What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease

What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease

Author: Baskot Branislav

Publisher: BoD – Books on Demand

Published: 2013-03-20

Total Pages: 486

ISBN-13: 9535110438

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The mortality from ischemic heart disease has decreased in recent years. The better understanding of risk factors associated with development of coronary artery disease has significantly contributed to this decline. Improvements in medical and interventional therapy have reduced the complications associated with acute myocardial infarction as well as revascularization. After the introduction of imaging modalities, the noninvasive characterization of regional function, perfusion and metabolism allowed for more sophisticated tissue characterization to identify reversible dysfunction with high diagnostic and prognostic accuracy. We now can legitimately claim that computed tomography angiography (CTA) of the coronary arteries is available. In the evaluation of patients with suspected coronary artery disease, many guidelines today consider CTA an alternative to stress testing. However the nuclear technique most frequently used by cardiologists is myocardial perfusion imaging (MPI). The combination of a nuclear camera with CTA allows for the attainment of coronary anatomic, cardiac function and MPI from one piece of equipment. Assessing cardiac viability is now fairly routine with these enhancements to cardiac imaging. Traditional coronary angiography presents a variety of limitations related to image acquisition, content, interpretation, and patient safety. Barriers to such improvements include the paucity of clinical outcomes studies related to new imaging technology, the need for physician and staff member training, and the costs associated with acquiring and effectively using these advances in coronary angiography. This issue is full of important information that every cardiologist needs to now.


Book Synopsis What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease by : Baskot Branislav

Download or read book What Should We Know About Prevented, Diagnostic, and Interventional Therapy in Coronary Artery Disease written by Baskot Branislav and published by BoD – Books on Demand. This book was released on 2013-03-20 with total page 486 pages. Available in PDF, EPUB and Kindle. Book excerpt: The mortality from ischemic heart disease has decreased in recent years. The better understanding of risk factors associated with development of coronary artery disease has significantly contributed to this decline. Improvements in medical and interventional therapy have reduced the complications associated with acute myocardial infarction as well as revascularization. After the introduction of imaging modalities, the noninvasive characterization of regional function, perfusion and metabolism allowed for more sophisticated tissue characterization to identify reversible dysfunction with high diagnostic and prognostic accuracy. We now can legitimately claim that computed tomography angiography (CTA) of the coronary arteries is available. In the evaluation of patients with suspected coronary artery disease, many guidelines today consider CTA an alternative to stress testing. However the nuclear technique most frequently used by cardiologists is myocardial perfusion imaging (MPI). The combination of a nuclear camera with CTA allows for the attainment of coronary anatomic, cardiac function and MPI from one piece of equipment. Assessing cardiac viability is now fairly routine with these enhancements to cardiac imaging. Traditional coronary angiography presents a variety of limitations related to image acquisition, content, interpretation, and patient safety. Barriers to such improvements include the paucity of clinical outcomes studies related to new imaging technology, the need for physician and staff member training, and the costs associated with acquiring and effectively using these advances in coronary angiography. This issue is full of important information that every cardiologist needs to now.

Cardiovascular Disability

Cardiovascular Disability

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2010-12-04

Total Pages: 304

ISBN-13: 030915698X

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The Social Security Administration (SSA) uses a screening tool called the Listing of Impairments to identify claimants who are so severely impaired that they cannot work at all and thus immediately qualify for benefits. In this report, the IOM makes several recommendations for improving SSA's capacity to determine disability benefits more quickly and efficiently using the Listings.


Book Synopsis Cardiovascular Disability by : Institute of Medicine

Download or read book Cardiovascular Disability written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) uses a screening tool called the Listing of Impairments to identify claimants who are so severely impaired that they cannot work at all and thus immediately qualify for benefits. In this report, the IOM makes several recommendations for improving SSA's capacity to determine disability benefits more quickly and efficiently using the Listings.

