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Landmark Papers in Cardiovascular Medicine provides a thorough and wide-ranging analysis of core examples of novel research, clinical trials and seminal papers published in the medical literature that have paved the way for breakthroughs in the management of the entire spectrum of cardiovascular disease. These papers may have produced positive, negative or equivocal findings but are regarded by the experts as having either stimulated a paradigm shift in therapeutic strategy or been the catalyst for new and improved methods of research, diagnosis or drug development. Our aim is to provide both a benchmark and inspiration for future work in the field of cardiovascular medicine and also to give the reader an insight into the mechanics and infrastructure of how high-quality evidence-based medicine has been produced. Each trial summary is punctuated by sections on'strengths and limitations','impact on the field','learning points'and'further reading'suggestions that allow for a completely holistic analysis of the data. The experts also give their views on what research is currently underway, their hopes for the future and what advances they predict will occur in each subspecialty field of cardiovascular medicine, making this book essential reading for all those individuals with an interest in the field.

This is the ultimate revision guide for candidates who are preparing to take the European Diploma in Anaesthesiology and Intensive Care (EDAIC) Part I and Part II examinations. This resource provides 303 practice questions and model answers for a complete guide to both parts of the examination. For Part I: Paper A, there are 135 example questions and model answers on physiology, pharmacology, anatomy, physics, and statistics. For Part I: Paper B, another 127 example questions and model answers cover general anaesthesia, regional anaesthesia, special anaesthesia, intensive care, internal medicine, and emergency medicine. To help candidates prepare for the Part II: the Oral part of the exam, there are five SOE-type questions and detailed worked answers addressing applied physiology, applied pharmacology, applied anatomy, clinical measurement, general anaesthesia, critical incidents, intensive care, and image interpretation for a total of 41 practice questions. Written by top quality authors who are or were previously experienced examiners within the European Society of Anesthesiology and Intensive Care (ESAIC), this is an authoritative guide to the EDAIC exam.

The management of patients committed to long-term oral anticoagulation, such as those with atrial fibrillation at moderate to high risk of stroke, mechanical heart valves, and previous arterial/venous thromboembolism, who are submitted to percutaneous coronary intervention (PCI) has become an issue of increasing importance in the last years. Guidelines/expert consensus papers addressing the complex management of this population, which is estimated to represent about 5 to 10% of all patients referred for PCI, have been recently made available. As underlined in the most recent guidelines for the management of atrial fibrillation issued by the European Society of Cardiology (ESC) however,'guidelines are no substitutes for textbooks'. This pocketbook addresses the key management points and summarises the properties of the stents and the clinical pharmacology of the antithrombotic agents to be used in these patients. It will be a useful guide for clinical and interventional cardiologists, internists, surgeons, primary care doctors, and other physicians who care for these patients.

The ESC Textbook of Thrombosis is the third iteration of Therapeutic Advances in Thrombosis. Now a new addition to the European Society of Cardiology (ESC) publications portfolio, it is informed by the work of the ESC's Working Group on Thrombosis. Written by internationally renowned experts in the field of thrombosis, the textbook presents an up-to-date and in-depth review of all aspects of thrombosis and antithrombotic therapies. Not only does it reflect contemporary European guidelines from the ESC but also it also summarizes the latest evidence from clinical trials. Covering the topic in great detail with thirty-one chapters, the textbook is split into four sections: Pathophysiology of thrombosis, Clinical pharmacology of antithrombotic drugs, Therapeutic strategies, and Special situations. Appealing to the large community of cardiovascular healthcare specialists in Europe and across the world, the textbook is a must read for cardiologists dealing with acute and chronic coronary syndromes, atrial fibrillation, artificial heart valves and pulmonary embolism. It will also appeal to cardiac surgeons, cardiovascular researchers, and general physicians alike.

While paediatric cardiology may be a small specialty, it is important to note that congenital heart disease ranks as the most prevalent congenital condition globally. As a result, cardiac problems form a significant part of the workload of many general paediatricians, neonatologists, and other paediatric specialists. Beyond congenital heart conditions, acquired heart diseases are frequently encountered in general practice. The management of heart-related conditions can often be complex, leading to apprehension for junior doctors during their rotations in this field. The Oxford Specialist Handbook of Paediatric Cardiology aims to address this challenge and provides essential insights into the diagnosis, management, and care of young patients with heart conditions. This comprehensive guide to paediatric cardiology takes a systematic approach to heart lesions which will form a major part of the book, offering quick two-page refreshers for clinicians. It covers common heart surgeries, diagnostic frameworks, major investigations, and subspecialties like interventional cardiology, fetal cardiology, and more. It also addresses drug therapy, emergencies, psychology, and palliative care. This book includes everything that a junior doctor needs when starting in the speciality and will also be a valuable reference guide for more senior trainees and consultants.

