Evidence-Based Cardiology / Edition 3

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Evidence based Cardiology was first published in 1998 to universal acclaim. Now, with the move towards more patient focused health care and at the same time increased emphasis on health economics, evidence-based practice is a more important force in health care delivery than ever.

This new third edition, written by the world’s leading cardiologists, provides graded evidence-based reviews of the major trials together with recommendations for optimum management, and now includes new grading and recommendation methodology.

This is a unique book in the field of cardiology, and the largest evidence based clinical cardiology text.

The book contains black-and-white illustrations.

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Editorial Reviews

From The Critics
Reviewer: Carlos D Giraldo, MD (Ochsner Clinic Foundation)
Description: This is an update of an overview of the best evidence for the diagnosis and management of cardiovascular disorders. The previous edition was published in 2003.
Purpose: This book is intended to be used in two ways: as a reference for in-depth understanding of cardiovascular disorders, and as a guide to the best evidence to guide the management of specific cardiovascular conditions.
Audience: Students, physicians in training, midlevel practitioners, and practicing clinicians are the intended readers.
Features: Part I of the book's four parts addresses concepts related to evidence-based cardiology and critical appraisal. Part II is devoted to preventive strategies; part III encompasses the management of specific cardiovascular disorders; and part IV focuses on how the evidence base can be used in individual case studies. This edition includes new chapters on vascular complications in patients undergoing noncardiac surgery, occupational cardiology, ablation therapies for atrial fibrillation, adult congenital heart disease, and adjunctive therapies for coronary reperfusion. Many useful summary tables integrate state-of-the-art evidence with clinical practice challenges.
Assessment: The is a useful addition to the field of cardiology that expands on current comprehensive books, such as the Mayo Clinic Cardiology: Concise Textbook, 3rd edition, Murphy and Lloyd (Informa Healthcare, 2007), by incorporating current clinical trial data in a format that helps with clinical decision making. The authors have succeeded in creating a multidimensional reference that fulfills their objectives, explaining the how and why of specific interventions.
John F. Moran
This multiauthored text on evidence based cardiology is divided into four sections covering general concepts, prevention, complications and presentations of coronary artery disease, and clinical cases. The purpose is to present a proper balance between objective therapy and empiric therapy. The authors integrate clinical expertise with available clinical evidence based on systematic research. The authors target a wide audience consisting of undergraduate and graduate physicians. All practitioners interested in cardiovascular medicine would benefit from a reading of this text since its focus is on the practical applications of clinical research in practice. The book provides an extensive review of clinical trials in all areas of cardiovascular management. They define evidence based cardiology as a conscientious, explicit, judicious use of current best evidence in making decisions about the care of cardiac patients. The chapters range widely from discussion of sensitivity and specificity of a test to case management of patients with congestive heart failure. Quality of life measurements and health economics as well as literature searches are considered. Evidence based cardiology is divided in three grades -- A, B and C. Grade A evidence is that derived from randomized clinical trials, systematic reviews and meta-analysis. Grade B evidence comes from non-randomized studies and case control studies. Grade C evidence is best opinion from experts. There are several tables in the book that list all trials as well as pertinent findings. All illustrations are in black and white. A shortcoming of the text might be the fact that regular updates will be required as new evidence becomesavailable. There is no other text in the field quite like this one and it is recommended for all practitioners of cardiovascular medicine. It expands the material available in Hurst's the Heart, Arteries and Veins, 9th edition, by Alexander et al. (McGraw-Hill, 1997) and Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 5th edition (WB Saunders, 1997). It indirectly provides a lot of opportunities for research trials since it demonstrates gaps in our knowledge. In the final analysis, the problem with evidence based cardiology is that we need more of it.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781405159258
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 12/9/2009
  • Series: Evidence-Based Medicine Series , #25
  • Edition number: 3
  • Pages: 1240
  • Sales rank: 1,412,502
  • Product dimensions: 8.90 (w) x 11.00 (h) x 2.30 (d)

Meet the Author

Salim Yusuf, Professor of Medicine, Heart and Stroke Foundation Chair in Cardiology, and Director of the Population Health Research Institute, McMaster University, Hamilton, Ontario.

John Cairns Dean, Faculty of Medicine, University of British Columbia.

John Camm, Professor of Clinical Cardiology and Head of the Department of Cardiac & Vascular Sciences at St George's, University of London.

Ernest Fallen, Professor Emeritus in Cardiology and Tutor in Cardiology Residency Program, McMaster University, Hamilton, Ontario.

Bernard Gersh, Professor of Medicine, Department of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota.

