Clinical Cardiology

Clinical Cardiology: Current Practice Guidelines is an essential tool for the busy clinician, providing 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 being 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 twice yearly-updated online version, provides a solution. The authors have scrutinized all available guidelines and research, collating the results into over 600 easily-accessible tables which provide the most recent recommendation by both ACC/AHA and the ESC on every clinical issue. These recommendations are considered in the context of the latest research and evolving evidence most relevant to the clinician, to give detailed insights into how best to proceed with treatment. This is discussed as part of 84 comprehensive chapters on pathophysiology, diagnosis and management. Each chapter offers concise information on definition, epidemiology, and pathophysiology of the disease, reflecting the latest published research. Following this is clear and instructive discussion of possible presentations and all clinical investigations that may be necessary. The authors have rigorously examined the implications of published guidance, and where appropriate considered new evidence that questions the validity of specific recommendations, as well as the opinion of established experts and other data such as FDA alerts. This guidance is supported by over 140 full-colour images, which reinforce key points and clarify difficult concepts. The online version is updated twice a year to ensure a continuously up-to-date reference source over time, which will establish itself as an essential part of everyday practice. Accompanied by a year's free access to the online version and providing at-a-glance access to the best guidance in cardiology, Clinical Cardiology: Current Practice Guidelines offers a diagnosis and management toolkit which no cardiologist can afford to be without. Demosthenes Katritsis , Director, Dept Cardiology, Athens Euroclinic, Greece Hon Consultant Cardiologist, St Thomas' Hospital, London, UK, Bernard J. Gersh, Professor of Medicine, Internal Medicine and Cardiovascular Diseases, Mayo Graduate School of Medicine Dr Katritsis performs all kinds of interventional cardiology procedures such as coronary angioplasty, mitral valvuloplasty, percutaneous cardiac defects closure, and TAVI procedures. In addition, he has extensive experience in all aspects of electrophysiology such as diagnostic electrophysiology studies, catheter ablation procedures, and implantation of biventricular pacemakers and defibrillators. Dr Katritsis runs an active, multidisciplinary research program and has published over 220 original articles in international journals on most aspects of cardiology but mainly on interventional cardiology, coronary circulation, and ablation of arrhythmias. He has participated in most European and American textbooks of cardiology with contribution of chapters. Professor John Camm qualified in 1971. He worked at Guy's Hospital before working at St. Bartholomew's Hospital, London. In 1986 he moved to St. George's Hospital Medical School in London as Professor of Clinical Cardiology (British Heart Foundation). Professor Camm was elected the Chairman of Medicine in October 1990, a post rotated from in 1995. He is now the Chairman of the Division of Cardiac and Vascular Sciences at St. George's University of London. His major speciality is cardiac arrhythmias but he is also much involved in clinical cardiac electrophysiology, cardiac pacemakers, risk stratification in post myocardial infarction, heart failure and cardiomyopathy patients. He has a major interest in cardiovascular safety of cardiac and non-cardiac drugs. John has given over 1500 lectures to national and international audiences, written more than 1000 peer review papers and over 250 detailed reviews. He has authored and edited numerous books. Dr. Gersh 's wide interests include the natural history and therapy of acute and chronic coronary artery disease, clinical electrophysiology and in particular atrial fibrillation and sudden cardiac death, the cardiomyopathies and the clinical implications of molecular genetics in hypertrophic cardiomyopathy, cardiac stem cell therapy and the epidemiology of cardiovascular disease in the developing world. Dr. Gersh is the editor of 13 books and is on the editorial board of 25 journals including