Cardiac Perfusionist

Jun 16, 2011

Coronary Artery Bypass Surgery in India: Cardiac Care at a Comparative Cost for Abroad Medical Tourists

Coronary artery bypass surgery in India is giving new life to many international patients and are getting cardiac care at a comparative cost. Medical tourism is doing a great job of saving life of many of the medical tourists in India. Medical tourists coming here are getting quality treatment here and also world class lodging facilities. The act of patients going to different countries for either urgent or Medical Procedures is known as Medical Tourism. Medical Tourism is a new concept used to represent obtaining medical or surgical services while traveling and vacationing in other countries… It is a recent entrant into medical tourism. According to a study by McKinsey and the Confederation of Indian Industry, medical tourism could become a $1 billion business by 2012. Price advantage is a major selling point. The slogan, thus is, “First World treatment’ at Third World prices”. The cost differential across the board is huge: only a tenth and sometimes even a sixteenth of the cost in the West. The most important country promoting medical tourism for coronary artery bypass surgery is India.

What is coronary artery bypass surgery?

Coronary artery bypass surgery, also coronary artery bypass graft surgery, and colloquially heart bypass or bypass surgery is a surgical procedure performed to relieve angina and reduce the risk of death from coronary artery disease. Arteries or veins from elsewhere in the patient’s body are grafted to the coronary arteries to bypass atherosclerotc narrowings and improve the blood supply to the coronary circulation supplying the myocardium (heart muscle). This surgery is usually performed with the heart stopped, necessitating the usage of cardiopulmonary bypass; techniques are available to perform CABG on a beating heart, so-called “off-pump” surgery.

Let’s look on to the procedure of coronary artery bypass surgery:

In this procedure an anaesthetist places a variety of intravenous lines and injects an anduction agent to render the person unconscious. An endotracheal tube is inserted and secured by the anesthetist or assistant (e.g. respiratory therapist or nurse anesthetist) and mechanical ventilation is started. The chest is opened via a median sternotomy and the heart is examined by the surgeon. The bypass grafts are harvested – frequent conduits are the internal thoracic arteries, radial arteries and saphenous veins. When harvesting is done, the patient is given heparin to prevent the blood from clotting. In the case of “off-pump” surgery, the surgeon places devices to stabilize the heart. If the case is “on-pump”, the surgeon sutures cannulae into the heart and instructs the perfusionist to start cardiopulmonar bypass (CPB). Once CPB is established, the surgeon places the aortic cross-clamp across the aorta and instructs the perfusionist to deliver cardioplegia to stop the heart. One end of each graft is sewn onto the coronary arteries beyond the blockages and the other end is attached to the aorta. The heart is restarted; or in “off-pump” surgery, the stabilizing devices are removed. In some cases, the Aorta is partially occluded by a C shaped clamp, the heart is restarted and suturing of the grafts to the aorta is done in this partially occluded section of the aorta while the heart is beating. One end of each graft is sewn onto the coronary arteries beyond the blockages and the other end is attached to the aorta. Protamine is given to reverse the effects of heparin The sternum is wired together and the incisions are sutured closed. The person is moved to the intensive care unit (ICU) to recover. After awakening and stabilizing in the ICU (approximately 1 day), the person is transferred to the cardiac surgery ward until ready to go home (approximately 4 days).

Precautions to be taken by the patient undergoing coronary artery bypass surgery :

Patients undergoing coronary artery bypass surgery will have to avoid certain things to avoid opening the incision. These are called sternal precautions. First, patients need to avoid using their arms excessively, such as pushing themselves out of a chair or reaching back before sitting down. To avoid this, patients are encouraged to build up momentum by rocking several times in their chair before standing up. Second, patients should avoid lifting anything in excess of 5-10 pounds. A gallon of milk weighs approximately 8.5 pounds, and is a good reference point for weight limitations. Finally, patients should avoid overhead activities with their hands, such as reaching for sweaters from the top shelf of a closet or reaching for plates or cups from the cupboard.

The coronary artery bypass surgery in India is becoming widely accepted nowadays. India have a lot of hospitals offering world class treatments in nearly every medical sector such as cardiology and cardiothoracic surgery, joint replacement, orthopedic surgery, gastroenterology, ophthalmology, transplants and urology to name a few. Also the hospitals here are having team of well trained cardiac surgeons from US and UK and are having well trained staff that can easily handle any of the situation. The international patients coming from abroad are getting relaxed and friendly atmosphere here that helps them to freely discuss their case with Indian doctors without any hesitation. This helps the doctors to know each and every aspect of the case well and avoid complications. Coronary artery bypass surgery is available at Delhi, Chennai and Mumbai at world class hospitals. To know more about coronary artery bypass surgery visit at http://www.indianhealthguru.com or Mail at contact@ iianhealthguru.com

About the Author

The Michener Institute – Cardiovascular Perfusion Program


Cardiac Perfusion and Pumping Engineering (Clinically-Oriented Biomedical Engineering)


Cardiac Perfusion and Pumping Engineering (Clinically-Oriented Biomedical Engineering)