Interventional Cardiology Imaging

Interventional Cardiology Imaging

Author: Amr E. Abbas

Publisher: Springer

Published: 2015-06-09

Total Pages: 255

ISBN-13: 1447152395

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Interventional cardiology has transitioned from angiographic subjective analysis of stenosis severity into assessment of plaque characteristics and objective assessment of stenosis severity. The evolution of novel interventional imaging modalities is progressively altering our understanding of coronary artery disease diagnosis and prognosis. This book will be an essential companion to assist interventional cardiologists in better assessing patients with Coronary Artery Disease. It will encompass and review all interventional imaging modalities and provide guidance for interventional cardiologists to use these modalities. ​


Book Synopsis Interventional Cardiology Imaging by : Amr E. Abbas

Download or read book Interventional Cardiology Imaging written by Amr E. Abbas and published by Springer. This book was released on 2015-06-09 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: Interventional cardiology has transitioned from angiographic subjective analysis of stenosis severity into assessment of plaque characteristics and objective assessment of stenosis severity. The evolution of novel interventional imaging modalities is progressively altering our understanding of coronary artery disease diagnosis and prognosis. This book will be an essential companion to assist interventional cardiologists in better assessing patients with Coronary Artery Disease. It will encompass and review all interventional imaging modalities and provide guidance for interventional cardiologists to use these modalities. ​

Chronic Total Occlusions

Chronic Total Occlusions

Author: Ron Waksman

Publisher: John Wiley & Sons

Published: 2011-08-31

Total Pages: 373

ISBN-13: 1444357263

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Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. Over the past 20 years, CTO lesions have represented the most difficult anatomy for treatment — with lower success rates and higher complication rates. Chronic Total Occlusions provides interventionalists insight into the world of CTOs with introductory chapters that describe the pathology and indications of CTOs along with a review of clinical trials. Imaging modalities including CT angiography, magnetic navigation wire, and IVUS guided recanalization of CTO are also introduced, together with information on new wires technology and devices for CTOs. With numerous illustrations of these devices, technologies, and strategies to improve the CTO success rate, this clinical guide, headed up by Ron Waksman, will prove to be the ideal companion for interventional cardiologists and cardiac surgeons who are required to perform angioplasty and coronary stenting.


Book Synopsis Chronic Total Occlusions by : Ron Waksman

Download or read book Chronic Total Occlusions written by Ron Waksman and published by John Wiley & Sons. This book was released on 2011-08-31 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. Over the past 20 years, CTO lesions have represented the most difficult anatomy for treatment — with lower success rates and higher complication rates. Chronic Total Occlusions provides interventionalists insight into the world of CTOs with introductory chapters that describe the pathology and indications of CTOs along with a review of clinical trials. Imaging modalities including CT angiography, magnetic navigation wire, and IVUS guided recanalization of CTO are also introduced, together with information on new wires technology and devices for CTOs. With numerous illustrations of these devices, technologies, and strategies to improve the CTO success rate, this clinical guide, headed up by Ron Waksman, will prove to be the ideal companion for interventional cardiologists and cardiac surgeons who are required to perform angioplasty and coronary stenting.

Handbook of Vascular Motion

Handbook of Vascular Motion

Author: Christopher Cheng

Publisher: Academic Press

Published: 2019-06-15

Total Pages: 410

ISBN-13: 0128157143

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Handbook of Vascular Motion provides a comprehensive review of the strategies and methods to quantify vascular motion and deformations relevant for cardiovascular device design and mechanical durability evaluation. It also explains the current state of knowledge of vascular beds that are particularly important for the medical device industry. Finally, it explores the application of vascular motion to computational simulations, benchtop testing and fatigue analysis, as well as further implications on clinical outcomes, product development and business. Describes methods to quantify vascular motion and deformations including choosing what data to collect, relevant medical imaging, image processing, geometric modeling, and deformation quantification techniques Includes deformations for vascular beds of particular importance in medical devices including the coronary arteries and heart, arteries of the head and neck, thoracic aorta and arch branches, abdominal aorta and visceral branches, lower extremity arteries, inferior vena cava, and lower extremity veins Explains how to convert raw deformations into boundary conditions suitable for durability evaluation, provides examples of using this information for computational simulations, benchtop testing, and fatigue analysis, and illustrates examples of how vascular motion affect clinical outcomes, product development, and business


