors

    Endothelium in cardiovascular disease

    25 The pulmonary, skeletal muscle and fetal circulations

    The pulmonary circulation

    The skeletal muscle circulation

    The fetal circulation

    Circulatory changes at birth

    26 The coronary, cutaneous and cerebral circulations

    Coronary circulation

    Cutaneous circulation

    Cerebral circulation

    Integration and regulation

    27 Cardiovascular reflexes

    Intrinsic cardiovascular reflexes

    Central regulation of cardiovascular reflexes

    28 Autonomic control of the cardiovascular system

    The sympathetic system

    Effects on the heart

    Effects on the vasculature

    The parasympathetic system

    Effects on the heart

    Effects on the vasculature

    29 The control of blood volume

    Role of sodium and osmoregulation

    Control of Na+ and blood volume by the kidneys

    Antidiuretic hormone in volume regulation

    30 Cardiovascular effects of exercise

    Effects of exercise on plasma volume

    Regulation and coordination of the cardiovascular adaptation to exercise

    Systemic effects mediated by autonomic reflexes

    Effects of local metabolites on muscle and heart

    Effects of training

    31 Shock and haemorrhage

    Haemorrhagic shock

    Immediate compensation

    Medium and longterm mechanisms

    Complications and irreversible (refractory) shock

    Other types of hypovolaemic shock

    Lowresistance shock

    History, examination and investigations

    32 History and examination of the cardiovascular system

    History

    Examination

    33 Cardiac imaging

    Pathology and therapeutics

    34 Risk factors for cardiovascular disease

    Modifiable risk factors

    Fixed risk factors

    Risk scoring in clinical practice

    35 βblockers, angiotensinconverting enzyme inhibitors, angiotensin receptor blockers and Ca2+ channel blockers

    βadrenoceptor antagonists (βblockers)

    Angiotensinconverting enzyme inhibitors and angiotensin 2 receptor blockers

    Ca2+ channel blockers

    36 Hyperlipidaemias

    Lipoproteins and lipid transport

    Hyperlipidaemias: types and treatments

    37 Atherosclerosis

    Pathogenesis of atherosclerosis

    Oxidized lowdensity lipoprotein, macrophages and atherogenesis

    Clinical consequences of advanced atherosclerosis

    38 Mechanisms of primary hypertension

    Vascular remodelling

    Secondary hypertension

    39 Treatment of hypertension

    Definition and implications of hypertension

    Diagnosis and general management of hypertension

    Drugs used to treat hypertension

    Renal effects of vasodilators

    40 Stable, microvascular, and vasospastic angina

    Stable angina (Figure 40.2)

    Microvascular angina (Figure 40.3)

    Vasospastic angina (Figure 40.4)

    41 Pharmacological management of stable, microvascular and vasospastic angina

    Antianginal agents

    βAdrenergic receptor blockers (see also Chapter 35)

    Ca2+channel blockers (see also Chapter 35)

    Nitrovasodilators

    Other antianginals

    Management of microvascular angina

    Management of vasospastic angina

    Drugs for secondary prevention of cardiovascular disease

    42 NonST segment elevation acute coronary syndromes (NSTEACS)

    Pathophysiology of NSTEACS

    Management of NSTEACS (Figure 42.3)

    43 Coronary revascularisation

    Percutaneous coronary intervention (Figure 43.1)

    The role of PCI in stable coronary artery disease

    Coronary artery bypass grafting (CABG) (Figure 43.2)

    PCI vs CABG in stable coronary artery disease

    44 Pathophysiology of acute myocardial infarction

    Role of thrombosis in MI

    Mechanisms and consequences of plaque rupture (Figure 44.1)

    Evolution of the infarct (Figure 44.1)

    45 ST segment elevation myocardial infarction (STEMI)

    Symptoms and signs (Figure 45.1)

    Investigations

    Immediate management (Figure 45.1)

    Subsequent management (Figure 45.1)

    Complications of acute myocardial infarction

    46 Heart failure

    Types of heart failure

    Pathophysiology

    Consequences of compensation (Figure 46.3)

    Myocardial dysfunction and remodelling

    47 Treatment of chronic heart failure

    ACEI and other vasodilators

    βreceptor blockers

    Aldosterone antagonists

    Diuretics

    Cardiac glycosides

    Device therapy in CHF

    48 Mechanisms of tachyarrhythmia

    Disorders of impulse generation: latent pacemakers and triggered automaticity

    Abnormal impulse conduction: reentry

    The sympathetic nervous system and arrhythmias

    49 Atrial fibrillation

    Classification of atrial fibrillation

    The ventricular rate in atrial fibrillation

    Atrial fibrillation and stroke

    Management of atrial fibrillation

    50 Other supraventricular arrhythmias

    51 Ventricular tachyarrhythmias and their nonpharmacological management

    Ventricular rhythm disturbances

    52 Pharmacological treatment of tachyarrhythmias

    Class I drugs (Figure 52.1.1)

    Class II drugs (Figure 52.1.2)

    Class III drugs (Figure 52.1.3)

    Class IV drugs, adenosine and digoxin (Figure 52.1.4)

    53 Conduction system abnormalities and pacing

    Atrioventricular block

    Bundle branch block

    Pacing systems

    54 Diseases of the aortic valve

    Aortic stenosis

    Aortic regurgitation

    55 Diseases of the mitral valve

    Mitral stenosis (Figure 55.1)

    Mitral regurgitation (Figure 55.2)

    56 Congenital heart disease

    57 Cardiomyopathies and channelopathies

    Cardiomyopathies (Figure 57.1)

    Channelopathies

    58 Pulmonary hypertension

    Types of pulmonary hypertension

    Pulmonary arterial hypertension

    Pathophysiology

    Clinical findings and diagnosis

    Management

    59 Stroke

    Stroke signs, symptoms and risk factors

    Pathogenesis

    Investigations

    Acute management

    Haemorrhagic stroke

    Longterm management, rehabilitation and secondary prevention

    Index

    End User License Agreement

     

  • 73000lei 640.00 lei

     

    Description:

     

    This book offers an extensive review of the most recent data on the pathophysiological role of structural and functional alterations in the microcirculation, particularly focusing on hypertension and diabetes. It covers several relevant and innovative aspects, including the possible mechanisms involved in the development of microvascular remodeling and rarefaction, the technical approaches available for the detection of microvascular alterations, including non-invasive evaluations, the prognostic role of changes in small resistance artery structure, the possibility of preventing or regressing such alterations with appropriate treatment, and the potential clinical advantages of such intervention. A number of innovative areas of research are considered, including the role of the immune system, inflammation and oxidative stress in the development of microvascular alterations. Lastly, it examines the availability of recent non-invasive methods for the evaluation of small resistance artery morphology in the retina, which in the near future may provide a useful tool for the stratification of cardiovascular risk and even for clinical decisions regarding drug treatment, thus providing physicians with a clinically relevant instrument for improving and optimizing the management of hypertensive and diabetic patients. The book provides valuable, clinically relevant information for specialists (cardiology, internal medicine, and endocrinology) and general practitioners, and also offers novel and stimulating data to basic and clinical researchers.

     

     

    Table of Contents:

     

    1. Structure and Function of the Microcirculation

    2. Assessment of Small Artery Structure and Function by Micromyography

    3. Assessment of Retinal Arteriolar Morphology by SLDF

    4. Assessment of Retinal Arteriolar Morphology by Adaptive Optics Ophthalmoscopy

    5. The Cerebral Microcirculation

    6. Role of Inflammation in Microvascular Damage

    7. Immune Mechanisms in Vascular Remodeling in Hypertension

    8. Microvascular Endothelial Dysfunction in Hypertension

    9. Interrelationships Between Micro- and Macrocirculation

    10. Alterations in Capillary and Microcirculatory Networks in Cardiovascular Diseases

    11. Microvascular Alterations in Obesity

    12. Microvascular Alterations in Diabetes: Focus on Small Resistance Arteries

    13. Cardiovascular Effects of Anti-angiogenic Drugs

    14. Pathophysiological Mechanisms Implicated in Organ Damage and Cardiovascular Events

    15. The Role of Perivascular Adipose Tissue in Arterial Function in Health and Disease

    16. Prognostic Role of Microvascular Damage and Effect of Treatment

     

  • 73000lei 640.00 lei

     

    Description:

    This book offers an extensive review of the most recent data on the pathophysiological role of structural and functional alterations in the microcirculation, particularly focusing on hypertension and diabetes. It covers several relevant and innovative aspects, including the possible mechanisms involved in the development of microvascular remodeling and rarefaction, the technical approaches available for the detection of microvascular alterations, including non-invasive evaluations, the prognostic role of changes in small resistance artery structure, the possibility of preventing or regressing such alterations with appropriate treatment, and the potential clinical advantages of such intervention. A number of innovative areas of research are considered, including the role of the immune system, inflammation and oxidative stress in the development of microvascular alterations. Lastly, it examines the availability of recent non-invasive methods for the evaluation of small resistance artery morphology in the retina, which in the near future may provide a useful tool for the stratification of cardiovascular risk and even for clinical decisions regarding drug treatment, thus providing physicians with a clinically relevant instrument for improving and optimizing the management of hypertensive and diabetic patients. The book provides valuable, clinically relevant information for specialists (cardiology, internal medicine, and endocrinology) and general practitioners, and also offers novel and stimulating data to basic and clinical researchers.

     

     

    Table of Contents:

     

    1. Structure and Function of the Microcirculation

    2. Assessment of Small Artery Structure and Function by Micromyography

    3. Assessment of Retinal Arteriolar Morphology by SLDF

    4. Assessment of Retinal Arteriolar Morphology by Adaptive Optics Ophthalmoscopy

    5. The Cerebral Microcirculation

    6. Role of Inflammation in Microvascular Damage

    7. Immune Mechanisms in Vascular Remodeling in Hypertension

    8. Microvascular Endothelial Dysfunction in Hypertension

    9. Interrelationships Between Micro- and Macrocirculation

    10. Alterations in Capillary and Microcirculatory Networks in Cardiovascular Diseases

    11. Microvascular Alterations in Obesity

    12. Microvascular Alterations in Diabetes: Focus on Small Resistance Arteries

    13. Cardiovascular Effects of Anti-angiogenic Drugs

    14. Pathophysiological Mechanisms Implicated in Organ Damage and Cardiovascular Events

    15. The Role of Perivascular Adipose Tissue in Arterial Function in Health and Disease

    16. Prognostic Role of Microvascular Damage and Effect of Treatment

     

  • 78600lei 685.00 lei

     

    This book comprehensively covers a range of pathological cases in clinical cardiology. Chapters are case focused and detail how a patient is diagnosed and treated in a step-by-step format. A range of engaging video clips enhances the reader’s appreciation and understanding of how to apply these techniques into their day-to-day clinical practice with special focus on congenital heart disease diagnosis and management.

    Case-Based Clinical Cardiology presents a range of clinical scenarios across all cardiology disciplines with a particular focus on echocardiography, electrocardiography and cardiac catheterization. Therefore, it is an ideal resource for both the novice and experienced cardiology practitioner seeking an up-to-date selection of cases to test their knowledge.

     

  • 330.00 lei

     

    Description:

     

     

    Coronary stenting is the most commonly used method of myocardial revascularization, with approximately 2 million stents implanted in 2004 throughout the world. The development of drug eluting stents has resulted in very low rates of repeat intervention and will further increase the scope for percutaneous coronary intervention.
    The evidence from large randomized trials is generally accepted to be the gold standard source of information for patient care in interventional cardiology. However, it is well recognized that information from these trials is frequently insufficient to guide the wide-ranging clinical situations found in routine practice. In this context, decision-making is often based on a composite of information from multiple clinical studies, pathophysiological considerations and importantly, personal experience or 'gut-feeling'.
    This book, written by internationally recognized experts in their field, provides clear and concise recommendations regarding various challenging clinical situations facing the interventional cardiologist on a daily basis.

     

    Table of Contents:

     

    Immunoallergic Syndromes in Interventional Cardiology.

    The Kidney in Percutaneous Coronary Intervention.

    Ad Hoc Percutaneous Coronary Intervention - Merits and Disadvantages.

    Advanced Atherosclerotic Disease in Multiple Vascular Bed Sites.

     The Intermediate / Non-stenotic Coronary lesion.

    Acute Myocardial Infarction Complicated by Cardiogenic Shock.

    The Hypotensive Patient After Angioplasty: Occult Life-threatening PCI-related Complications.

     Percutaneous Treatment for Patients with End-stage Aortic Valve Stenosis.

    Acute Coronary Dissection, Occlusion, and Perfuration During PCI.

    Surgical, Percutaneous, or Medical Management. Role of Interventional Cardiology in Functional Coronary Stenosis.

     Drug-Eluting Stent Complications - DES Thrombosis and Restenosis.

    Coronary Intervention in Patients with Anti-Platelet Therapy Resistance

    Editor(s)

     

  • Clinical Guide to Primary Angioplasty
    La comanda in aproximativ 4 saptamani
    330.00 lei

     

    Description:

     

     

    Primary angioplasty is a life-saving, minimally invasive emergency procedure increasingly used in the treatment of acute myocardial infarction. As the procedure further proves its effectiveness, it is imperative that all cardiologists have a comprehensive understanding of the major issues surrounding primary angioplasty. This easy-to-use, clinically focused text is an essential reference for those hoping to achieve this understanding. A valuable educational tool, this text fully explores the vital concepts of primary angioplasty.

     

    Table of Contents

     

    Epidemiology and Historical Perspectives, Prehospital Diagnosis and Management of Acute Myocardial Infarction;

    Presentation of AMI-Symptoms, Examination, Biomarkers, and Atypical Presentations, The Definition of Myocardial Infarction, Optimal Reperfusion Therapy: Clinical Trial Evidence of Primary Angioplasty and (Prehospital) Fibrinolysis;

    Adjunctive Pharmacologic Therapies:Steg Primary Percutaneous Coronary Intervention: Role of Stenting versus Balloon Angioplasty and Drug-Eluting Stents versus Bare Metal Stents: Trial Evidence and Current Concepts;

    Primary Percutaneous Coronary Intervention: Culprit-Lesion Only versus Multivessel Intervention; Management of Mechanical Complications of Myocardial Infarction: Ventricular Septal Defect, Mitral Regurgitation, Free-Wall Rupture; 

     Primary Coronary Angioplasty: The Role of Mechanical Circulatory Support; Primary Angioplasty:Methods of Reducing Infarct Size and Reperfusion Injury;

    Primary Angioplasty: The Importance of Time to Reperfusion, Door to Balloon Times, and How to Reduce Them;

    Systems of Care for Primary Percutaneous Coronary Intervention; Utilization of Facilitated and Rescue Angioplasty;

    Opportunities and Challenges of Stem Cell Therapy: Is there a Role in AMI?; Primary Angioplasty in Health Care Delivery: The European Model; Primary Angioplasty in Health Care Delivery: The North American Model;

    Primary Angioplasty in Health Care Delivery: The Economics;

    Special Management of Diabetic Patients with STEMI; Role of Surgery in Acute Myocardial Infarction;

     

  • 330.00 lei

     

    Description:

     

     

    While all interventional cardiologists have access to pharmacopeial texts and databases and are aware of the growing number of pharmacological agents in the armamentarium, questions arise as to the ideal agent or combination of agents in differing patient situations.
    This superb text offers the reader coverage of all the major pharmacological therapies used in treating the cath lab patient from the practical, personal perspective of those actively involved in interventional cardiology.

     

    Table of Contents:

     

     

    SYSTEMIC AND ENDOLUMINAL THERAPY.

     

    Principles of Antithrombotic Therapy. Principles of Antiplatelet Therapy. Glycoprotein Iib/Iiia Inhibitors. ADP Receptor Inhibitors. Phosphodiesterase Inhibitors. Heparin, Low Molecular Weight Heparin, Heparinoids. Direct Thrombin Inhibitors. Parenteral Direct Antithrombin. Oral Antithrombin Drugs. Antixa Drugs. Combined Anticoagulant and Antiplatelet Therapy. Thrombolytics-Fibrinolytic Therapy. Resistance to Anti-Platelet Drugs. Fibrin Glue and Related Sealants. Lipid-Lowering Agents. Antihypertensive Agents. Homocysteine Regulators. Role of Systemic Anti-Restenotic Drugs and Results of Current Clinical Trials. Oral Anti-Neoplastic Agents For Prevention of Restenosis. Antioxidants. Iron Chelation: Deferoxamine and Beyond.

     

    LOCAL THERAPY. Principles of Local Catheter Delivery. Stent-mediated Local Drug Delivery. Brachytherapy. Platforms of Local Delivery. Polymers. Biopolymers. Classification of Anti-restenotic Drugs. Anti-proliferative Compounds (Taxol, Actinomycin, Vasenoids) and Mechanisms of Action. Anti-inflammatory Drugs (Sirolimus, Steroids) and Mechanisms of Action. Anti-migratory Drugs and Mechanisms of Action. Anti-angiogenesis Drugs and mechanism of action. Vasculoprotective Approach for Restenosis. Nitric Oxide Donors. Estradiols.

     

    VEGF. Gene Therapy. Antisense Approach. Principles of PDT. Therapeutic Angiogenesis.Characteristics of Different Delivery Devices. Periadventitial Delivery of Drugs. Angiogenesis and Myogenesis. Growth Factor Therapy. Stem Cell Transplantation. Results of Recent Clinical Trials.

     

    ADJUNCTIVE PHARMACOTHERAPY. The Heart Failure Patient. The Acute Coronary Syndrome Patient 48. The Diabetic Patient. The Stroke Patient. Atrial Fibrillation . Pregnancy and PCI. Contrast-induced Nephropathy after PCI . Erectile Dysfunction. Carotid Stenting. Peripheral Vascular Disease. Drug Interaction in Patients Undergoing Cardiovascular and Vascular Interventions. Newer Pharmacologic Approaches Targeting Receptors an

     

  • 430.00 lei

     

    Description:

     

     

    With an exponential growth in the number of older adults, understanding the common disorders of the elderly patient requiring cardiac care is becoming increasingly important. Incorporating recent advances in the field, Tresch and Aronow's Cardiovascular Disease in the Elderly 6th Edition has been completely revised and updated to provide cardiologists, primary care physicians, geriatricians and other clinicians caring for the elderly a comprehensive and accessible overview of the epidemiology, pathophysiology and treatment of cardiovascular disorders in older patients.

