Chronotropics

The book comprises the proceedings of the 5th International Workshop on Cardiac arrhythmias, held in Venice, October 7-10,1997 and represents an update on the most recent advances in the diagnosis, prognosis and treatment of cardiac arrhythmias.

This book, part of the European Society of Intensive Care Medicine textbook series, teaches readers how to use hemodynamic monitoring, an essential skill for today’s intensivists. It offers a valuable guide for beginners, as well as for experienced intensivists who want to hone their skills, helping both groups detect an inadequacy of perfusion and make the right choices to achieve the main goal of hemodynamic monitoring in the critically ill, i.e., to correctly assess the cardiovascular system and its response to tissue oxygen demands. The book is divided into distinguished sections: from physiology to pathophysiology; clinical assessment and measurements; and clinical practice achievements including techniques, the basic goals in clinical practice as well as the more appropriate hemodynamic therapy to be applied in different conditions. All chapters use a learning-oriented style, with practical examples, key points and take home messages, helping readers quickly absorb the content and, at the same time, apply what they have learned in the clinical setting. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care.

One of the most time-consuming tasks in clinical medicine is seeking the opinions of specialist colleagues. There is a pressure not only to make referrals appropriate but also to summarize the case in the language of the specialist. This book explains basic physiologic and pathophysiologic mechanisms of cardiovascular disease in a straightforward manner, gives guidelines as to when referral is appropriate, and, uniquely, explains what the specialist is likely to do. It is ideal for any hospital doctor, generalist, or even senior medical student who may need a cardiology opinion, or for that ma.

This book deconstructs androcentric approaches to spacetime inherited from western modernity through its theoretical frame of the chronotropics. It sheds light on the literary acts of archival disruption, radical remapping, and epistemic marronnage by twenty-first-century Caribbean women writers to restore a connection to spacetime, expanding it within and beyond the region. Arguing that the chronotropics points to a vocation for social justice and collective healing, this pan-Caribbean volume returns to autochthonous ontologies and epistemologies to propose a poetics and politics of the chronotropics that is anticolonial, gender inclusive, pluralistic, and non-anthropocentric. This is an open access book.

Critical care medicine is an evolving speciality in which the amount of available information is growing daily and spread across a myriad of books, journals and websites. This essential guide brings together this information in an easy-to-use format. Up-to-date, relevant, and evidence-based information on the management of the critically ill is combined in one resource, ideal for the use of Intensive Care Units, High Dependency Units, acute medical or surgical wards, Accident and Emergency departments and operating theatres. The book is designed such that each subject will form a self-contained topic in its own right, laid out across two or four pages to facilitate the key aim of rapid and easy access to information. This makes the information included simple to find, read and absorb, so that the book can be consulted in the clinic or ward setting for information on the optimum management of a particular condition. With chapters written by internationally renowned critical care specialists and edited by the three of the leading figures in UK Critical Care, this book should be an essential resource for all critical care physicians.

Cardiac Pacing and ICDs, 6e is the ideal resource for clinicians who need an accessible, clinically-focused guide to cardiac pacemakers, ICDs and CRTs. Completely updated, and now with larger full-color images throughout, this new sixth edition offers thorough coverage of essential topics like: Indications for both temporary and permanent pacing Pacing hemodynamics explained in clinically relevant terms with simple algorithms for mode selection and device programming Tips and Tricks for implantation and removal of devices and left ventricular leads Evaluation and management of pacemaker and ICD device malfunctions MRI safety and how to follow patients with devices Remote follow up and more Thoroughly revised and redone to provide more tables, charts and figures explaining devices Cardiac Pacing and ICDs, 6e presents all aspects of pacing in an intuitive, easy-to-use way: chapters proceed from pacing basics and indications through initial patient presentation, device implementation, trouble-shooting, and long-term follow-up – an approach that mirrors the clinician’s course of action in treating and managing patients. Itis the perfect reference for cardiology and electrophysiology fellows, general clinical cardiologists, and electrophysiologists who want a clear-headed, authoritative overview of current devices and best practices for their use treating heart rhythm abnormalities. It will also be of great use to those studying for the IHRBE Examination in Devices, and individuals in this field who care for patients with implantable devices at all levels.