$218.69


For the first time, this invaluable book shows how cardiac perfusion and pumping can be quantified and correlated. Self-contained and unified in presentation, the explanations in the compendium are detailed enough to capture the reader s curiosity and complete enough to provide the background material to explore further into the subject. Mathematically rigorous and clinically oriented, the book is…

On Bypass: Advanced Perfusion Techniques (Current Cardiac Surgery)


On Bypass: Advanced Perfusion Techniques (Current Cardiac Surgery)


$130.94


With the introduction of cardiac surgery more than five decades ago and the use of the heart-lung machine for open heart surgical procedures granting the surgeon unlimited time in which to operate inside the heart, a complex task has been given to the Perfusionist. With a pairing of a perfusionist and a surgeon for each chapter, this book is an essential collection of techniques and protocols to a…

Cardiac Surgery Manual for Nurses: Orientation, Policy, And Procedures


Cardiac Surgery Manual for Nurses: Orientation, Policy, And Procedures


$35.46


This policy and procedure book is a valuable resource for new or existing cardiac surgery programs. It provides support for each procedure in the cardiac surgery environment to include standards of practice, risk management, staffing competencies, and quality indicators to optimize care of the cardiovascular surgery patient. The policy manual is based upon AORN standards and meets JCAHO standards …

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Cardiac Mapping


Cardiac Mapping


$153.66


Dr. Shenasa and his internationally renowned team of editors and contributors reflect all the breakthroughs that have been made in interventional electrophysiology and imaging technologies in recent years in this thoroughly updated guide to cardiac mapping. This third edition focuses on new developments in the field, such as mapping of complex arrhythmias, stereotaxis, and image integration. This useful resource for basic and clinical electrophysiologists illuminates the path to better and safer mapping. A unique feature of this edition is the inclusion of a DVD, which illustrates real-time data from actual cases.

Cardiac Cardinal


Cardiac Cardinal


$89.99


REAL.BIG. Fathead Wall Graphics are huge. The unique combination of high-quality vinyl and low tac adhesive means that Fatheads are safe for walls and can be moved and reused. Fatheads are officially licensed by the major sports leagues and entertainment giants and are 100% American made.

Cardiac Nursing


Cardiac Nursing


$103.37


Woods is considered ‘the’ reference book for nurses caring for patients who have or are at risk for developing cardiac disease. Known as ‘the red book’, this indispensable reference for cardiac and critical care nurses working with cardiac patients provides both basic and advanced content in evidence-based care. The book maintains an emphasis on health promotion, health maintenance, and disease management throughout. The five-part organization of the book consists of: 1) Anatomy and Physiology; 2) Physiologic and Pathophysiologic Responses; 3) Assessment of Heart Disease; 4) Pathophysiology of Heart Disease; 5) Health Promotion and Disease Prevention.

Cardiac CT


Cardiac CT


$194.28


Computed tomography of the heart has become a highly accurate diagnostic modality that is attracting increasing attention. This extensively illustrated book aims to assist the reader in integrating cardiac CT into daily clinical practice, while also reviewing its current technical status and applications. Clear guidance is provided on the performance and interpretation of imaging using the latest technology, which offers greater coverage, better spatial resolution, and faster imaging. The specific features of scanners from all four main vendors, including those that have only recently become available, are presented. Among the wide range of applications and issues to be discussed are coronary artery bypass grafts, stents, plaques, and anomalies, cardiac valves, congenital and acquired heart disease, and radiation exposure. Upcoming clinical uses of cardiac CT, such as plaque imaging and functional assessment, are also explored.

Cardiac Emergencies


Cardiac Emergencies


$4.95


Concise and Authoritative–written by emergency physicians "for" emergency physicians. "Cardiac Emergencies" provides: Coverage of all common cardiac emergencies, organized for emergency use Step-by-step procedures and treatments Treatment algorithm section for quick reference At-a-glance summaries of medications, procedures, and complications Ready access to diagnostic specifics, from serum markers to ultrasound to EKGs Up-to-date recommendations on pharmacologic events "Treatment" summary boxes with each disorder Frequently used drug dosages and calculations Evidence-based medicine throughout, with reviews of important clinical trials When the need is urgent, "Cardiac Emergencies" is the right choice for information

Cardiac Anaesthesia


Cardiac Anaesthesia


$78.99


The Oxford Specialist Handbook series provides readers with clear, concise information on all that is needed to successfully train in the medical sub-specialties. Each book is designed to give an overview of clearly defined procedures, skills, guidelines, and technologies, and provide practical tips and case studies to supplement hands-on experience. This book provides accessible, clear guidelines on cardiac anaesthesia. It is divided into three distinct sections. The first section covers the scientific basis of cardiac anaesthesia: anatomy, physiology, pathology, and pharmacology. The second section is organized by organ system. It includes all of the implications of cardiac surgery for the major organ systems while emphasizing post-operative sequelae. The aim is to avoid repetition by incorporating within each organ topic the information which is common to different groups of patients or types of surgery. Diverse topics are linked together in a rational and logical way by linking them to the underlying organ system. The third section covers clinical practice and is organized by the type of surgery or surgical condition. This facilitates rapid and easy access to clinical management plans for any particular type of patient.

