Management of Cardiovascular Disease, An Issue of Medical Clinics of North America

Deborah Wolbrette

Description

This issue of Medical Clinics of North America, Guest Edited by Deborah Wolbrette, MD is devoted to Cardiovascular Disease. Dr. Wolbrette has assembled a group of expert authors to review the following topics: Syncope due to Autonomic Dysfunction: Diagnosis and Management; 2013 Lipid Guidelines; 2014 Guideline for the Management of High Blood Pressure (JNC8); How to Follow Patients with Aortic and Mitral Valve Disease; The New Anticoagulants; Management of Atrial Fibrillation; Indications for Pacemakers, Implantable Defibrillators and Resynchronization Therapy; Current Status of Transcatheter Aortic Valve Replacement (TAVR); Chest Pain Evaluation: When to Order Troponin and Stress Tests/Cost Analysis; Indications for Cardiac MRI; Current Management of Heart Failure: When to Refer to Heart Failure Specialist and When is Hospice the Best Option; and Emerging Role of Digital Technology/Remote Monitoring in the Care of Cardiac Patients.

Sujets

• Médecine
• Spécialités médicales
• Médecine Générale
• Medical
• Cardiology

Informations

• Publié par: Elsevier
• Date de parution: 25 juin 2015
• Nombre de lectures: 0
• EAN13: 9780323391061
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Clinics Review Articles MEDICAL CLINICS OF NORTH AMERICA
Management of Cardiovascular Disease