Part of the European Society of Cardiology portfolio of titles, the EACVI Handbook of Nuclear Cardiology serves as a user-friendly clinical guide to the field of nuclear cardiology. Covering all aspects of this ever-expanding area, it is an indispensable tool in the diagnosis and management of patients with heart failure (ischemic and non-ischemic), amyloid heart disease, endocarditis, myocarditis, and cardiac sarcoidosis. The handbook includes many images, tables, and bullet points that can be used daily in your busy practice to refresh your memory on various cardiac pathologies. The illustrations are derived from a typical clinical practice and the easy accessible format allows you as a reader to focus on the “typical findings” of various cardiac pathologies. Written by an international collection of experts this concise and practical handbook will appeal to students, trainees or advanced users; cardiologists, radiologists, cardiac surgeons or technicians, in their everyday practice.

Stroke is common, complicated to manage, and a major health concern worldwide. However, evidence shows that thorough and organized care from teams of health professionals on stroke units leads to substantially fewer deaths and better recovery than other types of care. For all the members of the stroke team, including doctors, nurses, stroke co-ordinators, physiotherapists, occupational therapists, and speech and language therapy members, this handbook provides a holistic approach to the care of patients with transient ischemic attacks (TIA) and stroke. It covers the wide range of knowledge and skills needed to tackle problems that may lead up to, or follow on from a stroke, and follows the course of a patient's'journey'from diagnosis to life at home, incorporating recent changes in the field of stroke medicine, including the latest clinical trials. For this new edition, practice recommendations have been fully updated in light of the evidence supporting prevention (including early intervention and DOACs), acute care (in particular, thrombectomy and the role of hyperacute stroke units), rehabilitation, and long-term care. Chapter 5'Neuroimaging in stroke'has been expanded to include new technical developments and the book includes a brand new chapter on cognitive impairment.

The Manual of Cardiovascular Medicine is an up-to-date pocket guide for students, trainees, junior cardiologists and even for consultants during clinics and rounds, as well as health professionals such as cardiac nurses providing diagnostic algorhythms, indications for procedures, drug use, and guidelines in a nut shell. It is succinct, with bullet pointed information and attractive illustrations and flow charts in each chapter, making it a quick and easy reference for everyday use.

Cardiopulmonary Transplantation and Mechanical Circulatory Support provides a comprehensive review of the field. Written for all tiers of healthcare professionals managing such complex patients. The handbook tackles all topics within this field, including heart failure, heart transplantation, lung transplantation, and all tiers of mechanical circulatory support in adults and paediatric patients. The chapters are written by prominent and globally respected experts in Europe and North America, providing their evidence base as well as personal, practical hints and tips for all practitioners.

Every year, thousands of people die or suffer chronic disability as the result of inherited diseases of the cardiovascular system. In many cases, diagnosis of inherited disease is delayed or missed owing to a lack of awareness, and an even greater number of relatives are exposed to unnecessary risk. This new edition of Inherited Cardiac Disease provides a comprehensive summary of the aetiology, presentation, and management of genetic disorders of the cardiovascular system. Fully updated to reflect the advances in molecular genetic technologies and the publication of national guidelines for the management of families with inherited cardiac diseases, it retains the first edition's broad scope and applicability to all members of the multidisciplinary team, from specialists in cardiology and clinical genetics, to genetic counsellors, paediatricians, nurse specialists, and GPs who may come into contact with families presenting with inherited cardiac diseases. Containing both a short section on the general principles of cardiovascular genetics, individual disorders are then examined in detail, each featuring a clinical summary, diagnostic tests and special investigations, and treatments relevant to each inherited cardiac disease. Written in the succinct bullet-point style of the Oxford Specialist Handbooks, this new edition of Inherited Cardiac Disease delivers key information in an accessible manner, and is an invaluable guide to anyone who works with patients who are affected by inherited diseases of the cardiovascular system in their practice.

This guide is directed at the multi-disciplinary team dealing with cardiac rehabilitation. It is a practical handbook for everyday professionals on what they should do following cardiac events and return to work. It is adapted to the needs of cardiac rehabilitation centers. · Key publication from the European Association of Preventive Cardiology (EAPC) · Companion handbook to The ESC Handbook of Preventive Cardiology: Putting Prevention into Practice This handbook is directed at cardiologists in training and practice, specialist (cardiac) nurses, technicians, exercise physiologists and other healthcare professionals involved in the multidisciplinary process of cardiac rehabilitation · Practical user-friendly handbook style presentation · Covers the complete spectrum of rehabilitation care · Key team members address key issues - smoking, diet and physical activity · Focus on high risk patients (family approach)

Comprehensive, yet practical and concise, the Oxford Specialist Handbook of Pacemakers and ICDs is the ideal training guide on how to implant, follow-up, and troubleshoot pacemakers and ICDs. Fully updated to include new technologies such as subcutaneous ICDs and MRI compatible devices, this new edition provides the latest guidelines and management strategies for the cardiology trainee and cardiac technician. Covering the principles, programming, potential complications, and troubleshooting for pacemakers, ICDs, and cardiac resynchronisation therapy, this title is an invaluable aid for anyone charged with providing or contributing to a pacing, ICD, or implantable loop recorder service. Written in a succinct bullet-point style, the second edition of the Oxford Specialist Handbook of Pacemakers and ICDs delivers key information in an accessible manner, with over 120 figures including x-rays and annotated ECGs to demonstrate pacing techniques and troubleshooting solutions.

