Coronary Heart Disease [antikvár]

Preface This book presents a comprehensive picture of ischemic heart disease to those who, either as practitioners or students, deal with the varied facets of this complex subject. It has meaning to the fields of clinical cardiology, radiology, thoracic surgery, and pathology. After an introductory chapter on the anatomy of the coronary blood vessels, there follows a chapter on coronary arteriography. The latter considers techniques, indications, examples of normal and abnormal patterns, and complications of this procedure. Specific chapters deal with variations in the sites of origin and distribution of coronary arteries, both as seen angiographically and anatomically. Congenital anomalies of the coronary arteries which may engender states of ischemic heart disease are presented. The principal thrust of the work concerns the main arena of ischemic heart disease, namely, coronary atherosclerosis. The pathology of coronary atherosclerosis is presented in conjunction with the results of anatomic and angiographic studies. Major chapters discuss the subjects of angina pectoris, acute myocardial infarction, healed myocardial infarction, surgical "revascularization" with indications and the postoperative states, and the surgical treatment of myocardial infarction and its sequelae. In these chapters there is also case material from which profiles of the various manifestations are obtained through correlations of clinical, electrocardiographic, vectorcardiographic, angiocardiographic, and pathologic studies. Through these studies, some insight may be obtained into the various manifestations of ischemic heart disease, including the shortcomings of techniques used to diagnose and/or treat various forms of coronary disease. For those relatively unfamiliar with electrocardiograms, legends are so devised as to give a succinct interpretation and to indicate the essentials from which the interpretation was derived. In most instances, angiocardiograms are paired with labeled line drawings which help the uninitiated in the reading of films. The pathologic aspects presented serve not only to establish the anatomic state of affairs in cases presented but will give those outside of the field of pathology insight into the varied pathologic processes observed in the broad field of ischemic heart disease. It is the hope of the authors that this book presents a comprehensive and real picture of the complexities of ischemic heart disease, both to the person who deals in day to day practice with its problems, as well as to the student and resident who tries to develop firm concepts regarding the varied states observed in this common condition.