Circulation, Journal of the American College of Cardiology (Senior Consulting Editor), Nature Cardiovascular Medicine, and The European Heart Journal (2009 Deputy Editor). He is a member of the Advisory Board of the Reynolds Foundation, a Past Chairman of the Council of Clinical Cardiology of the American Heart Association, an at large member of the World Heart Federation's Scientific and Policy Initiatives Committee (SPIC). Table of Contents GROWN-UP CONGENITAL HEART DISEASE ; 1. General Principles ; 2. Ventricular Septal Defects ; 3. Atrioventricular Septal Defects ; 4. Atrial Septal Defects ; 5. Patent Ductus Arteriosus ; 6. Right Ventricular Outflow Tract Obstruction ; 7. Left Ventricular Outflow Tract Obstruction ; 8. Coarctation of the aorta ; 9. Tetralogy of Fallot ; 10. Transposition of Great Arteries ; 11. Ebstein's Anomaly ; 12. Anomalous PV Connections, AV Malformations, Coronary and LV Abnormalities ; 13. The Fontan Patient ; 14. Eisenmerger syndrome ; VALVE DISEASE ; 15. General Principles ; 16. Mitral Stenosis ; 17. Mitral Regurgitation ; 18. Aortic Stenosis ; 19. Aortic Regurgitation ; 20. Tricuspid Valve Disease ; 21. Pulmonary Valve Disease ; 22. Prosthetic Heart Valves ; HYPERTENSION ; 23. Classification and Pathophysiology of Hypertension ; 24. Primary (essential) hypertension ; 25. Secondary (Secondary Hypertension) ; CORONARY ARTERY DISEASE ; 26. Epidemiology and Pathophysiology of Coronary Artery Disease ; 27. Unstable Angina and Non-ST Elevation Myocardial Infarction ; 28. Acute Myocardial Infarction ; 29. Stable Coronary Artery Disease ; HEART FAILURE ; 30. Classification, Epidemiology and Pathophysiology of Heart Failure ; 31. Chronic Heart Failure ; 32. Heart failure with Preserved LVEF ; 33. Acute Heart Failure and Cardiogenic Shock ; CARDIOMYOPATHIES ; 34. Classification of Cardiomyopathies ; 35. Dilated Cardiomyopathy ; 36. Hypertrophic Cardiomyopathy ; 37. Restrictive Cardiomyopathy ; 38. Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia ; 39. Peripartum Cardiomyopathy ; 40. Tachycardiomyopathy ; 41. Stress-induced Cardiomyopathy ; 42. Iron-loaded Cardiomyopathy ; 43. Left Ventricular Non-Compaction ; ACUTE MYOCARDITIS ; 44. Acute Myocarditis ; PERICARDIAL DISEASES ; 45. Acute and Relapsing Pericarditis ; 46. Pericardial Effusion and Cardiac Tamponade ; 47. Constrictive Pericarditis and Congenital Pericardial Defects ; 48. Pericardial Anatomy and Congenital Pericardial Defects ; TACHYARRHYTHMIAS ; 49. Classification of Tachyarrhythmias and Mechanisms of Arrhythmogenesis ; 50. Classification, Epidemiology and Presentation of Supraventricular Tachycardias ; 51. Atrial Tachycardias ; 52. Atrial Fibrillation ; 53. Atrioventricular Junctional Tachycardias ; 54. Atrioventricular Reentrant Tachycardias ; 55. Ventricular Arrhythmias ; GENETIC CHANNELOPATHIES ; 56. Definitions of Inherited Arrhythmias ; 57. Long QT syndrome ; 58. Short QT syndrome ; 59. Brugada Syndrome ; 60. Catecholaminergic Polymorphic Ventricular Tachycardia ; 61. Early Repolarization Syndromes ; BRADYARRHYTHMIAS ; 62. The Cardiac Conduction System ; 63. Sinus Nodal Disease ; 64. Atrioventricular and Intraventricular Block ; 65. Conduction Disease in Specific Conditions ; SYNC AND SUDDEN CARDIAC DEATH ; 66. Syncope ; 67. Sudden Cardiac Death ; IMPLANTABLE DEVICES ; 68. Technical issues ; 69. Complications of Implantable Devices ; DISEASES OF THE AORTA ; 70. Acute Aortic Syndromes ; 71. Thoracic Aortic Aneurysms and Other Conditions ; 72. Genetic Syndromes Associated with Thoracic Aneurysm and Dissection ; 73. Inflammatory Diseases Associated with Thoracic Aortic Disease ; VENOUS THROMBOEMBOLISM ; 74. Pulmonary Embolism ; 75. Deep Vein Thrombosis ; PULMONARY HYPERTENSION ; 76. Definitions and Classification of Pulmonary Hypertension ; 77. Pulmonary Arterial Hypertension and Hypertension Associated with Pulmonary Venous Abnormalities ; 78. Pulmonary Hypertension Associated with Left Heart Disease, Lung Disease, and Chronic Thromboembolic Pulmonary Hypertension ; INFECTIVE ENDOCARDITIS ; 79. Infective Endocarditis ; RHEUMATIC FEVER ; 80. Rheumatic Fever ; ATHELETE'S HEART ; 81. Athelete's Heart ; CARDIAC TUMOURS AND PSEUDOANEURYSMS ; 82. Cardiac Tumours ; 83. Pseudoaneurysms of the Heart ; CARDIOVASCULAR DISEASE IN PREGNANCY ; 84. Cardiovascular Disease in Pregnancy ; CARDIOVASCULAR DRUGS ; 85. Cardiovascular Drugs ; APPENDICES