This highly comprehensive and informed textbook has been prepared by the Cardiovascular Magnetic Resonance section of the European Society of Cardiology association on imaging, the EACVI. The EACVI Textbook of Cardiovascular Magnetic Resonance is the authority on the subject. The textbook is aligned with ESC Core Curriculum and EACVI Core Syllabus for CMR. It is a practical resource and provides a disease orientated outlook on the subject. Structured with thirteen clear and detailed sections, ranging from Physics to Methodology, and featuring specific sections on ischemic heart disease, myocardial disease, pericardial disease, and congenital heart disease and adult congenital heart disease, The EACVI Textbook of Cardiovascular Magnetic Resonance provides extensive knowledge across the entire subject area in CMR. Beautifully illustrated and physical principles enriched with schematic animations, the textbook is advanced further with key video content based on clinical cases. Written by leading experts in the field from across the world, the textbook aims to summarise the existing research and clinical evidence for the various CMR indications and provide an invaluable resource for cardiologists and radiologists across the board. The textbook is ideal for cardiologists and radiologists new to the field of Cardiovascular Magnetic Resonance, those preparing for ESC certification in CMR, and those established in the field wishing to gain a deep understanding of CMR. Online access to the digital version is included with purchase of the print book, with accompanying videos referenced within the text available on Oxford Medicine Online.

This highly illustrated textbook has been prepared by the Working Group on Development, Anatomy and Pathology of the European Society of Cardiology (ESC). The ESC Textbook of Cardiovascular Development is the authority on cardiovascular development from a perspective of both basic scientists and clinicians. The embryonic origin of congenital heart diseases and their pathology has been analysed in depth. Modern concepts pivotal to the understanding of cardiovascular morphogenesis, including those still subject to controversy, have been highlighted and the content covers the ESC Core Curriculum. The textbook will appeal to researchers and clinicians from a wide spectrum of disciplines including molecular and developmental biologists working on mechanisms of heart development in a range of model organisms as well as pathologists, morphologists, geneticists, and cardiologists.

Atherosclerosis is the most significant cause of cardiovascular disease worldwide. Vascular biology is the key to understanding how atherosclerosis arises and operates. The ESC Textbook of Vascular Biology is a rich and clearly laid-out guide by leading European scientists providing comprehensive information on vascular physiology, disease, and reasearch. The textbook covers molecular findings and novel targets within the speciality while also providing the basics of vascular biology and disease pathophysiology. It also covers the major changes in the diagnosis, prevention and treatment of atherosclerosis that have occurred in recent years, developments and recent breakthroughs in the field are specifically highlighted. The official publication of the ESC Working Group on Arthrosclerosis and Vascular Biology, this print edition comes with access to the online version on Oxford Medicine Online, for as long as the edition is published by Oxford University Press. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables. The textbook particularly appeals to vascular biologists, cardiologists, and other practising clinicians.

This print edition of The EACVI Textbook of Echocardiography comes with a DVD and access to the online version on Oxford Medicine Online, for as long as the edition is published by Oxford University Press. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge, and download all the figures and tables. This fully updated second edition of the official textbook of the European Association of Cardiovascular Imaging serves the educational requirements of cardiologists and all clinical medical professionals in echocardiography. It is fully-aligned with EACVI goals and reflects the core European syllabus. Published in partnership with the European Society of Cardiology and written by a team of expert authors, this textbook is a valuable resource on echocardiography and for accreditation through the EACVI. With its thorough and instructive text complemented by more than 500 full colour images and 200 videos online and as a separate DVD, The EACVI Textbook of Echocardiography is a one-stop, authoritative resource on echocardiography.

The EHRA Book of Interventional Electrophysiology is the second official textbook of European Heart Rhythm Association (EHRA). Using clinical cases to encourage practical learning, this book assists electrophysiologists and device specialists in tackling both common and unusual situations that they may encounter during daily practice. Richly illustrated, and covering electrophysiological procedures for supra-ventricular and ventricular arrhythmias, the book enables specialists to deepen their understanding of complex concepts and techniques. Tracings, covering supra-ventricular and ventricular arrhythmias, are presented with multiple-choice questions to allow readers to hone their skills for interpreting challenging cases and to prepare for the EHRA certification exam in electrophysiology. Cases include Orthodromic AVRT, PV Isolation, VT ablation, and Atypical left atrial flutter to name a few. The EHRA Book of Interventional Electrophysiology is a wide-ranging, practical case-book, written by leading experts in the field and edited by members of the EHRA education committee: an essential companion for electrophysiologists and trainees alike.