This is the seventh edition of a long-selling book (first edition 1991) that was translated into Italian, French, Chinese, Portuguese, Spanish, English. In the last ten years, stress echocardiography has exploded in its breadth and variety of applications. From a one-fits-all approach (wall motion by 2D-echo in the patient with known or suspected coronary artery disease), the field has progressed to an omnivorous, next-generation laboratory employing a variety of technologies (from M-Mode to 2D, from pulsed, continuous, color and tissue Doppler to lung ultrasound) on patients covering the entire spectrum of severity (from elite athletes to patients with end-stage heart failure) and ages (from children with congenital heart disease to the elderly with aortic stenosis). This new edition is enriched with over 300 figures, 150 tables and video-clips. In a societal and economic climate of increasing pressure for appropriate, justified and optimized imaging, stress echocardiography offers the great advantages of being radiation-free, relatively low cost, with minimal environmental impact, and with a staggering versatility: we can get more (information) with less (cost and risk). The volume will be a tremendous aid to current best practices for all health operators who intend to use stress echocardiography and ultrasound for diagnosis and guidance of optimal management in their patients.

In Atlas of Nuclear Cardiology, Doctors Dilsizian and Narula have worked together with over a dozen leading authorities to capture the most up-to-date and pertinent information in the field of nuclear cardiology. This atlas is a modern and complete visual library of up-to-date information on the most current cardiovascular nuclear procedures in the clinical practice of cardiology. Together with detailed legends and extensive reference listings, the over 600 illustrations deliver comprehensive information. Diagnostic algorithms and schematic diagrams integrated with nuclear cardiology procedures are generously interspersed with color images to emphasize key concepts in cardiovascular physiology and metabolism. This vital reference provides a detailed and accurate insight into the noninvasive evaluation and quantification of myocardial perfusion, function, and metabolism.

Ellestad's Stress Testing, now being released in its fifth edition, is generally regarded as the "gold standard" in the field of exercise testing.

Fluorine and Health presents a critical multidisciplinary overview on the contribution of fluorinated compounds to resolve the important global issue of medicinal monitoring and health care. The involved subjects are organized in three thematic parts devoted to Molecular Imaging, Biomedical Materials and Pharmaceuticals. Initially the key-position of partially fluorinated low molecular weight compounds labelled either with the natural 19F-isotope for Magnetic Resonance Imaging (MRI) or labelled with the radioactive [18F]-isotope for Positron Emission Tomography (PET) is highlighted. Both non-invasive methods belong to the most challenging in vivo imaging techniques in oncology, neurology and in cardiology for the diagnosis of diseases having the highest mortality in the industrialized countries. The manifold facets of fluorinated biomaterials range from inorganic ceramics to perfluorinated organic molecules. Liquid perfluorocarbons are suitable for oxygen transport and as potential respiratory gas carriers, while fluorinated polymers are connected to the pathology of blood vessels. Another important issue concerns the application of highly fluorinated liquids in ophthalmology. Moreover, fluorine is an essential trace element in bone mineral, dentine and tooth enamel and is applied for the prophylaxis and treatment of dental caries. The various origins of human exposure to fluoride species is detailed to promote a better understanding of the effect of fluoride species on living organisms.Medicinally relevant fluorinated molecules and their interactions with native proteins are the main focus of the third part. New molecules fluorinated in strategic position are crucial for the development of pharmaceuticals with desired action and optimal pharmacological profile. Among the hundreds of marketed active drug components there are more than 150 fluorinated compounds. The chapters will illustrate how the presence of fluorine atoms alters properties of bioactive compounds at various biochemical steps, and possibly facilitate its emergence as pharmaceuticals. Finally the synthetic potential of a fluorinase, the first C-F bond forming enzyme, is summarized. New approach of topics involving chemistry, biology and medicinal techniques Transdisciplinar papers on fluoride products Importance of fluoride products in health Updated data on specific topics