Cardiac Anesthesia


Cardiac Anesthesia


$5.92


Revised and updated, the 4th Edition of this excellent text addresses anesthesia for cardiac surgeries of patients with cardiac disease. Offers guidance in preoperative assessment and management, postoperative care, treatment of bypass and heart failure and also provides information in the latest monitoring techniques. This edition presents sections on physiology, molecular biology and practice management. Features over 1,200 illustrations

Cardiac Imaging


Cardiac Imaging


$64.37


This new volume in the best-selling Case ReviewT series helps readers test their mastery of all of today’s core knowledge in cardiac imaging. Hundreds of case studies-with over 350 superb images as well as questions, answers, rationales, and references-cover everything from basic principles through the latest diagnostic imaging techniques, equipment, and technology. The result is an outstanding review source for the American Board of Radiology’s oral exam in cardiopulmonary radiology as well as for other exams in the field.

Cardiac Elastography.


Cardiac Elastography.


$84.96


Cardiac elastography is a promising method for evaluating the functional state of heart muscle. Currently transthoraic echocardiography is used routinely for assessing global and regional myocardial function at rest, with stress echocardiography, used to identify regional ischemia. Clinical diagnosis is based on visually assessed wall motion scores which is semi-quantitative, image quality dependent, and heavily weighted by operator experience. Tissue Doppler imaging, used to assess myocardial muscle velocity, provides quantitative parameters such as longitudinal systolic and diastolic velocity measurements to obtain strain and strain rate data. However, due to narrow-band Doppler phase-shift analysis, they inherit disadvantages associated with Doppler, such as, angle dependence, poor axial resolution, aliasing, and increase in ambiguity of the velocity information. Limitations with Doppler-derived velocity and strain indices have renewed interest in using B-mode based strain and strain rate measurements. B-mode based strain has the advantage of not being directionally limited. Thus, limitations from Doppler imaging, such as an inability to differentiate between active contraction, simple rotation, and translational motion of the heart wall, are no longer as significant. However, B-mode speckle-tracking approaches utilize coarser and significantly less sensitive strain estimations when compared to radiofrequency based cardiac elastography. We utilize radio-frequency signals acquired from clinical ultrasound scanners at frame rates of up to 40/sec. We demonstrate that a frame rate on the order of 10 times the compression frequency is a reasonable compromise to obtain full-field cardiac strain images. A multi-level, hybrid high resolution 2D strain estimation algorithm suited for curvilinear and phased array transducers is proposed to estimate axial, and lateral strains in cardiac tissue. To address the importance of the complex motion of the heart, we have interfaced a finite element based cardiac mechanics model ‘Continuity 6′ with our 2D ultrasound simulation program, producing simulated 4D (3D + time) RF echo signal data sets in the modeled heart. The impact of lateral shear deformations on strain tensor data, and the use of principal component analysis to improve strain image quality discussed. Principal component analysis provides radial and circumferential strains preferred for clinical diagnosis. Finally, limited evaluations of the techniques proposed in this dissertation are presented on in-vivo cardiac data.

On Bypass: Advanced Perfusion Techniques


On Bypass: Advanced Perfusion Techniques


$219.31


With the introduction of cardiac surgery more than five decades ago and the use of the heart-lung machine for open heart surgical procedures granting the surgeon unlimited time in which to operate inside the heart, a complex task has been given to the Perfusionist. With a pairing of a perfusionist and a surgeon for each chapter, this book is an essential collection of techniques and protocols to aid in decision making in the operating room.

Pioneers of Cardiac Surgery


Pioneers of Cardiac Surgery


$61.19


Heart operations today are quite common and relatively low-risk, but in the beginning it was just the opposite. Cardiac operations were reserved for desperately ill patients. The author documents this dramatic transition with profiles of 38 surgeons who were active between 1940 and 1985. The profiles are edited transcripts of interviews videotaped between 1996 and 2004. They tell of the development of new techniques such as the ablue baby operation, a the first heart-lung machine, the first artificial heart valve, and the first coronary bypass operation. They also tell the unusual life stories of the surgeons and allude to professional and institutional rivalries. A particularly valuable part of the book is the author’s brief history of cardiac surgery, designed to orient the reader for reading the profiles that follow.

The Nuts and Bolts of Cardiac Pacing


The Nuts and Bolts of Cardiac Pacing


$48.91


While there are many excellent pacing and defibrillation books, they are nearly all written by physicians for physicians. The second edition of the successful The Nuts and Bolts of Cardiac Pacing has been thoroughly updated, reflecting the new challenges, issues, and devices that clinicians deal with. Written specifically for non-cardiologists in a lively, intelligent and easy to follow style, it emphasizes real-life clinical practice and practical tips, including illustrations from actual clinical settings. Each chapter concludes with a checklist of key points from each subject ("Nuts and Bolts"). New features to the second edition include: * updated terminology and images reflecting new software developments * information on new innovations and advanced features, such as ventricular intrinsic preference and AF suppression * new features on the automatic atrial capture test and follow-up features * new chapter covering clinical studies on the possible dangers of excessive RV pacing Building layer by layer on the fundamental principles and concluding with advanced concepts, The Nuts and Bolts of Cardiac Pacing is intended for a novice to appreciate overall concepts and for a seasoned veteran to turn to answer a specific question. This book offers practical, reliable and objective information on cardiac devices – it’s easy to pick up, find what you need, and put down.