Heart failure is epidemic throughout the world. A growing incidence and prevalence has resulted in a large population of individuals transitioning to advanced stages of the syndrome and requiring uniquely specialised therapies and cardiac transplantation. ^i The Oxford Textbook of Advanced Heart Failure and Cardiac Transplantation^r is a focused and comprehensive work covering this new and rapidly growing cardiovascular subspecialty. Authored by eminent international experts, it is the authoritative text on advanced heart failure and a central resource for clinicians caring for patients with this condition. By covering a range of characteristics, therapeutic challenges and practical aspects of managing patients, this book provides an in-depth source for cardiologists and other related clinicians. A strong focus on the difficult decision making needed to handle advanced heart failure cases, along with specific knowledge of epidemiology, biology and pathophysiology, creates a key tool for optimally managing these complex patients.

The Oxford Textbook of Medicine: Cardiovascular Disorders is selected from the cardiology section of the renowned Oxford Textbook of Medicine. An authoritative resource on heart disease and beautifully illustrated in full colour, it is an essential guide to best practice in managing and preventing a wide variety of cardiovascular disorders. Chapters on arrhythmias, acute coronary syndromes and cardiac surgery have been completely revised and updated, together with new chapters on blood vessels and the endothelium, cardiac physiology, syncope and palpitations, and cardio-renal syndrome. Heart failure and heart disease in pregnancy are thoroughly treated, while imaging chapters evaluate the latest techniques and illustrate all clinical features with detailed images. In 46 finely crafted chapters with clear essentials, experts in cardiovascular disease review the essentials of diagnosis, guidelines and practice and provide a wealth of practical advice for use in clinical situations. In addition, background information on epidemiology, pathogenesis and pathophysiology encourages a fuller understanding of conditions, and more than 350 full colour images help with diagnosis. This essential reference tool supports all medical professionals seeking a general outline of treatment and prevention of cardiovascular disorders, and fills the gap between undergraduate teaching texts and specialist texts for cardiologists. Cardiologists and general physicians will find it immensely valuable when diagnosing and managing heart disease in their day-to-day practice. It is also of usefor trainees in cardiology and general medicine, especiallythose interested in applied cardiovascular pathophysiology.

Clinical Cardiology: Current Practice Guidelines Updated Edition is an essential tool for the busy clinician, offering succinct yet detailed access to the most recent trial and guideline data supporting practice and patient management in cardiology. ESC and ACC/AHA guidelines are continually updated and often overlap in their advice, making it difficult for the cardiologist to obtain a clear picture of the right way to diagnose and treat disease according to the latest evidence base. Written by leading authorities in the field, this book, together with its regularly-updated online version, provides a unique solution. The authors have scrutinized all available guidelines and research from both ACC/AHA and ESC on every clinical issue. The result is a rigorous examination of the implications of published guidance, illustrated by more than 600 easy-to-follow tables and 200 full-colour images, which reinforce key points and clarify difficult concepts. 87 comprehensive chapters explore the definition, epidemiology, pathophysiology, diagnosis and management of cardiac disease. Two new chapters examine the univentricular heart and venous thrombembolism. Each chapter encompasses the latest published research, followed by discussions of possible presentations and investigations, offering detailed insights for clinicians into best practice for diagnosis and treatment. Providing at-a-glance access to the best guidance in cardiology, this book offers a diagnosis and management toolkit which no practising cardiologist can afford to be without.

The ESC Handbook of Preventive Cardiology is a'how-to'manual for busy healthcare professionals. Complementing the 2012 Joint European Guidelines on cardiovascular disease prevention and in line with recommendations from the European Association of Preventive Cardiology and it is an invaluable source of tools and skills to assist with the delivery of effective cardiovascular disease prevention. While acknowledging that cardiovascular disease prevention efforts must be complemented by societal and community based strategies, this handbook focuses on practical strategies that can be used in clinical settings. Concise and easily accessible, it guides readers through the patient and family pathway - from patient identification, recruitment of the patient and family, assessing lifestyle and risk factors, to managing lifestyle change, reducing risk factors, and compliance with cardio-protective drug therapies. Information on how to deliver a health promotion workshop programme and run a supervised exercise programme is also included. Previously published as Preventive Cardiology: A practical manual and now fully revised and updated and packed with checklists and diagrams, such as risk estimation charts, The ESC Handbook of Preventive Cardiology helps health workers contribute in real and practical ways to the prevention of artherosclerotic cardiovascular disease. This print edition of The ESC Handbook of Preventive Cardiology, Putting Prevention into Practice comes with access to the online version on Oxford Medicine Online, for as long as the edition is published by Oxford University Press. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.

The management of hypertension varies considerably from clinician to clinician. This pocketbook is a concise and evidence-based summary of current understanding and practice, including the most up-to-date guidance from national bodies and their recommendations for hypertension care. An essential tool for everyday use in managing hypertension, this book covers the different phases of investigation and definitive management, and aids clinical decision-making by collating all the relevant information and guidance in one easily accessible place.

