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Thoroughly revised and updated for its Fifth Edition, this manual is a practical quick-reference guide to the immediate and long-term evaluation and management of cardiovascular disease. In an easy-to-scan outline format, the book describes current strategies for diagnosis and medical and surgical management of all cardiovascular disorders. Numerous tables provide rapid access to essential information. This edition is a major revision with a distinguished new co-author, Gordon A. Ewy, MD. Sections on coronary artery disease, acute myocardial infarction, and lipids have been completely reworked and chapters on therapy and cardiopulmonary resuscitation have been rewritten. This edition also includes more tables and drawings.
M. Gabriel Khan, MD, concisely assembles in a reader friendly format all the clinically useful information that an internist needs in both his daily rounds and abusy office practice to find correct clinical diagnoses and choose optimal pharmacologic therapies for their patients. Highlights include a simplified method for recognition of, and a practical therapeutic approach to, arrhythmias, as well as a more logical approach to drug management of hypertension than that given by the Joint National Committee, instructive algorithms that simplify the diagnosis and treatment of syncope, and extensive diagnostic information on hypertrophic cardiomyopathy. A large number of illustrative electrocardiograms that help to clarify the most often misinterpreted of all cardiologic tests and extensive discussions of practical cardiovascular pharmacology complete this magisterial survey.
Thoroughly revised and updated for its Fifth Edition, this manual is a practical quick-reference guide to the immediate and long-term evaluation and management of cardiovascular disease. In an easy-to-scan outline format, the book describes current strategies for diagnosis and medical and surgical management of all cardiovascular disorders. Numerous tables provide rapid access to essential information. This edition is a major revision with a distinguished new co-author, Gordon A. Ewy, MD. Sections on coronary artery disease, acute myocardial infarction, and lipids have been completely reworked and chapters on therapy and cardiopulmonary resuscitation have been rewritten. This edition also includes more tables and drawings.
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Because the increasing complexities of diagnos testing and training, for example) are of neces ing and treating coronary artery disease are at sity discussed in more than one chapter with times overwhelming for many physicians, the appropriate cross referencing. Special attention purpose of this book is to bring together in one has been directed at making the references as comprehensive yet reasonably concise text a current as possible. Since the aim of the book is to do more than just update the concepts, the scholarly but clinically oriented analysis of the reader is also informed of the pertinent contro major aspects of coronary artery disease. The book is mainly intended for internists versies in the field. The word controversy is used in its most liberal form, so as to include areas of and clinical cardiologists as well as for those in training for these respective disciplines, but it disagreement or of uncertainty as well as should also be of interest to primary care physi changes in traditional views. Each of the con cians responsible for the management of pa tributors has been asked to identify specifically tients with coronary artery disease. Each of the the most important of the controversies in his contributors-whether cardiologist, radiologist, particular area of interest and to address himself or surgeon-has been selected for his special to these issues in the course of the chapter.
This book is a comprehensive overview of electrocardiography and the major effects of current cardiac pharmacological therapy on electrocardiography. The text is based on work presented at the International Symposium on Non-invasive Cardiovascular Diagnosis and Therapy, held in May, 1987 at the University of Cologne. The theme of the book is to review, in broad clinical perspective the current state-of-the-art of electrocardiography as it pertains to standard electrocar diograms, exercise testing, ambulatory electrocardiography, electrocardiographic telemetry, and high resolution electrocardiography. Furthermore, advance!, in cardiac drug therapy in relation to diuretics, beta blocking drugs, antiarrhythmic agents and thrombolytic agents are reviewed. The emphasis of the conference and this book is to review the clinical state-of-the-art information and applications in this regard. In the initial section on electrocardiography, Dr. Spodick reviews our present day physiologic and pathophysiologic understanding of systolic time intervals, and how they are affected by a variety of cardiac disease states and pharmacologic agents. Dr. Ellestad examines problems and provides pragmatic tips on exercise testing in the diagnosis of coronary artery disease, and advances in exercise scores and computer analysis. Dr. Graboys reviews the value of exercise testing in the diagnosis and management of patients with serious ventricular arrhythmias. Dr. Kellermann presents the complimentary role that exercise testing plays in com prehensive follow-up therapy of the cardiac patient, and the use of exercise for work and physical training. Detailed information concerning the interaction of cardiac rehabilitation and ventricular arrhythmias are examined.