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This book provides a comprehensive practical guide to the plethora of devices that have been developed to support the failing heart. It features easy to follow clinically relevant guidance on mechanical devices used for improving cardiac electrical conduction and cardiac output. Chapters cover indications and implant considerations for the implantable cardioverter defibrillator and cardiac resynchronization therapy devices and hemodynamic monitoring in the intensive care unit. Case-Based Device Therapy for Heart Failure describes how to properly use a range of available devices to treat heart failure. Thanks to its multidisciplinary authorship, it is a valuable resource for practising and trainee heart failure cardiologists, electrophysiologists and cardiac surgeons.
Heart failure affects over 5 million patients in the United States alone, and is a chronic and debilitating disease. While a number of pharmacologic therapies have shown varying degrees of effectiveness, many recent advances in the treatment of heart failure has focused on device based therapies. In Device Therapy in Heart Failure, William H. Maisel and a panel of authorities on the use and implementation of device based therapies provide a comprehensive overview of the current and developing technologies that are used to treat heart failure. Individual chapters provide an in-depth analysis of devices such as CRT’s and ICD’s, while broader topics such as the pathophysiology of heart failure and its current medical therapies are also discussed. Additional topics include Pacing and Defibrillation for Atrial Arrhythmias, Atrial Fibrillation Ablation, and Percutaneous Treatment of Coronary Artery Disease.
Cases in Cardiac Resynchronization Therapy, a brand-new medical reference book for cardiologists, electrophysiologists, surgeons, and primary care doctors, offers an informative and structured view of the newest approaches, treatments and follow-up care methods for heart failure patients treated with Cardiac Resynchronization Therapy. Complete with practical examples from top leaders in the field, this resource is designed to equip you with the cohesive, expert knowledge you need to make the best use of today's available technologies and research. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Better manage the challenging clinical scenarios you may encounter with case studies that include a brief introduction, clinical decision-making techniques, evidence-based rationales, and selected references for further study. Remain up-to-date in this rapidly evolving field with clinical recommendations, updates on the latest technological advances, troubleshooting techniques, and recent key clinical trials. Access practical examples regarding the process for selecting and implanting devices, as well as follow-up care for heart-failure patients being treated with CRT. Stay abreast of today's novel wireless technologies, information on robotic-assisted implantations, and current methodologies on VV optimization.
This is a highly visual, case-based approach that covers the spectrum of the clinical presentation of heart failure. Each chapter revolves around one or more cases that best represent the diagnosis and treatment of a specific type of heart failure. The book encompasses newly diagnosed cases of heart failure, optimizing therapy for patients with known heart failure, heart failure associated with a variety of cardiac diseases, and heart failure in patients with systemic diseases. Authors also address the rapidly expanding field of familial-based cardiomyopathies and the difficult task of determining prognosis. The newly diagnosed cases of heart failure include non-ischemic dilated cardiomyopathy, post-myocardial infarction heart failure, tako-tsubo cardiomyopathy, atrial fibrillation as a cause of heart failure, and manifestations of diastolic dysfunction causing heart failure. The section on optimizing therapy for patients with chronic heart failure encompasses treatment for an initially stabilized patient who begins to decline and presents with an acute exacerbation; treating patients with devices such as defibrillators, resynchronization pacemaker systems, or both; and actions that can be taken when, despite the full gamut of treatment, a patient is still symptomatic or gradually declining. Included is a discussion of hemodynamic optimization and advanced therapy for end-stage failure. Additionally, the book covers in depth procedures for determining prognosis and evaluating familial disease; and includes descriptions of medications commonly used for heart failure. Chapters are consistently formatted to include an overview of underlying pathophysiology, presentation of the representative ìteachingî case, and a discussion of optimal management including assessment of current evidence and guidelines. The book also features video loops of select procedures, available online. KEY FEATURES: Over thirty expert authors offer a practical, visual approach to common but complex management problems in heart failure Demonstrates real-world clinical management decisions and applications of current guidelines and evidence through case presentations Discusses assessment and treatment of newly diagnosed and chronic cases of heart failure Addresses heart failure associated with the gamut of cardiac diseases and in patients with systemic diseases Provides links to video loops of select procedures
This book is for any individual who sees patients with implantable devices, or who will be taking an examination related to device management.Many caregivers working in the field of medicine find that one of the best ways to learn is by working through clinical cases and for many individuals it's even more helpful to work through the examples as "unknowns". This is especially true in the arena of implantable cardiac devices, that is, devices for the management of congestive heart failure.In an effort to provide this experience, experts from the Mayo Clinic, Rochester, MN, have produced two volumes of case studies that encompass variations of normal and abnormal function of pacemakers, ICDs, and CRT devices.The texts have been written collaboratively by 5 clinicians with differing backgrounds in an effort to present the cases in such a way that they are applicable to a variety of caregivers. Cases for this book were selected based on clinical relevance, and their usefulness for illustrating general principles, practical tips, or interesting findings in device practice, with a goal of advancing general concepts in device management.The first volume includes introductory and intermediate level difficulty cases. The second volume includes additional intermediate cases as well as advanced/multipart cases. Electronic versions of this book will be made available with additional features to facilitate navigation of the clinical material.