Apoptosis in Cardiac Biology


Apoptosis in Cardiac Biology


$3.76


Apoptosis or programmed cell death is increasingly considered to be a major factor in the development and progression of cardiovascular disease. In patients with heart failure the activation of apoptosis may result in the loss of irreplaceable cardiac myocytes promoting the clinical course of the syndrome. Moreover, in the coronary arteries inflammation and apoptosis may weaken critical structures of the vessel wall leading to plaque rupture and, subsequently, to myocardial infarction. Given these deleterious consequences, it seems almost paradoxical that programmed cell death is an active process that, if initiated under physiological circumstances, is essential for both coordinated tissue growth or destruction of malignant cells. Apoptosis in Cardiac Biology, written by a team of internationally renowned researchers, gives a timely synopsis of basic mechanisms, cellular and structural targets and, finally, clinical implications of programmed cell death in the heart. The expert authors of this volume give concise overviews on general and cell-specific aspects of programmed cell death in cardiac myocytes and fibroblasts, as well as in vascular smooth muscle and endothelial cells. Furthermore, novel therapeutic options arising from the outstanding pathophysiological significance of cardiac apoptosis are presented. This comprehensive review of Apoptosis in Cardiac Biology will be of interest to both clinicians and basic researchers who are active in the fields of cardiology and atherosclerosis.

Cardiac Surgery in the Adult


Cardiac Surgery in the Adult


$297.69


The most authoritative, comprehensive, and current cardiac surgery resource – completely updated and in full color "DVD with surgical video clips" ..".the must-have resource for adult cardiac surgeons around the world. Dr. Cohn…has done a masterful job of keeping this text at the forefront of surgical thought and technique."–Thomas B. Ferguson, MD, Washington University School of Medicine Emeritus (from the foreword) In "Cardiac Surgery in the Adult, Fourth Edition, " the world’s foremost cardiovascular surgeons and physicians deliver thorough, up-to-date coverage of operative strategy, decision making, technique, and pre- and post-operative management for treating the adult cardiac patient. Editor Lawrence H. Cohn takes you through the optimal treatment of congenital, acquired, infectious, and traumatic diseases of the heart and great vessels. The book begins with a history of cardiac surgery and basic cardiac science, then moves into all types of cardiac surgery, providing both practicing surgeons and residents insight into the very latest surgical protocols. Presented in full color for the first time, the fourth edition of "Cardiac Surgery in the Adult" is aligned with up-to-the-minute developments in the field including recent surgical trends in minimally invasive cardiac surgery. Unparalleled in both scope and clinical rigor, the fourth edition contains 70 chapters that highlight every important topic in cardiovascular surgery. FEATURES An update of the most recent surgical perspectives and techniques in ischemic and valvular heart disease, diseases of the great vessels, cardiac arrhythmias, and more New and refreshed content on pivotal trends and topics, including the use of robotic surgery, minimally invasive valve and coronary artery bypass surgery, stem-cell induced regenerative medicine, tissue engineering, percutaneous valve procedures, and much more New full-color design–with many illustrations enhanced expressly for this edition–facilitates the comprehension of surgical procedures throughout Important opening section on the fundamentals of cardiac surgery, from its origins to the surgical anatomy of the heart, cardiac surgical physiology, risk stratification, and the statistical treatment of surgical outcome data Key chapters on the perioperative and postoperative management of cardiac patients from internationally recognized experts in the field Coverage of trends that highlight patient demographics, with a focus on cross-training surgeons in endovascular skills through coverage of such topics as percutaneous intervention and endovascular graft technology Companion DVD with procedure-simplifying video clips

The AHA Clinical Cardiac Consult


The AHA Clinical Cardiac Consult


$3.95


Authored by members of the American Heart Association’s Clinical Cardiology Council, The AHA Clinical Cardiac Consult, Second Edition is the perfect source of fast, reliable guidance on diagnosis and management of both common and rare cardiovascular problems. It covers more than 160 problems, diseases, syndromes, and chief complaints in the popular, easy-to-read, two-page 5-Minute Consult format. This thoroughly updated edition incorporates current American Heart Association and American College of Cardiology guidelines. New topics covered include cardiovascular preventive care (primary and secondary prevention); metabolic syndrome; sexual dysfunction and the heart; and stem cells and the heart. A revised appendix contains relevant Web addresses.