Are you a member of ACCA? Go to the ACCA website to find out about special offers on The ESC Textbook of Intensive and Acute Cardiovascular Care and to buy your copy today. The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACCA) of the ESC. This new updated edition continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care. The textbook is addressed to all those involved in intensive and acute cardiac care, from cardiologists to emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment, but also organisational issues, cooperation among professionals, and interaction with other specialities in medicine. The largest section of the textbook is devoted to non-cardiac disease which could acutely involve the cardiovascular system. Other noteworthy chapters are on ethical issues - which are so important in acute cardiac care, such as patient safety, donor organ management and palliative care. A unique characteristic of the textbook is the presence of a whole section devoted to biomarkers, which underline the growing importance of laboratory medicine in the field of intensive and acute cardiac care. A particular asset of the textbook is the digital version available on Oxford Medicine Online, which has additional online features including an extra chapter on lung ultrasound and many more images and videos, as well as a full list of references from all chapters. The online version is updated by the same authors on a yearly basis and is available with the print version and separately on a subscription basis, allowing easy access to content in digital and mobile optimised format. The textbook aligns directly with the core training curriculum for ACCA. This print edition of The ESC Textbook of Intensive and Acute Cardiovascular Care comes with access to the online version on Oxford Medicine Online, for as long as the edition is published by Oxford University Press. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.

Atrial Fibrillation is becoming a twenty-first century epidemic. It remains the most common form of sustained arrhythmia with significant mortality, morbidity and cost to the health care system. It is the most common cause of hospital admissions among all arrhythmias. Its prevalence increases with the aging population and is often associated with many other cardiac and noncardiac conditions, most notably congestive heart failure, hypertension, diabetes, and coronary artery disease. Although significant progress in understanding the epidemiology, natural history and mechanism has been made, the antiarrhythmic therapy in patients with Atrial Fibrillation is less satisfactory. Management of Atrial Fibrillation: A Practical Approach is the perfect pocket guide for those who care for patients afflicted by Atrial Fibrillation. From the history of the condition and the subsets of patients, to therapeutic and preventive procedures, Management of Atrial Fibrillation comprehensively covers all aspects in managing this increasingly prevalent disorder. Written by leading authorities in the field with vast experience in practical medicine, the book creates a clinically orientated, evidence based'fast fact'type resource for cardiologists, trainees and related healthcare professionals.

As the first revision text aimed specifically at the Knowledge-Based Assessment, Essential Revision Notes for Cardiology KBA is the cornerstone of your revision for this new and compulsory examination. Each chapter exactly maps the core cardiology training curriculum, giving measurable assurance that you are getting the information you need to pass. Each chapter is written by a senior cardiology trainee in collaboration with a senior consultant who has expertise in that specific field, ensuring that the content is both authoritative and accessible. Drawing on the latest guidelines and documents, the concise, bullet-pointed layout allows easy access to and digestion of the key points you'll need during revision. Numerous tables, boxes and figures make this the ideal accompaniment to retaining the large and varied amount of information needed to pass the examination.

Cardiovascular disease remains the major cause of morbidity and mortality throughout developed countries and is also rapidly increasing in developing countries. Cardiovascular medicine and the specialty of cardiology continue to expand, and the remit of the cardiologist is forever broader with the development of new sub-specialties. The Oxford Handbook of Cardiology provides a comprehensive but concise guide to all modern cardiological practice with an emphasis on practical clinical management in many different contexts. This second edition addresses all the key advances made in the field since the previous edition, including interventional cardiology, electrophysiology, and pharmacology. It expands the remit to medical students and the more junior doctor while retaining the level of detail required by more senior practitioners within the field.

High pressure in the lungs, or pulmonary hypertension, is most commonly due to smoking-related lung disease and conditions affecting the left heart, for example, high blood pressure in the arteries, faulty heart valves, and a weakened heart muscle. Pulmonary arterial hypertension (PAH), is a rare and complex disease, associated with many different medical conditions, which is caused by a growth of cells lining the inside of the lung arteries, resulting in high pressure in areas of the body. Both conditions lead to strain and potential failure of the right heart, and therefore awareness and early diagnosis of the condition is needed to lead to better outcomes: however this depends on education of all specialists and primary care clinicians about PAH. This practical handbook covers both PH and PAH, providing information required by the wide range of clinicians who will encounter these conditions, including cardiologists, respiratory physicians, rheumatologists, specialists in liver and AIDS medicine, and haematologists. It covers what it is, who it is likely to affect, how it is diagnosed, including the pitfalls of the various diagnostic tests, the different and evolving forms of treatment, long term management of this often devastating chronic disease, and the crucial role of multidisciplinary management in optimizing clinical care of these patients who usually have multi-system diseases. It also covers the up new classification for both PH and PAH, and new drugs that have recently become available.

