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This book provides up-to-date resources and examples of outcome measures, tools and methods that can be used by APNs in their quest to keep pace with new developments in the rapidly expanding field of outcome measurement. The chapter authors, recognized expert practitioners, offer invaluable insight into the process of conducting outcomes assessments in all APN practice, including the clinical nurse, nurse practitioner, certified registered nurse anesthetist and certified nurse midwife practice specialties. Detailed figures, tables, and examples of outcome studies from actual research in APN practice make this an essential resource for evaluating the true impact the advanced practice nurse has on the delivery and fulfillment of care.
With over 6 million patients affected only in the United States, atrial fibrillation (AF) is a major health problem with profound effects on both the individual patient and society at large. In this issue of Heart Failure Clinics, we have focused on AF and tried to cover the most important and relevant aspects in a comprehensive and contemporary review. A distinguished group of experts and leaders in basic and experimental electrophysiology, epidemiology, clinical pharmacology, interventional clinical electrophysiology, and cardiac surgery contributed state-of-the-art reviews and also shared their insight to the future of AF. Topics include but are not limited to: Risk Factors and Genetics of Atrial Fibrillation; Mechanisms of Atrial Fibrillation: Rotors, Ionic Determinants, and Excitation Frequency; Diagnostic Evaluation and Follow-Up of Patients with Atrial Fibrillation; Catheter Ablation of Atrial Fibrillation; Antithrombotic and Anticoagulant Therapy for Atrial Fibrillation; Postoperative Atrial Fibrillation: Incidence, Mechanisms, and Clinical Correlates; and Novel Upstream Approaches to Prevent Atrial Fibrillation Perpetuation.
For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.
The 19 chapters which comprise this text cover all aspects of heart failure, and are extremely readable and well-organized. The references selected for each chapter are highly sufficient and there is excellent coverage of all the pharmaceutical treatments, which have proven effective in the management of heart failure; moreover, there are chapters on the non-pharmacological management as well. The book instructs the physician in how to use the newer drugs, either singly or in combination and the clinical trials chapter gives the reader a balanced view of what is happening in research.
Cardiovascular, respiratory, and related conditions cause more than 40 percent of all deaths globally, and their substantial burden is rising, particularly in low- and middle-income countries (LMICs). Their burden extends well beyond health effects to include significant economic and societal consequences. Most of these conditions are related, share risk factors, and have common control measures at the clinical, population, and policy levels. Lives can be extended and improved when these diseases are prevented, detected, and managed. This volume summarizes current knowledge and presents evidence-based interventions that are effective, cost-effective, and scalable in LMICs.
This concise text presents best practices for all aspects of atrial fibrillation ablation as outlined in the new version of the VeniceChart International Consensus document, which is presented in conjunction with the biannual Venice Arrhythmias conference. In addition to discussing the latest in a-fib ablation research, this 2011 update covers all the key areas of therapy and patient management, including: • Techniques and technologies • Procedural endpoints • Patient management pre-, peri- and post-ablation • Prevention and treatment of complications • Definition of success and long-term results With contributions from the world’s recognized thought leaders in this field, this book is a highly valuable source of information not only for specialists in electrophysiology, but also for general cardiologists, fellows in cardiology and others interested in this dynamic and increasingly important topic.
Catheter Ablation of Atrial Fibrillation Edited by Etienne Aliot, MD, FESC, FACC, FHRS Chief of Cardiology, Hôpital Central, University of Nancy, France Michel Haïssaguerre, MD Chief of Electrophysiology, Hôpital Cardiologique du Haut-Lévêque, France Warren M. Jackman, MD Chief of Electrophysiology, University of Oklahoma Health Science Center, USA In this text, internationally recognized authors explore and explain the advances in basic and clinical electrophysiology that have had the greatest impact on catheter ablation of atrial fibrillation (AF). Designed to assist in patient care, stimulate research projects, and continue the remarkable advances in catheter ablation of AF, the book covers: the fundamental concepts of AF, origin of signals, computer simulation, and updated reviews of ablation tools the present practical approaches to the ablation of specific targets in the fibrillating atria, including pulmonary veins, atrial neural network, fragmented electrograms, and linear lesions, as well as the strategies in paroxysmal or chronic AF or facing left atrial tachycardias the special challenge of heart failure patients, the impact of ablation on mortality, atrial mechanical function, and lessons from surgical AF ablation Richly illustrated by numerous high-quality images, Catheter Ablation of Atrial Fibrillation will help every member of the patient care team.
In 1998 Professor Haïssaguerre and his colleagues made the initial observation in patients that triggering foci in or around the pulmonary veins initiate some types of atrial fibrillation. Since then it has become clear that atrial fibrillation and other atrial tachyarrhythmias can be initiated (and possibly maintained) by triggering foci in any of the thoracic veins. This concept is now one of the most current topics in electrophysiology, and while it is a topic of frequent discussion in the major cardiology and electrophysiology journals, Thoracic Vein Arrhythmias: Mechanisms and Treatment is the first state-of-the art multi-authored textbook that integrates the advances made in this rapidly developing new area of cardiac arrhythmias for the global community. Edited by Drs. Shih-Ann Chen, Michel Haïssaguerre, and Douglas P. Zipes, who are at the forefront of advances in this field of cardiology, and with contributions from authors representing an international array of authorities in their individual fields, this text will be an invaluable reference to students, basic scientists, and clinicians with an interest in any aspect of cardiac arrhythmia. First textbook to provide comprehensive, critical and insightful review by leading experts in the exciting field of thoracic vein arrhythmias. Contains review of the current status of thoracic vein arrhythmias, and speculation on how the new findings will impact on treatment of cardiac arrhythmias. The chapters outline how progress is being made on several fronts ranging from basic mechanisms to invasive treatment for thoracic vein arrhythmias.
This issue of Heart Failure Clinics is devoted to atrial fibrillation in heart failure. It covers medical management and drug treatment as well as devices and ablation and aims to provide heart failure specialists with the current state of the art in handling this common problem in heart failure patients.
Atrial Fibrillation: A Multidisciplinary Approach to Improving Patient Outcomes, provides a current and comprehensive update on path physiology, epidemiology, management strategies of rate control, pharmacologic and nonpharmacologic approaches to rhythm control, risk stratification for stroke and bleeding, anticoagulant therapy, and left atrial occlusion devices. The contributions by experienced internists, cardiologists, electrophysiologists, surgeons, anesthesiologists, pharmacists, internists, nurse practitioners, and nurse educators provide a unique perspective. Case studies of paroxysmal, persistent, and permanent atrial provide clinical context incorporating recent evidence and best practices for the multidisciplinary approach to improving patient outcomes. “The physician is inundated with information, and needs all of this to be reduced and summarized in a readable form. This cannot be done simply by technical editing because it involves real expertise to pick the “jewels for the crown.” This has been accomplished so well by the authors who have contributed to this book. The result is a gem — a source of enlightenment for all the many clinicians who care for patients suffering from this ubiquitous arrhythmia. I read it from cover to cover in about three hours, and learned much which is new and useful to my practice. It is the best small book that I know dealing with this big subject.” -From the foreword by A. John Camm, MD