     

     

    Table of Contents:

     

    1 Cardiovascular changes with aging

    2 Morphologic features and pathology of the elderly heart

    3 General principles on caring for older adults

    4 Cardiovascular drug therapy in the elderly

    5 Systemic hypertension in the elderly

    6 Disorders of lipid metabolism

    7 Diabetes mellitus and cardiovascular disease in the elderly

    8 Epidemiology and prevention of coronary heart disease in older adults

    9 Diagnosis of coronary heart disease in the elderly

    10 Angina pectoris in the elderly

    11 Therapy of acute myocardial infarction

    12 Management of the older patient after myocardial infarction

    13 Surgical management of coronary artery disease

    14 Percutaneous coronary intervention in the elderly

    15 Exercise training and comprehensive cardiac rehabilitation in older cardiac patients

    16 Aortic valve disease in the elderly

    17 Mitral regurgitation, mitral stenosis, and mitral annular calcification in the elderly

    18 Infective endocarditis in older adults

    19 Cardiomyopathies in the elderly

    20 Thyroid heart disease in the elderly

    21 Heart failure with reduced ejection fraction in older adults

    22 Heart failure with preserved ejection fraction in older adults

    23 Supraventricular tachyarrhythmias in the elderly

    24 Ventricular arrhythmias in the elderly

    25 Bradyarrhythmias and cardiac pacemakers in the elderly

    26 Cerebrovascular disease in the elderly patient

    27 Evaluation and management of syncope and related disorders in the elderly

    28 Pericardial disease in the elderly

    29 Venous thromboembolic disease in older adults

    30 Management of peripheral arterial disease in the elderly

    31 Perioperative cardiovascular evaluation and treatment of elderly patients undergoing noncardiac surgery

    32 Ethical decisions and end-of-life care in older patients with cardiovascular disease

    Index

     

  • 330.00 lei

     

    This highly illustrated, well-written and beautifully produced text is aimed at cardiologists and internal medical doctors, whether qualified or in-training, who are not specialized in the field of congenital heart disease, who will, nevertheless, meet these patients more and more often in their daily practice. The complicated subject of congenital heart disease is written in a very simple, easy and comprehensive way. Congenital Heart Disease in Adults provides a brief overview of the morphology, physiology, diagnostic methods, therapy and prognosis of the most common congenital heart disease in adulthood.

    Written by international leaders in the field of adult congenital heart disease, this superb guide provides practical, beneficial consultation for every situation.

     

    Table of Contents:

     

    1 History

    2 Prevalence of congenital heart disease in adulthood

    3 Atrial septal defect

    4 Patent foramen ovale

    5 Atrioventricular septal defect

    6 Ventricular septal defect

    7 Tetralogy of Fallot

    8 Coarctation of the aorta

    9 Bicuspid aortic valve and diseases of the aorta

    10 Pulmonary stenosis

    11 Transposition of the great arteries

    12 Congenitally corrected transposition of the great arteries

    13 Patent ductus arteriosus

    14 Ebstein’s anomaly of the tricuspid valve

    15 Functionally single ventricle, Fontan procedure – univentricular heart/circulation

    16 Cyanotic congenital heart diseases in adulthood

    17 Pulmonary atresia with ventricular septal defect

    18 Congenital coronary artery anomalies

    19 Persistent left superior vena cava

    20 Anomalous pulmonary venous connection

    21 Psychosocial issues

    22 Cardiac injury during surgery in childhood

    23 Terminology remarks

    Index

     

     

  • 320.00 lei

     

    Description:

     

    Updated to reflect the notable advances in cardiac computed tomography (CT) imaging, the Second Edition of the best-selling Computed Tomography of the Coronary Arteries provides cardiologists and radiologists with a practical text that explains the basic principles and applications of CT. Written by renowned international experts in the field.

     

     

    Table of Contents:

     

    1. Basic principles

    2. Image post-processing

    3. Radiation issues

    4. Coronary imaging: normal coronary anatomy

    5. Coronary angiogram evaluation

    6. Coronary pathology relevant to coronary imaging

    7. Coronary stenosis: description and quantification

    8. Coronary stenosis

    9. Coronary plaque imaging

    10. Coronary calcification

    11. Assessment of coronary stents

    12. Coronary bypass graft imaging

    13. Pre-percutaneous coronary intervention assessment: chronic total occlusions and magnetic navigation

    14. Coronary artery anomalies in the adult

    15. Cardiac masses, intracardiac thrombi, and pericardial abnormalities

    16. The great thoracic vessels

    17. Computed tomography in the emergency department

    18. Preoperative assessment of the coronary tree before cardiac valve surgery

    19. Assessment of left ventricular function and viability

    20. Computed tomography and electrophysiology

    21. Non-cardiac findings on cardiac computed tomography

    22. Artifacts

    23. Contrast enhancement in coronary angiography

    24. The future

    Index

     

     

  • Heart Failure
    La comanda in aproximativ 4 saptamani
    320.00 lei

     

    Heart Failure, Second Edition has been updated to provide the latest advancements in heart failure research. Supplemented by more than 200 high-quality figures and illustrations, the book helps cardiologists and emergency care physicians quickly and accurately identify the cause and severity of a patient’s cardiac impairment.


    New topics in this edition include:

    Developments in mechanical and pharmacologic treatments

    Discoveries in developmental biology

    Up-and-coming imaging modalities

    Surgical options for mechanical circulatory support and cardiac transplantation

    Pharmacogenomics and gene-based and cell-based therapies

    Gene expression/recurrence in heart failure

    Changes in metabolic substrate utilization and pathways



    Table of Contents

    Part 1: Cellular and Molecular Basis for Heart Failure
    A Brief Primer on the Development of the Heart
    Serge Gregoire and Sean Wu
    The Genetics of Dilated and Hypertrophic Cardiomyopathies
    Calum Macrae
    Molecular Signaling Networks Underlying Cardiac Hypertrophy and Failure
    Gerald W Dorn II MD
    Excitation-Contraction Coupling in the Normal and Failing Heart
    Mattew Coggins, Bernhard Haring, Federica del Monte
    Myocardial energetics and cellular metabolism in the failing heart
    Joanne S. Ingwall
    Animal Models of Heart Failure
    William Carlson

    Part II: Pathophysiology of Heart Failure
    Ventricular Remodeling and Secondary Valvular Dysfunction in Heart Failure Progression
    Kibar Yared, Judy Hung
    Neurohormonal and Cytokine Activation in Heart Failure
    Dennis McNamara
    Cardiomyopathies in the Adult
    Richard Rodeheffer
    Water and Salt: the cardiorenal syndrome
    Maria Rosa Costanzo

    Part III: The Demographics, Diagnosis and Monitoring of Heart Failure:
    The Clinical Syndrome of Heart Failure
    Thomas DiSalvo, Jordon Shin
    Clinical Profiles and Bedside Assessment
    Lynne Warner Stevenson
    Prognosis in Heart Failure
    J. Susie Woo, Wayne C. Levy,
    Biomarkers in Heart Failure
    Ravi V. Shah, MD and Thomas J. Wang
    Noninvasive Imaging Modalities for the Evaluation of Heart Failure
    Kimberly A. Parks and Malissa J. Wood
    Role of Invasive Monitoring in Heart Failure: Pulmonary Artery Catheters in the Post-ESCAPE Era
    W. H. Wilson Tang, Gary S. Francis

    Part IV: The Medical Treatment of Clinical Heart Failure
    Conventional Therapy of Chronic Heart Failure: Diuretics, Vasodilators, and Digoxin
    G. William Dec, MD
    Conventional Therapy of Chronic Heart

     

  • 240.00 lei

     

    Description:

     

    At one time, many children born with congenital heart disease (CHD) suffered from issues that carried fatal prognoses. But that's changing, thanks to technological advances. Interventions in Structural, Valvular, and Congenital Heart Disease, Second Edition guides you throught the interventional treatment of congenital, valvular, and structural.

     

     

    Table of Contents:

     

    Chapter 1: How to design and operate a congenital-structural catheterization laboratory

    Chapter 2: Operators’ credentials and institutional requirements for congenital and structural hea

    Chapter 3: Angiography

    Chapter 4: Hemodynamics

    Chapter 5: Transesophageal 2D and 3D echocardiographic guidance

    Chapter 6: Intracardiac echocardiography (ICE)

    Chapter 7: Intracardiac echocardiography by Ultra ICE

    Chapter 8: Cardiac computed tomography and magnetic resonance imaging in the cath-lab

    Chapter 9: Ultrasound guidance

    Chapter 10: Percutaneous transfemoral access with big sheaths

    Chapter 11: Percutaneous subclavian access

    Chapter 12: Access from the common carotid artery

    Chapter 13: Transhepatic access

    Chapter 14: Transseptal left heart catheterization

    Chapter 15: Percutaneous transapical access

    Chapter 16: Recanalization methods for postcatheter vessel occlusion

    Chapter 17: Transpericardial access

    Chapter 18: Surgical access (transapical, transatrial, transaortic, femoral, subclavian)

    Chapter 19: Fetal cardiac interventions

    Chapter 20: Special considerations in small children and newborns

    Chapter 21: Congenital aortic valve stenosis: Background and valvuloplasty in children and adults

    Chapter 22: Congenital aortic valve stenosis: Special considerations in neonates

    Chapter 23: Aortic stenosis in the elderly: Background, indication for transcatheter treatment, and

    Chapter 24: Aortic valve stenosis in the elderly: Balloon aortic valvuloplasty

    Chapter 25: Aortic valve stenosis in the elderly: Transcatheter aortic valve implantation—Edwards

    Chapter 26: Aortic valve stenosis in the elderly: Transcatheter aortic valve implantation—CoreValv

    Chapter 27: Aortic valve stenosis in the elderly: Valve-in-valve implantations

    Chapter 28: Aortic valve stenosis in the elderly: New percutaneous aortic valves

    Chapter 29: Aortic valve stenosis in the elderly: Embolic protection during transcatheter aortic val

    Chapter 30: Pulmonary valve disease: Pulmonary regurgitation—Background, indications for treatment

    Chapter 31: Pulmonary valve disease: Pulmonary valve stenosis

    Chapter 32: Pulmonary valve disease: Pulmonary atresia

    Chapter 33: Pulmonary valve disease: Pulmonary valve in cyanotic heart defects with pulmonary oligem

    Chapter 34: Pulmonary valve disease: Transcatheter pulmonary valve implantation with the Melody valv

    Chapter 35: Pulmonary valve disease: Transcatheter pulmonary valve implantation with the Edwards sap

    Chapter 36: Pulmonary valve disease: New percutaneous pulmonary valves

    Chapter 37: Mitral and tricuspid valve stenosis: Percutaneous mitral valvuloplasty

    Chapter 38: Mitral and tricuspid valve stenosis: Percutaneous tricuspid valvuloplasty

    Chapter 39: Mitral valve insufficiency: Background and indications for treatment

    Chapter 40: Mitral valve insufficiency: Mitral valve repair with the MitraClip

    Chapter 41: Mitral valve insufficiency: Other new mitral valve repair techniques

    Chapter 42: Mitral valve insufficiency: Transcatheter mitral valve implantation

    Chapter 43: Tricuspid valve insufficiency: Background and indications for treatment

    Chapter 44: Tricuspid valve insufficiency: Melody valve in the tricuspid position

    Chapter 45: Tricuspid valve insufficiency: SAPIEN valve in the tricuspid position

    Chapter 46: Tricuspid valve insufficiency: Percutaneous caval stent valve implantation for treatment

    Chapter 47: Tricuspid valve insufficiency: Catheter closure of paravalvular leaks

    Chapter 48: Tricuspid valve insufficiency: Catheter closure of perforated sinus of Valsalva

    Chapter 49: Atrial septal defect: Background and indications for ASD closure

    Chapter 50: Atrial septal defect: Amplatzer- type ASD occluders

    Chapter 51: The Figulla-Occlutech device

    Chapter 52: The Cera Lifetech device

    Chapter 53: ASD-R PFM device

    Chapter 54: Cocoon device

    Chapter 55: Starway device

    Chapter 56: Atrial septal defect: Cardia ASD occluder

    Chapter 57: Atrial septal defect: Complications of device closure of ASDs

    Chapter 58: Patent foramen ovale closure: Background, indications for closure, and clinical trial re

    Chapter 59: Patent foramen ovale closure: Amplatzer-type PFO occluders

    Chapter 60: Disorders of the atrial septum: Closure with Helex or Gore septal occluder

    Chapter 61: Patent foramen ovale closure: Premere septal occluder

    Chapter 62: Patent foramen ovale closure: PFM PFO occluder

    Chapter 63: Patent foramen ovale closure: CoherexFlatStent occluder

    Chapter 64: Patent foramen ovale closure: SeptRx occluder

    Chapter 65: Patent foramen ovale closure: Suture-based PFO closure

    Chapter 66: Patent foramen ovale closure: Other new PFO closure techniques

    Chapter 67: Patent foramen ovale closure: Complications of device closure of PFOs

    Chapter 68: Ventricular septal defect closure: Background, indications for closure, and clinical tri

    Chapter 69: Ventricular septal defect closure: Closure of congenital muscular VSD using the Amplatze

    Chapter 70: Ventricular septal defect closure: Closure of perimembranous VSD using Amplatzer-type oc

    Chapter 71: Ventricular septal defect closure: Closure of perimembranous VSD using PFM coil

    Chapter 72: Ventricular septal defect closure: Postmyocardial and postsurgery VSDs

    Chapter 73: Patent ductus arteriosus (PDA): Background and indications for closure

    Chapter 74: Patent ductus arteriosus (PDA): PDA occlusion with the Amplatzer-type devices

    Chapter 75: Patent ductus arteriosus (PDA): PDA occlusion with coils

    Chapter 76: Patent ductus arteriosus (PDA): Aortopulmonary window

    Chapter 77: Systemic arteriovenous fistulas

    Chapter 78: Pulmonary arteriovenous fistulas

    Chapter 79: Coronary artery fistulas

    Chapter 80: Obstructions of the inferior and superior vena cava

    Chapter 81: Right ventricular outflow tract obstruction

    Chapter 82: Pulmonary artery stenosis

    Chapter 83: Pulmonary vein stenosis

    Chapter 84: Balloon dilation of aortic coarctation and recoarctation

    Chapter 85: Stenting in aortic coarctation and transverse arch/isthmus hypoplasia

    Chapter 86: Middle aortic syndrome

    Chapter 87: Catheter intervention for hypertrophic obstructive cardiomyopathy

    Chapter 88: Hypertrophic obstructive cardiomyopathy: Radio-frequency septal reduction

    Chapter 89: Thoracic aortic aneurysms

    Chapter 90: A hybrid strategy for the initial management of hypoplastic left heart syndrome: Technic

    Chapter 91: Alternative procedures for hypoplastic left heart syndrome as a bridge to transplantatio

    Chapter 92: Intraoperative VSD device closure

    Chapter 93: Intraoperative stent implantation

    Chapter 94: Background, indication for LAA closure, and clinical trial results

    Chapter 95: Amplatzer cardiac plug

    Chapter 96: Watchman device

    Chapter 97: Coherex WaveCrest

    Chapter 98: Sentre heart

    Chapter 99: Other new endocardial and epicardial techniques

    Chapter 100: Extracorporeal ventricular assist devices

    Chapter 101: Left ventricular partitioning with the cardiokinetics device

    Chapter 102: Implantable assist devices for heart failure treatment

    Chapter 103: Devices for hemodynamic monitoring

    Chapter 104: Neurohumoral remodeling for treatment of hypertension and heart failure

    Chapter 105: Catheter retrieval of intracardiac masses

    Chapter 106: How to avoid and manage major complications

    Back Cover

     

     

     

  • Acute Coronary Syndromes
    La comanda in aproximativ 4 saptamani
    520.00 lei

     

    Description:

     

    Acute Coronary Syndrome (ACS) is a growing global menace with patients increasing in developing countries where tobacco and food play a major role. Its treatment guidelines and research results have proliferated in academia, but practical applications lag behind that research. This book addresses this void. Guidelines for treatment of ACS present in-depth reading for practicing cardiologists, thus preventing clinical application. The book aims to appraise readers of real-world situations and suggestions to help them acquire up-to-date knowledge on ACS and its effective diagnosis, prognosis and management. Key Features Covers recent advances in ACS management and pharmacotherapy Discusses the guidelines for treatment of ACS for the professional cardiologist to apply to clinical practice Explores the topics with the help of case scenarios Follows a concise, yet comprehensive approach Features a chapter on 'When to Transfer,' which discusses how to spot unstable patients or those heading towards shock

     

    Table of Contents:

     

     

    1. Epidemiology of acute coronary syndromes in India

    India: Coronary capital of the world

    Acute coronary syndromes in india

    Geographic epidemiology

    Clinical and pharmacoepidemiology

    Genetic epidemiology

    Conclusion

    References

    2. Pathophysiology of acute coronary syndrome

    Introduction

    Atherogenesis

    Mechanisms of Thrombosis

    Symptomology in Relation to Coronary Thrombi

    Plaque Disruption: The Healing Process

    In Vivo Culprit Lesion Assessment in ACS by Optical Coherence Tomography

    Myocardial Infarction with Non-Obstructive Coronary Arteries

    Conclusion

    References

    3. Current outcomes and outcome measures in acute coronary syndrome

    Introduction

    ST-Elevation Myocardial Infarction (STEMI)

    Non-ST-Elevation Myocardial Infarction

    Incidence and Outcomes in Contemporary Care

    Risk Assessment in NSTEMI

    Basic Management

    Anti-Platelet Therapy

    Anti-Coagulation

    Invasive versus Conservative Management

    Timing of Invasive Management

    Culprit Vessel versus Multi-vessel PCI

    PCI versus Coronary Artery Bypass Grafting

    References

    4. Clinical syndromes in acute coronary syndrome: Angina and its equivalents

    Introduction

    Pathophysiology

    Chest Discomfort/Pain

    Anginal Pain Equivalents

    Atypical Presentations

    Conclusion

    References

    5. ECG spectrum in acute coronary syndrome

    ECG Spectrum in Acute Coronary Syndromes

    ECG Diagnosis of Myocardial Infarction with Bundle Branch Blocks

    Lead aVR in Acute Coronary Syndromes

    Abnormal Q waves

    Potential Confounders in ECG Changes in ACS

    Anterior Wall ST-Elevation MI Equivalents

    Myocardial Ischaemia and Repolarisation Changes

    References

    6. Arrhythmias in acute coronary syndrome

    Introduction

    Ventricular tachyarrhythmias

    Supraventricular arrhythmias

    Conclusion

    References

    7. Intravascular imaging in acute coronary syndrome

    Introduction

    Intravascular imaging modalities

    Intravascular imaging: tissue characterisation

    Intravascular imaging in ACS

    Intravascular imaging-guided intervention to prevent no-reflow

    Imaging-guided stent implantation

    Conclusion

    References

    8. Cardiac biomarkers in acute coronary syndrome

    Introduction

    Traditional cardiac biomarkers

    Conclusion

    References

    9. Risk stratification in acute coronary syndromes

    Introduction

    Determination of risk factors and pre-test assessment

    ECG aspect

    Stress test

    Interventional aspect

    Observational studies and using additional predictors

    References

    10. Initial therapy and when to transfer at non-pci centres

    Doctor’s clinic or PHC

    A secondary care centre or a community health centre (CHC) with AN ECG facility

    A district hospital/secondary care centre where thrombolysis is possible

    Conclusion

    References

    11. Anti-platelet therapy in acute coronary syndrome: What is current and new?

    Currently approved oral anti-platelet agents in ACS

    Intravenous anti-platelet agents in ACS

    References

    12. Current status of fibrinolytic therapy

    Introduction

    Indications of fibrinolytic therapy

    Pre-hospital fibrinolysis

    Late therapy

    Choice of fibrinolytic agent

    Intracoronary fibrinolysis

    Adjunctive use of anti-platelets

    Adjunctive use of antithrombotics

    Hazards of fibrinolytic therapy

    Contraindications of fibrinolysis

    Transfer of patients after fibrinolysis

    Choice of reperfusion therapy

    References

    13. Anti-coagulation in acute coronary syndrome

    Introduction

    Pathophysiology of ACS and role of anti-coagulation

    Anti-coagulants used in ACS

    Anti-coagulation in STEMI

    Anti-coagulation in NSTEMI

    Newer anti-coagulants in ACS

    Guidelines

    Future vision

    Conclusion

    References

    14. Contentious issues in primary angioplasty: Deferred stenting, manual thrombectomy, culprit versus complete revascularisation, microvasculature in ACS

