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18 million deaths annually worldwide are due to cardiovascular diseases (CVD); this renders CVD the most severe pandemic that we must face. This book aims to fill a gap in the literature on how flawed our approach is to prevent and treat CVD. Our current practice, which focuses on attacking only the cholesterol using statins, is both short-sighted and ineffective. A different approach is suggested in this book, regarding personalised lifestyle and diet choices. Such an approach focuses on the chronic inflammation which causes the formation of thrombus in our arteries, which is the first step to the onset of CVD.All scientific jargon has been left out and the relevant scientific literature is presented in an easy to follow and understandable way. This book is useful to everyone who wishes to understand how we can prevent CVD without medication but instead through a healthy diet and lifestyle choices.

The field of pediatric cardiology was in its early stages of development when the author of this book began his career in the mid-1960s, meaning that he was able to witness the stepwise evolution of the field over the last 50 years. This book presents this unique historical perspective, describing the development of new knowledge while providing care of patients with heart disease over this time period. It brings together advances made in the field, particularly regarding the management of congenital heart defects.

Obesity is widely regarded as a shared, modifiable risk factor of both breast cancer (BC) and cardiovascular disease (CVD). Human epidermal growth factor receptor 2 (HER2)-positive BC displays very aggressive behavior, and can be effectively treated with targeted therapies and chemotherapy regimens, though such treatments can induce cardiotoxicity. While the main research efforts are appropriately focused on the management of BC and heart failure (HF), obesity and its metabolic consequences, which are often linked with both these conditions, often remain unaddressed.This book combines a very practical approach, grounded in medical research, to these interconnected medical problems, in order to bridge the gap between current guidelines and clinical practice. It will serve to educate medical team members, such as oncologists, cardiologists, primary care physicians, and nurses, on cardioprotection, and moderate weight reduction. It highlights a need for the balanced integration of modern treatments of BC and HF, with healthy nutrition, regular physical activity, and helpful strategies to cope with chronic stress. In addition, the book represents a supportive resource for BC patients or survivors, who wish to be actively engaged in their long-term therapy journey.

2000年頃より腫瘍循環器（Onco-Cardiology）が一つの医療分野としての必要性を増している。がんと循環器疾患の両者の関係は、1800年代前半からJean-Baptiste Bouillaudによりがんと血栓との関連が報告されていたものの両者の関係は決して深まることなく、循環器疾患合併症例における術前評価や周術期管理、心臓腫瘍やがん性心膜炎の評価や治療などに限定的であった。一方、1970年代にアントラサイクリン系抗腫瘍薬による心毒性が報告されて以来、がん治療に伴う心血管合併症（心血管毒性）は、がん治療が進歩し集学的治療を要する症例が増加するなか、その頻度が増加している。分子標的薬を含むがん化学療法や放射線療法が目覚ましい進歩を遂げがんの予後が向上しているなか、心血管毒性への適切な対応はがん患者の生命予後やQOLを左右する大きな要因となり、ますます注目されている。免疫チェックポイント阻害薬投与時に出現する劇症心筋炎など循環器医の専門的な対応が必要な症例は増加しており、循環器医もがん治療を理解して腫瘍医とともに心血管毒性を管理する必要に迫られている。しかしながら、我が国においてがん治療の心血管毒性に関するリスク層別化方法や特異的な治療法、エビデンスに基づいた治療法は確立されていない。 この度、『腫瘍循環器ガイド　Onco-Cardiology』を編集する機会をいただいた。本ガイドブックは我が国では初めて腫瘍循環器領域に着目し2013年より大阪地区で開催されている「大阪腫瘍循環器研究会」において発表された症例報告を中心に、最新のがん治療やそれに伴う心血管毒性に関する情報を盛り込んで編集した。新しい学際領域である腫瘍循環器医のニーズが高まり全国的に最も注目されているこの領域で、実際に臨床の現場に携わる循環器医が具体的な症例を呈示し解説する本ガイドブックは他書とは一線を画するものと考えている。本ガイドブックからこの新しい分野の現状と課題がより多くの読者に伝わり、今後の腫瘍循環器学の発展の一助となれば幸いである。 （「編集の言葉」より抜粋）

