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Measure Of The Heart

Author: Mary Ellen Geist
Publisher: Hachette UK
ISBN: 0446537918
Size: 36.44 MB
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Mary Ellen Geist decided to leave her job as a CBS Radio anchor to return home to Michigan when her father's Alzheimer's got to be too much for her mother to shoulder alone. She chose to live her life by a different set of priorities: to be guided by her heart, not by outside accomplishment and recognition. The New York Times wrote a front page story on Mary Ellen on Thanksgiving 2005. It was one of the most e-mailed stories for the month. Through her own story and through interviews with doctors and other women who've followed the "Daughter Track"--leaving a job to care for an aging parent--Geist offers emotional insights on how to encourage interaction with the loved one you're caring for; how to determine daily tasks that are achievable and rewarding; how the personality of the patient affects the caregiving and the progression of the diseases; as well as invaluable advice about how caregivers can take care of themselves while accomplishing the Herculean task of constantly caring for others. Geist's years in journalism allow her to report on Boomers' caretaking dilemmas with professional objectivity, and her warm voice brings compassion and insight to one of the most difficult stituations a son or daughter may face during his or her life.

Electrical Diseases Of The Heart

Author: Ihor Gussak
Publisher: Springer Science & Business Media
ISBN: 1846288541
Size: 69.88 MB
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This book provides a unique contemporary and succinct distillation of the current status of recently delineated electrical diseases of the heart, emphasizing their common and diverse clinical features. The latest developments in the field of experimental and clinical cardiac electrophysiology, genetics, pharmacology and interventional therapies of various clinical arrhythmogenic entities are featured and discussed in terms of recent advances in basic and clinical science. The book is divided into seven major parts. Each part consists of chapters (total of 64) dealing with related topics.

The Non Contact Measure Of The Heart Rate Variability By Laser Doppler Vibrometry Comparison With Electrocardiography

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Size: 72.11 MB
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Abstract: The assessment of the heart rate variability (HRV) is of utmost importance, being one of the most promising markers of the activity of the autonomic nervous system and associated to cardiovascular mortality. Different signals can be used to perform HRV, primarily electrocardiography (ECG), photoplethysmography (PPG), phonocardiography (PCG) or vibrocardiography (VCG), since the fundamental aspect is the individuation of a periodic feature strictly correlated with cardiac activity (i.e. R-peak in ECG or the first sound in PCG). In this work, the authors demonstrate that the VCG performances in HRV analysis are sufficiently accurate if compared to the ones measured by ECG (i.e. standard methodology); moreover, the authors want to prove the feasibility of such measurement in correspondence of different measurement points (i.e. carotid artery—which is the typical VCG measurement point—and the radial artery on the wrist)001 . Results show that VCG has a mean deviation of

Electrophysiological Disorders Of The Heart E Book

Author: Sanjeev Saksena
Publisher: Elsevier Health Sciences
ISBN: 1437709710
Size: 72.89 MB
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The new edition of Electrophysiological Disorders of the Heart helps you diagnose and treat a full range of heart rhythm disorders using today’s latest technologies and therapies. It provides practical, hands-on coverage of hot topics such as pediatric EP, imaging, echocardiography-guided EP procedures, regenerative therapies, cardiac pacing, and more. Now available in a new full-color format, the title also includes easy online access at www.expertconsult.com. Discover new ways to treat and manage the full range of heart rhythm disorders with content focused on common clinical features, diagnosis, and management. Review expert management strategies to help you handle complex patient problems. Stay current with the latest molecular and technical advances as well as new treatment options implemented over the last few years. Use the latest technologies and devices to accurately diagnose and manage heart rhythm disorders. Consult new and expanded coverage of regenerative therapies, echo-guided procedures, cardiac pacing, and CRT, as well as a new section on pediatric electrophysiology and imaging. Enjoy improved visual guidance with many new full-color images. Log on to www.expertconsult.com to easily search the complete contents online and access a downloadable image library.

Physiology And Pathophysiology Of The Heart

Author: Nicholas Sperelakis
Publisher: Springer Science & Business Media
ISBN: 1475711719
Size: 46.88 MB
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could go on for several pages. Thus the book edited This book emphasizes the fundamental, functional aspects of cardiology. Within the last thirty years, by Sperelakis IS a potent reminder of the almost for the rift between clinical and investigative cardiology gotten fact that cardiology has twO sites, inextrica has widened, because of the overwhelming devel bly related. opment of new clinical procedures, both diagnostic The book deals with subjects in which Dr. Sper and therapeutic. Almost forgotten is the fact that elakis has pioneered: ultrastructure of heart muscle, we owe most of the clinical advances to theoretical electrophysiology, cardiac contractility, and ion ex and experimental observations. I need not remind change. An extension of these subjects is the chapter the reader of the work of Carrel, who performed the dealing with fundamental topics of the coronary cir first experimental coronary bypass in 1902, or the culation. work of the brothers Curie in 1880, both physicists, This book is indeed a timely reminder of the im who discovered piezoelectricity, the keystone in ech portance of the fundamental aspects of cardiology. ogradiography; of the works of Langley, who intro Emphasis on clinical aspects of cardiology alone will duced the receptors concept; of Ahlquist in 1946, result in a sterile and unproductive future for a field who first differentiated between alpha and beta re that has made such stunning advances during the ceptors; of Fleckenstein, a physiologist who pi last thirty years to the benefit of millions of people.