    Manual thrombectomy

    Deferred stenting

    Culprit-only revascularisationversus complete revascularisation

    Revascularisation in patients with cardiogenic shock

    References

    15. PCI post-thrombolysis: When and for whom?

    Approach to the patient

    References

    16. PCI in unstable angina and NSTEMI

    Introduction

    Epidemiology and natural history

    Pathophysiology

    Diagnosis

    Differential diagnosis

    Risk assessment

    Management

    Conclusion

    References

    17. Bleeding in acute coronary syndrome

    Introduction

    Incidence and site of bleeding in ACS

    Bleeding definitions

    Risk factors for bleeding in ACS

    Effect of drugs on bleeding in ACS

    Adverse outcomes with bleeding in ACS

    Management of bleeding in ACS

    Prevention of bleeding in ACS

    Conclusion

    References

    18. Statins in acute coronary syndrome

    Introduction

    Acute coronary syndrome

    Statins and their actions

    Guidelines

    Conclusion

    References

    19. Intravenous anti-platelet therapy—GP IIb/IIIa blockers and cangrelor: What has changed recently?

    Introduction

    Timing and method of administration

    Recent guidelines

    Conclusion

    References

    20. CABG in acute coronary syndrome

    CABG in non-st-elevation MI ACS

    CABG in st-elevation MI

    Timing of surgery

    Anti-platelet/fibrinolytic therapy

    Pre-operative management

    Technical considerations

    Outcomes of CABG in ACS

    CABG versus PCI in ACS

    Cardiogenic shock: recommendations

    OPCAB in ACS

    Mechanical circulatory support in ACS

    Post-operative pharmacotherapy

    Future

    Conclusion

    References

    21. Acute coronary syndrome with haemodynamic instability

    Introduction

    Causes of haemodynamic instability in ACS

    Pathophysiology

    Clinical features

    Investigations and diagnosis

    Differential diagnosis

    Management

    conclusion

    References

    22. Acute coronary syndrome in special populations: Women, the elderly, chronic kidney disease and the young

    Introduction

    ACS in women

    ACS in the elderly

    ACS in CKD patients

    Contrast-induced nephropathy (IN)

    ACS in the young

    Conclusion

    References

    23. Short-term rehabilitation after an acute coronary event

    Benefits of cardiac rehabilitation after ACS

    Components of cardiac rehabilitation after ACS

    Conclusion

    References

    24. Acute coronary syndrome: Case-based scenarios

    Introduction

    Case scenario 1

    Case scenario 2

    Case scenario 3

    Conclusion

    References

    25. Quality improvement programme for acute coronary syndrome care in India

    Introduction

    Brief history of cardiovascular health care quality improvement

    Fundamental concepts related to quality, safety and quality improvement

    Cardiovascular health care quality improvement programmes in ACS in India

    Challenges, opportunities and future directions

    Conclusion

    Acknowledgement

    References

    26. Primary angioplasty: Basic principles

    Introduction

    Various treatment strategies for acute STEMI

    Limitations of fibrinolysis

    Primary PCI: Goals, time logistics, why and in which situations?

    Basic terminologies related to primary PCI timing

    Procedural aspects of interventions during PPCI

    Prevention of distal embolisation in PPCI

    Role of covered stents and distal embolisation devices in PPCI

    Role of glycoprotein IIb/IIIa inhibitors (GPIs) in PPCI

    Intracoronary pharmacotherapy in PPCI

    Intracoronary fibrinolytics

    Technical issues in primary PCI

    Stenting in primary PCI

    Selection of stent type in PPCI

    Role of intra-Aortic balloon pump (IABP) in PPCI

    Role of intracoronary imaging in PPCI

    Primary PCI in special situations

    PPCI in cardiogenic shock

    Conclusion

    References

    27. Management of acute coronary syndromes in acute phase in India: Relevance of Western guidelines

    Introduction

    Clinical spectrum

    Diagnosis and initial assessment

    Risk stratification

    Management strategies for NSTE-ACS

    Guideline-mandated management strategies

    Invasive coronary angiography and revascularisation

    Revascularisation strategies

    Relevance of the guidelines for clinical practice in india

    Conclusion

    References

    Index

     

  • 330.00 lei

     

    Cardiovascular Molecular Imaging is based on a groundbreaking NIH symposium sponsored by the American Society of Nuclear Cardiology. The first all-inclusive guide to the targeted molecular imaging of the cardiovascular system, it includes color illustrations throughout and is packaged with a user-friendly CD-ROM with supplemental material.



    This reference covers new methods for the analysis and management of cardiovascular pathophysiological processes and discusses new technologies for analyzing cardiovascular receptors, gene expression, vascular structures, and biological processes that affect the heart and associated vessels.



    Bridging the gap between basic science and clinical applications, the contributors:

     

    Span the most recent molecular imaging procedures used to stage disease states and assess treatment outcomes for specific cardiovascular ailments

     

    Discuss the potential of molecular imaging to provide an improved understanding of the diagnosis and management of critical cardiovascular pathophysiological processes

     

    Track the identification of targeted biological markers for molecular and physiological processes and cover their possible impact on the development of new imaging instruments and technologies

     

    Consider biochemical processes and signaling events that precede pathophysiological transformations

     

    Analyze the latest imaging technologies that enable healthcare practitioners to improve the diagnosis, treatment, and evaluation of patients with cardiovascular conditions

     

     

  • 320.00 lei

     

    Percutaneous Interventions for Congenital Heart Disease is written for pediatric cardiologists specializing in interventional cardiology and need a step-by-step guide to carrying out procedures, as well as adult cardiologists. Covering all kinds of interventions in congenital heart disease and the new field of structural heart disease, the book examines:




    Acquired valvular heart disease

     

    Post-myocardial infarction ventricular septal defects

     

    PFO closure

     

    Closure of the left atrial appendage

     

    Paravalvular leak closure

     

    Techniques for treating diseases of the aorta

     

    Hybrid procedures



    An essential text on how to perform interventional cardiology for congenital heart disease in both the pediatric and adult patient, this expertly written work will help to overcome barriers between pediatric and adult cardiologists, and pave the way for new cardiovascular interventionalists.

     

  • 240.00 lei

     

    Interventional cardiology refers to the catheter-based treatment of cardiovascular diseases and is one of the fastest growing fields in medicine. This updated text addresses recent advances in structural heart interventions, in particular aortic and mitral valve procedures. The advent of newer technologies presents both opportunities and challenges for the cardiologist to treat patients optimally. Interventional cardiologists are now at the forefront of peripheral and structural heart interventions.

    This new edition focuses on tailoring treatment to individual patients, taking into account specific risk factors and comorbidities, and appropriate use of devices. This second edition also provides useful tools, such as treatment algorithms, evidence tables, charts, tables, and illustrations to enhance the value of this volume as a practical reference tool. The online edition also includes several "how-to" videos.

     

  • 250.00 lei

     

    Description:

     

    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.

     

     

    Table of Contents:

     

    PART 1 INSTRUMENTATION AND TECHNOLOGY

    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

    PART 2 PATIENT CARE AND LABORATORY SAFETY

    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

    12 Patient risk assessment: Use of risk calculators

    13 An evidence-based guide to cardiac catheterisation

    PART 3 PHYSIOLOGY AND PHARMACOLOGY

    14 Pressure waveforms in the cardiac cycle

    15 Physiological interpretation of pressure waveforms

    16 Measurement of cardiac output and shunts

    17 Analysis and interpretation of Fick and thermodilution cardiac output determinations

    18 Pressure-volume loops: Background theory with practical examples

    19 The electrocardiogram in ischaemic heart disease

    20 Recognition of common arrhythmias

    21 Formation and progression of atherosclerosis

    22 Basic pharmacology of cardiac drugs

    23 Drug therapy in the cardiac catheterisation laboratory: A guide to commonly used drugs

    24 Antiplatelet therapy in interventional cardiology

    PART 4 DIAGNOSTIC PROCEDURES

    25 Coronary angiography: Techniques and tools of the trade

    26 Physiological assessment of coronary lesion severity

    27 Non-invasive assessment of ischaemic heart disease

    28 Right heart catheterisation and evaluation of the pulmonary hypertension patient

    29 Haemodynamic evaluation of the heart transplant patient

    30 Trans-septal cardiac catheterisation

    PART 5 PERCUTANEOUS CAROTID INTERVENTIONS

    31 Advances in stent technology

    32 Facilitated coronary interventions: Adjuncts to balloon dilatation

    33 Catheter-based reperfusion in acute myocardial infarction

    34 Percutaneous carotid interventions

    35 The intra-aortic balloon pump: Principles and use

    PART 6 INTERVENTIONS FOR STRUCTURAL HEART DISEASE

    36 Interventional transoesophageal echocardiography

    37 Interventions for congenital heart disease

    38 Mitral valvuloplasty: The Inoue balloon dilatation technique

    39 Transcatheter aortic valve implantation

    40 Transcatheter interventions for mitral and tricuspid regurgitation

    41 Transcatheter left atrial appendage occlusion

    42 Cardiac surgery and percutaneous cardiac interventions

    PART 7 INTERVENTIONS FOR ARRHYTHMIAS

    43 The electrophysiology laboratory

    44 Catheter ablation therapy

    Index

     

  • Practical Interventional Cardiology: Third Edition
    La comanda in aproximativ 4 saptamani
    240.00 lei

     

    Description:

     

    This new and comprehensively revised third edition of Practical Interventional Cardiology, led by an eminent UK Cardiologist and supported by contributing authors from around the world, discusses the different interventional procedures by context and addresses current guidelines and ongoing trials, including European experience with non-FDA approved devices. It represents an extended practical reference for the Interventional Cardiologist, Fellows in training, catheter laboratory Nursing and Technical staff as well as the non-invasive Cardiologist and General Physician. Rather than providing detailed and exhaustive reviews – a criticism of many Interventional Cardiology texts – the purpose of this book is to present practical information regarding Interventional procedures and important topics in Cardiology. An emphasis on clarity, clinical relevance and up-to-date information has been favoured as well as discussion of points of controversy so frequently overlooked."

     

     

    Table of Contents:

     

    PART 1: CORONARY ARTERY DISEASE

    1 Epidemiology and pathophysiology of coronary artery disease

    2 Radiation protection, image archiving and communication systems

    3 Non-invasive cardiac imaging for the interventionist

    4 Coronary intravascular ultrasound (IVUS)

    5 New intravascular imaging techniques (optical coherence tomography”OCT” and optical frequency domain imaging”OFDI”)

    6 Fractional flow reserve: Invasive and non-invasive assessment to guide percutaneous coronary interventions

    7 New concepts in coronary physiological assessment

    8 Overview of randomised trials of percutaneous coronary intervention: Comparison with medical and surgical therapy

    9 Adjunctive pharmacotherapy and coronary intervention

    10 Percutaneous transluminal coronary intervention: History, techniques, indications and complications

    11 Percutaneous coronary intervention of single- or multi-vessel disease

    12 Coronary stenting I: Intracoronary stents – Form and function

    13 Coronary stenting II: New developments

    14 Stent thrombosis and restenosis

    15 A practical approach to percutaneous interventions in chronic total occlusions

    16 PCI for bifurcation lesions

    17 Percutaneous coronary intervention for left main stem disease

    18 Haemodynamic support for high-risk percutaneous intervention

    19 Acute coronary syndrome: PCI for unstable angina and non-ST elevation myocardial infarction

    20 Acute coronary syndrome: Acute ST-segment elevation myocardial infarction

    21 Percutaneous treatment of cardiogenic shock after myocardial infarction

    22 Rotational coronary atherectomy

    23 Excimer laser coronary angioplasty

    24 Advantages and disadvantages in radial and femoral arterial access

    25 Devices for femoral and radial haemostasis

    26 Percutaneous removal of retained intravascular foreign bodies

    27 PCI and the cardiac surgeon: A hybrid approach

    28 PCI in centres without on-site cardiac surgery

    29 Interventions after coronary artery bypass surgery

    PART 2: STRUCTURAL HEART DISEASE

    30 Alcohol septal ablation in hypertrophic obstructive cardiomyopathy: Techniques and results

    31 Percutaneous transvenous mitral commissurotomy

    32 Percutaneous mitral valve repair and replacement

    33 Trans-catheter closure of left atrial appendage

    34 Trans-catheter aortic valve implantation

    35 Coronary intervention in patients with aortic valve disease

    36 Interventional cardiac catheterisation in adults with congenital heart disease

    PART 3: ELECTROPHYSIOLOGY

    37 Fundamentals of cardiac electrophysiology

    38 Investigations for abnormal cardiac electrophysiology

    39 Catheter ablation of supraventricular tachycardia

    40 Ablation of ventricular arrhythmias

    41 Pacemakers for the treatment of bradyarrhythmias

    42 Cardiac resynchronisation therapy (CRT)

    43 Implantable cardioverter defibrillators

    PART 4: MISCELLANY

    44 The role of the interventionalist in peripheral vascular interventions

    45 Training programs and certification in interventional cardiology in European countries

    46 Training in interventional cardiology in the United States: Program accreditation and physician certification

    47 The principles and practice of audit in coronary intervention

    48 What’s on the horizon?

    Index

     

  • Cardiology Science and Technology
    La comanda in aproximativ 4 saptamani
    345.00 lei

     

    The books consists of two sections. The first section deals with left ventricular (LV) wall stress, cardiac contractility, ventricular remodeling, active wall stress and systolic pressure generation, and vector cardiogram characteristics, with applications in cardiology. The second section covers ECG signal analysis for arrhythmias detection, LV pumping (intra-LV, aortic and coronary flow) characteristics, and coronary bypass surgery design, with applications in cardiology and cardiac surgery.




    This book is like an exciting train ride through the heart and into blood flows within its chamber, the coronary tree, the aorta, and finally into coronary flow and bypass grafting. The train starts from the heart’s central station and journeys through exciting places of heart wall stresses, cardiac contractility measures to characterize heart failure, and active stress generation to develop systolic heart pressure. We learn about cardiomyopathic heart remodeling and its surgical ventricular restoration, theory of ECG and vector cardiogram with medical applications, and heart rate variability signal processing to detect cardiac arrhythmias.




    In the heart chamber, we witness the amazing intricate intra-ventricular flow patterns. Then, we study pressure pulse wave propagation into the aorta, determination of pulse wave velocity and arterial elasticity as a measure of arteriosclerosis. We climb into the mountainous coronary terrain and look at the fascinating scenery of coronary flows and myocardial perfusion that governs cardiac contractility. Finally, we arrive at coronary bypass grafting and witness the new sequential anastomosis design for enhanced patency.

     

  • 58300lei 485.00 lei

     

    Description:

     

    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. Launch and cultivate a successful program for the innovative procedure poised to become the standard for patients with aortic stenosis (AS) with Transcatheter Aortic Valve Replacement (TAVR) Program Development: A Guide for the Heart Team. Written by leaders in the field, this clinical instruction manual is the first to consolidate evidence, guidelines, and best practices for the TAVR care pathway from referral to follow-up. This is a must-have for clinicians—nurses, physicians, and allied health professionals—as well as administrative leadership and staff involved in TAVR programs.   The text offers a comprehensive view of the TAVR program organized to support staff and quality, and positioned to grow on pace with evolving indications, regulations, technology, and patient needs.

     

     

    Table of Contents:

     

    Chapter 1 Foundational Knowledge: Transcatheter Aortic Valve Replacement

    Objectives

    Aortic Stenosis

    Transcatheter Aortic Valve Replacement: A Game-Changing Treatment of Aortic Stenosis

    The Role of Transcatheter Aortic Valve Replacement in the Treatment of Aortic Stenosis

    Conclusion

    References

    Chapter 2 The Heart Team Approach

    Objectives

    Introduction to the Heart Team

    Roles and Responsibilities of Heart Team Members

    How to Build a Functional Heart Team

    Heart Team Responsibilities

    Conclusions

    References

    Chapter 3 The Valve Program Clinician

    Objectives

    The Central Importance of the Valve Program Clinician

    Valve Program Clinician Responsibilities

    Competencies and Specialized Knowledge

    The Role of the Valve Program Clinician in Developing a Successful Valve Clinic

    Looking to the Future

    References

    Chapter 4 From Referral to Procedure: Clinic Evaluation Pathway

    Objectives

    Introduction

    Patient Evaluation

    Functional Assessment

    Neurologic Testing

    Surgical and Procedural Risk Evaluation

    Models of Clinic Flow

    Conclusion

    References

    Chapter 5 Understanding Transcatheter Aortic Valve Replacement Diagnostic Imaging

    Objectives

    Background

    The Role of Cardiac Catheterization

    The Role of Echocardiography

    The Role of Imaging for Post–Transcatheter Aortic Valve Replacement Evaluation

    The Role of Magnetic Resonance Imaging

    Conclusions

    References

    Chapter 6 Frailty, Quality of Life, and Palliative Approach

    Objectives

    Introduction

    Frailty

    Quality of Life

    Integration of a Palliative Approach

    Conclusions

    References

    Chapter 7 Who Is the Right Patient for Transcatheter Aortic Valve Replacement: Complexities of Case Selection

    Objectives

    Introduction

    Guidelines

    Defining Risk

    Comorbidities and Considerations

    Considerations

    Medical Therapy and Futility

    Case Scenarios

    Conclusions

    References

    Chapter 8 Decision Support and Education: Strategies for Patient-Centered Care

    Objectives

    Background

    Shared Decision Making

    Shared Decision Making in Practice

    Patient and Family Education Needs

    Implications for Nursing Practice

    Navigating Expectations and Educational Goals

    Conclusions

    References

    Chapter 9 The Right Care in the Right Place: A United States Perspective on Procedure Planning

    Objectives

    Background

    Procedural Infrastructure

    Procedural Processes of Care

    The Procedure: Step by Step

    Conclusions

    References

    Chapter 10 Success Is When the Patient Goes Home: Postprocedure Care

    Objectives

    Introduction

    Infrastructure

    Priorities of Care

    Potential Complications

    Preparation for Discharge and Patient Teaching

    Conclusion

    References

    Chapter 11 Program Development and Optimization of Health Services

    Objectives

    Introduction

    Historical Perspective

    Program Development

    Program Optimization

    Conclusions

    References

    Chapter 12 Measuring Success of Transcatheter Aortic Valve Replacement Programs

    Objectives

    Introduction

    Measuring Case Selection, Risk Evaluation, and Adherence to Indications

    Measuring Clinical Outcomes

    Measuring Access to Care

    Measuring the Transformation of Care

    Measuring Cost-Effectiveness

    Quality Reports

    Conclusion

    References

    Chapter 13 Transforming the Way We Care for Transcatheter Aortic Valve Replacement Patients

    Objectives

    Background

    Transforming Transcatheter Aortic Valve Replacement: Challenges and Opportunities

    Strategies to Transform Transcatheter Aortic Valve Replacement

    Conclusions

    References

    Index

     

  • 60600lei 530.00 lei

     

    Description:

     

    Concise yet comprehensive, this practical guide to the diagnosis and ablation of cardiac arrhythmias in the electrophysiology laboratory is an indispensable resource for electrophysiologists and general cardiologists. It contains an extensive, unmatched collection of intracardiac recordings, fluoroscopic and ICE images, and 3D color-coded electroanatomic maps (EAMs), making it the premier electrophysiology reference for gaining a better understanding of cardiac arrhythmias. Each chapter focuses on a specific arrhythmia and presents a systematic discussion of diagnostic and ablation criteria, followed by an atlas of electrophysiologic recordings. These illustrations demonstrate all key aspects of the arrhythmia: electrophysiologic features, mode of induction and termination, response to diagnostic pacing maneuvers, classic presentations, unusual manifestations, mapping techniques, and target site criteria for ablation.