Essential Cardiac Technology


Essential Cardiac Technology


$3.88


This accessible book encompasses the technology involved in the diagnosis and treatment of heart disease. It is intended to facilitate an understanding of the technology encountered in a modern cardiac diagnostic center, and to break down the barriers encountered by many students in training. The author has acknowledged that not all institutions possess the most advanced and expensive equipment, and has therefore included selected technology less up-to-date. This book will also be invaluable for all paramedical professionals involved in cardiology and related fields, including clinical technologists, cardiac nurses, radiographers and initiate physicians.

Cardiac Pacing and ICDs


Cardiac Pacing and ICDs


$71.73


This fifth edition of "Cardiac Pacing and ICDs" continues to be an invaluable and accessible clinical reference guide for cardiologists, electrophysiologists, surgeons, fellows, residents, nurses, PAs, and technicians. Fully revised and updated, this popular text offers expanded information on ICDs and CRT devices, with more focused bibliographies, enhanced figures and additional examples and tables, ensuring that this book is even better than the last edition. As with the previous edition, the chapters are organized in the sequence of the evaluation of an actual patient, making it an effective and practical guide. Features include: Updated information on ICDs and CRT devices New authors with up-to-date perspectives on device management Updated information based on new AHA/ACC and HRS guidelines Many completely new and updated chapters and illustrations New tables and flow charts to emphasize key concepts

Cryoablation of Cardiac Arrhythmias


Cryoablation of Cardiac Arrhythmias


$84.85


Cryoablation of Cardiac Arrhythmias, by Audrius Bredikis, MD and David Wilber, MD, is the first comprehensive text devoted solely to the effective and appropriate use of cryoablation in the management of cardiac arrhythmias. This user-friendly, all-in-one reference provides clear explanations complemented by abundant, high-quality, full-color clinical photos, and at-a-glance tables making it easy to access the information you need to master even the most challenging cryoablation procedures for adult patients, pediatric/adolescent patients, and cardiac surgery patients. Online access at www.expertconsult.com allows you to rapidly search for images and quickly locate the answers to any questions.

CMR and MDCT in Cardiac Masses


CMR and MDCT in Cardiac Masses


$97.72


This book, unique in focusing specifically on cardiac masses, is the result of cooperation among a number of teams of radiologists working under the aegis of the French Society of Cardiovascular Imaging (SFICV). Its goal is to review the different CMR sequences and CT acquisition protocols used to explore cardiac masses, highlighting their diagnostic capabilities. It has been designed as a teaching tool and offers a fully illustrated compendium of clinical cases, tables summarizing data, and decision-making trees essential in everyday practice. It is presented as a practical handbook and can be either read cover to cover or consulted whenever needed during a cardiac imaging assignment. The book is intended for all students and experienced practitioners, whether radiologists or not, who are interested in cardiac or thoracic pathology.

History of the Disorders of Cardiac Rhythm


History of the Disorders of Cardiac Rhythm


$92.58


This book has been enlarged with a new collection of short biographies of significant scientists, emphasising those involved with the diagnosis and therapy of rhythm disturbances, including electrophysiology and pacing. Altogether, almost 200 outstanding individuals, both historic and contemporary, are described. Also new to this edition is a special collection of original historical source materials, giving the reader an immediate sense of the way important breakthroughs in cardiology have been published through the years.Written with the expertise and broad perspective of a specialist with over 30 years of experience in the field, this volume will be an enlightening and engaging resource for clinical cardiologists, cardiac nurses and technicians and any medical professional interested in cardiac arrhythmias.

Training Techniques in Cardiac Rehabilitation


Training Techniques in Cardiac Rehabilitation


$9.14


Written by four internationally recognized experts, this practical guide is packed with innovative ideas for prescribing safe, effective exercise programs that patients will enjoy Because the activities are more fun than traditional programs, patients are more likely to make a long-term commitment to exercise–a step that can – reduce risk factors, – increase functional capacity, – improve psychosocial well-being, – help alleviate depression, – increase longevity, – relieve symptoms, – promote greater self-efficacy, and- improve overall quality of life. "Training Techniques in Cardiac Rehabilitation" provides in-depth information to help practitioners make informed decisions about the broad scope of nontraditional programs currently available for an increasing variety of cardiac patients. Drawing on extensive research and vast personal experience in program implementation and benefits, the authors provide a variety of rehabilitation alternatives and a clear explanation of how, when, where, and why to use each. Chapter 1 presents an overview of current knowledge about exercise prescription for cardiac patients, including absolute contraindications for exercise, questionable cases, basic principles of assessment and prescription, the effects of specific drugs on a patient’s capacity for exercise, how to increase adherence, and results to expect. The following three chapters focus on less traditional exercise programs. Chapter 2 explores various resistive training methods, including calisthenics, elastic bands and free weights, and machine-based exercises. Sound guidelines show practitioners how to develop programs to meet each patient’s specific needs. Chapter 3 provides extensive information on the safety issues and underlying principles of aquatic exercise prescription. It presents all the information practitioners need to prescribe safe, appropriate aquatic activity programs, and discusses specific aquatic exercises such as water walking, water aerobics, swimming, water volleyball, and inner tube games. Chapter 4 presents games and activities designed for pairs or groups. These activities offer cardiac patients entertaining ways to strengthen muscles, increase aerobic conditioning, and enhance flexibility. The chapter describes 11 continuous movement activities, 18 exercises, and 8 games, and it explains the rehabilitative benefits of each activity. All of the exercises in "Training Techniques in Cardiac Rehabilitation" are consistent with AACVPR guidelines. The authors include extensive discussions of safety issues and contraindications for each type of exercise program. Plus, photographs and drawings throughout the book illustrate proper techniques and positions for the exercises and games. With these comprehensive, diversified programs, practitioners will be able to identify the safest, most effective way to help each patient.