Patient reported outcomes have become more and more important in clinical practice and research. Evaluating subjective perceptions of patients has become mandatory for a full assessment of treatment responses. In this context, clinimetrics, the science of clinical measurements, provides unprecedented opportunities for psychosomatic assessment. This volume illustrates how this approach can be translated into everyday practice complementing and improving the medical interview. The most sensitive and reliable clinical methods are presented for evaluating specific psychosocial aspects of disease, i.e. childhood adversities, life events and chronic stress, lifestyle, sexual function, subclinical and affective disturbances, personality, illness behavior, well-being and family dynamics. Each chapter provides practical illustrations as to how crucial information can be obtained with specific methods individualized according to the patients'needs. A hyperlink is provided to a website that contains many of the instruments assessed in the volume. This book enables the reader to understand the value of patient reported outcomes in clinical practice. It is intended to expand and refine the skills of clinicians who work in general and specialized medicine and psychiatry, whether physicians, psychologists or other health professionals.

Although the incidence of coronary heart disease is falling, its major complication, heart failure, is increasing in frequency. All health care practitioners will encounter patients with heart failure, presenting either acutely or in need of chronic heart failure management. However with recent advances in medical therapy, the prognosis of the condition has improved dramatically so that whereas once heart failure was a pre-terminal diagnosis, now for many it is treatable. Taking the reader from an understanding of the basic mechanisms of heart failure through to an appreciation of the complexities of heart failure management and the remarkable improvements possible with good treatment, this definitive textbook is written by internationally renowned leaders in their field and comprehensively covers all aspects necessary to manage a patient with heart failure. In full colour throughout, containing over 300 illustrations, and supported by detailed referencing from the huge evidence base that has developed over the last two decades, Oxford Textbook of Heart Failure also includes extensive chapters on common co-morbidities, and will be essential reading for consultant cardiologists and those in training, general physicians and those caring of the elderly, cardiothoracic surgeons, primary care doctors, pharmacists, and specialist nurses. The printed edition is complemented by 6 months free access to an online version (also available for separate purchase on subscription basis), allowing users to search the text, and download the figures for use in PowerPoint presentations.

Cardiovascular disease is the main cause of death across Europe, accounting for over four million deaths each year. The main objectives of preventive cardiology are to increase the duration and improve the quality of life. This indispensible manual provides practical advice on how to structure and run a preventive cardiology programme, addressing the prevention of cardiovascular disease in clinical practice through lifestyle, risk factor and therapeutic management. The approach described in this manual is for patients with atherosclerotic cardiovascular disease, those at high risk of developing cardiovascular disease and their families. It is written by the multidisciplinary team who coordinated the EUROACTION demonstration project in preventive cardiology in 8 countries in Europe, and provides a comprehensive lifestyle and cardiovascular risk factor management strategy. It is directed at doctors, nurses, dieticians, physiotherapists, physical activity specialists and other disciplines involved in the preventive and rehabilitative care of these patients. The manual takes the professional through the patient and family pathway - from patient identification, recruitment of patient and family, comprehensive assessment of lifestyle and cardiovascular risk factors, to management of lifestyle change: stopping smoking, making healthy food choices, becoming physically active, achieving a healthy weight and shape and management of blood pressure, blood lipids and blood glucose to healthy levels. A programme model is described which includes both group and individual one-to-one approaches to care. The role of each member of the multi-disciplinary team is described together with the tools available to achieve lifestyle and risk factor change.