     

     

    Table of Contents:

     

    1.   Bradycardias

    SINUS NODE FUNCTION

    SINUS NODE RECOVERY TIME

    SINO-ATRIAL CONDUCTION TIME

    INTRINSIC HEART RATE

    CAROTID SINUS MASSAGE

    AVN–HIS-PURKINJE AXIS

    AVN FUNCTION

    AVN REFRACTORY PERIODS

    WENCKEBACH CYCLE LENGTH

    HIS-PURKINJE FUNCTION

    PHYSIOLOGIC VERSUS PATHOLOGIC BLOCK

    ATROPINE OR ISOPROTERENOL

    PROCAINAMIDE

    LOCALIZING THE SITE OF AV BLOCK

    12-LEAD ECG

    HIS BUNDLE RECORDINGS

    Intranodal Block

    Intrahisian Block

    Infrahisian Block

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    PAROXYSMAL AV BLOCK

    BILATERAL BBB

    SUPERNORMALITY

    FATIGUE PHENOMENA

    INFRAHISIAN AV BLOCK DURING ATRIAL FIBRILLATION/FLUTTER

    PSEUDO AV BLOCK

    Nonpropagated His Bundle Extrasystoles

    Nodo-Fascicular/Ventricular Accessory Pathways

    Self-Perpetuating Cycle of Intranodal AV Block and Phase IV BBB

    REFERENCES

    2.   Mechanisms of Tachycardia

    MECHANISMS

    REENTRY

    Circuit

    Initiation

    Resetting and Entrainment

    Criteria of Transient Entrainment

    Termination

    ENHANCED AUTOMATICITY

    Initiation

    Resetting and Overdrive Suppression

    Termination

    TRIGGERED ACTIVITY

    Initiation

    Overdrive Acceleration

    Termination

    MAPPING

    ENTRAINMENT MAPPING

    First Criteria of Transient Entrainment versus Entrainment Mapping

    ACTIVATION MAPPING

    REFERENCES

    3.   Intracardiac Echocardiography

    TYPES OF ICE CATHETERS

    ICE VIEWS

    HOME VIEW

    LEFT ATRIUM

    RIGHT ATRIUM

    RIGHT VENTRICLE

    LEFT VENTRICLE

    ICE MONITORING

    REFERENCES

    4.   Transeptal Catheterization

    FOSSA OVALIS

    EMBRYOLOGY/ANATOMY

    TRANSEPTAL CATHETERIZATION

    EQUIPMENT

    AVOIDING CRITICAL STRUCTURES

    PULL-DOWN TECHNIQUE

    Pull-down

    Tenting

    The Puncture

    TD/TS Deployment

    PUNCTURE TYPES

    Double Transeptal Puncture

    Site-Selective Transeptal Puncture

    TROUBLESHOOTING

    FIRST PASS FAILURE

    DIFFERENT SEPTA

    REFERENCES

    5.   Narrow Complex Tachycardias

    ELECTROPHYSIOLOGIC FEATURES

    12-LEAD ECG

    RP Interval

    P-Wave Morphology

    QRS Alternans

    NCT Rate

    ELECTROPHYSIOLOGIC STUDY

    VA Interval

    Atrial Activation Pattern

    AV Relationship

    Bundle Branch Block

    ZONES OF TRANSITION

    INITIATION

    Spontaneous

    Induced

    TERMINATION

    Spontaneous

    Induced

    PACING MANEUVERS FROM THE VENTRICLE (INVERSE RULE)

    DURING NSR (AV NODE VERSUS AP)

    Ventricular Extrastimulation (Retrograde RBBB)

    Differential RV Pacing

    Parahisian Pacing

    DURING NCT

    Diastolic VPDs

    Entrainment from the Ventricle

    PACING MANEUVERS FROM THE ATRIUM

    ΔAH VALUE

    VA LINKING (AT VERSUS AVNRT/ORT)

    AVNRT VERSUS JT

    VAGAL MANEUVERS

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    NCT WITH AV DISSOCIATION

    DUAL ANTEGRADE RESPONSE TACHYCARDIA

    NARROW QRS VT

    REFERENCES

    6.   Long RP Tachycardias

    ELECTROPHYSIOLOGIC FEATURES

    PACING MANEUVERS

    His Refractory VPDs (Identifying Presence of a Decremental AP)

    Entrainment

    ABLATION

    SUMMARY

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    CYCLE LENGTH ALTERNANS

    COUMEL’S LAW IN THE ATRIUM

    REFERENCES

    7.   Atrio-ventricular Nodal Reentrant Tachycardia

    DUAL AV NODE PHYSIOLOGY

    ECG MANIFESTATIONS OF DUAL AV NODE PHYSIOLOGY

    Dual Antegrade Response versus His Bundle Extrasystole

    ELECTROPHYSIOLOGIC STUDY

    ATRIO-VENTRICULAR NODAL REENTRANT TACHYCARDIA CIRCUIT

    ELECTROPHYSIOLOGIC FEATURES OF AVNRT

    12-LEAD ECG

    ELECTROPHYSIOLOGIC STUDY

    AV Relationship

    Bundle Branch Block

    ZONES OF TRANSITION

    INITIATION

    TERMINATION

    PACING MANEUVERS FROM THE VENTRICLE

    DIASTOLIC VPDs

    Preexcitation Index

    HIS Refractory VPD (“V on H” Maneuver)

    ENTRAINMENT FROM THE VENTRICLE

    “AV” Response

    Post-pacing Interval (PPI)

    ΔHA Value

    ΔVA Value

    ONSET OF VENTRICULAR OVERDRIVE PACING

    PACING MANEUVERS FROM THE ATRIUM

    AVNRT VERSUS AT (VA LINKING)

    AVNRT VERSUS JT

    Atrial Overdrive Pacing

    Diastolic APDs

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    CYCLE LENGTH ALTERNANS

    DUAL TACHYCARDIAS

    CTI/SVC BLOCK

    REFERENCES

    8.   Ablation of Atrio-ventricular Nodal Reentrant Tachycardia

    ANATOMY OF THE AV NODE

    ABLATION OF THE SLOW PATHWAY (RIGHT INFERIOR EXTENSION)

    SINUS RHYTHM MAPPING OF THE SLOW PATHWAY

    RETROGRADE MAPPING OF THE SLOW PATHWAY

    LEFT-SIDED ABLATION

    MONITORING DURING RF DELIVERY

    PROCEDURAL ENDPOINTS

    REFERENCES

    9.   Basic Evaluation of Accessory Pathways

    HALLMARKS OF MANIFEST PREEXCITATION

    12-LEAD ECG

    ELECTROPHYSIOLOGIC STUDY

    AP LOCALIZATION

    12-LEAD ECG

    Delta-Wave Axis

    P-Wave Axis

    ELECTROPHYSIOLOGIC STUDY

    Earliest Site of Ventricular Activation

    Earliest Site of Atrial Activation

    Accessory Pathway Potentials

    ELECTROPHYSIOLOGIC PROPERTIES OF THE AP

    ANTEGRADE AP ERP

    ANTEGRADE 1:1 CYCLE LENGTH

    RETROGRADE AP ERP

    RETROGRADE 1:1 CYCLE LENGTH

    RISK OF SUDDEN DEATH

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    PHASE 4 BLOCK

    FATIGUE

    AUTOMATICITY

    SUPERNORMALITY

    LONGITUDINAL DISSOCIATION

    AV BLOCK

    REFERENCES

    10.   Orthodromic Reciprocating Tachycardia

    MECHANISM

    ELECTROPHYSIOLOGIC FEATURES

    12-LEAD ECG

    ELECTROPHYSIOLOGIC STUDY

    AV Relationship

    Bundle Branch Block

    ZONES OF TRANSITION

    INITIATION

    Atrial Stimulation

    Ventricular Stimulation

    Bundle Branch Reentrant Beats (“V3 Response”)

    TERMINATION

    Spontaneous

    Induced

    His Refractory VPD

    PACING MANEUVERS FROM THE VENTRICLE

    DIASTOLIC VPDs

    Preexcitation Index

    His Refractory VPD (“V on H” Maneuver)

    ENTRAINMENT FROM THE VENTRICLE

    Orthodromic Capture of the His Bundle

    “AV” Response

    Post-pacing Interval

    ΔHA Value

    ΔVA Value

    ONSET OF VENTRICULAR OVERDRIVE PACING

    PACING MANEUVERS FROM THE ATRIUM

    ORT VERSUS AT (VA LINKING)

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    CYCLE LENGTH ALTERNANS

    QRS ALTERNANS

    CTI/MITRAL ISTHMUS/SVC BLOCK

    REFERENCES

    11.   Unusual Types of Accessory Pathways

    MULTIPLE APs

    12-LEAD ECG

    ELECTROPHYSIOLOGIC STUDY

    PERMANENT FORM OF JUNCTIONAL RECIPROCATING TACHYCARDIA

    ELECTROPHYSIOLOGIC FEATURES

    12-lead ECG

    Electrophysiologic Study

    ZONES OF TRANSITION

    Initiation

    Termination

    PACING MANEUVERS FROM THE VENTRICLE

    His Refractory VPD

    Entrainment from the Ventricle

    Onset of Ventricular Overdrive Pacing

    ACCESSORY PATHWAYS ORIGINATING/INSERTING INTO THE AV NODE–HIS-PURKINJE SYSTEM

    NODO-FASCICULAR/NODO-VENTRICULAR AP

    Electrophysiologic Features

    AV Block

    Orthodromic NFRT

    Antidromic NFRT

    AVNRT with Manifest/Concealed Bystander NF AP

    ATRIO-FASCICULAR AP (OR LONG ATRIO-VENTRICULAR AP)

    Electrophysiologic Features

    Antidromic AFRT

    FASCICULO-VENTRICULAR AP

    Electrophysiologic Features

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    DOUBLE TACHYCARDIA (ORT AND AVNRT)

    REFERENCES

    12.   Ablation of Accessory Pathways

    CLASSIC ATRIO-VENTRICULAR ACCESSORY PATHWAYS (BUNDLE OF KENT)

    MAPPING

    Antegrade

    Retrograde

    ABLATION

    SPECIFIC LOCATIONS

    Right versus Left versus CS Posteroseptal

    Parahisian versus NCC

    ATYPICAL ACCESSORY PATHWAYS

    PERMANENT FORM OF JUNCTIONAL RECIPROCATING TACHYCARDIA

    MAHAIM FIBERS

    REFERENCES

    13.   Atrial Tachycardia

    12-LEAD ECG

    SPECIFIC P-WAVE MORPHOLOGIES

    Sinus-Like Morphology

    Atypical AVNRT-Like Morphology

    Biphasic (Negative–Positive) Morphology

    Concordance

    ELECTROPHYSIOLOGIC FEATURES

    AV RELATIONSHIP

    BUNDLE BRANCH BLOCK

    ZONES OF TRANSITION

    PACING MANEUVERS FROM THE VENTRICLE (“AAV” RESPONSE)

    PACING MANEUVERS FROM THE ATRIUM (ABSENCE OF VA LINKING)

    MAPPING AND ABLATION

    FOCAL ATRIAL TACHYCARDIA

    Activation Mapping

    Pacemapping

    Atrial Overdrive Pacing

    MACROREENTRANT ATRIAL TACHYCARDIA

    Pacemapping

    Entrainment Mapping

    Nonpropagated Extrastimulus

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    REFERENCES

    14.   Atrial Flutter

    ANATOMY OF THE CAVO-TRICUSPID ISTHMUS

    CTI-DEPENDENT ATRIAL FLUTTER

    CIRCUIT

    ELECTROPHYSIOLOGIC FEATURES

    12-Lead ECG

    Electrophysiologic Study

    CTI DEPENDENCY

    MAPPING AND ABLATION OF THE CTI

    MAPPING

    During Atrial Flutter

    During NSR

    GAP MAPPING

    DIFFICULT CTI ABLATION

    PROCEDURAL ENDPOINTS

    WIDELY SPACED DOUBLE POTENTIALS

    ATRIAL ACTIVATION/ELECTROGRAM POLARITY REVERSAL

    POSITIVE TERMINAL P-WAVE FORCES

    DIFFERENTIAL ATRIAL PACING

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    DOUBLE WAVE REENTRY

    LOWER LOOP REENTRY

    INTRA-ISTHMUS REENTRY

    TRANSPLANT FLUTTER

    LONGITUDINAL DISSOCIATION OF THE CTI

    UNUSUAL ATRIO-VENTRICULAR CONDUCTION RATIOS

    1:1 AV Conduction

    Alternating Wenckebach

    REFERENCES

    15.   Atrial Fibrillation

    PATHOPHYSIOLOGY

    FOCAL TRIGGERS

    ARRHYTHMOGENIC SUBSTRATE

    MODULATING FACTORS

    ATRIAL FIBRILLATION ABLATION

    FOCAL TRIGGERS

    Radiofrequency Ablation

    Cryoablation

    SUBSTRATE MODIFICATION

    Electrogram-Based Ablation

    Linear Lesions

    Mechanistic-Based Ablation

    MODULATING FACTORS

    Vagal Denervation

    TAILORED APPROACH

    ENDPOINTS

    POST-ABLATION LEFT ATRIAL FLUTTER/TACHYCARDIA

    REFERENCES

    16.   Sinus Node and Atrio-ventricular Junction Modification/Ablation

    SINO-ATRIAL NODE AND AV NODE–HIS BUNDLE AXIS

    SINO-ATRIAL NODE MODIFICATION

    ATRIO-VENTRICULAR JUNCTION MODIFICATION/ABLATION

    RIGHT-SIDED APPROACH

    Direct Compact AV Node Ablation

    Electrical Isolation of the AV Node

    LEFT-SIDED APPROACH

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    IAST IN THE TRANSPLANTED HEART

    REFERENCES

    17.   Wide Complex Tachycardias

    12-LEAD ECG

    BASELINE

    VT VERSUS SVT WITH BBB

    QRS Morphology

    QRS Width and Intrinsicoid

    QRS Axis

    Atrio-Ventricular Relationship

    Zones of Transition

    Algorithms

    VT VERSUS PREEXCITED TACHYCARDIA

    ELECTROPHYSIOLOGIC STUDY

    HIS BUNDLE ELECTROGRAM/HV INTERVAL

    AV RELATIONSHIP

    PACING MANEUVERS

    During NSR

    During WCT

    REFERENCES

    18.   Preexcited Tachycardias

    BYSTANDER PREEXCITED TACHYCARDIAS

    ATRIAL FIBRILLATION

    ATRIAL FLUTTER/TACHYCARDIA

    ATRIO-VENTRICULAR NODAL REENTRANT TACHYCARDIA

    Electrophysiologic Features

    Zones of Transition

    Pacing Maneuvers

    ANTIDROMIC REENTRANT TACHYCARDIA

    MECHANISM

    ELECTROPHYSIOLOGIC FEATURES

    AV Relationship

    Bundle Branch Block

    ZONES OF TRANSITION

    PACING MANEUVERS

    AVJ-Refractory APD

    Rapid Atrial Pacing (Maximal Preexcitation)

    Rapid Ventricular Pacing/Entrainment (ΔHA Value/PPI)

    REFERENCES

    19.   Idiopathic Ventricular Tachycardia and Fibrillation

    OUTFLOW TRACT TACHYCARDIAS

    MECHANISM

    OUTFLOW TRACT ANATOMY

    Right Ventricular Outflow Tract

    Left Ventricular Outflow Tract

    12-LEAD ECG

    RVOT VT

    RVOT versus LVOT VT

    LVOT VT

    MAPPING AND ABLATION

    Activation Mapping

    Pacemapping

    PAPILLARY MUSCLE VT

    OTHER VT

    IDIOPATHIC LEFT VENTRICULAR TACHYCARDIA

    MECHANISM

    12-LEAD ECG

    MAPPING AND ABLATION

    Activation Mapping

    Pacemapping

    IDIOPATHIC VENTRICULAR FIBRILLATION

    REFERENCES

    20.   Ablation of Scar-Related Ventricular Tachycardia

    VT CIRCUIT

    CIRCUIT MODEL

    12-LEAD ECG DURING VT

    MAPPING AND ABLATION

    ENTRAINMENT MAPPING

    Entrainment Criteria

    Entrainment Sites

    SUBSTRATE-BASED ABLATION

    Sinus Rhythm Ventricular Electrograms

    Pacemapping

    ENDPOINTS

    UNUSUAL ELECTROPHYSIOLOGIC PHENOMENA

    NONGLOBAL CAPTURE

    SCAR CHANNEL ENTRANCE/EXIT BLOCK

    REFERENCES

    21.   Bundle Branch Reentrant Tachycardia

    CIRCUIT

    ELECTROPHYSIOLOGIC FEATURES

    ZONES OF TRANSITION

    INITIATION

    TERMINATION

    PACING MANEUVERS

    ENTRAINMENT FROM THE ATRIUM

    ENTRAINMENT FROM THE VENTRICLE

    MAPPING AND ABLATION OF BBRT

    RIGHT BUNDLE ABLATION

    LEFT BUNDLE ABLATION

    INTERFASCICULAR REENTRANT TACHYCARDIA

    REFERENCES

    22.   Unusual Electrophysiologic Phenomena

    SUPERNORMALITY

    GAP PHENOMENA

    PHASE 4 BLOCK

    BILATERAL, EQUAL DELAY

    CONCEPT OF CONCEALED CONDUCTION

    GROUPED BEATING

    WENCKEBACH PERIODICITY

    EXIT BLOCK

    LONGITUDINAL DISSOCIATION

    REFERENCES

    Index

     

  • 1,17200lei 965.00 lei

    Description:

    Widely known as the premier electrophysiology text, Josephson’s Clinical Cardiac Electrophysiology provides a thorough understanding of the mechanisms of cardiac arrhythmias and the therapeutic interventions used to treat them. Dr. David J. Callans, personally chosen and trained by Dr. Mark Josephson, continues the tradition of excellence of previous editions while bringing the text fully up to date in every area of this complex field. The sixth edition provides highly visual guidance on the electrophysiologic methodology required to define the mechanism and site of origin of arrhythmia – enabling you to choose the safest and most effective therapy for each patient.