Cardiac Electrophysiology and Catheter Ablation


Cardiac Electrophysiology and Catheter Ablation


$78.99


Cardiac Electrophysiology and Catheter Ablation is the first handbook-sized practical training guide for medical, technical and industry personnel needing easily accessible, detailed information on the theory and practice of modern invasive investigation and treatment of cardiac arrhythmias. Highly illustrated throughout, it both simplifies and clarifies the basic electrophysiological principles of many arrhythmias, as well as providing practical advice on performing catheter ablation in patients with a variety of arrhythmias. The step-by-step guidance provided is designed to facilitate the use of the book for real-life scenarios in the catheter laboratory and to demystify this traditionally inaccessible field for the wider cardiology community.

Cardiac Reconstructions with Allograft Valves


Cardiac Reconstructions with Allograft Valves


$13.42


A major need of all cardiologists and surgeons involved with the application of allograft tissue to cardiac surgical reconstructions is met by this unique atlas. Step by step, it carefully describes the procedures involved in acquiring, sterilizing, and cryo-preserving allograft valves as well as the surgical technique used in left and right ventricular outflow tract reconstructions. All of the information needed to perform the reconstructions is given, including relevant references and applicable variations in method. Excellent illustrations accompany the description of surgical technique. All of the techniques are based on classic approaches, but assimilate the authors’ modifications arrived at through vast experience. The wealth of references, illustrations and expertise in this volume make it a valuable asset for all cardiac surgeons.

Advances in Cardiac Surgery


Advances in Cardiac Surgery


$7.32


The distinguished editorial board chooses topics that are most critical and clinically relevant to improving patient care. Invited experts write original, comprehensive articles, summarizing the vital changes and critical issues, and give both the practitioner and student fresh, thorough viewpoints on the topic’s significance.

Catheter Ablation for Cardiac Arrhythmias


Catheter Ablation for Cardiac Arrhythmias


$147.08


The breadth and range of the topics covered, and the consistent organization of each chapter, give you simple but detailed access to information on anatomy, diagnostic criteria, differential diagnosis, mapping, and ablation. The book includes a unique section on troubleshooting difficult cases for each arrhythmia, and the use of tables, illustrations, and high-quality figures is unmatched among publications in the field.

Brain Protection in Cardiac Surgery


Brain Protection in Cardiac Surgery


$160.44


Part of the Monographs in Cardiac Surgery Series Introducing basic science into the cardiac operating room . Fast systematic review of small areas of cardiac surgery including up-to-date information. This will allow more rapid publication than the alternative cardiac surgery tomes . This entry into the series will provide readers with a complete review of the current understanding in brain injury and the methods used to avoid or limit its effects on patient morbidity and mortality.

Cardiac Emergencies [With Booklet]


Cardiac Emergencies [With Booklet]


$6.44


Nurses observe how to manage cardiac emergencies by recognizing signs and symptoms, understanding causes, managing acute myocardial infarction, managing cardiac tamponade, managing heart failure with acute pulmonary edema, administering drug therapy, and understanding percutaneous transluminal coronary angioplasty.

Basic Cardiac Electrophysiology for the Clinician


Basic Cardiac Electrophysiology for the Clinician


$119.94


This book translates fundamental knowledge in basic cardiac electrophysiology from the bench to the bedside. Revised and updated for its second edition, the text offers new coverage of the molecular mechanisms of ion channel behavior and its regulation, complex arrhythmias, and the broadening roles of devices and ablation. Clear, straightforward explanations are illustrated by plentiful diagrams to make the material accessible to the non-specialist.

Clinical Gated Cardiac SPECT


Clinical Gated Cardiac SPECT


$158.94


"This book will be useful for all physicians involved in cardiac imaging, whether they are in radiology, nuclear medicine, or cardiology, and should be mandatory for physicians engaged in gated cardiac SPECT. It is recommended without reservation." – from a review of the first edition in Radiology With gated cardiac SPECT now firmly established for the management of the cardiac patient, Drs. Germano and Berman bring you completely up to date with the multiple clinical applications as well as the recent technical developments of the modality. "Clinical Gated Cardiac SPECT, " S"econd Edition": covers all the available protocols describes a systematic approach for interpretation and reporting provides guidance for the recognition of artifacts includes flowcharts on the management of patients The relationship of gated cardiac SPECT to PET, MRI and CT is explored in separate chapters devoted to each modality. This book is essential reading for all clinicians involved in cardiac imaging.

