Heart Disease
Disease conditions that affect the human heart and the methods used to diagnose and treat them are all covered in one concise volume.

Written by a past president of the Boston Chapter of the American Heart Association, Heart Disease is a comprehensive account of the leading cause of death in the West. Sequential chapters describe the structure and function of the heart, the various disease states, and the treatments for each major disease. In addition, the book examines the vast array of diagnostic tests and the most advanced treatments available, from basic drugs for prevention such as aspirin to transplants and artificial hearts.

Dr. de Silva, who teaches at Harvard Medical School, also covers historical aspects of heart disease, discoveries about the structure and function of the heart, and the ways in which heart disease can be diagnosed and treated. Underlying conditions that affect the heart are described and linked to the treatments and devices used to correct disease conditions.

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Heart Disease
Disease conditions that affect the human heart and the methods used to diagnose and treat them are all covered in one concise volume.

Written by a past president of the Boston Chapter of the American Heart Association, Heart Disease is a comprehensive account of the leading cause of death in the West. Sequential chapters describe the structure and function of the heart, the various disease states, and the treatments for each major disease. In addition, the book examines the vast array of diagnostic tests and the most advanced treatments available, from basic drugs for prevention such as aspirin to transplants and artificial hearts.

Dr. de Silva, who teaches at Harvard Medical School, also covers historical aspects of heart disease, discoveries about the structure and function of the heart, and the ways in which heart disease can be diagnosed and treated. Underlying conditions that affect the heart are described and linked to the treatments and devices used to correct disease conditions.

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Heart Disease

Heart Disease

by Regis A. de Silva
Heart Disease

Heart Disease

by Regis A. de Silva

Hardcover

$55.00 
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Overview

Disease conditions that affect the human heart and the methods used to diagnose and treat them are all covered in one concise volume.

Written by a past president of the Boston Chapter of the American Heart Association, Heart Disease is a comprehensive account of the leading cause of death in the West. Sequential chapters describe the structure and function of the heart, the various disease states, and the treatments for each major disease. In addition, the book examines the vast array of diagnostic tests and the most advanced treatments available, from basic drugs for prevention such as aspirin to transplants and artificial hearts.

Dr. de Silva, who teaches at Harvard Medical School, also covers historical aspects of heart disease, discoveries about the structure and function of the heart, and the ways in which heart disease can be diagnosed and treated. Underlying conditions that affect the heart are described and linked to the treatments and devices used to correct disease conditions.


Product Details

ISBN-13: 9780313376061
Publisher: Bloomsbury Academic
Publication date: 01/24/2013
Series: Biographies of Disease
Pages: 276
Product dimensions: 6.40(w) x 9.30(h) x 0.90(d)

About the Author

Regis A. DeSilva, MD, is associate professor of medicine at Harvard Medical School and a cardiologist at Beth Israel Deaconess Medical Center in Boston, MA, as well as executive chairman of Global Medical Knowledge, Inc., which works in low-income countries.

