Heart Failure

by Gardner, Roy S.; McDonagh, Theresa A.; Walker, Niki L.

• ISBN13: 9780199205738
• ISBN10: 0199205736
• Edition: 1st
• Format: Paperback
• Copyright: 2007-11-17
• Publisher: Oxford University Press

Summary

Heart failure is an important and ever expanding sub-specialty of cardiology. Many health care professional bodies are now developing specialist expertise in heart failure. This is true for cardiologists in training, consultant cardiologists, care of the elderly and general physicians, cardiothoracic surgeons, primary care doctors, pharmacists and specialist nurses. With advances in medical therapy, the prognosis of the condition has improved dramatically. Whereas once heart failure was a pre-terminal diagnosis, now for many it is treatable. However, some patients remain symptomatic and at high risk of death depite maximal medical therapy. These patients can benefit from a range of novel device therapies. Of course for those who remain symptomatic despite optimal treatment, cardiac transplantation remains an option. This book comprehensively covers all aspects necessary to manage a patient with heart failure. It gives simple, clear advice on the diagnosis, investigation and treatment options available, highlighting the current evidence-base. The chapters provide concise and objective information to guide all health care professionals involved in modern day multi-disciplinary management of the syndrome. The book is set out logically to mirror the patient journey in heart failure. This book is the first practical manual of heart failure management that addresses the needs of all the health care professionals involved. The ultimate aim of this book is to facilitate the practice of optimal evidence-based management for heart failure patients.

Author Biography

Roy Gardner graduated from Dundee University in 1996. He is a specialist registrar in cardiology in Glasgow and has a specialist interest in heart failure. He was awarded an MD in 2006 for markers of prognosis in advanced heart failure and has a particular interest in the assessment of patients for cardiac transplantation.
Theresa McDonagh graduated from Edinburgh University in 1987. She trained in Cardiology at the Western Infirmary, Glasgow. She was involved in the research into epidemiology of Left Ventricular Dysfunction in North Glasgow and early work on BNP as a biomarker in Heart Failure. Subsequently, she was appointed as a Senior Lecturer to run the Heart Failure Service for Glasgow Royal Infirmary and the Transplant Assessment Programme for Scotland. She has continued research into prognostic biomarkers in Heart Failure. Currently, she is the Clinical and Research lead for Heart Failure at the Royal Brompton Hospital, London, where she combines a clinical interest Heart Failure with clinical research.
Niki Walker graduated from Glasgow University in 1993, 1996 and again in 2004. During the course of her PhD she studied ventricular arrythmia mechanisms in heart failure. She is currently a specialist registrar in Cardiology in the West of Scotland deanery.

Table of Contents

Chronic heart failure
Definition, epidemiology, and pathophysiology	p. 3
Diagnosis and investigation	p. 19
Estimating prognosis	p. 33
Non-pharmacological management	p. 43
Pharmacological management	p. 55
Device therapy in CHF	p. 67
Coronary revascularization in heart failure	p. 95
Other surgical techniques	p. 103
Cardiac transplantation	p. 121
Chronic heart failure and co-morbid conditions
The patient with CHF and angina	p. 139
The patient with CHF and arrhythmias	p. 147
The patient with CHF and arthritis	p. 145
The patient with CHF and anaemia	p. 179
The patient with CHF and adult congenital heart disease	p. 187
The patient with CHF and diabetes mellitus	p. 203
The patient with CHF and obstructive lung disease	p. 211ä
The patient with CHF and renal dysfunction	p. 211ä
The patient with CHF and valvular disease	p. 225ä
The patient with CHF and specific heart muscle disease	p. 2ä
The patient with CHF and preserved LV systolic function	p. 301
The patient with CHF and sleep-disordered breathing	p. 317
The patient with CHF and cancer	p. 325
Acute heart failure
Acute heart failure: from definition to diagnosis	p. 341
Acute heart failure: management	p. 351
Procedures
Central venous cannulation	p. 373
Cardiac catheterization	p. 379
Cardiac biopsy	p. 393
IABP insertion	p. 399
Cardio-pulmonary exercise testing	p. 407
Assessment of dyssynchrony	p. 413
Detailed pharmacology and evidence base for drugs
ACE inhibitors	p. 425
[beta]-adrenoreceptor antagonists	p. 437
Aldosterone antagonists	p. 453
Angiotensin receptor antagonists	p. 461
Diuretics	p. 471
Inotropes and vasopressors	p. 481
Vasodilators	p. 501
How to set up and run a heart failure service
Heart failure services	p. 513
End of life issues
Palliative care	p. 525
Table of Contents provided by Blackwell. All Rights Reserved.