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Table of Contents

Contributors xi
Preface to the Second edition xvii
Preface to the First edition xix
Glossary xxi
Part I General concepts and critical appraisal 1
1 What is evidence-based cardiology? 3
2 A critical appraisal of the cardiovascular history and physical examination 14
3 Obtaining incremental information from diagnostic tests 23
4 Clinical trials and meta-analysis 34
5 Finding current best evidence to practice evidence-based cardiology 40
6 Understanding concepts related to health economics 46
7 Introduction to decision analysis 56
8 Assessing and changing cardiovascular clinical practices 71
Part II Prevention of cardiovascular diseases 89
9 Global perspective on cardiovascular disease 91
10 Tobacco: global burden and community solutions 103
11 Tobacco and cardiovascular disease: achieving smoking cessation 114
12 Lipids and cardiovascular disease 121
13 Use of lipid lowering agents in the prevention of cardiovascular disease 130
14 Blood pressure and cardiovascular disease 146
15 Glucose abnormalities and cardiovascular disease: "dysglycemia" as an emerging cardiovascular risk factor 161
16 Physical activity and exercise in cardiovascular disease prevention and rehabilitation 170
17 Psychosocial factors in the primary and secondary prevention of coronary heart disease: an updated systematic review of prospective cohort studies 181
18 Emerging approaches in cardiovascular prevention 219
19 Obesity 231
20 Postmenopausal hormone therapy and cardiovascular disease 244
21 Ethnicity and cardiovascular disease 259
22 The fetal origins of coronary heart disease 279
23 Molecular genetics of cardiovascular disorders 287
24 Cost effectiveness of prevention of cardiovascular disease 300
25 Diet and cardiovascular disease 309
Part IIIa Specific cardiovascular disorders: Stable coronary artery disease 327
26 Anti-ischemic drugs 329
27 Impact of revascularization procedures in chronic coronary artery disease on clinical outcomes: a critical review of the evidence 339
28 Adjunctive medical therapy in percutaneous coronary intervention 360
29 Restenosis: etiologies and prevention 371
Part IIIb Specific cardiovascular disorders: Acute ischemic syndromes and acute myocardial infarction 395
30 Acute non-ST-segment elevation coronary syndromes: unstable angina and non-ST-segment elevation myocardial infarction 397
31 Fibrinolytic therapy 426
32 Mechanical reperfusion strategies in patients presenting with acute myocardial infarction 444
33 Adjunctive antithrombotic therapy for ST-elevation acute myocardial infarction 456
34 Pain relief, general management, and other adjunctive treatments 477
35 Complications after myocardial infarction 488
36 An integrated approach to the management of patients after the early phase of the acute coronary syndromes 507
Part IIIc Specific cardiovascular disorders: Atrial fibrillation and supraventricular tachycardia 517
37 Atrial fibrillation: antiarrhythmic therapy 519
38 Atrial fibrillation: antithrombotic therapy 548
39 Atrial fibrillation: non-pharmacologic therapies 556
40 Supraventricular tachycardia: drugs v ablation 567
Part IIId Specific cardiovascular disorders: Ventricular arrhythmias, bradyarrhythmias and cardiac arrest 575
41 Prevention and treatment of life-threatening ventricular arrhythmia and sudden death 577
42 Impact of pacemakers: when and what kind? 587
43 Syncope 619
44 Cardiopulmonary resuscitation 634
Part IIIe Specific cardiovascular disorders: Left ventricular dysfunction 641
45 Prevention of congestive heart failure and treatment of asymptomatic left ventricular dysfunction 643
46 Management of overt heart failure 659
47 Acute myocarditis and dilated cardiomyopathy 681
48 Hypertrophic cardiomyopathy 703
49 Other cardiomyopathies 718
Part IIIf Specific cardiovascular disorders: Pericardial disease 733
50 Pericardial disease: an evidence-based approach to diagnosis and treatment 735
Part IIIg Specific cardiovascular disorders: Valvular heart disease 749
51 Rheumatic heart disease: prevention and acute treatment 751
52 Mitral valve disease: indications for surgery 758
53 Indications for surgery in aortic valve disease 767
54 Balloon valvuloplasty: aortic valve 782
55 Balloon valvuloplasty: mitral valve 796
56 Valve repair and choice of valves 809
57 Diagnosis and management of infective endocarditis 817
58 Antithrombotic therapy after heart valve replacement 832
Part IIIh Specific cardiovascular disorders: Other conditions 837
59 Treatment of patients with stroke 839
60 Heart disease and pregnancy 853
61 Venous thromboembolic disease 864
62 Peripheral vascular disease 877
Part IV Clinical applications 887
63 Clinical applications of external evidence 889
64 Stable angina: choice of PCI v CABG v drugs 892
65 Acute coronary syndromes 896
66 Acute myocardial infarction 902
67 Postmyocardial infarction: preventive measures 906
68 Metabolic risk and secondary prevention of coronary disease 909
69 Peripheral vascular disease with suspect coronary artery disease 912
70 Heart failure 915
71 Atrial fibrillation 921
72 Ventricular dysrhythmias: pharmacologic v non-pharmacologic treatment 925
73 Bradyarrhythmias: choice of pacemaker 931
74 Valvular heart disease: timing of surgery 934
Index 939
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