Redo Cardiac Surgery in Adults


Redo Cardiac Surgery in Adults


$203.92


Redo cardiac surgeries are challenging cases with a myriad of influential factors, ranging from the patient’s pathology to the whimsy of the previous surgeon. Redo Cardiac Surgery in Adults, 2nd Edition clearly outlines practical approaches, surgical techniques, and management of associated conditions such as perioperative stroke and acute kidney function. It covers the spectrum of redo cardiac operations, including coronary artery bypass, mitral valve repair, reoperation for prosthetic mitral valve endocarditis, aortic arch reoperation, descending and thoracoabdominal aortic reoperation, and reoperations following endovascular aortic repair. All redo cardiac surgeries present a complex array of challenges beyond what the original procedure demands. This book, written by an outstanding group of prominent physicians, will give the reader the knowledge and tools to approach these cases with confidence.

Cardiac CT, Pet and MR


Cardiac CT, Pet and MR


$103.94


Society-sanctioned guidelines on care are valuable tools, but accessing key information from the often complicated statements has been a daunting task. Now, practitioners and their institutions have a clear path to successful application of guidelines from the American Heart Association. This book outlines the key AHA guidelines, Statements, and Performance Measures and includes comparisons with the associated European guidelines, and offers a strong online component, which alerts users who sign up to new updates to the guidelines and other relevant information, plus provides links through to the full guidelines and statements. This careful revision keeps pace with developments in the field, with new chapters on PET Metabolism, CT and MRI in the Emergency Department, Image-Guided Electrophysiology Mapping and Ablation, and Identification of Vulnerable Atherosclerotic Plaque by Radionuclide and CT techniques, plus the introduction of new contributors Udo Hoffman and Stephan Achenbach. Praised in its previous edition as a concise source of essential information, this new edition presents the most recent information in an accessible format and serves as an excellent reference source for all cardiologists, radiologists and nuclear medicine physicians.

Cardiac Anesthesia and Transesophageal Echocardiography


Cardiac Anesthesia and Transesophageal Echocardiography


$85.16


A concise introduction for anesthesiologists new to the cardiac operating room " Includes companion DVD with 150 video clips" "Basics of Anesthesia and Transesophageal Echocardiography" provides readers with clear, straightforward coverage of the essentials of preparing for a cardiac anesthesia case. The book incorporates numerous clinical scenarious to illustrate patient pathologies likely to happen during a cardiac case. Reflecting the fact that transesophageal echocardiography is a vital tool in cardiac anesthesiology, a companion DVD with echo images relating directly to each chapter in the book is included. Features Two-in-one coverage: cardiac anesthesia AND transesophageal echocardiology More than 150 video clips that refer back to the text Cases are presented in a quick-access, templated presentation that includes: — Case Scenario: Relevant history and physical findings — Hemodynamics associated with the pathology — Pre-anesthetic cardiology evaluation and medical treatment — Anesthetic evaluation and anesthetic choice — Surgical Approach — TEE imagery — Perfusion manipulations — Separation from cardiopulmonary bypass — Post-operative care — references Great value 2-in-1 content: Chapter 1. Cardiac Anesthesia Practice; Chapter 2. Hemodynamics; Chapter 3. Cardiology; Chapter 4. Anesthetic Pharmacology; Chapter 5. Transesophageal Echocardiography; Chapter 6. Perfusion The following cases are included in the above chapters: The Patient for Coronary Artery Bypass with Preserved Ventricular Function; The Patient Redo Coronary Artery Bypass; The Patient with Mitral Stenosis/Regurgitation and Impaired Ventricular Function; The Patient with Aortic Stenosis/Regurgitation and Impaired Ventricular Function; The Patient with Aortic Arch Dissections; The Patient with Acute Ventricular Septal Defect; The Patient with Atrial Myxoma; The Pediatric Cardiac Surgery Patient with Ventricular Septal Defect; The Patient for Heart Transplantation

Cardiac Imaging: The Requisites


Cardiac Imaging: The Requisites


$13.39


The thoroughly updated New Edition of this best-selling Radiology RequisitesT volume concisely synthesizes all of today’s core knowledge about cardiac imaging. Clinically oriented coverage encompasses everything from basic principles through the latest diagnostic imaging techniques, equipment, and technology. New coverage includes MR imaging of cardiac abnormalities, electron beam CT, fetal echocardiography, and much more. Practice-proven tips and excellent problem-solving discussions are accompanied by more than 800 images of the highest quality. The result is an outstanding review source for certification or recertification, as well as a highly user-friendly resource for everyday clinical practice.

Cardiac Drug Development Guide


Cardiac Drug Development Guide


$204.41


A comprehensive survey of the latest therapeutic drug discoveries in cardiac and cardiovascular medicine and of the most recent breakthroughs in molecular cardiology. The authors describe the most advanced procedures in cardiac pharmacology today, including in vivo and in vitro whole animal studies, the electrophysiological methods used to study in pacemaker cells, and the application of biochemical principles and technologies to novel therapeutic agents. Also discussed are the methods used to express the ion channels involved in cardiovascular pharmacology, adenoviral vector delivery for cardiovascular gene therapy, pharmacometrics in cardiovascular drug development, gender differences in heart failure, and angiogenesis therapies for coronary heart disease.