Book Synopsis Handbook of Vascular Motion by : Christopher Cheng

Download or read book Handbook of Vascular Motion written by Christopher Cheng and published by Academic Press. This book was released on 2019-06-15 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Vascular Motion provides a comprehensive review of the strategies and methods to quantify vascular motion and deformations relevant for cardiovascular device design and mechanical durability evaluation. It also explains the current state of knowledge of vascular beds that are particularly important for the medical device industry. Finally, it explores the application of vascular motion to computational simulations, benchtop testing and fatigue analysis, as well as further implications on clinical outcomes, product development and business. Describes methods to quantify vascular motion and deformations including choosing what data to collect, relevant medical imaging, image processing, geometric modeling, and deformation quantification techniques Includes deformations for vascular beds of particular importance in medical devices including the coronary arteries and heart, arteries of the head and neck, thoracic aorta and arch branches, abdominal aorta and visceral branches, lower extremity arteries, inferior vena cava, and lower extremity veins Explains how to convert raw deformations into boundary conditions suitable for durability evaluation, provides examples of using this information for computational simulations, benchtop testing, and fatigue analysis, and illustrates examples of how vascular motion affect clinical outcomes, product development, and business

Coronary Pressure

Coronary Pressure

Author: N.H. Pijls

Publisher: Springer Science & Business Media

Published: 2013-06-29

Total Pages: 348

ISBN-13: 9401588341

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Cardiologists must answer three important questions when evaluating and treating patients with a coronary artery stenosis. As a physiologist: "What is the effect of this stenosis on coronary blood flow and myocardial function?"; as a clinician: " Is this lesion responsible for the patient's symptoms?"; and finally as an interventionalist: "Will revascularization of this artery improve the patient?" Fundamentally, the answer to these questions can be given to a large extent by measuring coronary pressure. That is the rationale of writing this book. 1. 1 Historical overview. Andreas Gruentzig and most interventional cardiologists in the early days of PTCA, had the intuitive feeling that pressure measurements could help to establish the severity of a coronary stenosis and to monitor the progress and result of a coronary intervention. At that time, measuring coronary pressure by the balloon catheter was part of a standard procedure. A residual transstenotic gradient of less than 15 mmHg was generally considered as a good result. Later, however, it turned out that measuring these (resting) gradients with balloon catheters was inaccurate an only had a limited prognostic value. Moreover, because there was no consistent theory to correlate pressure measurements to blood flow, the interest in measuring coronary pressures faded and disappeared almost completely with the introduction of new balloon catheters not intended for pressure measurement.


Book Synopsis Coronary Pressure by : N.H. Pijls

Download or read book Coronary Pressure written by N.H. Pijls and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiologists must answer three important questions when evaluating and treating patients with a coronary artery stenosis. As a physiologist: "What is the effect of this stenosis on coronary blood flow and myocardial function?"; as a clinician: " Is this lesion responsible for the patient's symptoms?"; and finally as an interventionalist: "Will revascularization of this artery improve the patient?" Fundamentally, the answer to these questions can be given to a large extent by measuring coronary pressure. That is the rationale of writing this book. 1. 1 Historical overview. Andreas Gruentzig and most interventional cardiologists in the early days of PTCA, had the intuitive feeling that pressure measurements could help to establish the severity of a coronary stenosis and to monitor the progress and result of a coronary intervention. At that time, measuring coronary pressure by the balloon catheter was part of a standard procedure. A residual transstenotic gradient of less than 15 mmHg was generally considered as a good result. Later, however, it turned out that measuring these (resting) gradients with balloon catheters was inaccurate an only had a limited prognostic value. Moreover, because there was no consistent theory to correlate pressure measurements to blood flow, the interest in measuring coronary pressures faded and disappeared almost completely with the introduction of new balloon catheters not intended for pressure measurement.

Coronary Microvascular Dysfunction

Coronary Microvascular Dysfunction

Author: Filippo Crea

Publisher: Springer Science & Business Media

Published: 2013-08-15

Total Pages: 263

ISBN-13: 8847053676

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In the past two decades a number of studies have shown that abnormalities in the function and structure of coronary microcirculation can be detected in several cardiovascular diseases. On the basis of the clinical setting in which it occurs, coronary microvascular dysfunction (CMD) can be classified into four types: CMD in the absence of any other cardiac disease; CMD in myocardial diseases; CMD in obstructive epicardial coronary artery disease; and iatrogenic CMD. In some instances CMD represents an epiphenomenon, whereas in others it represents an important marker of risk or may contribute to the pathogenesis of myocardial ischemia, thus becoming a possible therapeutic target. This book provides an update on coronary physiology and a systematic assessment of microvascular abnormalities in cardiovascular diseases, in the hope that it will assist clinicians in prevention, detection and management of CMD in their everyday activity.