This concise pocketbook provides an easily accessible resource on pulmonary arterial hypertension (PAH) for medical professionals (senior and trainees), nurses and allied disciplines. PAH is not any longer an orphan disease, nor is it associated with a grave prognosis and premature death (as it used to be the case a decade or two ago). Patients with PAH should enjoy improved survival and quality of life, provided that an early -and not late- diagnosis is made combined with timely initiation of advanced therapy in specialized/designated tertiary centres. This comprehensive text incorporates PAH expertise from the UK and the rest of the world. The book outlines the key points with respect to the latest classification, pathobiology, genetics, clinical assessment of the patient with suspected PAH and the role of imaging. There are specific chapters addressing different PAH aetiologies, namely idiopathic PAH, thromboembolic PAH, PAH related to connective tissue disease, congenital heart disease (Eisenmenger complex), respiratory disease and other unusual causes. Last, but not least, the book addresses counselling, contraception and the latest therapy for the challenging area of pregnancy and PAH, which is still associated with a high maternal mortality risk. The main objective of the book is to increase awareness of PAH, promote rapid diagnostic work up and timely specialist referral so that effective therapy is made available as early as possible to all patients with suspected or known PAH. Physicians -senior or Junior, nurse or other health care professional - whether senior or junior - who may encounter patients with PAH has much to gain from this book.

Released in 2007 and the first handbook-sized practical training guide to provide easily accessible, detailed information on how to get good images, make key measurements and report findings, the first edition of Echocardiography rapidly become a bestselling echocardiography manual. Now in its second edition, and reflecting the most recent international cardiology and echocaridography society guidelines, the handbook has been extensively updated throughout and features new sections covering 3D echocardiography, intracardiac echocardiography, contrast echocardiography, speckle tracking echocardiography and emergency echocardiography. In full colour throughout, the book also includes reference ranges to help with reporting and accreditation exam preparation. Echocardiography remains the essential reference for trainees undergoing accreditation and a daily source of information for those who perform clinical echocardiography.

A comprehensive guide to the assessment, diagnosis, investigation and management of complex clinical scenarios in cardiovascular medicine. This book contains a series of challenging concepts in cardiovascular medicine covering all subspecialty areas including general cardiology, intervention, cardiac imaging, electrophysiology, heart failure and cardiomyopathies, cardiac devices, transplant medicine, epidemiology, heart disease in pregnancy and congenital heart disease. Each case provides an in-depth review of current practice, the application of national and international guidelines and a summary of evidence from the medical literature. Data sets, investigation results and cardiac imaging give the reader a'real-life'sense of being in the outpatient clinic, emergency room, coronary care unit or cardiac catheterisation laboratory. Each case is punctuated by'Clinical Tips','Learning Points'and'Landmark Trial Summaries'to enhance the learning process alongside an'Expert Commentary'written by internationally-renowned leaders in the field of cardiology.

Based around the core curriculum for specialist trainees in cardiology, Oxford Case Histories in Cardiology contains 50 well-structured, peer-reviewed cases gathered from the Oxford Hospitals, comprehensively covering the various disorders of the cardiac system. Each case history is followed by questions on important aspects of the diagnosis, interpretation of investigations, and management. The answers are accompanied by a detailed discussion, including the differential diagnosis where relevant and other clinically important aspects of the condition. The book contains numerous illustrations of echocardiographic, radiographic and electrocardiographic data. The list of cases by diagnosis and category according to the cardiology curriculum from the JRCPTB and the extensive index allows the book to be used for revision and reference. The book will be of particular use to post-membership trainees who are preparing for specialty knowledge based assessments in cardiology and acute general medicine in the UK and Europe, and will also be of interest to those who wish to improve their skills in diagnosis and management of a broad range of cardiac diseases.

Cardiac Mechano-Electric Coupling and Arrhythmias offers a thoroughly reviewed compendium written by leading experts in the field on the mechanism and consequences of cardiac mechano-electrical coupling. Its coverage ranges from stretch-activated ion channels to mechanically induced arrhythmias and mechanical interventions for heart rhythm correction. Information is grouped into logical sections, from molecular mechanisms, to cell, tissue and whole organ responses, right through to patient-based observations and insight emerging from clinical trials. The information provided carefully highlights both consensus insight and current shortcomings in our understanding of cardiac mechano-electric coupling. The book has been thoroughly revised and expanded since publication of the first edition in 2005, extensively updated to reflect recent developments in the field, and now offers a more balanced view of mechano-electrical interactions in the heart and develops a more clinical focus. Written with the practising cardiologist and junior doctor in mind, it offers interesting new insight for the established physician with an interest in cardiac arrhythmogenesis and heart rhythm management.

This comprehensive reference provides easy access to information on the fundamental and practical aspects of modern cardiological practice, covering emerging fields and high technology, and dispensing practical clinical wisdom. Written in an approachable style, and using a quick-reference layout, the Oxford Desk Reference is perfect for the busy clinician requiring a diversity of information without the time to search through hundreds of sources. There are tables, summary boxes and algorithms throughout the book, allowing the reader access to key information and the most up-to-date treatment and management guidelines. Edited by leading names in the field from the UK, Australia and Hong Kong, and with contributions from an international panel of sub-speciality experts, this outstanding resource covers all that a 21st century clinician needs to know in the management of patients with cardiac diseases.

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.