     

     

    Table of Contents:

     

     

    1.    Chapter 1 General Principles and Techniques of Electrophysiologic Investigation

    2.    THE ELECTROPHYSIOLOGY LABORATORY

    3.    Personnel

    4.    INTRACARDIAC SIGNAL RECORDING AND INTERPRETATION

    5.    Equipment

    6.    CARDIAC CATHETERIZATION TECHNIQUE

    7.    Right Atrium

    8.    Left Atrium

    9.    Right Ventricle

    10.  Left Ventricle

    11.  His Bundle Electrogram

    12.  RISKS AND COMPLICATIONS

    13.  Significant Hemorrhage

    14.  Thromboembolism

    15.  Phlebitis

    16.  Arrhythmias

    17.  Complications of Left Ventricular Studies

    18.  Pericardial Effusion/Tamponade

    19.  INTERPRETATION OF ELECTROPHYSIOLOGY STUDIES

    20.  General Concepts

    21.  MEASUREMENT OF CONDUCTION INTERVALS

    22.  His Bundle Electrogram

    23.  Assessment of “H”-V Interval

    24.  Establishing Relationship of the His Bundle Deflection to Other Electrograms: Role of Catheter Position

    25.  Simultaneous Left-Sided and Right-Sided Recordings

    26.  His Bundle Pacing

    27.  A-H Interval

    28.  H-V Interval

    29.  Intra-Atrial Conduction

    30.  Intraventricular Conduction

    31.  DESCRIPTION OF ELECTROGRAMS

    32.  Descriptive Characteristics

    33.  Quantitative Characteristics

    34.  Left Ventricular Endocardial Activation

    35.  PROGRAMMED STIMULATION

    36.  Incremental Pacing

    37.  Refractory Periods

    38.  Patterns of Response to Atrial Extrastimuli

    39.  Patterns of Response to Ventricular Extrastimuli

    40.  Safety of Ventricular Stimulation

    41.  Comparison of Antegrade and Retrograde Conduction

    42.  Chapter 2 Sinus Node Function

    43.  ELECTROCARDIOGRAPHIC FEATURES OF SINUS NODE DYSFUNCTION

    44.  Sinus Bradycardia

    45.  Sinoatrial Block and Sinus Arrest

    46.  Bradycardia-Tachycardia Syndrome

    47.  ELECTROCARDIOGRAPHIC MONITORING OF PATIENTS SUSPECTED OF HAVING SINUS NODE DYSFUNCTION

    48.  ASSESSMENT OF AUTONOMIC TONE

    49.  ELECTROPHYSIOLOGIC EVALUATION OF SINUS NODE FUNCTION

    50.  Sinoatrial Conduction Time

    51.  Sinus Node Electrogram

    52.  Sinoatrial Conduction Time in Patients With Sick Sinus Syndrome

    53.  Sinus Node Recovery Time

    54.  Effect of Atropine and Autonomic Blockade on Sinus Node Recovery Time in Normal Persons

    55.  Results of Sinus Node Testing in Patients Suspected of Having Sinus Node Dysfunction

    56.  EFFECT OF DRUGS ON SINUS NODE RECOVERY TIME AND SINOATRIAL CONDUCTION TIME

    57.  Digoxin

    58.  Propranolol

    59.  Calcium Channel Antagonists

    60.  Antiarrhythmic Agents

    61.  VAGAL HYPERSENSITIVITY (NEUROCIRCULATORY) SYNDROMES

    62.  THERAPEUTIC IMPLICATIONS

    63.  Chapter 3 Atrioventricular Conduction

    64.  ATRIUM

    65.  ATRIOVENTRICULAR NODE

    66.  HIS BUNDLE

    67.  INFRA-HIS CONDUCTION SYSTEM

    68.  PAROXYSMAL A-V BLOCK

    69.  VALUE OF INTRACARDIAC STUDIES IN THE EVALUATION OF A-V CONDUCTION DISTURBANCES

    70.  SUPPRESSION OF A-V CONDUCTION BY VENTRICULAR STIMULATION

    71.  THERAPEUTIC CONSIDERATIONS

    72.  Chapter 4 Intraventricular Conduction Disturbances

    73.  DEFINITIONS

    74.  SITE OF “BLOCK” OR CONDUCTION DELAY DURING BUNDLE BRANCH BLOCK

    75.  Chronic Right Bundle Branch Block

    76.  Left Bundle Branch Block

    77.  Transient Bundle Branch Block

    78.  CLINICAL RELEVANCE OF INTRAVENTRICULAR CONDUCTION DISTURBANCES

    79.  Role of Electrophysiologic Studies in Predicting Risk of Heart Block

    80.  Methods to Identify Patients at Risk of Developing A-V Block

    81.  Alternating Bundle Branch Block

    82.  Syncope and Sudden Death in Patients With Bundle Branch Block

    83.  THERAPEUTIC IMPLICATIONS

    84.  Chapter 5 Miscellaneous Phenomena Related to Atrioventricular Conduction

    85.  CONCEALED CONDUCTION

    86.  GAP PHENOMENON

    87.  SUPERNORMAL CONDUCTION

    88.  Chapter 6 Ectopic Rhythms and Premature Depolarizations

    89.  ATRIAL DEPOLARIZATIONS

    90.  JUNCTIONAL (HIS BUNDLE OR A-V NODAL) DEPOLARIZATIONS

    91.  FASCICULAR DEPOLARIZATIONS

    92.  VENTRICULAR DEPOLARIZATIONS

    93.  Chapter 7 Supraventricular Tachycardias

    94.  MECHANISMS OF SUPRAVENTRICULAR TACHYCARDIA

    95.  METHODS OF EVALUATION

    96.  SUPRAVENTRICULAR TACHYCARDIA RESULTING FROM ATRIOVENTRICULAR NODAL REENTRY

    97.  Mechanisms of Initiation of Atrioventricular Nodal Reentry

    98.  Determinants for the Induction of Atrioventricular Nodal Reentry

    99.  Atrial Activation Sequence and the P–QRS Relationship During Supraventricular Tachycardia

    100.               Effect of Bundle Branch Block During Atrioventricular Nodal Reentrant Supraventricular Tachycardia

    101.               Requirement of the Atrium and Ventricle

    102.               SUPRAVENTRICULAR TACHYCARDIA RESULTING FROM CONCEALED ATRIOVENTRICULAR BYPASS TRACTS

    103.               Mechanism of Initiation

    104.               Effects of Pharmacologic and Physiologic Maneuvers During Supraventricular Tachycardia

    105.               SUPRAVENTRICULAR TACHYCARDIA RESULTING FROM INTRA-ATRIAL OR SINUS NODE REENTRY

    106.               AUTOMATIC ATRIAL TACHYCARDIA

    107.               ATRIAL TACHYCARDIA DUE TO TRIGGERED ACTIVITY

    108.               DISTINGUISHING ATRIAL TACHYCARDIA FROM AVNRT AND AVRT

    109.               MULTIPLE SVT MECHANISMS IN INDIVIDUAL PATIENTS

    110.               OVERVIEW

    111.               Chapter 8 Atrial Fibrillation and Atrial Flutter

    112.               ELECTROPHYSIOLOGIC AND ANATOMIC SUBSTRATES OF MACROREENTRANT ATRIAL TACHYCARDIA AND FIBRILLATION

    113.               Conduction Defects in Patients With Atrial Fibrillation and Flutter

    114.               Atrial Refractoriness

    115.               Atrial Vulnerability

    116.               Modern Studies of the Electrophysiologic and Anatomic Substrate of Atrial Fibrillation

    117.               ELECTROPHYSIOLOGIC MECHANISMS OF ATRIAL FIBRILLATION

    118.               Mapping During Atrial Fibrillation

    119.               Stimulation During Atrial Fibrillation

    120.               Relationship Between Atrial Flutter and Fibrillation

    121.               ELECTROPHYSIOLOGIC MECHANISMS OF ATRIAL FLUTTER

    122.               Induction of Atrial Flutter

    123.               Characterization of the Reentrant Circuit in Atrial Flutter

    124.               Termination of Atrial Flutter

    125.               Effects of Pharmacologic Agents on Reentrant Atrial Flutter

    126.               Atrioventricular Conduction During Flutter

    127.               SUMMARY

    128.               Chapter 9 Preexcitation Syndromes

    129.               ATRIOVENTRICULAR BYPASS TRACTS

    130.               ELECTROPHYSIOLOGIC PROPERTIES OF A-V BYPASS TRACTS

    131.               ELECTROPHYSIOLOGIC EVALUATION IN PATIENTS WITH WOLFF–PARKINSON–WHITE SYNDROME

    132.               Diagnosis of an A-V Bypass Tract

    133.               MODE OF INITIATION OF TACHYCARDIAS

    134.               ORTHODROMIC TACHYCARDIA

    135.               PREEXCITED TACHYCARDIAS

    136.               ATRIAL FIBRILLATION

    137.               LOCALIZATION OF THE BYPASS TRACT

    138.               RELATION OF LOCAL VENTRICULAR ELECTROGRAMS TO DELTA WAVE

    139.               PACING FROM MULTIPLE ATRIAL SITES

    140.               RETROGRADE ATRIAL ACTIVATION

    141.               EFFECT OF BUNDLE BRANCH BLOCK DURING ORTHODROMIC TACHYCARDIA

    142.               DIRECT RECORDING OF BYPASS TRACT POTENTIALS

    143.               ROLE OF THE BYPASS TRACT IN GENESIS OF ARRHYTHMIAS

    144.               DETERMINATION OF THE ANTEGRADE REFRACTORY PERIOD OF THE BYPASS TRACT

    145.               INTERMITTENT PREEXCITATION

    146.               EFFECT OF ANTIARRHYTHMIC AGENTS ON PREEXCITATION

    147.               EXERCISE TESTING IN WOLFF–PARKINSON–WHITE SYNDROME

    148.               DETERMINATION OF THE ANTEGRADE REFRACTORY PERIOD OF THE BYPASS TRACT BY PROGRAMMED STIMULATION

    149.               TERMINATION OF ORTHODROMIC TACHYCARDIA

    150.               MULTIPLE BYPASS TRACTS

    151.               ATRIOVENTRICULAR NODAL “BYPASS TRACTS”—THE LOWN–GANONG–LEVINE SYNDROME

    152.               Electrophysiologic Properties

    153.               Atrial Pacing

    154.               Response to Atrial Premature Depolarizations

    155.               Ventriculoatrial Conduction

    156.               Response to Pharmacologic and Physiologic Maneuvers

    157.               Role of the Bypass Tract in Arrhythmias

    158.               Therapeutic Implications

    159.               ACCESSORY PATHWAYS WITH ANTEROGRADE DECREMENTAL CONDUCTION AND FASCICULOVENTRICULAR PATHWAYS

    160.               Slowly Conducting Accessory Pathways

    161.               Electrophysiologic Manifestations

    162.               Atriofascicular and Long Atrioventricular Bypass Tracts

    163.               Short Slowly Conducting Atrioventricular Bypass Tracts

    164.               Nodofascicular and Nodoventricular Bypass Tracts

    165.               Tachycardias Associated With Atriofascicular, Slowly Conducting A-V, Nodofascicular, and Nodoventricular Bypass Tracts

    166.               Therapeutic Implications

    167.               Fasciculoventricular Bypass Tracts

    168.               Chapter 10 Recurrent Ventricular Tachycardia

    169.               DEFINITIONS OF VENTRICULAR TACHYCARDIAS

    170.               Morphology

    171.               Duration

    172.               CLASSIFICATION OF VENTRICULAR TACHYCARDIA QRS COMPLEXES

    173.               DIAGNOSIS OF VENTRICULAR TACHYCARDIA

    174.               Use of His Bundle Recordings in Diagnosing Ventricular Tachycardia

    175.               PATHOPHYSIOLOGIC SUBSTRATE FOR VENTRICULAR TACHYARRHYTHMIAS

    176.               Anatomic Substrate

    177.               Electrophysiologic Substrate

    178.               MECHANISMS OF VENTRICULAR TACHYCARDIA

    179.               Initiation of Ventricular Tachycardias

    180.               Initiation of Sustained Uniform Ventricular Tachycardia

    181.               Initiation of Polymorphic Ventricular Tachycardia–Ventricular Fibrillation

    182.               Initiation of Monomorphic Nonsustained Ventricular Tachycardia

    183.               Response of Sustained Uniform Ventricular Tachycardia to Stimulation

    184.               Protocol for Stimulation During Sustained VT

    185.               Response of Ventricular Tachycardia to Overdrive Pacing—Continuous Resetting (Entrainment)

    186.               EFFECT OF DRUGS ON VENTRICULAR TACHYCARDIA

    187.               LOCALIZATION OF THE SITE OF ORIGIN OF VENTRICULAR TACHYCARDIA

    188.               General Methods of Catheter Mapping

    189.               Relationship of Mapping Data to Heart Disease

    190.               Sinus Rhythm Mapping

    191.               Relationship of QRS Morphologies to Sites of Origin of Tachycardias

    192.               Role of Pace Mapping in Determining the Site of Origin of Ventricular Tachycardia

    193.               VENTRICULAR STIMULATION IN MISCELLANEOUS DISORDERS

    194.               Chapter 11 Catheter and Surgical Ablation in the Therapy of Arrhythmias

    195.               BIOPHYSICS OF CURRENT ABLATION TECHNIQUES

    196.               Direct Current Ablation

    197.               Irreversible Electroporation (Pulsed Electrical Field Ablation)

    198.               Radiofrequency Energy

    199.               Novel Concepts in RF ablation

    200.               Laser Ablation

    201.               Cryoablation

    202.               Ultrasound

    203.               CONTROL OF SUPRAVENTRICULAR ARRHYTHMIAS BY ABLATIVE TECHNIQUES

    204.               Ablation of Atrioventricular Bypass Tracts and Variants of Preexcitation

    205.               Localization of Bypass Tracts

    206.               Catheter Ablation of Bypass Tracts

    207.               Ablation of Preexcitation Variants

    208.               Complications of Procedures

    209.               Ablation of the A-V Junction for Ventricular Rate Control During Atrial Tachyarrhythmias

    210.               Catheter Ablation Techniques to Treat A-V Nodal Tachycardia

    211.               SURGICAL AND CATHETER ABLATION TECHNIQUES TO MANAGE OTHER ATRIAL ARRHYTHMIAS

    212.               Ablation of Atrial Tachycardia

    213.               Ablation of Typical Atrial Flutter and Other Macroreentrant Atrial Arrhythmias

    214.               SURGICAL AND CATHETER-BASED ABLATIVE TECHNIQUES FOR TREATMENT OF ATRIAL FIBRILLATION

    215.               Role of Linear Lesions to the Atrial Roof and/or Mitral Annulus

    216.               Ablation of Complex Fractionated Electrograms

    217.               Stepwise Ablation (Ablation to Termination of Persistent AF)

    218.               Additional Ablation After PVI

    219.               Surgical Ablation of Atrial Fibrillation

    220.               CONTROL OF VENTRICULAR ARRHYTHMIAS BY ABLATIVE TECHNIQUES

    221.               Role of the ECG in Localization of Tachycardias

    222.               Mapping Techniques for Ventricular Tachycardia

    223.               Catheter Ablation of Ventricular Tachycardia Associated With Coronary Artery Disease

    224.               Role of Catheter Ablation in the Treatment of Ventricular Tachycardia Associated With Nonischemic Left Ventricular Cardiomyopathy

    225.               Role of Catheter Ablation in the Treatment of Ventricular Tachycardia Associated With Right Ventricular Cardiomyopathy

    226.               The Role of Catheter Mapping and Ablation of Idiopathic Ventricular Tachycardias

    227.               Catheter Ablation of Miscellaneous Ventricular Tachycardias

    228.               Intraoperative Mapping and Surgical Ablation of Ventricular Tachycardias

    229.               Intraoperative Mapping Techniques for Ventricular Tachycardia

    230.               Surgical Treatment for Ventricular Tachyarrhythmias

    231.               Results of Surgery

    232.               Ventricular Tachycardia Unassociated With Coronary Artery Disease

    233.               CONCLUSION

    234.               Index

     

  • 1040.00 lei

     

    The leading comprehensive reference on cardiac catheterization through eight outstanding editions, Grossman & Baim's Cardiac Catheterization, Angiography, and Intervention, Ninth Edition, continues to keep you up to date with every facet of this fast-changing field. Designed for quick access and easy reference, this text offers expert overviews of the theoretical and practical aspects of clinical issues, with emphasis given to hemodynamic data and tracings and interventional procedures. An impressive multimedia library with new videos and cases make this reference even more valuable for cardiologists and interventional cardiologists at all levels of experience. Features clear, succinct text highlighted by summary tables, graphs, illustrations, and real-life images that illustrate procedures, complications, and bailout methods. Includes new chapters on non-valvular interventions for structural heart disease; percutaneous therapies for aortic and pulmonic valvular heart disease; and percutaneous therapies for mitral and tricuspid valvular heart disease, and more. Provides fully updated content throughout, additional cases and videos online. 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.

  • 69300lei 600.00 lei

     

    Description:

     

     

    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. The Digital Echo Atlas: A Multimedia Reference is a first-of-its-kind imaging resource made up of extensive and innovative digital content accompanied by a print book that provides a brief overview of topics and cases, with icons that quickly guide you to the digital material. The text, written by Dr. Stephen D. Clements of Emory University, provides expert clinical guidance and offers real-world cases throughout, ensuring that this unique resource package is a go-to learning and reference tool useful for cardiology fellows, practitioners, cardiac sonographers, nurse practitioners, physician assistants, and residents. It can also be used as a mobile teaching tool on rounds or in the classroom.   In the companion book, you’ll find highly illustrated, full-color coverage which is enhanced by the digital material available through the eBook bundle. The print volume is both a quick clinical reference and a useful guide to the wealth of digital content, as well as a source of practical information such as transducer maneuvers, ASE guidelines, abbreviations, fundamentals of producing an echocardiogram, and case presentations.