Book Synopsis Coronary Microvascular Dysfunction by : Filippo Crea

Download or read book Coronary Microvascular Dysfunction written by Filippo Crea and published by Springer Science & Business Media. This book was released on 2013-08-15 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past two decades a number of studies have shown that abnormalities in the function and structure of coronary microcirculation can be detected in several cardiovascular diseases. On the basis of the clinical setting in which it occurs, coronary microvascular dysfunction (CMD) can be classified into four types: CMD in the absence of any other cardiac disease; CMD in myocardial diseases; CMD in obstructive epicardial coronary artery disease; and iatrogenic CMD. In some instances CMD represents an epiphenomenon, whereas in others it represents an important marker of risk or may contribute to the pathogenesis of myocardial ischemia, thus becoming a possible therapeutic target. This book provides an update on coronary physiology and a systematic assessment of microvascular abnormalities in cardiovascular diseases, in the hope that it will assist clinicians in prevention, detection and management of CMD in their everyday activity.

Cardiovascular Computed Tomography

Cardiovascular Computed Tomography

Author: James Stirrup

Publisher: Oxford University Press, USA

Published: 2020-01-02

Total Pages: 577

ISBN-13: 0198809271

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Recent years have seen a marked increase in cardiovascular computed tomography (CT) imaging, with the technique now integrated into many imaging guidelines, such as those published by ESC and NICE. Rapid clinical and technological progress has created a need for guidance on the practical aspects of CT image acquisition, analysis and interpretation. The Oxford Specialist Handbook of Cardiovascular CT, now revised for the second edition by practising international experts with many years of hands-on experience, is designed to fulfil this need. The Handbook is a practical guide on performing, analysing and interpreting cardiovascular CT scans, covering all aspects from patient safety to optimal image acquisition to differential diagnoses of tricky images. It takes an international approach to both accreditation and certification, highlighting British, European, and American examinations and courses. The format is designed to be accessible and is laid out in easy to navigate sections. It is meant as a quick-reference guide, to live near the CT scanner, workstation, or on the office shelf. The Handbook is aimed at all cardiovascular CT users (Cardiologists, Radiologists and Radiographers), particularly those new to cardiovascular CT, although even the advanced user should find useful tips and tricks within.


Book Synopsis Cardiovascular Computed Tomography by : James Stirrup

Download or read book Cardiovascular Computed Tomography written by James Stirrup and published by Oxford University Press, USA. This book was released on 2020-01-02 with total page 577 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent years have seen a marked increase in cardiovascular computed tomography (CT) imaging, with the technique now integrated into many imaging guidelines, such as those published by ESC and NICE. Rapid clinical and technological progress has created a need for guidance on the practical aspects of CT image acquisition, analysis and interpretation. The Oxford Specialist Handbook of Cardiovascular CT, now revised for the second edition by practising international experts with many years of hands-on experience, is designed to fulfil this need. The Handbook is a practical guide on performing, analysing and interpreting cardiovascular CT scans, covering all aspects from patient safety to optimal image acquisition to differential diagnoses of tricky images. It takes an international approach to both accreditation and certification, highlighting British, European, and American examinations and courses. The format is designed to be accessible and is laid out in easy to navigate sections. It is meant as a quick-reference guide, to live near the CT scanner, workstation, or on the office shelf. The Handbook is aimed at all cardiovascular CT users (Cardiologists, Radiologists and Radiographers), particularly those new to cardiovascular CT, although even the advanced user should find useful tips and tricks within.

Illustrated Guide to Cardiovascular Disease

Illustrated Guide to Cardiovascular Disease

Author: Glenn N Levine

Publisher: JP Medical Ltd

Published: 2016-02-12

Total Pages: 1053

ISBN-13: 9351528448

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Illustrated Guide to Cardiovascular Disease is an extensive and highly visual guide, encompassing the full spectrum of cardiovascular diseases, along with cardiac anatomy and physiology. This book is divided into 58 chapters across seven sections. Each section covers a different disease or group of heart diseases, including coronary artery disease, heart failure and cardiomyopathy, valvular heart disease, pericardial disease, congenital heart disease, cardiac arrhythmias, peripheral vascular disease, and a final section on miscellaneous cardiovascular diseases. Each chapter features detailed discussion on common and uncommon conditions and their pathology, with the latest therapies in cardiology and European and American guidelines highlighted throughout the book. More than 1700 full colour images, illustrations, figures, flow charts and tables enhance Illustrated Guide to Cardiovascular Disease, an invaluable resource for all cardiologists. Extensive illustrated guide to a vast range of cardiovascular diseases Seven sections covering specific diseases and groups of diseases 1700 images in full colour Edited by Glenn N Levine, Director of the Michael E DeBakey Medical Centre in Houston, Texas