Living Longer: The heart-mind connection is written for all those who strive for optimal long-term health and the maximal functioning of their hearts and minds. Today's problem for the health-conscious individual is information overload - new health studies pour out almost daily from newspapers, radio stations and television networks. Many of the reports are contradictory and often misleading. In this book, Professor Opie sifts through the available information on the vast number of possible health promotion changes, varying from increased exercise to aspirin to green tea, and diets from Atkins to the vegetarian, with the aim of grading the validity of the evidence, asking questions such as,'Just how true are the studies'and'Just how compelling are the facts they claim'? Living Longer guides the reader through this morass of information with the message that just five key steps taken now will promote long-term health benefits for heart and mind and give protection from future heart disease and brain deterioration.

Many heart conditions are inherited and if not diagnosed and managed appropriately place the patient at risk of blackouts, weakening of the heart, or sudden death.While individually uncommon, inherited diseases of the cardiovascular system collectively represent a major health burden. Current recommendations suggest that individuals and families affected by inherited cardiovascular diseases should have access to specialist care in the form of multidisciplinary teams, with particular knowledge and experience in the diagnosis and management of these conditions. As a result, multidisciplinary services for inherited cardiovascular diseases, involving cardiologists, clinical geneticists, specialist nurses and genetic counsellors, are being developed throughout Europe. Inherited Cardiac Disease provides healthcare specialists involved in the diagnosis and treatment of inherited cardiovascular disorders with a clinically relevant summary of genetic diseases and readily accessible information that can be used in everyday practice. Containing summaries of most common inherited cardiovascular disorders and describing cardiomyopathies, inherited arrhythmia syndromes, and other inherited cardiovascular syndromes with a focus on aetiology, presentation and management, it also provides the non-specialist with a detailed knowledge of inherited cardiovascular diseases, from the fundamentals of molecular biology and genetic testing to the detailed clinical information relevant to patient management.

A range of cardiac imaging techniques are available, each with a unique approach. Most existing imaging books are predominantly modality focused; however today's clinical cardiologist needs to learn how to apply and integrate information from the different modalities to aid clinical decision-making. In full colour throughout, and based on European Society of Cardiology guidelines, Cardiovascular Imaging is an essential resource for all clinical trainees, It provides practical hands-on advice for cardiology, medical, radiology and technical personnel who need easily accessible, detailed information on how to use the full range of imaging modalities to investigate cardiac disease. The handbook provides a comparative overview of the different techniques and how they can be applied in different pathologies, acting as a portal to more in-depth, modality focused texts.

Cardiovascular computed tomography (CT) has rapidly become an important imaging tool in cardiology, and is now a compulsory component of the core curriculum for cardiology in UK and Europe. It is a complex imaging modality, however, with many aspects to master: CT theory, image acquisition and analysis, interpretation and reporting. This practical handbook is therefore essential reading for both training and reference for all cardiovascular CT users, including cardiologists, radiologists and radiographers, providing practical guidance on performing, analysing and interpreting cardiovascular CT scans in an accessible format.

The investigation and treatment of hypertension, a leading risk factor for cardiovascular disease throughout the world, remains a challenge, even in developed countries. Although antihypertensives have been available for 50 years, the rational and effective use of the myriad of existing drugs remains a concern, as does the desire to identify patients with secondary hypertension from the mass of individuals with primary or essential hypertension. The aim of this handbook is to provide state-of-the-art information concerning the pathophysiology, diagnosis, investigation and management of hypertension in the 21st century. The book covers the underlying physiological, genetic and environmental components which may contribute towards its pathogenesis as well as the currently available therapies and clinical trials in hypertension. The chapters are clearly laid-out and written for the non-expert but contain sufficient detail to serve as a useful reference for the experienced physician. The book is completely up-to-date and evidence-based, while the authors are recognized experts in hypertension based at one of Europe's leading hypertension centres.

Acute cardiology problems often need quick, appropriate, diagnosis and treatment. With the increasing complexity and rapidly-changing nature of available therapies, knowing which to use and in what situation can be difficult. The freshly updated Emergencies in Cardiology, Second Edition, provides an easily-accessible guide to diagnosing and managing acute cardiovascular problems, incorporating both symptom-based and disease-based sections. Cross-referenced to the Oxford Handbook of Cardiology, this handbook allows rapid access to accurate, up-to-date information. There are specific sections on the management of cardiovascular problems in pregnancy and adult congenital heart disease, in addition to more practical sections on how to perform emergency cardiology procedures and ECG recognition. The book is designed for busy medical and cardiology teams, with bullet-point information for speed and clarity combined with the integral cross-referencing system, enabling quick access to the necessary information.

