Author: Mehdi H. Shishehbor
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781764391
Category : Medical
Languages : en
Pages : 356
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Book Description
Designed for quick, easy use in emergency situations, this concise coronary care manual focuses on the diagnosis and management of acute cardiac conditions. The authors succinctly summarize the evidence-based strategies and successful diagnostic and therapeutic modalities used at the world-renowned Cleveland Clinic. Chapters are written in outline format with short narratives to explain the diagnostic or management decisions. Bulleted lists, sidebars, figures, tables, and algorithms help readers grasp key information at a glance.
Author: Massimo Romanò
Publisher: Springer Nature
ISBN: 3030801128
Category : Medical
Languages : en
Pages : 195
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Book Description
This book analyzes the main topics of Palliative Care in Cardiac Intensive Care Units (CICU), from the changing epidemiology of patients admitted to the ICU, to the main clinical and ethical issues. The changing epidemiology of patients has led to new and emerging patient needs at the end of life. Care has shifted from acute coronary syndrome patients towards elderly patients, with a high prevalence of non-ischemic cardiovascular diseases and a high burden of non-cardiovascular comorbid conditions: both increase the susceptibility of patients to developing life-threatening critical conditions. These conditions are associated with a significant symptom burden, high mortality rate, and increased length of stay. The main new challenges involve shared decision-making, symptom control (pain, dyspnea, etc.), and ethical issues (withholding/withdrawing life sustaining treatments, deactivation of implanted cardiac devices, palliative sedation), all of which necessitate formal education on end-of-life care. Written by opinion leaders in their respective fields, who share their experience with improving the cultural and clinical competence of medical/nursing teams, this volume is chiefly intended for cardiologists, anesthesiologists, palliative care doctors and nursing staff.
Author: Peter L. Thompson
Publisher: Elsevier Australia
ISBN: 072953927X
Category : Health & Fitness
Languages : en
Pages : 737
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Book Description
A comprehensive coronary care textbook for medical, nursing and paramedic staff The Coronary Care Manual, 2nd Edition is a practical medical manual designed to assist with management of the acute coronary patient. This respected medical resource is written by a group of coronary experts, both Australian and international. Its aim is to strike a balance between a large and rapidly-changing evidence base and practical application in the Coronary Care Unit, Intensive Care Unit, Emergency Department and the ambulance. The second edition of this important health textbook covers an extensive range of coronary care medicine, providing a handy companion for a night 'on call'. Chapter topics in the Coronary Care Manual, 2nd Edition include pathophysiology, drug and non-drug therapies and postcoronary management, with chapters organised into subsections. Completely redesigned with fresh, new artwork, this new edition of the Coronary Care Manual is organised to suit academics and medical practitioners alike.
Author: Nigel I. Jowett
Publisher: Elsevier Health Sciences
ISBN: 0702028592
Category : Medical
Languages : en
Pages : 448
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Book Description
The new edition continues to be a practical, easy to understand, and up to date resource for managing coronary disease. It not only encompasses modern cardiology practice, but also considers how the patient came to arrive on coronary care, and what will happen them after they leave. The combined authorship of doctor and nurse reflects the close teamwork vital to the management of both patients and their families. Management of the cardiac patent is a complex process and this book has a clear approach conveying the necessary information in an easily understood way. It also has an excellent evidence base to ensure best practice and should appeal to staff in every cardiac unit. Up to date coverage of a rapidly developing field Offers a multi-disciplinary approach to coronary care Easy to read and therefore easily understood Research/evidence based content ensures best practice Adds material that reflects the growing literature on nurse-lead approaches to chest pain assessment, defibrillation, thrombolysis and specialist clinics (heart failure and dysrhythmias). Updates content in line with the latest guidelines from various medical bodies.
Author: David L. Brown
Publisher: Elsevier Health Sciences
ISBN: 0323553494
Category : Medical
Languages : en
Pages : 835
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Book Description
Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. - Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. - Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. - Online access features heart sounds and murmurs to accompany the chapter on history and physical examination, videos of clinical images and key procedures, frequently updated information on late-breaking clinical trials, reviews of new research publications, and more. - Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. - Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. - Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists. - Expert ConsultTM 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 and contains an up to date collection of all relevant ACC/AHA and ESC guidelines.
