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While the majority of patients with symptomatic coronary artery disease (CAD) achieve acceptable angina relief through medical therapy, coronary artery bypass grafting and percutaneous coronary intervention, a growing number are not candidates for these procedures. Standard procedures are largely palliative, and symptom recurrence is relatively common, while the increase in obesity and type 2 diabetes may result in a potential explosion in severe, diffuse CAD. As these trends continue, the population of patients who fail to achieve adequate symptomatic improvement through standard medical and revascularization strategies will grow exponentially. Therapeutic options for these patients are currently limited, but experimental and developing strategies are appearing, including transmyocardial laser revascularization, therapeutic angiogenesis, spinal cord stimulation, external counterpulsation, various novel medical therapies and complex percutaneous and surgical revascularization strategies. Coronary Artery Disease: New Approaches without Traditional Revascularization is a comprehensive and clinically oriented review of the epidemiology and basic science foundation for studies in this challenging group of patients. Current and novel treatment strategies are put in the context of past failures and future directions, and the Editors and their carefully chosen group of contributors provide a fascinating insight into the direction and focus for clinical practice and research in this area. As such this book is an important reference not only for clinical cardiologists, cardiac surgeons and interventionalists but also researchers into novel diagnostic measures, new surgical techniques and other treatment regiments in CAD.
Coronary heart disease -- Treatment. --- Coronary heart disease. --- Coronary heart disease --- Myocardial Ischemia --- Vascular Diseases --- Heart Diseases --- Cardiovascular Diseases --- Diseases --- Coronary Disease --- Medicine --- Health & Biological Sciences --- Treatment --- Myocardial revascularization. --- Surgery. --- Revascularization, Myocardial --- Coronary arteries --- Coronary arteriosclerosis --- Coronary disease --- Coronary thrombosis --- Ischemic heart disease --- Myocardial ischemia --- Medicine. --- Cardiology. --- Medicine & Public Health. --- Heart --- Type A behavior --- Surgery
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Recent developments in the field of percutaneous coronary intervention and encouraging data relating to feasibility and safety have led to a renewed interest in left main angioplasty. Interventional cardiologists are faced with the challenge represented by this complex subset of lesions. The first part of this practical handbook specifically deals with the development of the anatomical classification and gives an overview of the frequency of different anatomic phenotypes. The second part provides a comprehensive knowledge on the techniques and approach to left main coronary artery disease and discuss the potential complications. The authors draw on their practical experience to look at expected or potential morbidity from percutaneous coronary intervention. The aim of this book is to provide interventional cardiologists with useful tips and tricks for percutaneous coronary intervention of the left main coronary artery.
Angioplasty. --- Coronary heart disease -- Surgery. --- Coronary heart disease -- Treatment. --- Heart -- Diseases -- Treatment. --- Cardiac Surgical Procedures --- Coronary Artery Disease --- Coronary Disease --- Thoracic Surgical Procedures --- Arteriosclerosis --- Cardiovascular Surgical Procedures --- Surgical Procedures, Operative --- Myocardial Ischemia --- Arterial Occlusive Diseases --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Vascular Diseases --- Heart Diseases --- Cardiovascular Diseases --- Diseases --- Medicine --- Health & Biological Sciences --- Coronary heart disease. --- Heart --- Diseases. --- Cardiac diseases --- Heart diseases --- Coronary arteries --- Coronary arteriosclerosis --- Coronary disease --- Coronary thrombosis --- Ischemic heart disease --- Myocardial ischemia --- Medicine. --- Cardiology. --- Surgery. --- Cardiac surgery. --- Medicine & Public Health. --- Cardiac Surgery. --- Cardiology --- Type A behavior --- Cardiac surgery --- Open-heart surgery --- Internal medicine --- Surgery, Primitive --- Surgery
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Acute coronary syndromes (ACS) is an umbrella term used to describe a series of signs and symptoms indicative of myocardial ischemia, comprising unstable angina, non-ST segment elevation myocardial infarction, and ST segment elevation myocardial infarction. Managing Acute Coronary Syndromes in Clinical Practice is an essential resource for the clinician in the management of ACS. In addition to providing a comprehensive overview of the epidemiology and clinical presentation of ACS, it also guides the reader through risk assessment, risk stratification, diagnosis, and treatment of ACS. The book concludes with a discussion on emerging technologies in the treatment of ACS. The handbook format and ample use of illustrations make this pocketbook an excellent resource for General Practitioners, Emergency Medicine Physicians, Nurses, Nurse Practitioners, Pharmacists, Physician Trainees, Medical Students, Nursing Students, and Paramedics who wish to keep up-to-date with recent advances in the understanding and treatment of ACS.
Acute Coronary Syndrome -- Handbooks. --- Coronary heart disease -- Treatment. --- Medicine. --- Angina Pectoris --- Myocardial Ischemia --- Chest Pain --- Heart Diseases --- Vascular Diseases --- Cardiovascular Diseases --- Pain --- Signs and Symptoms --- Diseases --- Pathological Conditions, Signs and Symptoms --- Acute Coronary Syndrome --- Medicine --- Health & Biological Sciences --- Coronary heart disease --- Heart --- Cardiac diseases --- Heart diseases --- Treatment. --- Diseases. --- General practice (Medicine). --- Cardiology. --- Cardiac surgery. --- Medicine & Public Health. --- General Practice / Family Medicine. --- Cardiac Surgery. --- Cardiology --- Family medicine. --- Surgery. --- Cardiac surgery --- Open-heart surgery --- Family practice (Medicine) --- General practice (Medicine) --- Physicians (General practice) --- Internal medicine --- Surgery
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