     

     

    Table of Contents:

     

    Chapter 1 The Left Atrium and the Left Atrial Appendage

     

    Section 1 The Left Atrial Appendage

    Introduction

    Anatomy of the Left Atrial Appendage

    Transthoracic Imaging

    Transesophageal Imaging

    Normal Pulsed-Wave Doppler Velocities in the Left Atrial Appendage

    Pulsed-Wave and Color Doppler

    Abnormalities of the Left Atrial Appendage on Transesophageal Echocardiography

    Images of the Left Atrial Appendage on TEE

    Arrhythmias, Atrial Flutter, and Atrial Fibrillation

    Arrhythmias

    Arrhythmias on Echo Continued

    Left Atrial Appendage and Atrial Fibrillation

    Spontaneous Echo Contrast (SEC): “Smoke”

    Smoke

    Thrombus in the Left Atrial Appendage

    Large Thrombus in the Left Atrial Appendage Noted on Transthoracic Echocardiogram

    Thrombi in the Left Atrial Appendage and Transesophageal Echocardiogram, Six Different Patients

    The Use of Echo Contrast in Assessment of the Left Atrial Appendage

    Rheumatic Mitral Stenosis and Thrombus in the Left Atrial Appendage

    Rheumatic Mitral Stenosis, Smoke, and Thrombus Filling the Left Atrial Appendage

    Rheumatic Mitral Stenosis and Left Atrial Appendage Thrombus in Addition to the Mural Thrombus on TTE and Then TEE

    Mitral Valve Repair and Thrombus Extending Into the Left Atrial Appendage

    Coronary Embolus From a Thrombus of a Mitral Valve

    Suture Closure of the Left Atrial Appendage at the Time of Mitral Valve Surgery

    Left Atrial Appendage, Ligated and Visualized on 2-D and 3-D ECHO

    Left Atrial Appendage, Partially Ligated

    Left Atrial Appendage Thrombus Visualized on a CT Scan With Contrast

    Left Atrial Appendage Thrombus on a CT Scan

    Malignant Tumor Arising in the Left Atrial Appendage

    Left Atrial Appendage Sarcoma, the Primary Tumor and the Microscopic

    Pseudoaneurysm of the Left Atrial Appendage

    Pseudoaneurysm of the Left Atrial Appendage and Closure With an Amplatzer Device

    Thrombus Formation in the Pseudoaneurysm After Deployment of Amplatzer Device

    Other Methods of Left Atrial Appendage Occlusion Performed in the Cardiac Catheterization Lab

    The LARIAT (TM) Suture Delivery Device, SentreHEART, Redwood City, California

    The PLAATO Device

    The Watchman LAAC Device

     

    Section 2 The Left Atrium

     

    Introduction

    Quantification of the Left Atrium Size

    Size and Function of the Left Atrium

    Normal Left Atrium

    Simpson Method of Disks and Left Atrial Volume Measurements

    Abnormalities of the Left Atrium

    The Apical Four-Chamber View

    Interatrial Septal Aneurysm

    Interatrial Septum Aneurysm and LVAD

    Cor Triatriatum Sinister

    Cor Triatriatum and the Associated Gradient on Continuous-Wave Doppler

    Cor Triatriatum From Transesophageal Echocardiogram and the Associated Gradient

    Cor Triatriatum on Transesophageal Echocardiogram: The Defect and the Jet

    Cor Triatriatum, the Surgical Specimen and the Postoperative Echo

    Patient With Cor Triatriatum/Cor Triatriatum and 3-D ECHO

    Left Atrial Strain

    Left Atrial Myxoma

    Large Left Atrial Myxoma on 2-D and 3-D Echocardiography

    Large Left Atrial Myxoma on 2-D and 3-D Images

    A Large Bilobed Left Atrial Myxoma, the “Clear Zone” and the “Tumor Plop”

    Large Bilobed Myxoma and the Associated M-mode Tracings

    Large and Long Left Atrial Myxoma With Very Irregular Edges

    Broad-Based Small Myxoma on TEE and 3-D TEE

    A Small Myxoma With a Satellite Lesion

    Calcified Left Atrial Myxoma

    Images of Myxoma Removed at Surgery

    Myxomas From Four Different Individuals

    Microscopic Views of Atrial Myxoma

    Coronary Arteriogram in Left Atrial Myxoma

    Left Atrial Myxoma on Pulmonary Artery Injection With Following Through to the Left Atrium

    Malignant Tumors of the Left Atrium

    Leiomyosarcoma Extending into the LA from the Pulmonary Veins

    Lung Cancer Invading a Pulmonary Vein and Approaching the Left Atrium

    Small Cell Lung Cancer Invading the Left Atrial Wall and the Interatrial Septum

    Melanoma Metastatic to the Left Atrial Wall and Interatrial Septum

    Metastatic Melanoma to the Left Atrium and Surrounding Tissues

    Other Masses Adjacent to the Left Atrium

    In the Catheterization Lab

    Chapter 2 The Left Ventricle

    Section 1 Anatomy of the Left Ventricle

    Section 2 Chamber Quantification of the Left Ventricle

    The Normal Dimensions of the Left Ventricle

    Normal Values for 2D Echocardiographic Parameters of LV Size According to Gender

    Left Ventricular Mass

     

    Section 3 Function of the Left Ventricle

    The Cardiac Cycle

     

    Section 4 Systole

     

    Echocardiographic Evaluation of Global Left Ventricular Systolic Function

    Features of a Normal M-mode and 2D Echo

    The Ejection Fraction and the Method of Summation of Disks (the Simpson Rule)

    The Three-Dimensional Tomographic Technique for Volume Measurements

    The Three-Dimensional Surface Rendering Technique for Obtaining Volumes

    The Mitral Regurgitation Jet Profile and Left Ventricular Systolic Function

    Strain

    Normal Longitudinal Strain From the Apex

    Abnormal Strain Imaging From Three Views and Global Strain

    Analysis of the Left Ventricle From the Short-Axis Views and Using Speckle-Tracking Echocardiography

    The Normal Left Ventricle in Cross-Section: The Starting Point for Deformation Analysis

    Rotation of the Left Ventricle in Systole

    Circumferential Strain, a Negative Number

    Radial Strain, a Positive Number

    Rotation, Twist, and Torsion

    Two-dimensional Speckle-Tracking Echocardiogram for Radial and Circumferential Measurements

    Twist

     

    Section 5 Diastole

    Measurement of Parameters of Diastolic Function: The E Wave and the A Wave

    Pressure Curves and Mitral Doppler Velocity Curves

    The Apical Four-Chamber View at a Glance and Important Points for Sampling Tissue Doppler Velocities

    Normal Mitral Doppler Inflow Velocity Pattern in a 17-Year-Old Woman

    Tissue Doppler Imaging

    Recording the Tissue Doppler Annular Velocity

    Left Atrial End Systolic Volume Index (LVESV Index)

    Tricuspid Valve Regurgitation Velocity

    Assessment and Classification of Diastolic Function

    Diastolic Function and Heart Failure With Preserved Ejection Fraction (HFpEF)

    Echocardiographic Assessment of Diastolic Function in Individuals With Reduced LVEF and Grading of Diastolic Function

    Alternative Algorithm to ASE Guidelines

    Mitral Valve Deceleration Time

    Diagnosing and Grading of Diastolic Dysfunction Examples

    Reversible Restrictive Grade III Diastolic Dysfunction

    Irreversible Diastolic Dysfunction Grade IV

    Other Parameters That Are Useful for Evaluation of Diastolic Dysfunction

    Pulmonary Vein Velocity Pattern

    Flow Propagation Into the Left ventricle

    Color M-mode Flow Propagation Velocity Using Color M-Mode

    Isovolumetric Relaxation Time

    Overview of Diastolic Dysfunction Grading

    Examples of the Index of Myocardial Performance and the Tei Index

     

    Section 6 The Cardiomyopathies

     

    Dilated Cardiomyopathy

    Spontaneous Echo Contrast (SEC) or “Smoke” in the Left Ventricle, a Sign of Low-Flow Velocity

    Mitral Inflow Patterns in Dilated Cardiomyopathy Using Echo Contrast

    Dilated Cardiomyopathy Quantitation

    Color Doppler, Pulse Wave Doppler, Pulsus Alternans, and Mitral Flow Propagation in Severe Dilated Cardiomyopathy

    Left Ventricular Noncompaction

    Four Different Criteria for Diagnosis of Left Ventricular Noncompaction

    Tachycardia-Induced Cardiomyopathy

    Pulsus Alternans and Cardiomyopathy

    Indicator of Severe Left Ventricular Dysfunction, Echo, Cath Lab, and Bedside Correlations

    Pulsus Alternans and Severe Left Ventricular Dysfunction

    Total Pulsus Alternans, Ascending Aortic Pressure Tracing, and the Right Ventricular Pressure Tracing

    Takotsubo Cardiomyopathy

    Clinical Situations

    Comparison of Takotsubo Cardiomyopathy With Apical Ballooning and Anterior Myocardial Infarction on Echocardiogram and in the Cardiac Catheterization Laboratory

    Summary Points About Takotsubo Cardiomyopathy

     

    Section 7 Restrictive Cardiomyopathy

     

    Cardiac Amyloidosis

    Diagnostic Features of Cardiac Amyloidosis: the Electrogram, the Echocardiogram, the Cardiac Biopsy, and Special Stains

    Cardiac Amyloidosis and Cardiac Magnetic Resonance Imaging (CMRI)

    Cardiac Magnetic Resonance Imaging in Amyloidosis

    The Nulling Process

    Loeffler Endocarditis: An Unusual Cause of Left Ventricular “Thrombus”

     

    Section 8 Hypertrophic Cardiomyopathy

     

    Overview of Hypertrophic Cardiomyopathy

    Hypertrophic Cardiomyopathy Making the Diagnosis

    At the Bedside and Palpation of the Carotid Upstroke

    Anatomic Variants of Hypertrophic Cardiomyopathy

    The Electrocardiogram in Hypertrophic Obstructive Cardiomyopathy

    Hypertrophic Cardiomyopathy With Obstruction and the Valsalva Maneuver

    Strain Imaging and Hypertrophic Cardiomyopathy in the Previous Individual

    The Coronary Arteriogram and the Electrocardiogram in the Previous Patient

    Apical Hypertrophy (Yamaguchi Syndrome)

    Apical Hypertrophic Cardiomyopathy and Apical Aneurysm

    The Electrocardiogram

    Treatment of Hypertrophic Cardiomyopathy

    Treatment of Hypertrophic Cardiomyopathy With Obstruction (HOCM)

    Alcohol Septal Ablation

    The “Morrow Procedure”

    Surgical Treatment

    Before and After the “Morrow Procedure” for Hypertrophic Cardiomyopathy With Obstruction

    Gross and Microscopic Views of Hypertrophic Cardiomyopathy With Asymmetric Septal Hypertrophy With Obstruction

     

    Section 9 Left Ventricular Thrombus

     

    Section 10 Left Ventricular Aneurysm

     

    Definitions of True Aneurysm and Pseudoaneurysm of the Left Ventricle

    True Ventricular Aneurysm

    Ventricular Pseudoaneurysm

     

    Section 11 Mechanical Complications of Myocardial Infarction

    The Three Mechanical Complications of Myocardial Infarction

    Ventricular Septal Rupture Complicating Acute Myocardial Infarction

    Large Interventricular Septal Defect at the Midportion of the Septum

    Large Anteroseptal Myocardial Infarction With Thinning Aneurysmal Septum and at Least Two Defects

    Anteroseptal Myocardial Infarction and Ruptured Interventricular Septum and a Large Defect

    Ruptured Interventricular Septum Treated With an Amplatzer Device

    Ruptured Interventricular Septum following Mitral Valve Replacement and Myomectomy

    Ruptured Papillary Muscle Partial and Complete

    Ruptured Papillary Muscle

    Ruptured Papillary Muscle After Mitral Valve Replacement

    Ruptured Heart

    Ruptured Posterior Left Ventricular Wall

    Cardiac Rupture and Resuscitation Attempts

     

    Section 12 Cancer and the Left Ventricle

     

    Cancer and the Heart

    The Left Ventricle With Myocardial Metastasis

     

    Section 13 Left Ventricular Assist Devices (LVAD)

     

    Assessment of the Function of Left Ventricular Assist Devices

    Images of Functioning Left Ventricular Assist Devices

    2D Images Aortic Valve in a Patient With a Left Ventricular Assist Device (LVAD): Aortic Regurgitation and Left Ventricular Assist Device

    3D Transthoracic Imaging and Left Ventricular Assist Device

    Complications of a Left Ventricular Assist Device: Left Ventricular Thrombus

    Chapter 3 The Mitral Valve Apparatus

    Section 1 Classification of Mitral Valve Disorders

    Classification of Mitral Valve Disorders

    Section 2 Degenerative Mitral Valve Disorders

    The Carpentier Classification

    Barlow Syndrome and the Barlow Valve

    Myxomatous Disease of the Mitral Valve, Mitral Valve Prolapse, and Flail Leaflet

    Inherited Connective Tissue Disorders Associated With Mitral Valve Leaflet Thickening and Prolapse

    Echocardiographic Features of Degenerative Mitral Valve Disease, Barlow Syndrome, and Fibroelastic Deficiency

    Primary Mitral Valve Disorders With Myxomatous Degeneration, “Barlow Disease” or “Barlow Valve”

    Redundant Thickened Leaflets With Late Systolic Mitral Valve Prolapse

    Mitral Valve Prolapse With Moderate Late Systolic Mitral Regurgitation

    Mitral Valve Prolapse With Severe Holosystolic Mitral Regurgitation

    Myxomatous Examples

    Primary Mitral Valve Disorder Due to Fibroelastic Deficiency and Mitral Regurgitation

    Fibroelastic Deficiency of the Mitral Leaflets

    Ruptured Chords to the P1 Segment of the Posterior Mitral Leaflet

    Ruptured Chords to the P2 Segment of the Mitral Valve 2D and 3D Images

    Ruptured Chords to the P3 Segment of the Mitral Valve With the Jet Radiating Toward the Left Atrial Appendage

    Ruptured Chords to the P2 Segment of the Mitral Valve With 3D and Parametric Imaging

    Ruptured Chords to the P3 Segment of the Mitral Valve With Jet Radiating Iinto the Left Atrial Appendage

    Mitral Valve Prolapse With a Flail P3 Segment of the Mitral Valve

    Fibroelastic Deficiency With Extremely Thin Leaflets and Chords of Variable Size

    Evaluation of the Severity of Chronic Mitral Regurgitation by Echocardiography

    Grading of Chronic Mitral Regurgitation, the 2017 Guidelines

    Proximal Isovelocity Surface Area (PISA)

    The PISA Method of Quantitation of Mitral Regurgitation

    Calculation of the ERO and the Regurgitant Volume by the PISA Method

    Pitfalls in Quantification of Mitral Regurgitation

    Semiquantitative Methods

    The MitraClip Procedure

    The Echocardiogram at Baseline, TTE and TEE

    The Diagnostic Catheterization in this Patient With Mitral Regurgitation

    Positioning the MitraClip

    The “v” Wave in the Catheterization Laboratory Before and After the Clip

    P2 Prolapse with Ruptured Chords and Severe Mitral Disease Due to Degenerative Mitral Valve Disease

    Target Area, P2 Segment, the Jet Direction, the Positioning of the Device, and “Dropping the Grippers”

    Measurement of the Medial and Lateral Gradients of the “Double-Orifice Valve” and Establishment of a Tissue Bridge

    Section 3 Functional Mitral Regurgitation

    Dilated Cardiomyopathy

    Tethered Mitral Valve and Severe Mitral Regurgitation

    Echocardiographic Techniques Used in Defining Abnormalities in Functional Mitral Regurgitation

    Dimensional Changes in Functional Mitral Regurgitation

    Tethering of the Mitral Valve and the Sea Gull Sign

    Inferior Myocardial Infarction and Mitral Regurgitation

    Hypertrophic Cardiomyopathy

    Hypertrophic Obstructive Cardiomyopathy and Mitral Regurgitation

    Left Bundle-Branch Block, Dyssynchrony, Mitral Regurgitation, and Cardiac Resynchronization Therapy

    Section 4 Mitral Valve Endocarditis

    Section 5 Mitral Prosthetic Valves

    Complications of Bioprosthetic Valves

    Mechanisms of Degeneration of Bioprosthetic Valves

    Tissue Valve in the Mitral Position and a Paravalvular Leak

    Tissue Valve in the Mitral Position With a Medial Paravalvular Leak

    Layered Thrombus on a Mitral Bioprosthetic Valve

    Mitral Annular Disruption With Pseudoaneurysm Formation

    Stenotic Tissue Valve in the Mitral Position Treated With a “Valve-in-Valve” Procedure

    The Valve-in-Valve Procedure in the Cath Lab

    Calcific Degeneration of a Tissue Mitral Valve With Stenosis and Regurgitation

    Complications of Mechanical Mitral Valves

    Two Patients With Mechanical Mitral Valves, One With a Medial Leak and Another With a Lateral Leak

    Ball in Cage Valve With Thrombosis and Abnormal Motion

    Section 6 Mitral Annular Calcification

    Calcifications

    Mitral Annular Calcification and Stenosis of the Mitral Orifice

    Calcified Mitral Valve Annulus on 3D Echo (Two Examples)

    Dense Calcification Extending From the Aortic Annulus Down Upon the Anterior Leaflet of the Mitral Valve

    Calcified Mitral Annulus and Mitral Regurgitation

    Calculation of the ERO and the Regurgitant Volume by the PISA Method

    Calcified Mitral Annulus With Mobile Components and Embolic Potential

    Mitral Annular Calcification With Mobile Components

    Cyst of the Mitral Valve Annulus: “Blood Cyst”

    Section 7 Rheumatic Heart Disease

    Section 8 Congenital Mitral Valve Disease

    Section 9 Rupture of the Papillary Muscle, Partial and Complete

    Chapter 4 The Aortic Valve, Ascending Aorta, Aortic Arch, Descending Thoracic and Abdominal Aortas

    Section 1 The Aortic Valve Region

    Anatomic and Echocardiographic Features

    The Normal Aortic Valve on M-mode Echocardiogram

    Section 2 Aortic Stenosis

    Clinical Features and Natural History of Aortic Stenosis

    Quantitation of Aortic Stenosis

    The Concept of Flow Reserve

    Low-Flow, Low-Gradient Severe Aortic Stenosis and Preserved Left Ventricular Systolic Function

    Severe Aortic Stenosis with Low-Flow, Low-Gradient, Preserved LV Function

    ACC/AHA Guidelines for AVR for Aortic Valve Replacement

    Section 3 Aortic Regurgitation

    Jet of Aortic Regurgitation Identification

    The Stethoscope

    Austin Flint Murmur

    Cardiac Magnetic Resonance Imaging

    Assessment of the Degree of Aortic Regurgitation (AR)