Deborah L. Wolbrette, MD
Penn State M. S. Hershey Center, Penn State Heart & Vascular Institute, Hershey, PA, USA
ISSN  0025-7125 Volume 99 • Number 4 • July 2015
Elsevier
Table of Contents
Cover image
Title page
Copyright
CME Accreditation Page
Target Audience
Learning Objectives
Accreditation
Disclosure of Conflicts of Interest
Unapproved/Off-Label Use Disclosure
To Enroll
Method of Participation
CME Inquiries/Special Needs
Forthcoming Issues
Forthcoming Issues
Recent Issues
Contributors
Consulting Editors
Editor
Authors
Foreword: Management of Cardiovascular Disease
Preface
Syncope due to Autonomic Dysfunction
Key points
Objectives
Introduction
Pathophysiology of syncope
Reflex syncope
Orthostatic hypotension
Cardiac syncope
Evaluation of the patient with syncope
Establishing the cause of the syncope
Critical features of the history
Physical examination
Ancillary testing
Autonomic nervous system testing
Valsalva maneuver
Treatment of specific conditions
Summary
Cardiovascular Disease Risk Assessment and Prevention
Key points
Introduction
Atherosclerotic cardiovascular disease risk factors
Limitations of current risk assessment systems/scores
Clinical guidelines
2014 Guideline for the Management of High Blood Pressure (Eighth Joint National Committee)
Key points
Treatment initialization and goals
Treatment drugs of choice
Summary
How to Follow Patients with Mitral and Aortic Valve Disease
Key points
General principles
Aortic stenosis
Diagnostic tests
Aortic regurgitation
Acute aortic regurgitation
Mitral stenosis
Primary mitral regurgitation
Secondary mitral regurgitation
Summary
New Oral Anticoagulants
Key points
Introduction
Pharmacology
Drug monitoring with novel oral anticoagulants
Trials on newer anticoagulants
Clinical considerations
Potential sources of error in novel oral anticoagulant use
Special considerations
Novel oral anticoagulants in deep vein thrombosis/pulmonary embolism
Summary
Management of Atrial Fibrillation
Key points
Introduction
Management of atrial fibrillation
Management of the underlying disease and risk factors
Prevention of thromboembolism
Rate control
Rhythm control
Current difficulties and areas of future development
Indications for Pacemakers, Implantable Cardioverter-Defibrillator and Cardiac Resynchronization Devices
Key points
Introduction
Pacemakers
Implantable cardioverter-defibrillator
Cardiac resynchronization therapy
Summary
Current Status of Transcatheter Aortic Valve Replacement
Key points
Indications/contraindications
Implantation technique and approaches
Outcomes with current transcatheter aortic valve replacement platforms
Summary
Chest Pain Evaluation in the Emergency Department
Key points
Introduction
Pathophysiology
Patient history and physical
Clinical findings
Imaging and additional testing
Future considerations/summary
Cardiac MRI
Key points
Introduction
Image acquisition
Imaging applications and techniques
Clinical uses and indications
Safety
Summary
Current Management of Heart Failure
Key points
Etiology of heart failure
Acute heart failure
Chronic heart failure
Emerging Role of Digital Technology and Remote Monitoring in the Care of Cardiac Patients
Key points
Introduction
Management goals
Available technologies
Future considerations
Summary
Index
Copyright
ELSEVIER
1600 John F. Kennedy Boulevard • Suite 1800 • Philadelphia, Pennsylvania, 19103-2899
http://www.theclinics.com
MEDICAL CLINICS OF NORTH AMERICA Volume 99, Number 4
July 2015 ISSN 0025-7125, ISBN-13: 978-0-323-39105-4
Editor: Jessica McCool
Developmental Editor: Susan Showalter
© 2015 Elsevier Inc. All rights reserved.
This periodical and the individual contributions contained in it are protected under copyright by Elsevier, and the following terms and conditions apply to their use:
Photocopying
Single photocopies of single articles may be made for personal use as allowed by national copyright laws. Permission of the Publisher and payment of a fee is required for all other photocopying, including multiple or systematic copying, copying for advertising or promotional purposes, resale, and all forms of document delivery. Special rates are available for educational institutions that wish to make photocopies for non-profit educational classroom use. For information on how to seek permission visit www.elsevier.com/permissions or call: ([phone] (UK)/([phone] (USA).
Derivative Works
Subscribers may reproduce tables of contents or prepare lists of articles including abstracts for internal circulation within their institutions. Permission of the Publisher is required for resale or distribution outside the institution. Permission of the Publisher is required for all other derivative works, including compilations and translations (please consult www.elsevier.com/permissions ).
Electronic Storage or Usage
Permission of the Publisher is required to store or use electronically any material contained in this periodical, including any article or part of an article (please consult www.elsevier.com/permissions ). Except as outlined above, no part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior written permission of the Publisher.
Notice
No responsibility is assumed by the Publisher for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made.
Although all advertising material is expected to conform to ethical (medical) standards, inclusion in this publication does not constitute a guarantee or endorsement of the quality or value of such product or of the claims made of it by its manufacturer.
Medical Clinics of North America (ISSN 0025-7125) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of publication are January, March, May, July, September, and November. Business and editorial offices: 1600 John F. Kennedy Boulevard, Suite 1800, Philadelphia, PA 19103-2899. Periodicals postage paid at New York, NY, and additional mailing offices. Subscription prices are USD $255.00 per year (US individuals), $471.00 per year (US institutions), $125.00 per year (US Students), $320.00 per year (Canadian individuals), $612.00 per year (Canadian institutions), $200.00 per year (Canadian and foreign students), $390.00 per year (foreign individuals), and $612.00 per year (foreign institutions). To receive student/resident rate, orders must be accompanied by name of affiliated institution, date of term, and the signature of program/residency coordinator on institution letterhead. Orders will be billed at individual rate until proof of status is received. Foreign air speed delivery is included in all Clinics’ subscription prices. All prices are subject to change without notice. POSTMASTER: Send address changes to Medical Clinics of North America , Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043. Customer Service: Telephone: [phone] (U.S. and Canada); 1-314-447-8871 (outside U.S. and Canada). Fax: [phone]. E-mail: [e-mail] (for print support); [e-mail] (for online support).
Reprints . For copies of 100 or more of articles in this publication, please contact the Commercial Reprints Department, Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Tel.: [phone]; Fax: [phone]; E-mail: [e-mail] .
Medical Clinics of North America is also published in Spanish by McGraw-Hill Interamericana Editores S. A., P.O. Box 5-237, 06500 Mexico, D.F., Mexico.
Medical Clinics of North America is covered in MEDLINE/PubMed (Index Medicus), Current Contents, ASCA, Excerpta Medica, Science Citation Index, and ISI/BIOMED.
Printed in the United States of America.
CME Accreditation Page


Program Objective
The goal of the Medical Clinics of North America is to keep practicing physicians up to date with current clinical practice by providing timely articles reviewing the state of the art in patient care.

Target Audience
All practicing physicians and other healthcare professionals.

Learning Objectives
Upon completion of this activity, participants will be able to:

1.  Review the diagnosis and management of cardiovascular disease and high blood pressure.
2.  Discuss treatment options for atrial fibrillation.
3.  Recognize the use of technological advancements in monitoring the care of cardiac patients.

Accreditation
The Elsevier Office of Continuing Medical Education (EOCME) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The EOCME designates this enduring material for a maximum of 15 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
All other health care professionals requesting continuing education credit for this enduring material will be issued a certificate of participation.

Disclosure of Conflicts of Interest
The EOCME assesses conflict of interest with its instructors, faculty, planners, and other individuals who are in a position to control the content of CME activities. All relevant conf