Braunwald S Heart Disease E Book

Author: Robert O. Bonow
Publisher: Elsevier Health Sciences
ISBN: 1437727700
Size: 12.59 MB
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Braunwald’s Heart Disease remains your indispensable source for definitive, state-of-the-art answers on every aspect of contemporary cardiology. Edited by Drs. Robert O. Bonow, Douglas L. Mann, Douglas P. Zipes, and Peter Libby, this dynamic, multimedia reference helps you apply the most recent knowledge in molecular biology and genetics, imaging, pharmacology, interventional cardiology, electrophysiology, and much more. Weekly updates online, personally selected by Dr. Braunwald, continuously keep you current on the most important new developments affecting your practice. Enhanced premium online content includes new dynamic cardiac imaging videos, heart sound recordings, and podcasts. With sweeping updates throughout, and contributions from a "who’s who" of global cardiology, Braunwald’s is the cornerstone of effective practice. Continuously access the most important new developments affecting your practice with weekly updates personally selected by Dr. Braunwald, including focused reviews, "hot off the press" commentaries, and late-breaking clinical trials. Practice with confidence and overcome your toughest challenges with advice from the top minds in cardiology today, who synthesize the entire state of current knowledge and summarize all of the most recent ACC/AHA practice guidelines. Locate the answers you need fast thanks to a user-friendly, full-color design with more than 1,200 color illustrations. Search the complete contents online at www.expertconsult.com. Stay on top of the latest advances in molecular imaging, intravascular ultrasound, cardiovascular regeneration and tissue engineering, device therapy for advanced heart failure, atrial fibrillation management, structural heart disease, Chagasic heart disease, ethics in cardiovascular medicine, the design and conduct of clinical trials, and many other timely topics. Hone your clinical skills with new dynamic cardiac imaging videos, heart sound recordings, and podcasts at www.expertconsult.com.

Development Of The Heart Failure Screening Tool Heart Fast To Measure Barriers That Impede Engagement In Self Care

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Background: Screening for self-care capacity is advocated before applying educational strategies. No screening tool has been specifically developed to assess barriers that impede engagement in self-care in people with heart failure. Earlier conceptual work (InCOGNITO) identified NYHA class, mild cognitive impairment and depressive symptoms as barriers that impede engagement in HF self-care. Aims: Study aims were: 1) to develop the Heart Failure Screening Tool (Heart-FaST) as a means of assessing three critical barriers to self-care; 2) to assess the content validity of the Heart-FaST; and 3) to test the feasibility of implementing the Heart-FaST in clinical practice. Methods: The Heart-FaST was developed from barriers identified in previous research (InCOGNITO) and from expert panel consensus. Content validity was assessed by examining the proportion of experts who scored each item as relevant. Results: The InCOGNITO study indicated that four cognitive tasks, seven emotional questions and NYHA functional class were significantly correlated with the self-care scales: maintenance, management and confidence. These factors were used to create the Heart-FaST items. Consensus on wording and items to be included in the Heart-FaST was reached after two rounds of panel discussion. All items had an item-level content validity index ≥0.78. High scores on each barrier (physical, cognitive and emotional functioning) suggest poor self-care and the need for more intensive disease management efforts. Conclusion: The Heart-FaST measures three critical barriers that impede engagement in self-care. In clinical practice this tool may assist in individually tailoring educational and support strategies to promote effective heart failure self-care.

Vasodilators In Chronic Heart Failure

Author: H. Just
Publisher: Springer Science & Business Media
ISBN: 3642686052
Size: 39.29 MB
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The therapeutic principle of pharmacological vasodilation in congestive heart failure is based upon established physiological and pathophysiological mechanisms and has been proved to be effective and useful. In acute heart failure this method of treatment has assumed importance as the first measure to be taken. In chronic heart failure a sizeable increase in cardiac output can be achieved with a number of vasodilating drugs. This effect can be maintained over several weeks or months. The adjustments of the heart and the circulation to the arteriolar and/or venous unloading effect of vasodilatation in the situation of acute and chronic heart failure are well understood. However, long-term adaptations of the organism to the vasodilat ing intervention have not yet fully been described. In many instances of chronic ad ministration of vasodilators, attenuation of the response has been observed. The mech anisms responsible have not been fully elucidated, nor has there been a satisfactory demonstration of improved exercise performance or of life expectancy under this mode of treatment in the patient with chronic heart failure. In an attempt better to understand the pathophysiological mechanisms of chronic congestive heart failure as they apply to long-term treatment with vasodilators, the working group on vasodilator therapy of the Deutsche Gesellschaft fUr Herz- und Kreis laufforschung has assembled a group of physiologists, pharmacologists, and clinicians. The Proceedings of their Symposium held in Hinterzarten in June 1981 are presented here.

Measuring Stress

Author: Sheldon Cohen
Publisher: Oxford University Press
ISBN: 0190283882
Size: 16.43 MB
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Measuring Stress is the definitive resource for health and social scientists interested in assessing stress in humans. With contributions from leading experts, this work provides for the first time a unified conceptual overview of the intricate relationship between stress and a variety of disorders. Its interdisciplinary approach to the selection of appropriate environmental, psychological, and biological measures includes comprehensive evaluations and practical advice regarding a wide range of measurement approaches. For environmental stress, techniques such as checklists and interviews that measure life event, daily event, and chronic stress are discussed. An analysis of psychological measurements includes methods for assessing stress appraisal and affective response. Neuroendocrine, cardiovascular, and immune measures are examined as important biological stress assessments. Contributors also uncover the conceptual underpinnings of each approach as well as the various costs and benefits of available assessment techniques. Reflecting the diversity of theoretical conceptions of stress, Measuring Stress masterfully provides integrative, incisive guidelines that will prove invaluable to students, clinicians, and researchers in health and social psychology, medicine, nursing, epidemiology, sociology, and psychiatry.