Jonathan S. Steinberg - Böcker

Cardiac surgery is performed on hundreds of thousands of patients a year, and can have an important beneficial impact on the outcomes of patients with coronary and valvular heart diseases. Despite the favorable recovery of most patients, some will have their post-operative period interrupted by the development of atrial fibrillation, with a host of potential complications including stroke. High risk subgroups may develop atrial fibrillation in more than half of cases, and often despite aggressive prophylactic measures. Treatment of atrial fibrillation and its aftermath can also add days to the hospital stay of the cardiac surgical patient. In an era of aggressive cost cutting and optimization of utilization of health care resources, the financial impact of this arrhythmic complication may be enormous. Experimental studies have led to a greater understanding of the mechanism of atrial fibrillation and potential precipitating factors in the cardiac surgical patient. Prophylactic efforts with beta-blockers, antiarrhythmic drugs and atrial pacing are being used, or are being investigated in clinical trials. New methods of achieving prompt cardioversion with minimal disruption of patient care, and prevention of the thromboembolic complications of atrial fibrillation, are also important therapeutic initiatives. This text is designed to aid health care professionals in the treatment of their patients in the recovery period after cardiac surgery, and to instigate additional research efforts to limit the occurrence of, and the complications following, this tenacious postoperative arrhythmia.

Now in its second edition, this practical guide offers clear-headed guidance to the successful application of catheter ablation for atrial fibrillation. This book concentrates on clinically-relevant information that providers can put to immediate use caring for patients. Takes a clear-headed practical approach to ablation of atrial fibrillation – long on actionable, clinically-relevant guidance, succinct and to-the-point on the theory behind the procedureEdited by three leading, internationally-known electrophysiologists with extensive experience in ablation for atrial fibrillationWritten by international team of experts reflecting global best practices from centers with considerable experience in the use of catheter ablationFormat designed to serve the needs of electrophysiologists regardless of experience, electrophysiology fellows, electrophysiology nurses and lab technical staffCovers hot topics such as new noninvasive imaging techniques, the treatment of challenging left atrial flutters, options for persistent atrial fibrillation and when a redo ablation is needed; and novel application of ablation targeting the autonomic nervous system

Cardiac surgery is performed on hundreds of thousands of patients a year, and can have an important beneficial impact on the outcomes of patients with coronary and valvular heart diseases. Despite the favorable recovery of most patients, some will have their post-operative period interrupted by the development of atrial fibrillation, with a host of potential complications including stroke. High risk subgroups may develop atrial fibrillation in more than half of cases, and often despite aggressive prophylactic measures. Treatment of atrial fibrillation and its aftermath can also add days to the hospital stay of the cardiac surgical patient. In an era of aggressive cost cutting and optimization of utilization of health care resources, the financial impact of this arrhythmic complication may be enormous. Experimental studies have led to a greater understanding of the mechanism of atrial fibrillation and potential precipitating factors in the cardiac surgical patient. Prophylactic efforts with beta-blockers, antiarrhythmic drugs and atrial pacing are being used, or are being investigated in clinical trials. New methods of achieving prompt cardioversion with minimal disruption of patient care, and prevention of the thromboembolic complications of atrial fibrillation, are also important therapeutic initiatives. This text is designed to aid health care professionals in the treatment of their patients in the recovery period after cardiac surgery, and to instigate additional research efforts to limit the occurrence of, and the complications following, this tenacious postoperative arrhythmia.

With a focus on the growing field of cardiology remote monitoring, this state-of-the-art reference provides must-know clinical and technical information as well as recent advances in application, engineering, and clinical impact from the current literature. Authoritative coverage of implantable devices and ambulatory ECG brings you up to speed on recent practice changes in remote monitoring that have alleviated the volume of in-office patient follow-ups, allowed for physicians to monitor more patients, enabled better patient compliance, and most importantly, provided earlier warning signs of cardiac problems.   Includes sections on implantable devices and ambulatory ECG, covering topics such as patient safety, current guidelines and technologies, clinical indications, managing appropriate and inappropriate therapies, costs and reimbursement, data management, patient satisfaction issues, and much more.Presents new guidelines and practice changes driven by recent clinical data.Provides access to practical, current information in an easy-to-navigate, full-color format.Enrich Your eBook Reading ExperienceRead directly on your preferred device(s), such as computer, tablet, or smartphoneEasily convert to audiobook, powering your content with natural language text-to-speech

This book addresses the tough clinical issues faced by electrophysiologists and cardiologists who treat patients with Cardiac Implantable Electrical Devices (CIEDs) in real-world practice. With contributions from widely recognized international leaders in the field, this 10-chapter resource covers a variety of controversies with CIEDs, from discerning what device is appropriate to use for heart failure to ethical issues in their use at the end of a patient’s life. To supplement these discussions, chapters review opposing positions on both sides of a controversy and present clinical material to illustrate the different perspectives. Clinical Controversies in Device Therapy for Cardiac Arrhythmias is an essential resource not only for physicians, residents, and fellows in cardiac electrophysiology and cardiology but also for associated professionals including nurses and technicians who work with CIEDs.