Fetal cardiac assessment is a central part of managing many kinds of high risk pregnancies.There are relatively few full time fetal cardiologists, and as a result diagnosis and management of fetal cardiac disease continues to involve considerable input from a variety of professionals, who need easy access to succinct, up-to-date information on fetal cardiac anatomy, rhythm and function. This handbook provides clinically relevant guidance in an easily-accessible and practical format which is idea for day-to-day use in the clinic. Written by authors with backgrounds in fetal diagnostic ultrasound and in paediatric cardiology, the handbook is structured according to presentation, allowing each fetal cardiac problem to be easily recognised and an outline approach identified to aid immediate decision making and patient counselling. The book is fully illustrated with high quality illustrations demonstrating echo findings.

To the adult cardiologist, the language of congenital heart disease can be confusing and the spectrum of disease bewildering. Many find the prospect of meeting an adult with complex congenital heart disease in the emergency department disturbing, and rightly so. This book aims to dispel confusion and equip cardiology trainees, general cardiologists and acute medicine physicians with a sound understanding of the principles of the physiology and management of adult congenital heart disease, so that they can treat emergencies and recognise the need for referral to a specialist unit. With easy-to-understand diagrams and key clinical points, this handbook provides both rapid reference for use when the clinical need arises and also an insight into the basic principles of congenital heart disease, giving the reader a good grounding in the care of the adult with congenital heart disease.

The Complete Guide to ECGs has been developed as a unique and practical means for physicians, physicians-in-training, and other medical professionals to improve their ECG interpretation skills. The highly interactive format and comprehensive scope of information are also ideally suited for physicians preparing for the American Board of Internal Medicine (ABIM) Cardiovascular Disease or Internal Medicine Board Exams, the American College of Cardiology ECG proficiency test, and other exams requiring ECG interpretation. The Complete Guide to ECGs is a superb addition to the library of every intern, resident, and fellow, and a uniquely practical and comprehensive study guide for physicians interested in improving their interpretation of ECGs and preparing for board examinations.

Provides practical guidelines for improving one's cardiac health, covering such topics as exercise, stress management, nutrition, weight loss, aspirin therapy, and cholesterol and other cardiac disease markers.

This single-source reference/text is an authoritative, up-to-date, and multidisciplinary presentation of basic, applied, and clinical approaches to the diagnosis, treatment, and management of cardiac arrhythmia and the prevention of sudden cardiac death-providing essential concepts for new approaches to pharmacologic and electrical therapies.Over 50 leading physicians, scientists, and engineers integrate their research knowledge into a solid foundation of fundamentals in innovative new ways to promote an understanding of cardiac arrhythmias on a multilevel basis that spans the full range of topics from genes to therapy prevention.From the regular rhythm of the heart to the irregular, chaotic states that characterize fibrillation and tachyarrhythmias, Foundations of Cardiac Arrhythmiasexplores the ionic and molecular basis of electrogenesis and its control within different types of cardiac cells clarifies the molecular and biochemical regulation of cell-to-cell conduction that will help facilitate development of the next generation of antiarrhythmic drugs considers genetic determinants that influence the onset of sudden death in rare and acquired heart disease explores recent insights into macroscopic, three-dimensional interactions implicated in the genesis of malignant ventricular tachycardias surveys population studies that reveal new information about the relevance of higher frequency polymorphisms and variations in molecules involved in cardiac control discusses the role of cardiac ablation and the use of pacemakers and defibrillators, including new concepts in device design discusses promising new advances with noninvasive markers of arrhythmia risk that are helping to identify patients at risk for sudden deathContaining nearly 2300 key literature citations and over 300 helpful drawings, photographs, equations, and tables, Foundations of Cardiac Arrhythmias serves as a thorough and inspiring reference for clinical and research cardiologists, clinical and basic electrophysiologists, pharmacologists, molecular and cell physiologists, biologists, biochemists, molecular geneticists, biomedical and electrical engineers, and biophysicists, as well as an important text for graduate students, residents, and fellows in these disciplines.