Bővebb ismertető
This pocketbook serves as a guide for doctors embarking on specialist training in cardiology, and will also be useful for junior doctors who work in acute medical, cardiology and coronary care units. It is not intended to be a comprehensive text, but is written using a problem-based approach, complementing the other titles in the successful Churchill's pocketbook series.
We work in an environment of increasing dependence on the large number of liigh technology investigations and interventions that are available to the cardiologist. Despite this, the authors believe that there is no substitute for bedside clinical skills, and we emphasize the importance of history taking and physical examination in all sections of this guide.
The book is based on the experience of several cardiologists in training and offers concise, practical advice about assessing and managing common (and some less common!) cardiological problems. The book is divided into four broad sections. Section A provides a refresher on cardiovascular anatomy and physiology, and also covers the management of common acute cardiac emergencies. Section B deals with management of in-patients, and includes chapters on acute coronary syndromes, arrhythmias and heart failure. Section C gives advice on how to make a focused assessment of the commoner problems encountered in out-patients clinics. The new referrals chapter is symptom-based, since this is how^ patients present to the clinic. The review clinics chapter is diagnosis-based, and covers the common follow-up consultations (e.g. follow-up of patients with valve disease, with recent myocardial infarction, etc.). The final and largest section, Section D, covers the technical aspects of cardiology - echocardiography, cardiac catheterization and intervention, electrophysiology and pacing, and nuclear cardiology. This section provides information about indications for cardiac investigations and procedures, preprocedure checklists, hints and tips about performing procedures, and advice about dealing with their complications. It is designed to accompany practical training under expert supervision! In addition to the four main sections, we have included chapters on cardiac rehabilitation and grown-up congenital heart disease, which are often neglected in training programmes.
Neil Grubb 2000
David Newby