    Systolic and Diastolic Dimensions of the Left Ventricle in the PLX View

    Aortic Regurgitation Standard Views for Color Doppler and Measurements of Doppler Parameters

    Calculation of the Effective Regurgitant Orifice Using the PISA Method

    Calculation of the Effective Regurgitant Orifice from the PISA Information

    Other Calculations in Aortic Regurgitation

    Another Method of Calculating the Stroke Volume from Mitral Inflow

    Other Doppler Parameters Suggesting the Severity of Aortic Regurgitation

    Doppler Parameters of Severe Aortic Regurgitation

    Examples of Aortic Regurgitation

    Severe Aortic Regurgitation, Quantitation

    Patient with Aortic Regurgitation

    Estimation of the Severity of Aortic Regurgitation

    Aortography in Aortic Regurgitation

    Cath Laboratory Pressure Tracings

    Effects of Aortic Regurgitation in the Carotid Artery Doppler Recordings

    Chronic Aortic Regurgitation

    The Timing of Surgery for Chronic Aortic Regurgitation

    2014 ACC/AHA Guidelines for Chronic Aortic Regurgitation

    Section 4 Congenital Abnormalities of the Aortic Valve

    Unicuspid Aortic Valve

    Bicuspid Aortic Valve

    Aortic Regurgitation and Stenosis and the Doppler Information

    The Aortic Arch in the Previous Patient

    The Ejection Fraction and the Method of Summation of Disks

    The Left Atrium in This Individual with Aortic Regurgitation and Stenosis

    Two Years out from Aortic Valve Replacement

    Two Years Postoperative 3D Volume Measurements

    Bicuspid Aortic Valve

    Quadricuspid Aortic Valve

    Congenital Quadricuspid Aortic Valve

    Section 5 Surgical Choices for Aortic Valve Replacement

    Transcatheter Aortic Valve Replacement (TAVR)

    View from the Control Room in the Cath Lab during Transcatheter Aortic Valve Replacement

    TAVR in the Cardiac Catheterization Laboratory: The Fluoroscopic Images

    TAVR from the Control Room: The Hemodynamic Tracings

    Prosthetic Valves

    Normally Functioning Aortic Bioprosthetic Valve

    Another Normally Functioning Prosthetic Aortic Valve

    Mechanical Prosthetic Valves

    Section 6 Endocarditis of the Aortic Valve

    Marantic Endocarditis

    Unusual Murmurs Associated with Endocarditis

    Unusual Murmur Following Endocarditis of the Aortic Valve

    Normal and Infected Bioprosthetic Valves

    Valve-Sparing Root Replacement and Ascending Aortic Repair and a Complication

    Endocarditis on Prosthetic Aortic Valves

    Aortic Valve Ring Abscess with Valve Dehiscence

    Section 7 Other Abnormalities of the Aortic Valve

    Papillary Fibroelastoma on the Aortic Valve

    Pathology Specimen

    Papillary Fibroelastoma on the Aortic Valve

    Papillary Fibroelastoma on the Mitral Valve

    Lambl Excrescences

    Microscopic View of a Lambl Excrescence

    Section 8 Discrete Membranous Subaortic Stenosis

    Section 9 Discrete Membranous Subvalvular Aortic Stenosis

    Discrete Membranous Subvalvular Aortic Stenosis and Aortic Regurgitation

    Early Closure of the Aortic Valve Leaflets in Discrete Membranous Subaortic Stenosis

    Discrete Membranous Subaortic Stenosis: 2D and 3D Images

    Discrete Membranous Subaortic Stenosis: Turbulence in the Left Ventricular Outflow Tract

    MRI of Two Individuals with Discrete Membranous Subaortic Stenosis

    Discrete Membranous Subaortic Stenosis in the Catheterization Laboratory

    Ventriculogram in Discrete Subaortic Stenosis

    Discrete Membranous Subaortic Stenosis: The Specimen Sent to Pathology

    Supravalvular Aortic Stenosis Williams Syndrome

    Section 10 Aortic Aneurysms

    Aneurysm of the Aortic Root and the Ascending Aorta

    Aortogram of Ascending Aortic Aneurysm

    Dissecting Aneurysm of the Aorta

    Aortic Regurgitation and Mitral Regurgitation at the Same Time

    Stanford Type A Dissecting Aneurysm of the Aorta

    Patient with Stanford Type A Dissection

    Section 11 Atherosclerosis of the Aorta

    Atherosclerosis of the Aortic Arch and the Descending Aorta as a Source of Embolus to the Brain or Structures Distal

    Section 12 The Aortic Valve and Left Ventricular Assist Device (LVAD)

    Aortic Regurgitation and Left Ventricular Assist Device

    Chapter 5 The Right Atrium

    Section 1 Anatomy of the Right Atrium

    Section 2 Function of the Right Atrium

    Section 3 The Normal Right Atrium

    Section 4 Abnormalities of the Right Atrium

    Interatrial Septal Aneurysm

    Valves in the Right Atrium

    The Thebesian Valve

    The Coronary Sinus

    Persistent Left Superior Vena Cava

    Chiari Network

    Central Lines and Dialysis Catheters

    Thrombus

    Central Lines and Leads Misplaced

    Pulmonary Embolus in Transit

    Pulmonary Embolus in Transit, Right Ventricular Strain

    Pulmonary Embolus in Transit Across a Patent Foramen Ovale and Posing a Threat for Systemic Embolism

    Renal Cell Carcinoma

    Renal Cell Carcinoma Extending to the Right Atrium

    Right Atrial Mass Caused by Metastatic Renal Cell Carcinoma

    Glomangiosarcoma of the Kidney Metastatic to the Right Atrium

    MRI and Renal Cell Tumors

    Right Atrial Myxoma

    Right Atrial Myxoma Discovered on a CT Scan

    Right Atrial Myxoma

    Right Atrial Myxoma in the Catheterization Laboratory

    Other Angiographic Demonstrations of Right Atrial Myxoma

    Extrinsic Compression of the Right Atrium

    Lymphoma Compressing the Right Atrium

    Hiatal Hernia Compressing the Right Atrium

    Chapter 6 The Tricuspid Valve

    Section 1 The Tricuspid Valve at the Bedside, the Echocardiography, and Cardiac Catheterization Labs

    Section 2 Anatomy of the Tricuspid Valve

    Section 3 The Normal Tricuspid Valve

    Section 4 Abnormalities of the Tricuspid Valve

    Section 5 Flail Leaflet of the Tricuspid Valve

    Section 6 Carcinoid Syndrome

    Liver Masses Due to Carcinoid Tumors and Thickened Retracted Tricuspid Valve

    Section 7 Tricuspid Regurgitation Associated With an ICD Lead

    Tricuspid Regurgitation and ICD Leads

    Section 8 The “Cutoff Sign” of Severe Tricuspid Regurgitation

    Section 9 Myxomatous Degeneration of the Tricuspid Valve

    Section 10 Tricuspid Regurgitation Due to Trauma

    Section 11 Tricuspid Valve Endocarditis

    Tricuspid Valve and Pacemaker Lead Endocarditis

    Section 12 Ebstein Anomaly of the Tricuspid Valve

    Ebstein Anomaly of the Tricuspid Valve

    Section 13 Ventricular Septal Defects and the Tricuspid Confusing Jets

    Ventricular Septal Defect and the Tricuspid Valve

    Section 14 Tricuspid Valve Replacement With “Valve in Valve”

    “Valve-in-Valve” Procedure for Stenotic Tricuspid Valve Tissue Prosthesis

    Chapter 7 The Right Ventricle

    Section 1 Anatomy of the Right Ventricle

    Linear Measurements of the Normal Right Ventricle

    Normal Valves for RV Chamber Size

    Standard Views of the Right Ventricle, Inflow and Outflow

    Right Ventricular Outflow Tract From Transgastric Views

    Section 2 Right Ventricular Systolic Function

    Systolic Function of the Right Ventricle

    Additional Methods for Assessment of Right Ventricular Systolic Function

    Tissue Doppler and Velocity Sampling of the Free Wall of the Right Ventricle

    Tissue Doppler Imaging and Right Ventricular Function: The Index of Myocardial Performance

    Section 3 Right Ventricular Diastolic Function

    Section 4 Right Ventricle and Pulmonary Hypertension

    Chronic Obstructive Lung Disease

    Sarcoidosis

    Idiopathic Pulmonary Hypertension

    Right Ventricular Enlargement, Pulmonary Hypertension, “D”-Shaped Interventricular Septum, and the “Flying W”

    Section 5 Eisenmenger Physiology

    Eisenmenger Syndrome Abnormalities

    Section 6 Pulmonary Embolus and the Right Ventricle

    Right Ventricle Pulmonary Embolus

    Section 7 Right Ventricular Masses

    Types of Masses

    Section 8 Right Ventricular Myocardial Infarction

    Right Ventricular Myocardial Infarction, ECHO, Cath, and EKG

    Section 9 Takotsubo Cardiomyopathy and Right Ventricular Involvement

    Section 10 Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)

    Chapter 8 The Pericardium

    Section 1 Anatomy of the Pericardium

    Section 2 Pericardial Effusion

    Examples of Pericardial Effusion

    Moderate Pericardial Effusion

    Large Pericardial Effusion

    Mitral and Tricuspid Inflow Velocities in Large Pericardial Effusion and Tamponade

    The Hepatic Vein

    The Hairy Heart

    Large Clot in the Pericardium in a Postoperative Patient

    Chronic Pericardial Effusion

    Section 3 Constrictive Pericarditis

    Examples of Constrictive Pericarditis

    Constrictive Pericarditis and Tissue Doppler

    Constrictive Pericarditis in the Operating Room

    The MRI in Constrictive Pericarditis

    Section 4 Pericarditis and Myopericarditis

    Examples of Pericarditis and Myopericarditis

    Section 5 Pleural Effusions

    Examples of Pleural Effusions

    Section 6 Adjacent Structures

    Imaging

    Mediastinal Tumors: Hodgkin Lymphoma

    Chest X-ray and CT: Hodgkin Lymphoma

    Section 7 Hiatal Hernia

    Examples of Hiatal Hernias

    Chapter 9 Neoplasms and the Heart

    Section 1 Classification of Neoplasms of the Heart

    Neoplasms of the Heart

    Section 2 Benign Neoplasms of the Heart

    Atrial Myxoma

    Large Left Atrial Myxoma on 2D and 3D Echocardiography

    A Large Bilobed Left Atrial Myxoma, the “Clear Zone” and the “Tumor Plop”

    Large Bilobed Myxoma and the Associated M-mode Tracings

    Large and Long Left Atrial Myxoma With Very Irregular Edges

    Broad-Based Small Myxoma on the Wall of the Interatrial Septum

    Small Atrial Myxoma With a Satellite Lesion

    Images of Myxoma Removed at Surgery

    Examples of Myxomas

    Four Different Myxomas

    Microscopic Views of Atrial Myxoma

    Myxomas on Microscopic View

    The Coronary Arteriogram in Left Atrial Myxoma

    Left Atrial Myxoma on Pulmonary Artery Injection With Follow-Through to the Left Atrium

    Papillary Fibroelastoma

    Papillary Fibroelastoma Aortic Valve Pathology Specimen

    Papillary Fibroelastoma on the Aortic Valve

    Papillary Fibroelastoma on the Mitral Valve

    Section 3 Malignant Neoplasms

    Histiocytoma and Lung Cancer

    Hematogenous Spread of Cancer to the Heart

    Renal Cell Carcinoma in the Myocardium and Pericardium

    Renal Cell Carcinoma Metastatic to the Left Ventricle and Pericardium Myocardial and Pericardial Metastasis

    Transitional Cell Carcinoma of Bladder

    Sarcoma

    Melanoma

    Left Atrial Wall and Interatrial Septum, Hematogenous and Lymphatic Spread

    Left Atrium and Surrounding Tissues

    Endometrial Stromal Sarcoma

    Pericardial Metastasis Beginning to Invade the Myocardium

    Renal Cell Carcinoma: Inferior Vena Cava

    Examples of Renal Cell Carcinoma Tumors

    Renal Cell Carcinoma Extending to the Right Atrium With Microscopic Showing “Clear Cells”

    Right Atrial Mass Caused by Inferior Vena Cava Extension of a Renal Nephroblastoma

    CMRI and Renal Cell Tumors

    Malignant Tumors Extending via Pulmonary Veins Into the Left Atrium

    Leiomyosarcoma Extending to the Left Atrium Through Pulmonary Veins

    Section 4 Hematologic Malignancies

    Examples of Hematologic Malignancies

    Section 5 Electrocardiogram and Metastatic Malignancy to the Heart

    Examples of Metastatic Malignancy to the Heart

    Cancer of the Heart and the Electrocardiogram

    Masses That Are Not Tumors

    Concerning Echo Images

    Chapter 10 Congenital Heart Disease

    Section 1 Echocardiography and Congenital Heart Disease

    Section 2 Patent Foramen Ovale

    Examples of PFO

    Small Patent Foramen Ovale

    Large Patent Foramen Ovale

    Section 3 Atrial Septal Defect

    Ostium Secundum Atrial Septal Defect

    Complications of Secundum Atrial Septal Defect

    Secundum Atrial Septal Defect With Pulmonary Hypertension

    Device Closure of Secundum Atrial Septal Defects

    Sinus Venosus Atrial Septal Defect

    Example of Sinus Venosus Atrial Septal Defect

    Ostium Primum Atrial Septal Defect

    Example of Ostium Primum Atrial Septal Defect

    Atrioventricular Canal Defect

    Example of Atrioventricular Canal Defect

    Section 4 Ventricular Septal Defect

    Perimembranous Ventricular Septal Defect

    Shunting to the Right Atrium

    Partial Closure by the Tricuspid Septal Leaflet

    Supracristal Ventricular Septal Defect

    Supracristal VSD and Aortic Regurgitation

    Supracristal Ventricular Septal Defect and Ruptured Sinus of Valsalva Aneurysm

    Section 5 Tetralogy of Fallot

    Examples of Unrepaired Tetralogy of Fallot

    Unrepaired Tetralogy of Fallot in the Adult

    The Right Ventricular Outflow Tract

    Sinus of Valsalva Aneurysm

    Expanded into the Right Atrium

    Section 6 Patent Ductus Arteriosus

    Example of Patent Ductus Arterioles

    Eisenmenger Physiology and Right Ventricular Hypertrophy on Electrocardiogram

    Section 7 Pulmonary Atresia

    Pulmonary Valve Atresia With Ventricular Septal Defect

    Section 8 Severe Pulmonary Valve Regurgitation

    Example of Severe Pulmonary Valve Regurgitation

    Section 9 Ebstein Anomaly

    Ebstein Anomaly of the Tricuspid Valve

    Section 10 Anomalous Left Coronary Artery Arising From the Pulmonary Artery (ALCAPA)

    Section 11 Persistent Left Superior Vena Cava Emptying Into the Coronary Sinus

    Chapter 11 Multimodality Imaging and Structural Heart Interventions

    Section 1 Echocardiography and Structural Heart Interventions

    Section 2 The CMRI and the Echo

    The Austin Flint Murmur

    Section 3 Specific Structural Heart Procedures

    Paravalvular Leaks

    Aortic Paravalvular Leaks

    Aortic Paravalvular Leak

    Aortic Valve Paravalvular Leak

    Mitral Paravalvular Leak

    Mitral Valve Prosthetic Paravalvular Leak

    Transcaval Transaortic Valve Replacement

    The Aorta and the Vena Cava

    Section 4 Assessment of the Size of the Left Ventricular Outflow Tract

    Section 5 CMRI and Quantitation of Mitral Regurgitation

    Principles of CMRI and Quantification of Regurgitant Lesions

    Imaging

    Quantification of Valve Regurgitation

    Computerized Tomography and Dimensional Assessment for TAVR

    Cross-sectional Area of the Aortic Annulus on CT, Location of Coronary Arteries, and Calcium Score

    The Aortic Annulus, the Coronary Arteries, and the Aortic Annulus Measurement

     

  • Manual of Cardiovascular Medicine
    La comanda in aproximativ 4 saptamani
    43000lei 400.00 lei

     

    Description:

     

    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. An ideal reference for residents, fellows, practitioners, and nurse practitioners, Manual of Cardiovascular Medicine, 5th Edition is a concise, up-to-date overview of key topics in cardiology. Using a practical, outline format, this best-selling title presents evidence-based approaches to cardiovascular diagnosis, diseases, and treatment – perfect for daily practice or exam preparation.