Table of Contents

Series Foreword xiii

Acknowledgments xv

Introduction xvii

Chapter 1 History of Cardiology 1

Early Concepts of the Circulation 2

Discovery of the Circulation 4

Development of Quantitative Methods in Cardiology 5

The Cardiac Examination and Invention of the Stethoscope 7

Research in Cardiac Physiology 8

Development of Electrophysiology 10

Early Experimental Work 10

Invention of the Electrocardiogram 11

Clinical Applications of the EKG 13

The Artificial Pacemaker 14

Myocardial Infarction and Sudden Cardiac Death 15

Modern Cardiac Diagnostic Methods 17

Interventional Cardiology and Cardiac Surgery 18

Other Important Discoveries 20

Summary 21

Chapter 2 Structure and Function of the Heart and Circulatory System 23

Functions of the Circulatory System 26

Architecture of the Heart 27

The Atria 28

The Ventricles 28

The Heart Valves 31

The Coronary Arteries 33

The Great Vessels and the Peripheral Circulation 34

The Conduction System of the Heart 35

The Pericardium 39

The Circulation of Blood 39

Summary 42

Chapter 3 Disorders of Coronary Circulation 43

Origins of CAD 44

Symptoms of CAD 46

Diagnosis of CAD 49

Treatment for CAD 51

Medical Treatment 52

Percutaneous Coronary Intervention 56

Coronary Artery Bypass Grafting Surgery 59

Lifestyle Changes 60

Coronary Artery Spasm 61

Follow-up Treatment 62

Summary 63

Chapter 4 Diseases of the Heart Valves 65

The Structure and Function of Valves 67

Disorders of the Valves 70

Causes of Valve Disease 71

Aortic Valve Disease 71

Pulmonary Valve Disease 73

Mitral Valve Prolapse 73

Marfan Syndrome 74

Ebstein's Anomaly 75

Rheumatic Heart Disease 75

Infective Endocarditis 76

Connective Tissue Disease 77

Diet and Medications 77

Radiation Therapy 77

Symptoms and Diagnosis 77

Treatment 78

Summary 79

Chapter 5 Disorders of the Heart Muscle and Congestive Heart Failure 81

Systolic Dysfunction 83

Causes 83

Symptoms 85

Diagnosis 86

Diastolic Dysfunction 87

Causes 87

Symptoms 87

Diagnosis 88

Treatment of Congestive Heart Failure 88

Treatment Strategy 88

Medical Treatment for CHF 89

Invasive Procedures for CHF 91

Surgical Treatment for CHF 92

End-of-Life Care 93

Chapter 6 Disorders of Cardiac Rhythm 95

Atrial Arrhythmias 97

Atrial Premature Beats 97

Atrial Tachycardia (Supraventricular Tachycardia) 97

Atrial Fibrillation 98

Nodal (Junctional) Rhythm 103

Heart Block 103

Ventricular Arrhythmias 104

Ventricular Premature Beats 104

Ventricular Tachycardia 104

Accelerated Idioventricular Rhythm 105

Ventricular Fibrillation 105

Summary 106

Chapter 7 Congenital Heart Disease 107

Congenital Heart Defects Presenting in Early Life 108

Heart Defects Emerging Later in Life 108

Disorders Causing Functional Abnormalities 109

Causes of Congenital Heart Disease 110

Genetic Causes 111

Infections and Other Diseases 112

Drugs and Chemicals 113

Radiation 113

Types of Congenital Heart Disease 114

Patent Foramen Ovale 115

Atrial Septal Defect 117

Ventricular Septal Defect 117

Atrioventricular Canal Defect 119

Patent Ductus Arteriosus 119

Tetralogy of Fallot 120

Biscuspid Aortic Valve 120

Coarctation of the Aorta 121

Hypoplastic Heart Syndromes 121

Transposition of the Great Arteries 122

Signs and Symptoms 122

Diagnosis and Treatment 123

Clinical Examination 123

Diagnostic Testing 123

Genetic Testing 124

Ethical and Moral Issues 124

Summary 125

Chapter 8 Tests for Heart Disease 127

Tests That Examine Electrical Functions of the Heart 128

Electrocardiography 128

Holter Monitoring 130

Telemetry of the EKG 131

Electrophysiological Testing 131

Tests That Examine Anatomical and Mechanical Functions of the Heart 132

Exercise Stress Testing 132

Stress Tests with Imaging 137

Complications 138

Echocardiography 139

Cardiac Catheterization 141

Radiological Studies of the Heart 143

Summary 145

Chapter 9 External and Implantable Cardiac Devices 147

General Considerations 148

Pacemakers and What They Do 150

External Temporary Pacing of the Heart 152

Implantable Cardioverter-Defibrillators 153

Artificial Hearts and Ventricular Assist Devices 154

Other Mechanical Devices 155

Complications 155

Ethical and Legal Issues 156

Summary 157

Chapter 10 Surgical Treatment for Heart Disease 159

The Operating Room 161

Preparation for Surgery 163

The Operative Procedure 163

Cardiac Surgery for Selected Conditions 166

Coronary Bypass Surgery 166

Valve Surgery 170

Congenital Heart Defects 171

Heart Transplants 172

Pericardial Disease 175

Postoperative Recovery Period 176

Complications of Cardiac Surgery 178

Non-Life-Threatening Complications 178

Major and Life-Threatening Complications 179

Summary 180

Chapter 11 Cardiac Arrest and Resuscitation 181

Early History of Resuscitation 184

Evolution of Defibrillation in the 20th Century 186

Electrophysiology of Cardiac Arrest 188

Causes of Sudden Cardiac Death 190

Coronary Artery Disease 190

Cardiomyopathy 191

Genetic Electrical Abnormalities 191

Idiopathic Causes 192

Drugs and Chemicals 192

Dietary Causes 193

Hypothermia 194

Trauma to the Chest 194

Electrocution 194

Asystole 195

Defibrillator Devices 196

External Defibrillators 196

Automated External Defibrillators 197

Implantable Defibrillators 198

Wearable External Defibrillators 198

Cardiopulmonary Resuscitation (CPR) 198

What Is CPR? 199

How Is CPR Done? 199

CPR in the Community 200

Indications for CPR 201

Neurological Damage from Cardiac Arrest 201

Contraindications to CPR 202

Summary 203

Chapter 12 Risk Factors for Coronary Heart Disease and Preventive Strategies 205

Concept of Risk Factors for Coronary Heart Disease 208

The Framingham Study 208

Major Risk Factors for Coronary Heart Disease 209

Age, Sex, and Heredity 210

Cholesterol Profile 212

Symptoms 213

Diagnosis 213

Smoking 218

High Blood Pressure 219

Inactivity and Obesity 220

Diabetes 221

Contributory Risk Factors for Coronary Heart Disease 222

Prevention of CVD 227

Primary Prevention of Heart Disease 228

Secondary Prevention of Heart Disease 230

Cardiovascular Disease in Women 231

Summary of Studies Related to This Chapter 234

Chapter 13 Future Trends in Heart Disease 235

Genomics and Genetics 239

Stem Cells and Heart Repair 241

Surgical Treatments 242

Prediction of Myocardial Infarction 243

Sudden Cardiac Death 244

Drug Development 245

Longevity Research 246

Summary 247

Time Line 249

Glossary 257

Useful References and Websites 264

Index 265

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