EMER CARDIAC TECH Crescent


EMER CARDIAC TECH Crescent


$3.89


EMER CARDIAC TECH Helmet Crescent(Helmet Crescent shown above is an example.)Mark both sides of your helmet for safety and identification with these pressure sensitive reflective die-cut decals. REXCR is 6 3/4″ wide and comes with black lettering and white background. REXCRECTPersonalized Helmet CrescentsHelmet crescents available with your department name. REXCR Please call 1-800-382-5252 for ordering and pricing information for Special Order/Personalized Helmet Crescents!

Minimally Invasive Cardiac Surgery


Minimally Invasive Cardiac Surgery


$33.4


This updated and expanded edition of a much-praised classic survey comprehensively reviews the many innovations and changes that have occurred in the practice of minimally invasive cardiac surgery (MICS). The authors summarize the latest findings and results regarding such new techniques as robotic surgery, hybrid revascularization, the use of OPCAB in high-risk populations, and new less invasive surgical approaches to the treatment of atrial fibrillation. They also provide a medium term update on the current status of MICS in dealing with valvular and congenital heart disease and offer a more comprehensive understanding of procedures like mid-CABCs with longer term follow-up and randomized data to help tease out real benefits and limitations.

Cardiac Imaging Cases


Cardiac Imaging Cases


$32.47


This easy-to-use, clinically oriented learning guide presents 115 unique cases that cover the scope of cardiac imaging, including congenital, ischemic, myocardial, valvular, and pericardial heart disease, as well as postintervention complications. Given the standard format of problem and solution, each case is structured for effective review and learning for both the resident-in-training and the experienced clinician. Cases are categorized by section: the first encompasses a brief review of basic anatomy, and subsequent sections are divided by disease category. Featuring over 440 images and accompanied by brief yet informative discussions, Cardiac Imaging Cases is the ideal resource and reference guide for anyone in the field of cardiovascular radiology.

Cardiac Arrhythmias 2001


Cardiac Arrhythmias 2001


$3.45


The volume includes more than seventy articles written by well-recognized world leaders in the field of clinical electrophysiology and arrhythmology. It represents an important update on the most recent advances in the diagnosis, prognosis and treatment of cardiac arrhythmias.

Cardiac Imaging Secrets


Cardiac Imaging Secrets


$7.41


An exciting new addition to the highly popular Secrets SeriesA(R), this volume addresses the issues of when and how to obtain images of the heart, what modality to use, and how to interpret the results. The five main sections are echocardiography, nuclear cardiology, catheterization (including intravascular ultrasound and peripheral vascular imaging), MRI, and CT/Radiology.

Pediatric Cardiac Anesthesia


Pediatric Cardiac Anesthesia


$180.82


Long established as the #1 reference on pediatric cardiac anesthesia, this definitive text is now in its thoroughly revised Fourth Edition. The book provides comprehensive guidelines on preoperative evaluation, perioperative management, and postoperative care for all pediatric cardiac surgical procedures and includes quick-reference summaries of perioperative management for each procedure. For this edition, Dr. Lake is joined by an eminent British co-editor, Peter D. Booker, and an international group of distinguished contributors. Coverage includes cutting-edge information on echocardiography, fast tracking, and the newest surgical techniques. New chapters cover teaching, practice management, anesthesia for cardiac MIS, and hemostasis, coagulation, and transfusion.

Cardiac Catheterization and Coronary Intervention


Cardiac Catheterization and Coronary Intervention


$63.07


Cardiac Catheterization and Coronary Angiography is the first handbook-sized practical training guide for cardiology medical and technical personnel who want easily accessible, detailed information on how to perform a comprehensive left and/or right heart catheterization procedure, choose the correct catheter for coronary and graft angiography, perform a diagnostic coronary angiogram and interpret and understand their findings. Based on international cardiology and interventional society guidelines, it aims to demystify the investigations while remaining authoritative and concise.

Profiles in Cardiac Pacing and Electrophysiology


Profiles in Cardiac Pacing and Electrophysiology


$72.94


"Profiles in Cardiac Pacing and Electrophysiology" is a collection of short biographies of scientists and physicians who have played (or still play) a significant role in improving diagnosis and therapy of heart rhythm disturbances including electrophysiology and pacing. Altogether, approximately 250 remarkable individuals are described. Not only is the book filled with biographies of past pioneers of rhythmology, some of whom lived long ago, but it also includes many contemporary rhythmologists. In addition to these biographies, it contains: An extensive table of the History of the Disorders of Cardiac Rhythm from the 16th to the 20th century A series of historical pages developed by the author for every issue of the "Journal of Interventional Cardiac Electrophysiology" (JICE) and reflecting eminent personalities or events in medicine A glossary of arrhythmias, electrophysiology and pacing


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