     

    Table of Contents:

     

    SECTION I: Ischemic Heart Disease

    CHAPTER 1: Acute Myocardial Infarction

    CHAPTER 2: Non–ST-Segment Elevation Acute Coronary Syndrome

    CHAPTER 3: Complications of Acute Myocardial Infarction

    CHAPTER 4: Cardiogenic Shock Complicating Acute Myocardial Infarction

    CHAPTER 5: Post–Myocardial Infarction Risk Stratification and Management

    CHAPTER 6: Stable Angina

    CHAPTER 7: Other Ischemic Syndromes: Silent Ischemia, Microvascular Angina, and Stress Cardiomyopathy

    SECTION II: Heart Failure and Transplant

    CHAPTER 8: Heart Failure with Systolic Dysfunction

    CHAPTER 9: Heart Failure with Preserved Ejection Fraction and Restrictive Cardiomyopathy

    CHAPTER 10: Hypertrophic Cardiomyopathy

    CHAPTER 11: Myocarditis

    CHAPTER 12: Nontransplantation Surgical Treatment for Chronic Heart Failure and Durable Mechanical Circulatory Support

    CHAPTER 13: Cardiac Transplantation

    CHAPTER 14: Pulmonary Hypertension

    SECTION III: Valvular Heart Disease

    CHAPTER 15: Aortic Valve Disease

    CHAPTER 16: Mitral Valve Disease

    CHAPTER 17: Tricuspid Valve Disease, Pulmonary Valve Disease, and Drug-Induced Valve Disease

    CHAPTER 18: Prosthetic Heart Valves

    CHAPTER 19: Infective Endocarditis

    CHAPTER 20: Rheumatic Fever

    SECTION IV: Arrhythmias

    CHAPTER 21: Tachyarrhythmias

    CHAPTER 22: Bradyarrhythmias, Atrioventricular Block, Asystole, and Pulseless Electrical Activity

    CHAPTER 23: Sudden Cardiac Death

    CHAPTER 24: Atrial Fibrillation

    SECTION V: Vascular Disease

    CHAPTER 25: Venous Thromboembolism and Hypercoagulable States

    CHAPTER 26: Aortic Aneurysm and Aortic Dissection

    CHAPTER 27A: Peripheral Arterial Disease

    CHAPTER 27B: Carotid Artery Disease

    SECTION VI: Adult Congenital Heart Disease

    CHAPTER 28: Atrial Septal Defect and Patent Foramen Ovale

    CHAPTER 29: Ventricular Septal Defect

    CHAPTER 30: Patent Ductus Arteriosus and Coarctation of the Aorta

    CHAPTER 31: Complex Congenital Heart Disease

    SECTION VII: Clinical Cardiology

    CHAPTER 32: Syncope

    CHAPTER 33: Assessing and Managing Cardiac Risk in Noncardiac Surgical Procedures

    CHAPTER 34: Hypertensive Crisis

    CHAPTER 35: Cardiac Trauma

    CHAPTER 36: Cardiovascular Manifestations of Systemic Disease

    CHAPTER 37: Pericardial Disease

    CHAPTER 38: Cardiac Tumors

    CHAPTER 39: Common Genetic Issues in Cardiovascular Disease

    CHAPTER 40: Heart Disease in Women

    CHAPTER 41: The Athlete’s Heart

    SECTION VIII: Preventive Cardiology

    CHAPTER 42: Dyslipidemia

    CHAPTER 43: Nonlipid Cardiovascular Risk Factors

    CHAPTER 44: Diabetes and the Heart

    SECTION IX: Noninvasive Assessment

    CHAPTER 45: Exercise Electrocardiographic Testing

    CHAPTER 46: Nuclear Cardiac Imaging

    CHAPTER 47: Stress Echocardiography

    CHAPTER 48: Testing for Myocardial Viability

    CHAPTER 49: Cardiovascular Computed Tomography Including Calcium Scoring

    CHAPTER 50: Cardiovascular Magnetic Resonance Imaging

    SECTION X: Electrophysiologic Procedures

    CHAPTER 51: Electrophysiologic Studies

    CHAPTER 52: Cardiac Resynchronization Therapy

    CHAPTER 53: Cardiac Pacing

    CHAPTER 54: Antitachycardia Devices

    CHAPTER 55: Catheter Ablation

    SECTION XI: Common Cardiology Procedures

    CHAPTER 56: Common ECG Patterns

    CHAPTER 57: Temporary Cardiac Pacing

    CHAPTER 58: Electrical Cardioversion

    CHAPTER 59: Right Heart Catheterization

    CHAPTER 60: Endomyocardial Biopsy

    CHAPTER 61: Short-Term Mechanical Circulatory Support Devices

    CHAPTER 62: Left Heart Catheterization

    CHAPTER 63: Percutaneous Coronary Intervention

    CHAPTER 64: Percutaneous Structural Heart Disease Procedures

    CHAPTER 65: Transthoracic Echocardiography

    CHAPTER 66: Transesophageal Echocardiography

    CHAPTER 67: Pericardiocentesis

    CHAPTER 68: Commonly Used Cardiovascular Formulae

    Index

     

  • 1,06300lei 920.00 lei

     

    Description:

     

    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. Continuing the long-standing Feigenbaum tradition as an authoritative, comprehensive echocardiography resource, the thoroughly revised Feigenbaum's Echocardiography, Eighth Edition, helps echocardiographers, fellows, clinicians, and sonographers master the art and science of echocardiography and stay current with all that’s new in the field. Written by William F. Armstrong and Thomas Ryan, it guides you through pertinent physics, technology, clinical applications, and new developments in the field.  As in the past, the book is written primarily for the practitioner who uses echocardiographic methods to care for and manage patients, with a focus on appropriate clinical applications.

     

     

    Table of Contents:

     

    Chapter 1 History of Echocardiography

     

    Development of Various Echocardiographic Technologies

    Recording Echocardiograms

    Cardiac Sonographers

    Echocardiographic Education and Organizations

     

    Chapter 2 Physics and Instrumentation

     

    Physical Principles

    Interaction Between Ultrasound and Tissue

    The Transducer

    Manipulating the Ultrasound Beam

    Resolution

    Creating the Image

    Transmitting Ultrasound Energy

    Display Options

    Tradeoffs in Image Creation

    Signal Processing

    Tissue Harmonic Imaging

    Artifacts

    Doppler Echocardiography

    Principles of Doppler Ultrasound

    Doppler Formats

    Color Flow Imaging

    Technical Limitations of Color Doppler Imaging

    Doppler Artifacts

    Tissue Doppler Imaging

    Biologic Effects of Ultrasound

     

    Chapter 3 Contrast Echocardiography

     

    Source of Ultrasound Contrast

    Contrast Agents

    Safety of Ultrasound Contrast

    Ultrasound Interaction With Contrast Agents

    Detection Methods

    Machine Settings

    Intermittent Imaging

    Low Mechanical Index Imaging

    Clinical Uses of Ultrasound Contrast

    Clinical Uses of Saline Contrast

    Detection of Miscellaneous Conditions

    Artifacts and Pitfalls

    Detection and Utilization of Left Ventricular Contrast

    Miscellaneous Application of Left Ventricular Contrast

    Enhancement of Doppler Signals

    Contrast Artifacts

    Myocardial Perfusion Contrast Echocardiography

     

    Chapter 4 the Comprehensive Echocardiographic Examination

     

    A Quality Echocardiographic Laboratory

    Appropriate Use Criteria

    Approach to the Echocardiographic Examination

    Patient Position

    Placement of the Transducer

    Parasternal Long-Axis Views

    Parasternal Short-Axis Views

    Apical Views

    The Subcostal Examination

    Suprasternal Views

    Orientation of Two-Dimensional Images

    Echocardiographic Measurements

    Left Ventricular Wall Segments

    M-Mode Examination

    Transesophageal Echocardiography

    Transesophageal Echocardiographic Views

    Three-Dimensional Echocardiography

    Point-Of-Care Cardiac Ultrasound

    Echocardiography As A Screening Test

    The Digital Echo Laboratory

    Training and Competency in Echocardiography

     

    Chapter 5 Evaluation of Systolic Function of the Left Ventricle

     

    General Principles

    Linear Measurements

    Indirect M-Mode Markers of Left Ventricular Function

    Measurements From Standard Two-Dimensional Imaging

    Automated Edge Detection

    Assessment of Left Ventricular Function With Three-Dimensional Echocardiography

    Strain and Strain Rate Imaging (Deformation Imaging)

    Ventricular Torsion

    Assessment of Regional Left Ventricular Function

    Quantitative Techniques

    Determination of Left Ventricular Mass

    Physiologic Versus Pathologic Hypertrophy

    Miscellaneous Techniques for Evaluation of Left Ventricular Function

    Tissue Doppler Color M-Mode

    Myocardial Performance Index

    Determination of Left Ventricular dP/dt

    Left Ventricular Wall Stress

    Doppler Evaluation of Global Left Ventricular Function

    Nonischemic Wall Motion Abnormalities

    Premature Ventricular Contractions

    Ventricular Pacing

    Pericardial Constriction

    Ventricular Pre-Excitation

    Postoperative Cardiac Motion

    Posterior Compression

     

    Chapter 6 Evaluation of Diastolic Function

     

    Basic Diastolic Physiology

    Grades of Diastolic Dysfunction

    Normal Diastolic Function

    Impaired Relaxation (Grade I)

    Pseudonormalization (Grade II)

    Restrictive Filling (Grade III)

    Echo Doppler Parameters of Diastolic Function

    Isovolumic Relaxation Time

    Mitral Inflow

    Color M-Mode Flow Propagation Velocity (Vp)

    Tissue Doppler Mitral Annular Velocity

    Pulmonary Venous Flow Patterns

    Left Atrial Volume

    The Valsalva Maneuver

    Other Markers of Diastolic Dysfunction

    A Comprehensive Approach to Diastolic Dysfunction

    Guidelines for the Assessment of Diastolic Dysfunction

    Approach to the Patient With Reduced Ejection Fraction

    Approach to the Patient With Normal Ejection Fraction

    Applying the Algorithms to Patients

    Impaired Relaxation (Grade I)

    Pseudonormal (Grade II)

    Restrictive Filling (Grade III)

    Serial Changes in Diastolic Function

    Stress Testing to Assess Diastolic Function

    The Differential Diagnosis of Heart Failure With Normal Ejection Fraction

    Evaluation of Diastolic Dysfunction in Specific Patient Groups

    Sinus Tachycardia

    Atrial Fibrillation

    Mitral Valve Disease

    Hypertrophic Cardiomyopathy

    Prognosis in Patients With Diastolic Dysfunction

     

    Chapter 7 Left and Right Atrium, and Right Ventricle

     

    Left Atrium

    Left Atrial Dimensions and Volume

    Left Atrial Function

    Atrial Septum

    Pulmonary Veins

    Right Atrium

    Right Atrial Thrombi

    Right Atrial Blood Flow

    Right Ventricle

    Right Ventricular Dimensions and Volumes

    Right Ventricular Overload

    Right Ventricular Cardiomyopathy

     

    Chapter 8 Hemodynamics

     

    Use of M-Mode and Two-Dimensional Echocardiography

    Quantifying Blood Flow

    Clinical Application of Blood Flow Measurement

    Measuring Pressure Gradients

    Applications of the Bernoulli Equation

    Determining Pressure Half-Time

    The Continuity Equation

    Proximal Isovelocity Surface Area

    Myocardial Performance Index

     

    Chapter 9 Pericardial Diseases

     

    Clinical Overview

    Echocardiographic and Multimodality Evaluation of the Pericardium

    Detection and Quantitation of Pericardial Fluid

    Direct Visualization of the Pericardium

    Differentiation of Pericardial From Pleural Effusion

    Cardiac Tamponade

    Echocardiographic Findings in Cardiac Tamponade

    Doppler Findings in Tamponade

    Pericardial Constriction

    Echocardiographic Diagnosis

    Doppler Echocardiographic Findings in Constriction

    Effusive Constrictive Pericarditis

    Constrictive Pericarditis Versus Restrictive Cardiomyopathy

    Miscellaneous Pericardial Disorders

    Postprocedural Effusions

    Echocardiography-Guided Pericardiocentesis

    Absence of the Pericardium

    Pericardial Cysts

     

    Chapter 10 Aortic Valve Disease

     

    Bicuspid Aortic Valve

    Aortic Stenosis

    Role of 2D Echocardiography

    Doppler Assessment of Aortic Stenosis

    Other Approaches to Quantifying Stenosis

    Defining the Severity of Aortic Stenosis

    Classification of Aortic Stenosis

    Natural History of Aortic Stenosis

    Clinical Decision Making

    Aortic Regurgitation

    Appropriate Use Criteria

    M-Mode and Two-Dimensional Imaging

    Establishing a Diagnosis of Aortic Regurgitation

    Evaluating the Severity of Aortic Regurgitation

    Acute Versus Chronic Aortic Regurgitation

    Assessing the Left Ventricle

    Miscellaneous Abnormalities of the Aortic Valve

    Chapter 11 Mitral Valve Disease

     

    Anatomy of the Mitral Valve

    Physiology of Mitral Valve Disease

    Mitral Stenosis

    Two-Dimensional Echocardiography in Rheumatic Mitral Stenosis

    Congenital Mitral Stenosis

    M-Mode Echocardiography

    Transesophageal and Three-Dimensional Echocardiography

    Anatomic Determination of Severity

    Doppler Echocardiographic Determination of Severity

    Exercise Gradients

    Secondary Features of Mitral Stenosis

    Secondary Pulmonary Hypertension

    Decision Making Regarding Intervention

    Mitral Regurgitation

    Doppler Evaluation of Mitral Regurgitation

    Determination of Mitral Regurgitation Severity

    Other Considerations in Assessing Mitral Regurgitation

    Flail Leaflets

    Functional Mitral Regurgitation

    Mitral Valve Prolapse

    Miscellaneous Mitral Valve Abnormalities

    Surgical Repair

    Calcification of the Mitral Annulus

    Tumors of the Mitral Valve

    Aneurysms of the Mitral Valve

    Endocarditis and Valve Perforation

    Cleft Mitral Valve

    Annular Dehiscence

    Radiation Damage

    Carcinoid and Diet–Drug Valvulopathy

     

    Chapter 12 Tricuspid and Pulmonary Valves

     

    Clinical Overview

    Pulmonary Valve

    Pulmonary Valve Stenosis

    Pulmonary Valve Regurgitation

    Miscellaneous Abnormalities of the Pulmonary Valve

    Evaluation of the Right Ventricular Outflow Tract

    Tricuspid Valve

    Doppler Evaluation of the Tricuspid Valve

    Tricuspid Stenosis

    Tricuspid Regurgitation

    Ischemic Heart Disease

    Quantitation of Tricuspid Regurgitation

    Determination of Right Ventricular Systolic Pressure

    Miscellaneous Conditions of the Tricuspid Valve

    Carcinoid Heart Disease

    Endocardial Fibroelastosis

    Ebstein Anomaly

    Tricuspid Valve Resection

    Tumors and Other Masses

     

    Chapter 13 Infective Endocarditis

     

    Clinical Perspective

    Echocardiographic Characteristics of Vegetation

    Diagnostic Accuracy of Echocardiography

    Multimodality Imaging

    Evolution of the Diagnostic Criteria

    Complications of Endocarditis

    Prognosis and Predicting Risk

    Prosthetic Valve Endocarditis

    Infected Intracardiac Devices

    Right-Sided Endocarditis

    Clinical Approach to the Patient With Endocarditis

     

    Chapter 14 Prosthetic Valves and Structural Heart Disease Interventions

     

    Types of Prosthetic Valves

    Normal Prosthetic Valve Function

    Application of Echocardiography to Patients With Prosthetic Valves

    General Approach to Prosthetic Valves

    Prosthetic Aortic Valves

    Transcatheter Aortic Valves

    Prosthetic Mitral Valves

    Transcatheter Mitral Valve Repair

    Specific Causes of Dysfunction

    Obstruction

    Infective Endocarditis

    Mechanical Failure

    Right-Sided Prosthetic Valves

    Mitral Valve Repair

     

    Chapter 15 Echocardiography and Coronary Artery Disease

     

    Clinical Overview

    Pathophysiology of Coronary Syndromes

    Detection and Quantitation of Wall Motion Abnormalities

    Role of the Three-Dimensional Echocardiography

    Doppler Tissue Imaging and Speckle Tracking

    Other Methods for Evaluating Ischemic Myocardium

    Echocardiographic Evaluation of Clinical Syndromes

    Angina Pectoris

    Acute Myocardial Infarction

    Natural History of Wall Motion Abnormalities

    Prognostic Implications

    Complications of Acute Myocardial Infarction

    Pericardial Effusion

    Mechanical Complications of Acute Myocardial Infarction

    Free-Wall Rupture

    Ventricular Thrombus

    Right Ventricular Infarction

    Acute Mitral Regurgitation

    Ventricular Septal Rupture

    Cardiogenic Shock

    Chronic Coronary Artery Disease

    Left Ventricular Aneurysm

    Left Ventricular Pseudoaneurysm

    Chronic Remodeling

    Mural Thrombus

    Mitral Regurgitation

    Chronic Ischemic Dysfunction

    Direct Coronary Visualization

    Kawasaki Disease

     

    Chapter 16 Stress Echocardiography

     

    Physiologic Basis

    Methodology

    Treadmill Exercise

    Bicycle Ergometry

    Dobutamine Stress Echocardiography

    Dipyridamole and Adenosine

    Three-Dimensional Stress Echocardiography

    Choosing Among the Different Stress Modalities

    Interpretation of Stress Echocardiography

    Categorization of Wall Motion

    Wall Motion Response to Stress

    Strain Imaging

    Localization of Coronary Artery Lesions

    Correlation With Symptoms and Electrocardiographic Changes

    Accuracy for the Detection of Coronary Artery Disease

    Role of Myocardial Perfusion Imaging

    Comparison With Nuclear Techniques

    Clinical Application of Stress Echocardiography

    Prognostic Value of Stress Echocardiography

    Stress Echocardiography in Patients With Acute Chest Pain

    Stress Echocardiography After Myocardial Infarction

    Stress Echocardiography After Revascularization

    Preoperative Risk Assessment

    Stress Echocardiography in Women

    Assessment of Myocardial Viability

    Stress Echocardiography in Nonischemic Heart Disease

    Diastolic Stress Echocardiography

     

    Chapter 17 Dilated Cardiomyopathies

     

    Clinical and Echocardiographic Overview

    Dilated Cardiomyopathy

    Doppler Evaluation of Systolic and Diastolic Function

    Secondary Findings in Dilated Cardiomyopathy

    Etiology of Dilated Cardiomyopathy

    Determination of Prognosis in Dilated Cardiomyopathy

    The Role of Echocardiography in Basic and Advanced Therapy

    Biventricular Pacing for Cardiomyopathy

    Cardiac Transplantation

    Ventricular Assist Devices

    Heart Failure With Preserved Ejection Fraction

    Myocarditis

    Peripartum Cardiomyopathy

    Chagas Myocarditis

     

    Chapter 18 Hypertrophic and Other Cardiomyopathies

     

    Overview

    Hypertrophic Cardiomyopathy

    Echocardiographic Evaluation of Hypertrophic Cardiomyopathy

    Role of Cardiac Magnetic Resonance Imaging

    Assessment of the Left Ventricular Outflow Tract in Obstructive Cardiomyopathy

    Mitral Regurgitation in Hypertrophic Cardiomyopathy

    Variants of Hypertrophic Cardiomyopathy

    Midcavitary Obstruction

    End-Stage Hypertrophic Cardiomyopathy

    Screening of Family Members

    Conditions Mimicking Hypertrophic Cardiomyopathy

    Monitoring Therapy for Hypertrophic Cardiomyopathy

    Infiltrative and Restrictive Cardiomyopathy

    Echocardiographic Evaluation of Restrictive Cardiomyopathy

    Cardiac Amyloidosis

    Restrictive Cardiomyopathy

    Endocardial Fibroelastosis and Hypereosinophilic Syndrome

    Muscular Dystrophy/Glycogen Storage Disease

    Uhl Disease

     

     

    Chapter 19 Congenital Heart Diseases

     

    The Echocardiographic Examination: A Segmental Approach to Anatomy

    Cardiac Situs

    Ventricular Morphology

    Great Artery Connections

    Abnormalities of Right Ventricular Inflow

    Abnormalities of Left Ventricular Inflow

    Pulmonary Veins

    Left Atrium

    Mitral Valve

    Abnormalities of Right Ventricular Outflow

    Right Ventricle

    Pulmonary Valve

    Pulmonary Artery

    Abnormalities of Left Ventricular Outflow

    Subvalvular Obstruction

    Valvular Aortic Stenosis

    Supravalvular Aortic Stenosis

    Coarctation of the Aorta

    Abnormalities of Cardiac Septation

    Atrial Septal Defect

    Ventricular Septal Defect

    Endocardial Cushion Defect

    Abnormal Vascular Connections and Structures

    Patent Ductus Arteriosus

    Abnormal Systemic Venous Connections

    Abnormalities of the Coronary Circulation

    Tetralogy of Fallot

    Transposition of the Great Arteries

    Tricuspid Atresia

    The Fontan Procedure

    Chapter 20 Diseases of the Aorta