描述
开 本: 16开纸 张: 胶版纸包 装: 平装-胶订是否套装: 否国际标准书号ISBN: 9787302676553
一书在手，帮您解决心血管会诊常见问题！
这本书涵盖了广泛的主题，包括胸痛、冠状动脉疾病，心力衰竭，瓣膜性心脏病、心律失常、高血压病、心包疾病、妊娠相关疾病、非心脏外科手术的心血管风险评估，均是临床工作中会诊常见的问题。每一个章节的内容包括该疾病的概述、临床表现、诊断、治疗，包括基础理论知识和最新进展，最后概括出会诊中的常见问题及解决方法，具体的会诊流程和思路。心血管内科是所有综合性医院被请会诊最多的专业之一，有病情复杂、急危重病多、突发病情变化几率大等特点，对会诊医生要求较高，本书的会诊常见问题和解决方法、会诊流程和思路，是本书的一大特色，对规培医生、心血管内科住院总医生、心血管内科低年资主治医生有重要的指导意义。
Chapter 1 Coronary Artery Disease1
Section 1 Differential Diagnosis of Chest Pain1
Section 2 Diagnosis and Early Treatment of Acute Coronary Syndrome9
Section 3 The Management of ST-Segment Elevation Myocardial Infarction15
Section 4 Diagnosis and Treatment of Sudden Cardiac Death24
Section 5 Analysis of Causes for Abnormal Cardiac Injury Markers33
Section 6 Diagnosis and Treatment of Myocardial Bridges36
Section 7 Key Points for the Diagnosis and Treatment of Coronary Artery Disease39
Section 8 Strategies for CAD Myocardial Revascularization48
Section 9 Non-Invasive Assessment of Myocardial Ischemia51
Section 10 Diagnosis and Treatment of Vulnerable Plaques54
Section 11 Antiplatelet Therapy Strategies After PCI57
Section 12 Anti-thrombotic Therapy After PCI in Atrial Fibrillation61
Section 13 Management of Periprocedural Bleeding in PCI Patients66
Section 14 Common Questions in Consultation for Dyslipidemia70
Section 15 Thrombolytic Therapy for Acute Myocardial Infarction78
Section 16 Mechanical Complications of Acute Myocardial Infarction83
Chapter 2 Heart Failure88
Section 1 Differential Diagnosis Approach for Dyspnea88
Section 2 Advances in the Diagnosis and Treatment of Acute Left Heart Failure94
Section 3 Heart Failure with Preserved Ejection Fraction103
Section 4 Pharmacological Treatment of Chronic Heart Failure106
Section 5 Device Therapy for Heart Failure111
Section 6 Differential Diagnosis of Edema115
Section 7 Advances in Right Heart Failure117
Section 8 Cardiogenic Shock122
Section 9 Volume Management in Heart Failure128
Section 10 Clinical Application Value of BNP and NT-proBNP136
Section 11 Pulmonary Embolism140
Section 12 Cardiomyopathies145
Chapter 3 Arrhythmia163
Section 1 Causes and Management of Sinus Tachycardia163
Section 2 Diagnosis and Management of Narrow QRS Complex Tachycardias164
Section 3 Diagnosis and Management of Wide QRS Complex Tachycardias171
Section 4 Long QT Syndrome177
Section 5 Brugada Syndrome180
Section 6 Syncope185
Section 7 Pharmacotherapy for Atrial Fibrillation192
Section 8 Catheter Ablation for Atrial Fibrillation198
Section 9 Temporary Cardiac Pacing200
Section 10 Clinical Significance and Management of Various Premature
Contractions206
Chapter 4 Hypertension213
Section 1 Hypertensive Emergencies213
Section 2 Hypertensive Encephalopathy218
Section 3 Management of Hypertensive Aortic Dissection220
Section 4 Characteristics of Hypertension in the Elderly226
Section 5 Treatment Strategies for Hypertension in the Elderly228
Section 6 Treatment-Resistant Hypertension238
Section 7 Secondary Hypertension243
Chapter 5 Pericardial and Valvular Heart Diseases252
Section 1 Pericardial Effusion252
Section 2 Viral Myocarditis256
Section 3 Infective Endocarditis260
Section 4 Cardiac Valvular Diseases267
Section 5 Pulmonary Hypertension279
Section 6 Progress in Transcatheter Aortic Valve Replacement Technology289
Chapter 6 Pregnancy-Related Diseases293
Section 1 Hypertension in Pregnancy293
Section 2 Pregnancy Complicated by Arrhythmia302
VII
Contents
Section 3 Pregnancy Complicated by Coronary Heart Disease309
Section 4 Pregnancy Complicated by Aortic Disease315
Section 5 Pregnancy Complicated by Congenital Heart Disease321
Chapter 7 Cardiovascular Risk Assessment for Non-Cardiac Surgery330
Section 1 Preoperative Assessment330
Section 2 Surgical Risk Classification332
Section 3 Perioperative Cardiovascular Risk Assessment Methods334
Section 4 Preoperative Assessment and Management of Com-bined Card-iovascular
Diseases336
Section 5 Perioperative Examinations341
References344
Cardiovascular diseases, malignant tumors, and cerebrovascular diseases are the three major
diseases that threaten human health. Among them, cardiovascular disease is considered “the
