The value of echocardiography in the diagnostic work-up of patients with suspected acute pulmonary embolism.- New developments in the thrombolytic therapy of venous thrombosis.- Mechanism of blood coagulation. Newer aspects of anticoagulant and antithrombotic therapy.MR-angiography in the diagnosis of pulmonary embolism.Scintigraphy-ventilation/perfusion scanning and imaging of the embolus.- Clinical course and prognosis of acute pulmonary embolism.- The molecular mechanisms of inherited thombophilia.
Embolic complications of common, or sometimes uncommon, medical issues represent a significant management challenge. In addition, special populations might require unique approaches to prevention and primary disease management. Similarly, unusual embolic problems can manifest as both diagnostic and therapeutic challenges. Despite evolving guidelines to the prevention, diagnosis, and management of common diseases that can result in embolic complications, unfortunately, for many problems, such guidelines, randomized trials, or even recommendations based upon high-quality literature are lacking. Several chapters in this book are dedicated to summarizing the available data and experiences to help guide bedside care. The goal of this book is to emphasize some of the more unusual presentations and diagnostic and management aspects of embolic complications. The pathophysiologies and prevention strategies in unique patient populations are also emphasized. Clearly, a multidisciplinary team approach is critical to dealing with all aspects of these unusual and perplexing problems.
Owing to the increased interest in brain ischemia and the new therapeutic options from pharmaceutical companies for the treatment of acute stroke, Professor Julien Bogousslavsky, one of the world's stroke experts, has revised his best-selling book. It is the emergence of huge possibilities in the management of stroke - ultra-early diagnosis, intensive care, surgical and other interventional therapies, thrombolysis, anti-ischemic drugs and prevention of immediate recurrence - which necessiates this timely update.
This practical volume highlights traditional, novel, and evolving aspects of the diagnosis and treatment of pulmonary embolism (PE). The contributors comprise an international team of experts. Important aspects of diagnosis, risk stratification, and differential treatment of patients with PE are presented in a concise, yet comprehensive manner. Emphasis is placed on specific issues related to PE, including pregnancy, cancer, thrombophilia, and air travel.
Showcasing the expertise of top-tier specialists who contributed to the newly released guidelines for the care of thrombosis in cancer patients, this exciting guide was written and edited by members of the American Society of Clinical Oncology panel, (ASCO), on the prevention and treatment of cancer-associated thrombosis, among others, and provides
The EACVI Echo Handbook is the perfect companion for making both every day and complex clinical decisions. Designed and written by experts for use in the clinical arena, this practical guide provides the necessary information for reviewing, or consulting while performing or reporting on an echo or making clinical decisions based on echo findings.
The heart and lung are intricately linked. When the heart is affected by disease, the lungs will often show some related pathological or clinical conditions and vice versa. Pulmonary heart disease is by definition a condition when the lungs cause the heart to fail. The left ventricle in combination with the other structures in the “left heart” pumps blood throughout the body. The right ventricle (and structures of the “right heart”) pumps blood to the lungs where it is oxygenated and returned to the left heart for distribution. In normal circumstances, the right heart pumps blood into the lungs without any resistance. The lungs usually have minimal pressure and the right heart easily pumps blood through. However when there is lung disease present, like emphysema, chronic obstructive lung disease (COPD) or pulmonary hypertension- the small blood vessels become very stiff and rigid. The right ventricle is no longer able to push blood into the lungs and eventually fails. This is known as pulmonary heart disease. Pulmonary heart disease is also known as right heart failure or cor pulmonale. The chief cause of right heart failure is the increase in blood pressure in the lungs (pulmonary artery).
In the realm of medical practice, the word “embolism” has many implications to many people, with most providers instinctively placing this word within an inherently negative context. Derived from the Greek word, ἐμβολισμός, this term most literally means “interposition.” Yet, regardless of how benign this etymological derivation may appear, the clinical context is quite the opposite—a symbol of much dreaded morbidity and mortality. Whether the embolus consists of a blood clot, a fat globule, a bubble of gas, amniotic fluid, or even an iatrogenic or traumatic foreign body, the unfavorable connotations persist even if the patient has few or no associated symptoms and requires no intervention.The primary goal of this book is to provide the reader with an overview of the most common types of embolic phenomena encountered in clinical practice, including some of the key related diagnostic and therapeutic considerations. Among chapters featured in the current collection are important contributions in the areas of pulmonary embolism, fat embolism, embolic complications of non-malignant cardiac tumors, acute arterial embolism of the lower extremity, thrombophilia in pregnancy, bullet and shrapnel embolization, coronary artery embolization, as well as a comprehensive review of venous interventions utilized in the management of thromboembolic disorders. When measured in terms of both human and financial costs, broadly defined “embolic phenomena” have tremendous impact on healthcare systems and societies around the globe. Through this academic effort of both our editorial team and individual chapter authors, we hope to provide the reader with valuable insight into the gravity of the collective problem. Among key takeaway messages of this book is that diagnostic relativity and uncertainty continue to prevail in the realm of “embolic diseases.” Consequently, much more progress is required before we are able to declare success.
Significantly updated with the latest developments in diagnosis and treatment recommendations, Ferri's Clinical Advisor 2020 features the popular "5 books in 1" format to organize vast amounts of information in a clinically relevant, user-friendly manner. This efficient, intuitive format provides quick access to answers on 1,000 common medical conditions, including diseases and disorders, differential diagnoses, and laboratory tests – all reviewed by experts in key clinical fields. Updated algorithms, along with hundreds of new figures, tables, and boxes, ensure that you stay current with today's medical practice. - Contains significant updates throughout, covering all aspects of current diagnosis and treatment. - Features 27 all-new topics including chronic traumatic encephalopathy, medical marijuana, acute respiratory failure, gallbladder carcinoma, shift work disorder, radial tunnel syndrome, fertility preservation in women, fallopian tube cancer, primary chest wall cancer, large-bowel obstruction, inguinal hernia, and bundle branch block, among others. - Includes a new appendix covering Physician Quality Reporting System (PQRS) Measures. - Provides current ICD-10 insurance billing codes to help expedite insurance reimbursements. - Patient Teaching Guides for many of the diseases and disorders are included, most available in both English and Spanish versions, which can be downloaded and printed for patients.