Cardiovascular Magnetic Resonance (CMR) is a rapidly expanding imaging method in cardiology which provides unparalleled diagnostic information about the heart. It is however a complex technique and though the availability of scanners is increasing quickly, the expertise required to perform the scans is limited. While no book is a substitute for experience, this handbook provides an invaluable guide to performing and interpreting the scans which should aid both new and experienced operators. Cardiovascular Magnetic Resonance is an indispensable guide to performing and interpreting CMR scans. What to look for, which sequences to include, how to acquire them, and how to interpret the images are all included in the handbook. The information is provided in a quick-reference, easy-to-use format with many images from real cases, and is designed to sit on the scanning console or in the office, providing a step-by-step guide to aid the CMR practitioner at every stage. All areas of cardiovascular imaging are covered, including tips and tricks for optimal imaging and how to avoid and spot artefacts. From patient safety to differential diagnoses of tricky images, to an easy to understand section on the science behind magnetic resonance, all aspects are covered in this concise yet comprehensive guide to this specialist area. Whether a novice or expert in the field, all readers should find this book a useful tool. It is an invaluable reference that no CMR department should be without.

The management of hypertension varies considerably from clinician to clinician. This pocketbook is a concise and evidence-based summary of current understanding and practice, including the most up-to-date guidance from national bodies making recommendations for hypertension care. An essential tool for everyday use in the management of hypertension, this book covers the different phases of investigation and definitive management, and aids clinical decision-making by collating all the relevant information and guidance in one easily accessible place.

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.

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.

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.

Over the past 20 years, effective treatments for lipid disorders have become available. With the high incidence of coronary artery disease in the developed world, interest in this area has greatly increased, and 10% of the UK population now qualify for lipid lowering treatment. It is therefore important that the rational use of lipid-lowering treatment is based on an understanding of the underlying metabolic problem. This comprehensive but concise guide makes basic lipid metabolism understandable to the reader without over-simplification. The often confusing classification of lipid disorders is explained clearly, and this book will appeal to cardiologists, trainees and all related healthcare professionals who are involved in prescribing lipid-lowering medications on a daily basis.

Coronary heart disease (CHD) is the leading cause of death worldwide with 3.8 million men and 3.4 million women dying each year. Cardioprotection refers to the prevention of CHD and the clinical improvement in patients suffering from cardiovascular problems. This book focuses on the role of cardioprotection in surgery and the use of pharmacological therapies such as ACE-inhibitors, statins and beta-blockers in order to reduce the myocardial injury sustained by the patient and the significant risk of morbidity and mortality. It includes new cardioprotective strategies aimed at improving the clinical outcomes of patients in these settings, as well as current well-established methods for reducing myocardial injury in acute coronary syndrome patients.

The number of individuals who are obese or overweight has dramatically increased over recent years and is now becoming epidemic.These individuals are more likely to suffer cardiovascular diseases and therefore physicians, specialists and trainees increasingly need to deal with these issues on the ward and in clinic. As a result, the need for appropriate knowledge of up-to-date clinical management of obesity and its associated cardiovascular problems is essential for any practising physician. Obesity and Cardiovascular Disease is a readily assimilated pocket guide to obesity and cardiovascular disease. It is intended to be used'on-the-go'and is compact enough to be on hand whilst in consultation with patients. It provides a clear and succinct overview of contemporary clinical management of cardiovascular risk stratification, and fully covers the diagnosis and treatment of cardiovascular in obese patients and individuals with increased visceral adiposity, translating up-to-date clinical research findings into clinical practice. Particular emphasis is placed on recent updates in practical care in obesity and cardiovascular disease, such as new diagnostic techniques and novel pharmacological and surgical approaches, as well as cardiac visceral fat, ethnic differences in adiposity-related cardiovascular risk, and metabolically healthy, but obese subjects. Topics are presented in an easily accessible format with numerous illustrations, photographs, tables, diagnostic and therapeutic algorithms while highlight boxes summarise the main concepts discussed in each chapter.

Between 1-2% of the adult population have chronic heart failure, with 6-10% of people over the age of 65 years suffering from the disorder. While the age-adjusted incidence of chronic heart failure has remained stable over the last 20 years, its prevalence has increased with over one million cases in the United Kingdom alone. This practical pocketbook provides a guide for healthcare professionals - doctors, nurses and technical staff - who manage patients with chronic heart failure. Each chapter is written by a leader in that particular area of the treatment or investigation of chronic heart failure and provides a concise but comprehensive review of each area. As a whole the book provides a guide to aetiology, epidemiology, physiology and pathophysiology, and investigation and treatment of chronic heart failure close up. Further chapters address chronic heart failure with preserved systolic function and complex congenital causes of chronic heart failure. As chronic heart failure remains an often lethal disorder, one chapter focuses on the management of patients with advanced chronic heart failure with a section on end of life situations. Each chapter is able to'stand alone'with key points at the beginning of each chapter and diagrams and flow charts to illustrate these key points.

Coronary artery disease is the most common cause of morbidity in the developed and developing world. In the acute situation, in contrast to the stable presentation, there is a need for urgency with clear benefits from intervention. However it is imperative that risks are assessed and addressed as part of the long term strategy. Preventing acute coronary syndromes is more important than dealing with them. This concise, practical pocketbook opens with the background and mechanisms leading to the acute event and how an understanding of the pathophysiology can direct the overall management and not just the acute presentation. The books intention is to highlight the practical aspects of management and establish straightforward management plans. It therefore looks at the syndromes via a team approach to address all of the issues and optimise care.