Author: United States. Heart Disease and Stroke Control Program
Publisher:
ISBN:
Category : Coronary care units
Languages : en
Pages : 36
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Book Description
Author: Robert M. Califf
Publisher: Springer Science & Business Media
ISBN: 146133828X
Category : Medical
Languages : en
Pages : 536
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Book Description
When a patient develops symptoms suggestive of and infarction, this section is emphasized. There acute coronary insufficiency, the health care sys are brief sections on prediction and prevention of tem is presented with a challenging diagnostic ischemic events, methods of diagnosing and siz and management problem. During the past 20 ing infarcts, and methods of monitoring the pa years, hospitals have been developing coronary tient with myocardial ischemia. A major focus of care units as the specialized inhospital facilities for the text is on "coronary care." As indicated above, such patients. For the past 15 years, many com during the past 20 years five distinct phases of munities have employed paramedical personnel coronary care have evolved: (a) prehospital, (b) to extend the principles of "coronary care" to the postadmission, (c) coronary care unit, (d) predis site of the patient who develops the problem. charge, and (e) convalescent. Cardiac rehabilitation programs have also been The section on pathophysiology begins with a established to facilitate the return to function of chapter by Greenfield and Rembert discussing patients who have had acute coronary insuffi the factors that determine the transmural distri ciency. More recently, aggressive medical and bution of blood flow. Reimer then shows the surgical techniques have been developed to either relationship between coronary blood flow and prevent or limit the extent of myocardial necrosis both reversible and irreversible damage to the that develops due to acute coronary insufficiency. myocardium.
Author: Robert M. Califf
Publisher: Springer Science & Business Media
ISBN: 1461323371
Category : Medical
Languages : en
Pages : 369
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Book Description
During the 25 years since acute coronary care was focused into Coronary Care Units there have been three major Phases: I. prevention of death caused by arrhythmias; II. prevention of death due to myocardial failure; and III. limitation of infarct size. In the latter two Phases, there has been infringement upon the time honored concept of a prolonged period of rest for the patient in general and the heart in particular to minimize myocardial metabolic demands. During the second Phase of coronary care, patients with myocardial failure received aggressive measures to increase cardiac work via increase in preload, decrease in afterload, and direct increase in inotropy. It was believed that true cardiogenic shock was so irreversible that it should be prevented by vigorous efforts to improve the cardiac output despite the risk of extending the area of ischemic myocardium. However, Phase II produced minimal overall reduction in mortality. In the initial part of Phase III, myocardial infarct (MI) size limitation was attempted by reducing myocardial metabolic demands via either beta adrenergic or calcium channel blocking agents. We are currently several years into the second part of Phase III of coronary care where the principle means of limiting MI size is restoration of coronary blood flow.
Author: E. Antman
Publisher: Springer Science & Business Media
ISBN: 1461323037
Category : Medical
Languages : en
Pages : 386
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Book Description
Attention to reducing the major risk factors Contemporary coronary care involves a associated with the development of arterio multitude of measures: efforts to prevent the sclerosis has been widespread and appears to acute event; thrombolytic therapy to abort have lowered the incidence of coronary artery infarction; pharmacological measures to delay disease. Nevertheless, acute myocardial and reduce ischemic cell death; monitoring of infarction and related ischemic syndromes the hemodynamic consequences of myocardial represent the most common causes of death as infarction; treatment of acute pump failure; use well as one of the principal reasons for of modern electrical devices as well as a large hospitalization in the industrialized world. In number of new drugs to prevent and treat light of this, care of the patient with acute cardiac arrhythmias; and finally, identification coronary disease remains a major medical prior to hospital discharge of patients who are at challenge. high risk for recurrent infarction or sudden The approach to managing patients with death and the choice of the appropriate acute myocardial infarction can be said to have management approach. evolved through three major phases. For the This fine book provides comprehensive first half-century after Herrick's landmark descriptions of these various aspects of paper describing this condition was published in contemporary coronary care. It is accurate, 1912, management consisted primarily of thorough, and easily readable.
Author: A. Maseri
Publisher: Springer Science & Business Media
ISBN: 940098247X
Category : Medical
Languages : en
Pages : 229
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Book Description
The dimensions of the socio-economic problem represented by ischemic heart disease require a concentration of effort for its treatment and prevention at least comparable to that in program for neoplastic disease. It appeared a logical conclusion of the work of the CMSI ad hoc group to organize a seminar on Perspectives of Coronary Care. Similar actions obviously are better undertaken at a supranational level because of: the dimension of the problem, the absence of expertises on all the different aspects in individual countries and the difference in patient population and in the phylosophy guiding the approach to coronary patients in different countries. The review of the recent literature and the results of the survey report on hemodynamic monitoring in coronary care units in the member countries (document for the CMSI 1979 - Pisa) indicate that this field is in the process of rapid transience because of accumulating information which appears to modify sUbstantially tradi tional concepts concerning patient management and prevention. While advanced technologies may potentially play a major role not only in diagnostic and therapeutic procedures but also in our understanding of disease processes, thus opening new lines for treatment and prevention, optimization of resources is a basic prerequisi te in the attempt of containing the budget for medical care. Hence we aimed to identify the technologies of immediate benefi t for extensive routine appl ications from those that should still be considered in the domain of research and development.
