Controversies in Cardiology

ISBN-13: 9783319204147 / Angielski / Miękka / 2015 / 417 str.

John A. Ambrose; Alfredo E. Rodriguez

Opis

This book will consider several clinical and interventional topics for which there is uncertainty, continued debate and/or no consensus based on current guidelines. While there are numerousguidelines in cardiology, new and on-going trials that address new drugs treatmentsand procedures raisemany unanswered questions. Furthermore, most practicing cardiologist taking care of the patients arelikely unable to digest all of these studies or guidelines and necessarily correctly apply them to their patients. If one considers in the guidelinesthe frequent use of Level C (consensus), there are many areas or situations where no trial exists. Also, when applying the results of a trial to an individual patient, there can be uncertainty of how this patient should be managed based on the present body of evidence."

Spis treści

​Section 1.  Special situations of controversial, increased, or unknown cardiovascular risk.- Optimal management of old and new CV risk factors.- Angiographic narrowing prior to ST elevation MI. Are the lesions non-obstructive?.- Preventing future acute coronary events - Identify and treat vulnerable plaques or vulnerable, high risk patients?.- Treatment of diabetes and coronary artery disease.- Elevated triglycerides and atherosclerosis.- Patent foramen ovale and stroke.- Systolic hypertension in the elderly.- Section 2. Cardiovascular diagnosis.- CT angiography vs routine stress testing in patients with chest pain seen in the emergency room to exclude coronary artery disease.- Takotsubo cardiomyopathy- frequency, diagnosis and management.- Chest pain in women – evaluation and management.- Section 3. Cardiovascular management.- Myocardial infarction and “normal” coronary arteries on angiography.- Management of intractable angina when PCI or CABG is not an option.- Invasive management of CAD in patients on anticoagulants.- Managing intracoronary thrombus during PCI.- Optimal management of multivessel disease – PCI vs CABG vs medical therapy alone.- Appropriate therapy for severe left main disease.- Radial vs femoral procedures for angiography and PCI.- DAPT after stenting in stable and acute coronary syndromes – does the drug combination really matter?.- CAD management in patients with significant renal dysfunction or on dialysis.- What is the optimal stent design?.- Oral pharmacotherapy in the prevention of restenosis: prednisolone, rapamune, colchicine and   cilostazol.- When should ablation be considered in the treatment of atrial fibrillation?.- Use of advanced and expensive cardiac procedures in the very elderly- Can or should we limit access?.- Cost benefits of TAVR- Should the indications be expanded?.

O autorze

Dr. John Ambrose is an internationally renowned expert in coronary artery disease and is one of the great pioneers in acute coronary syndromes. He has published extensively and his work has laid the foundation for the current theories on unstable angina, myocardial infarction and the vulnerable plaque, among others.

Blurb

This book considers several clinical and interventional topics for which there is either uncertainty, continued debate and/or no consensus based on current guidelines. Leading international experts explore each controversy, probing the existing evidence and current opinions. Each chapter outlines the unresolved issues and includes a balanced and scholarly discussion of the subject, concluding with possible solutions and learned opinions on the subject.

While there are many guidelines in cardiology, new and on-going trials that address new treatments indicate that there are still many unanswered questions. Controversies in Cardiology provides a concise approach to aid busy cardiologists and trainees in choosing the most suitable management solutions and correctly applying these to their patients.