Congenital Heart Disease Adult

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9780070329096: Congenital Heart Disease Adult

OPTIMIZE ADULT PATIENT CARE. WITH THIS WORLD-CLASS GUIDE TO THE. BROAD SPECTRUM OF CONGENITAL HEART DEFECTS.

. "?[the authors} have carefully summarized their 20 to 40 years of clinical experience to provide the reader with the most essential and practical information about patients with congenital heart disease."-- Review in JAMA.

. Includes 50 full-color echocardiograms and angiograms. .
Depicts each important congenital heart disease lesion as acyanotic or cyanotic.
Describes the surgical approach that corrects or palliates the lesion?the secondary consequences and natural history of each lesion?and the problems and consequences related to types of surgical interventions.
Discusses end-stage medical and surgical management .
MORE.

. "?medical housestaff who have this monograph available will breathe easier when they encounter and must present or discuss the next patient with adult congenital heart disease, an unusual cardiac examination, or a difficult-to-interpret electrocardiogram." [From the Foreword by Myron L. Weisfeldt, MD, Bard Professor of Medicine, College of Physicians and Surgeons, Columbia University; Chairman, Department of Medicine, New York Presbyterian Hospital].

. Featuring outstanding four-color echocardiograms and angiograms as well as original schematic drawings, this unique reference fills a need long felt by internists and cardiologists who assume the care of adult patients with congenital cardiac abnormalities..

. Each chapter of Congenital Heart Disease in the Adult focuses on a specific lesion ?- characterized as acyanotic or cyanotic ?- reviewing:.
Anatomy.
Physiology.
Clinical presentation.
Surgical repair.
Potential long-term problems encountered in adulthood.

. Chapter summary sections review the most important information about the congenital heart lesion, allowing a patient?s status to be better categorized when the patient is first referred to an internist/cardiologist for evaluation .

. "?an easily accessible resource for the general internist (in training or practice) or the cardiologist without extensive training in congenital heart disease.". -- Review in the New England Journal of Medicine.

. Emphasizes optimal evaluation and follow-up care.

.
Gives special scrutiny to physical and laboratory findings; indications for invasive assessment; and management planning.
Offers valuable special sections devoted to pregnancy and the genetics of congenital heart disease.
Identifies critical issues in shortened form, with an included algorithm illustrating a clinical practice plan for management of each defect and its variations, based on the patient?s current status.
Provides guidelines outlining the frequency of visits, appropriate testing, and criteria for intervention

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About the Author:

McGraw-Hill authors represent the leading experts in their fields and are dedicated to improving the lives, careers, and interests of readers worldwide

From The New England Journal of Medicine:

Several decades ago, most patients with uncorrected or corrected congenital heart disease did not survive to adulthood. As a result, they were cared for almost exclusively by pediatricians and pediatric cardiologists. Cardiologists trained to care for adults as well as general internists encountered these disorders so infrequently that even a rudimentary knowledge of congenital heart disease was considered to be unnecessary. Nowadays, however, patients with congenital heart disease often survive to adulthood, making it imperative that physicians understand the anatomy, pathophysiology, therapy, and prognosis of the abnormalities that may be encountered in this growing population of patients. Ideally, such information would be succinctly and clearly presented in a well-organized format and supported by an abundance of figures that would clarify each abnormality. The book by Gersony and Rosenbaum does precisely this by offering a concise, yet reasonably thorough, discussion of the various kinds of congenital heart disease that physicians may encounter in adults.

The book is logically organized into sections devoted to acyanotic and cyanotic conditions. For each specific abnormality, the authors describe the clinical presentation, the findings on physical examination, and the results of noninvasive and invasive testing. Each chapter contains an abundance of radiographic, electrocardiographic, and echocardiographic images; in addition, superb cartoons depict each anomaly. The authors next describe the management of each condition and discuss the increasingly used percutaneous (rather than surgical) treatments for numerous types of intracardiac communication (such as atrial septal defect, ventricular septal defect, or patent ductus arteriosus) and valvular stenoses. They then recount the natural history of each abnormality, including specific issues that should be addressed in the months and years after percutaneous or surgical correction. The presentation ends with a brief summary containing easily understood algorithms for evaluation and management.

The third section of the book contains two chapters. The first deals with the care of pregnant women with congenital heart disease. As more women with uncorrected or corrected congenital heart disease succeed in becoming pregnant, they may seek care from a family practitioner, obstetrician, internist, or cardiologist. The numerous management issues that often arise in such cases are succinctly and logically discussed. The second chapter of the section reviews the genetic basis of many congenital cardiac abnormalities. Like the rest of the book, this chapter is not exhaustive, but it provides a reasonable overview as well as an abundance of references.

This monograph does not contain all the information that one might conceivably desire about a specific congenital cardiac abnormality. It is precisely designed not to be exhaustive. Rather, it is intended to be an easily accessible resource for the general internist (in training or practice) or the cardiologist without extensive training in congenital heart disease. It is undoubtedly successful in these terms. For such physicians, the patient with congenital heart disease can be intimidating and anxiety provoking. The design, style, and content of the book ensure that it will succeed in alleviating much of that intimidation and anxiety.

L. David Hillis, M.D.
Copyright 2002 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

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