Preventive Cardiology A Guide for Clinical Practice - Hardcover

 
9780879936921: Preventive Cardiology A Guide for Clinical Practice

Synopsis

A desire to avoid the massive social and financial costs associated with cardiovascular diseases has promoted a continued interest in preventive cardiology. Recent intervention studies have shown that the progress of these disorders may be arrested and potentially reversed. Other investigations have shown that primary prevention of cardiovascular disease is feasible using simple interventions.

This book provides a comprehensive approach to cardiovascular wellness from a clinical perspective. Perhaps the most valuable area covered is the comprehensive presentation of a clinical prevention program. This includes guidelines for designing and operating a preventive cardiology clinic, core concepts, an outline of algorithm-driven clinical practice, and a look at such issues as patient flow and resource requirements.

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About the Author

Killian Robinson is the author of Preventive Cardiology: A Guide for Clinical Practice, published by Wiley.

From the Back Cover

A desire to avoid the massive social and financial costs associated with cardiovascular diseases has promoted a continued interest in preventive cardiology. Recent intervention studies have shown that the progress of these disorders may be arrested and potentially reversed. Other investigations have shown that primary prevention of cardiovascular disease is feasible using simple interventions.

This book provides a comprehensive approach to cardiovascular wellness from a clinical perspective. Perhaps the most valuable area covered is the comprehensive presentation of a clinical prevention program. This includes guidelines for designing and operating a preventive cardiology clinic, core concepts, an outline of algorithm-driven clinical practice, and a look at such issues as patient flow and resource requirements.

From the Inside Flap

A desire to avoid the massive social and financial costs associated with cardiovascular diseases has promoted a continued interest in preventive cardiology. Recent intervention studies have shown that the progress of these disorders may be arrested and potentially reversed. Other investigations have shown that primary prevention of cardiovascular disease is feasible using simple interventions.

This book provides a comprehensive approach to cardiovascular wellness from a clinical perspective. Perhaps the most valuable area covered is the comprehensive presentation of a clinical prevention program. This includes guidelines for designing and operating a preventive cardiology clinic, core concepts, an outline of algorithm-driven clinical practice, and a look at such issues as patient flow and resource requirements.

Reviews

Despite the wealth of data immortalized in the Framingham Study and other flagship observational studies, the implications of the prevention of cardiovascular diseases did not influence clinical practice until a series of well-designed randomized trials demonstrated the efficacy of various interventions in reducing the rate of cardiovascular events. These studies were an impetus for clinicians to be more diligent in taking measures to prevent cardiovascular disease. For physicians who want to embrace this idea, Robinson has assembled an impressive array of distinguished researchers and clinicians who take us full circle, from a historical review of the epidemiology of hypertension through the eyes of the Framingham investigators to a state-of-the-art critique of gene therapy, including recent technological advances with the use of vascular endothelial growth factor.

This book covers a wide spectrum of topics ordinarily viewed as mundane in the area of prevention of coronary artery disease, with an emphasis on the issues, many of them unresolved, that physicians must grapple with every day. This is perhaps best exemplified in the chapter on the management of cholesterol. Instead of focusing on an elevated low-density lipoprotein level, a condition emphasized in traditional textbooks, the authors emphasize dyslipidemias such as elevated triglyceride levels and low high-density lipoprotein levels, conditions for which there are therapeutic options that clinicians often overlook. Topics that are dealt with by a how-to approach should be particularly appealing to physicians who want to incorporate these concepts into their own practices. There are elegant descriptions of the management of hypertension and lipid abnormalities, including management of these disorders in children and adolescents; approaches to the cessation of smoking; and the design of a preventive cardiology clinic. Timely topics related to the development of atherosclerosis in children, women, and minority groups are discussed in greater depth than in traditional cardiovascular textbooks. Additional strengths of this book include comprehensive chapters on homocysteine and a consideration of therapeutic strategies to prevent the formation of arterial thrombi. The section on nutrition and dietary factors covers a variety of topics that have been well publicized in the public domain, such as trans fatty acids, soy protein, and the use of antioxidants. Overall, the presentations are crisp, well referenced, and well illustrated.

Although the book was written before the guidelines for the management of hypertension and diabetes mellitus were revised or new therapies for the cessation of smoking (e.g., bupropion hydrochloride) became available, this should in no way detract from the extensive amount of valuable information presented. Preventive Cardiology is a very useful reference.

Reviewed by Michael Miller, M.D.

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