Cases in Cardiac Resynchronization Therapy, a brand-new medical reference book for cardiologists, electrophysiologists, surgeons, and primary care doctors, offers an informative and structured view of the newest approaches, treatments and follow-up care methods for heart failure patients treated with Cardiac Resynchronization Therapy. Complete with practical examples from top leaders in the field, this resource is designed to equip you with the cohesive, expert knowledge you need to make the best use of today's available technologies and research. Better manage the challenging clinical scenarios you may encounter with case studies that include a brief introduction, clinical decision-making techniques, evidence-based rationales, and selected references for further study. Remain up-to-date in this rapidly evolving field with clinical recommendations, updates on the latest technological advances, troubleshooting techniques, and recent key clinical trials. Access practical examples regarding the process for selecting and implanting devices, as well as follow-up care for heart-failure patients being treated with CRT. Stay abreast of today's novel wireless technologies, information on robotic-assisted implantations, and current methodologies on VV optimization.
When you're considering device therapy for a patient with heart failure, be sure to consult this concise reference for the latest information on who benefits most from which device.In clear, straightforward prose, Dr. Feldman addresses: Resynchronization Therapy, ICD, Ultrafiltration, Impulse Therapy, Chronic Implantable Monitoring, Bioimpedance, EECP, and more. With chapters devoted to monitoring the patient on device therapy and the future of device therapy in heart failure, this book makes an important contribution to patient care.
An essential companion for both the aspiring and practising electrophysiologist, The EHRA Book of Pacemaker, ICD and CRT Troubleshooting assists device specialists in tackling both common and unusual situations that that they may encounter during daily practice. Taking a case-based approach, it examines pacemakers, implantable cardioverter defibrillators and cardiac resynchronisation therapy. Much more than just a technical manual of device algorithms, the cases help readers to consolidate their technical knowledge, and improve their reasoning and observation skills so they are able to tackle device troubleshooting with confidence. The 70 cases are arranged in three sections by increasing levels of difficulty to walk readers through all the skills and knowledge they need in an easy to use and structured format. Each case contains a short clinical description and a device tracing followed by a multiple choice question. Answers are supplied with detailed annotations of the tracing and an in-depth discussion of the case, highlighting practical hints and tips as well as providing an overview of the technical function of devices. A useful summary of principal device features and functions is also included. The EHRA Book of Pacemaker, ICD and CRT Troubleshooting is the perfect companion for electrophysiologists, cardiology trainees and technical consultants working with device patients as well as for those studying for the EHRA accreditation exam in cardiac pacing.
Provides review of the most recent advances in drugs and devices used for the treatment of heart failure, helping clinicians select the best evidence-based therapy for patients. Written by experienced cardiologists from San Francisco and Philadelphia.
Here is an essential text for cardiologists, heart surgeons, intensive care specialists and anyone interested in pacing. It is a comprehensive guide to contemporary devices used in the resynchronization of patients’ heartbeats. The treatment of congestive heart failure by implanted biventricular pacemakers, or cardiac resynchronization, has revolutionized the practice of implanting pacemakers and defibrillators. More cardiac resynchronization therapy devices than conventional pacemakers are now being implanted and the numbers are growing worldwide.