Book Synopsis Illustrated Guide to Cardiovascular Disease by : Glenn N Levine

Download or read book Illustrated Guide to Cardiovascular Disease written by Glenn N Levine and published by JP Medical Ltd. This book was released on 2016-02-12 with total page 1053 pages. Available in PDF, EPUB and Kindle. Book excerpt: Illustrated Guide to Cardiovascular Disease is an extensive and highly visual guide, encompassing the full spectrum of cardiovascular diseases, along with cardiac anatomy and physiology. This book is divided into 58 chapters across seven sections. Each section covers a different disease or group of heart diseases, including coronary artery disease, heart failure and cardiomyopathy, valvular heart disease, pericardial disease, congenital heart disease, cardiac arrhythmias, peripheral vascular disease, and a final section on miscellaneous cardiovascular diseases. Each chapter features detailed discussion on common and uncommon conditions and their pathology, with the latest therapies in cardiology and European and American guidelines highlighted throughout the book. More than 1700 full colour images, illustrations, figures, flow charts and tables enhance Illustrated Guide to Cardiovascular Disease, an invaluable resource for all cardiologists. Extensive illustrated guide to a vast range of cardiovascular diseases Seven sections covering specific diseases and groups of diseases 1700 images in full colour Edited by Glenn N Levine, Director of the Michael E DeBakey Medical Centre in Houston, Texas

Promoting Cardiovascular Health in the Developing World

Promoting Cardiovascular Health in the Developing World

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2010-06-29

Total Pages: 483

ISBN-13: 0309157617

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Cardiovascular disease (CVD), once thought to be confined primarily to industrialized nations, has emerged as a major health threat in developing countries. Cardiovascular disease now accounts for nearly 30 percent of deaths in low and middle income countries each year, and is accompanied by significant economic repercussions. Yet most governments, global health institutions, and development agencies have largely overlooked CVD as they have invested in health in developing countries. Recognizing the gap between the compelling evidence of the global CVD burden and the investment needed to prevent and control CVD, the National Heart, Lung, and Blood Institute (NHLBI) turned to the IOM for advice on how to catalyze change. In this report, the IOM recommends that the NHLBI, development agencies, nongovernmental organizations, and governments work toward two essential goals: creating environments that promote heart healthy lifestyle choices and help reduce the risk of chronic diseases, and building public health infrastructure and health systems with the capacity to implement programs that will effectively detect and reduce risk and manage CVD. To meet these goals, the IOM recommends several steps, including improving cooperation and collaboration; implementing effective and feasible strategies; and informing efforts through research and health surveillance. Without better efforts to promote cardiovascular health, global health as a whole will be undermined.


Book Synopsis Promoting Cardiovascular Health in the Developing World by : Institute of Medicine

Download or read book Promoting Cardiovascular Health in the Developing World written by Institute of Medicine and published by National Academies Press. This book was released on 2010-06-29 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiovascular disease (CVD), once thought to be confined primarily to industrialized nations, has emerged as a major health threat in developing countries. Cardiovascular disease now accounts for nearly 30 percent of deaths in low and middle income countries each year, and is accompanied by significant economic repercussions. Yet most governments, global health institutions, and development agencies have largely overlooked CVD as they have invested in health in developing countries. Recognizing the gap between the compelling evidence of the global CVD burden and the investment needed to prevent and control CVD, the National Heart, Lung, and Blood Institute (NHLBI) turned to the IOM for advice on how to catalyze change. In this report, the IOM recommends that the NHLBI, development agencies, nongovernmental organizations, and governments work toward two essential goals: creating environments that promote heart healthy lifestyle choices and help reduce the risk of chronic diseases, and building public health infrastructure and health systems with the capacity to implement programs that will effectively detect and reduce risk and manage CVD. To meet these goals, the IOM recommends several steps, including improving cooperation and collaboration; implementing effective and feasible strategies; and informing efforts through research and health surveillance. Without better efforts to promote cardiovascular health, global health as a whole will be undermined.