number one killer”. Due to its rapid changing in condition and high risk of mortality, attending
physicians in cardiovascular medicine face a large volume of emergency consultations and routine
consultations daily. In the consultation cases, there are patients with other medical conditions
combined with cardiovascular diseases, surgical patients requiring preoperative cardiovascular
risk assessment, obstetrics and gynecology patients with concomitant cardiovascular diseases
requiring preoperative or delivery risk assessment, and patients with heart failure caused by
various reasons (such as chronic atrial fibrillation). Cases like coronary artery stenting patients
with gastrointestinal bleeding, cerebral hemorrhage, or the need for non-cardiac surgery
involve consultations on cardiac function assessment, anticoagulation, and antiplatelet therapy
management. These cases have a high level of specialization, and the attending physicians may
not fully explain the situation when consulting other departments, leading to repeated inquiries to
senior physicians or even repeated consultations from clinical departments. For these reasons, we
conceived the idea of inviting experienced clinicians who have been working on the front lines
to compile a book entitled Cardiovascular Consultation Summary to address common difficulties
encountered during clinical consultations, thereby meeting the needs of both the consulting
departments and the cardiovascular physicians providing consultations. Inevitably, due to our
limited capabilities, there may be oversights and shortcomings, and we would like to welcome
readers’ critiques and suggestions.
This book is divided into seven chapters that introduce the most common questions faced by
cardiovascular physicians during consultations. Chapter 1 covers coronary artery disease, which
has the highest incidence and broadest scope among critical cardiovascular diseases, including
differential diagnosis of acute chest pain, treatment procedures for ACS, diagnosis and treatment
of sudden death, risk stratification, treatment strategies, management of complications, and
medication management. Chapter 2 discusses the management of heart failure, which is the “final
battleground” of cardiovascular diseases, with not only a high incidence but also complex clinical
situations for some patients. In addition to introducing basic knowledge about heart failure,
this book also includes the differential diagnosis of dyspnea and edema, which are frequently
encountered during consultations. Chapter 3 covers arrhythmias, a challenging topic that most
physicians are hesitant to address. From the perspective of identifying and providing emergency
treatment for various high-risk arrhythmias, this book aims to help less experienced physicians
quickly grasp the principles of rapid identification and management. Chapters 4 and 5 discuss
IV
various clinical situations related to hypertension, pericardial diseases, and valvular diseases,
including refractory hypertension, secondary hypertension, and pulmonary hypertension, which
are frequently encountered during consultations. Chapter 6 introduces the management principles
for various cardiovascular diseases during pregnancy. With the implementation of the two-
child policy and the increase in women’s educational level, the number of older and medically
complicated pregnancies has surged, necessitating greater knowledge in this area for consulting
physicians. Chapter 7 covers cardiovascular risk assessment for non-cardiac surgeries, which is
a significant consultation request from surgical departments. This book discusses preoperative
assessment, surgical risk classification, perioperative cardiovascular evaluation methods, the
management of concomitant cardiovascular diseases, and perioperative examinations.
We believe that the issues faced by cardiovascular physicians during consultations are not
limited to the above content. This book aims to familiarize consulting physicians with the most
common clinical scenarios and effective management strategies to meet the majority of clinical
needs.
Editors
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