Heart failure is an important and ever expanding sub-speciality of cardiology. Many health care professional bodies are now developing specialist expertise in heart failure. This is true for cardiologists in training, consultant cardiologists, care of the elderly and general physicians, cardiothoracic surgeons, primary care doctors, pharmacists and specialist nurses. With advances in medical therapy, the prognosis of the condition has improved dramatically. Whereas once heart failure was a pre-terminal diagnosis, now for many it is treatable. However, some patients remain symptomatic and at high risk of death despite maximal medical therapy. These patients can benefit from a range of novel device therapies. For those who remain symptomatic despite optimal treatment cardiac transplantation remains an option. This updated book comprehensively covers all aspects necessary to manage a patient with heart failure. It gives simple, clear advice on the diagnosis, investigation and treatment options available highlighting the current evidence-base. The chapters provide concise and objective information to guide all health care professionals involved in the modern day multi-disciplinary management of the syndrome. The book is set out logically to mirror the patient journey in heart failure.An updated edition of the first practical manual of heart failure management.
Section 1 - Introduction to Heart Failure; Definition of heart failure; basic epidemiology and pathophysiology; Section 2 - Chronic Heart Failure; Diagnosis and investigation; Estimating prognosis; Non-pharmacological management; Pharmacological management; Device therapy - which devices and for whom?; Revascularisation; Other surgical techniques; Cardiac transplantation; Mechanical circulatory support; Section 3 - Heart Failure and Co-morbid conditions; The patient with heart failure and adult congenital heart disease; The patient with heart failure and anaemia; The patient with heart failure and angina; The patient with heart failure and arrhythmias; The patient with heart failure and arthritis; The patient with heart failure and cancer; The patient with heart failure and diabetes mellitus; The patient with heart failure and obstructive lung disease; The patient with heart failure and pregnancy; The patient with heart failure and preserved systolic function; The patient with heart failure and renal dysfunction; The patient with heart failure and right ventricular dysfunction; The patient with heart failure and specific muscle disease; The patient with heart failure and valvular disease; Section 4 - Acute Heart Failure; Definition, aetiology, differing presentations and consequences; Management; Section 5 - Procedures; Central venous cannulation; Swan Ganz catheterisation; Cardiac biopsy; IABP insertion; Cardio-pulmonary exercise testing; CRT optimisation; Section 6 - Detailed pharmacology and evidence base for drugs; ACE inhibitors; Beta-adrenoreceptor antagonists; Mineralocorticoid receptor antagonists; Angiotensin receptor antagonists; Diuretics and aquaretics; Rate limiting agents; Inotropes and vasopressors; Vasodilators; Section 7 - Multi-professional Heart Failure Care; Heart failure services; Palliative care;
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