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Primary Angioplasty in Acute Myocardial Infarction

  • Livre Relié
  • 225 Nombre de pages
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In this second edition, leading investigators and experienced clinicians summarize the world's literature and augment this wi... Lire la suite
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Description

In this second edition, leading investigators and experienced clinicians summarize the world's literature and augment this with practical wisdom about this critically important form of care, including its technical, professional, and administrative aspects.

The past 50 years have witnessed a breathtaking evolution in the approaches to the patient with an acute ST elevation myocardial infarction. In the 1960s, the now commonplace cardiac intensive care unit was but a nascent idea. Without much to offer the patient but weeks of absolute bedrest, substantial morbidity and high rates of mortality were the norm. Just 30 years ago, seminal discoveries by DeWood and colleagues suggested that the culprit was plaque rupture with thrombosis, not progressive luminal compromise. Subsequent fibrinolyt- based strategies resulted in a halving of the mortality of acute myocardial infarction. With the introduction of balloon angioplasty in the late 1970s, a few interventional cardiologists braved the question: why not perform emergency angioplasty as a primary reperfusion strategy? Indeed, reports of successful reperfusion via balloon angioplasty appeared (mostly in local newspapers) as early as 1980. Despite being thought of as heretical by mainstream cardiology, these pioneers nonetheless persevered, proving the benefit of ''state-of-the-art'' balloon angioplasty compared with ''state-of-t- art'' thrombolytic therapy in a series of landmark trials published in the New England Journal of Medicine in March of 1993. Publication of the first edition of Primary Angioplasty in Acute Myocardial Infarction in 2002 to some extent anticipated the widespread acceptance of primary percutaneous coronary intervention as the standard of care. Since then, in all respects, the evolution of emergency percutaneous revascularization has only accelerated. The universal replacement of balloon angioplasty with stent implantation was clearly one key.

Requisite fundamentals for any primary angioplasty program

The latest concepts and information

Tackles the complexities of reducing door to balloon time

Covers options available to primary care hospitals without surgical backup

Addresses local and regional system and process-related barriers to reperfusion



Texte du rabat

The emergency treatment of acute myocardial infarction (AMI)-one of the leading causes of death throughout the world-with immediate cardiac cathterization and percutaneous coronary intervention, or primary angioplasty, is now considered the optimal approach to this deadly disorder. In Primary Angioplasty in Acute Myocardial Infarction, Second Edition, leading investigators and experienced clinicians collect and summarize the world's literature and augment this with practical wisdom concerning this critically important form of care. Technical, professional, and administrative aspects are reviewed in clear detail. Among the topics covered are the technique and technology of direct angioplasty, patient selection, regulatory issues, performance metrics, clinical trials and outcomes, adjunctive pharmacology, economics, and implications for the health care system. The practicing cardiologist will appreciate the many useful how-to tips and pointers; the cardiology fellow will value the a-to-z approach that addresses all critical issues; and the administrator will learn the details of creating, maintaining, evaluating, and justifying a successful program.

Comprehensive and highly practical Primary Angioplasty in Acute Myocardial Infarction, Second Edition summarizes for today's cardiologists, internists, family practitioners, and emergency room physicians all the accumulated knowledge and experience needed to ensure that primary angioplasty becomes the standard of care for acute myocardial infarctions.



Contenu
Overview, Rationale and Lexicon: Primary Percutaneous Coronary Intervention in Acute Myocardial Infarction. Warren J. Cantor, MD Comparison of Reperfusion Strategies for ST Elevation Acute Myocardial Infarction: Primary Coronary Intervention versus Fibrinolysis. Bruce R. Brodie, M.D. Operator and Site Requirements for Primary Coronary Intervention. Mark I. Hainer, D.O. and Michael H Sketch, Jr., M.D. Primary Coronary Intervention: The Technical Approach. David A. Cox, MD. Primary Coronary Intervention in Community Hospitals with Off-Site Cardiac Surgery Backup: Rationale and Steps to Quality. Thomas P. Wharton Jr, MD and Nancy Sinclair, APRN. Reducing System and Process Barriers: The RACE to Improve Door to Balloon Performance. James G. Jollis, MD and Jenny C. Underwood, RN. Rescue Coronary Intervention for Failed Thrombolysis. Nezar Falluji, MD, MPH, David J Moliterno, MD and Debabrata Mukherjee, MD, MS. Facilitated Percutaneous Coronary Intervention. Pantelis Diamantouros, MD and Ing Haan Lim, MD. Therapies Targeted at Preserving Microvascular Integrity and Preventing Reperfusion Injury. Yeraldine Toledo, MD and Alan W. Heldman, MD. Platelet Glycoprotein IIb/IIIa Receptor Blockade in Primary Coronary Intervention. Adnan K. Chhatriwalla, MD and Sorin J. Brener, MD. Cell Therapy in Acute Myocardial Infarction. Geraldo A. Ramos, MD, Joshua M. Hare, MD and Alan W. Heldman, MD. Health Economics of Primary PCI. Richard Konstance, MD, MBA & Russell J. Ivanhoe, MD, MBA.

Informations sur le produit

Titre: Primary Angioplasty in Acute Myocardial Infarction
Éditeur:
Code EAN: 9781603274968
ISBN: 1603274960
Format: Livre Relié
Editeur: Springer-Verlag GmbH
Genre: Médecine
nombre de pages: 225
Poids: 524g
Taille: H241mm x B160mm x T17mm
Année: 2008
Auflage: 2nd ed

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