Every time a patient presents with acute chest pain, the challenge is to make, as soon as possible, the correct diagnosis of presence, size, site and severity of myocardial ischemia. The electrocardiogram is the only tool able to do so immediately, in a non-invasive way and at low cost. Recently, new information has become available allowing us to recognize where in the coronary artery the culprit lesion is located and thereby estimate the size of the area of the heart which is jeopardized. This is of obvious importance in determining the aggressiveness of our therapy. Will we select a thrombus dissolving drug or opt for an invasive coronary intervention?
In myocardial ischemia rhythm and conduction disturbances are often present. Again, proper ECG interpretation under these circumstances is essential for management of the patient and future risk assessment.
When reperfusion of the acutely ischemic area is attempted by thrombolytic therapy or a percutaneous coronary intervention the ECG is important to inform us about the result.
Not only in acute myocardial infarction but also in unstable angina the size, site and severity of cardiac ischemia is of great importance. Again that information can be provided by the electrocardiogram.
All this new information is thoroughly discussed by members of the internationally recognized Maastricht school of electrocardiography.
The book is a must for any healthcare professional engaged in the management of the patient with acute chest pain.
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Anbieter: Ria Christie Collections, Uxbridge, Vereinigtes Königreich
Zustand: New. In. Artikel-Nr. ria9781402072147_new
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Anbieter: Kennys Bookstore, Olney, MD, USA
Zustand: New. Written by the leaders in the field, this volume provides a practical and comprehensive overview of the electrocardiogram (ECG). It evaluates the patient presenting with symptoms suggestive of acute myocardial ischemia. It is a useful reference for cardiac electrophysiologists, cardiologists, internists or emergency room physicians. Series: Developments in Cardiovascular Medicine. Num Pages: 132 pages, 231 black & white illustrations, biography. BIC Classification: MJD. Category: (P) Professional & Vocational. Dimension: 254 x 178 x 9. Weight in Grams: 472. . 2002. Hardback. . . . . Books ship from the US and Ireland. Artikel-Nr. V9781402072147
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Anbieter: AHA-BUCH GmbH, Einbeck, Deutschland
Buch. Zustand: Neu. Druck auf Anfrage Neuware - Printed after ordering - The electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therapy especially in relation to reperfusion therapy, because such therapy has resulted in a considerable reduction in mortality from acute myocardial infarction. Several factors play a role in the amount of myocardial tissue that can be salvaged by reperfusion therapy, such as the time interval between onset of coronary occlusion and reperfusion, site and size of the jeopardized area, type of reperfusion attempt (thrombolytic agent or an intracoronary catheter intervention), presence or absence of risk factors for thrombolytic agents, etc. Most important in decision making on reperfusion therapy and the type of intervention is to look for markers indicating a higher mortality rate from myocardial infarction. The ECG is a reliable, inexpensive, non-invasive instrument to obtain that information. Recently it has become clear that both in anterior and inferior myocardial infarction, the ECG frequently allows not only to identify the infarct related coronary artery, but also the site of occlusion in that artery and therefore the size of the jeopardized area. Obviously, the more proximal the occlusion, the larger the area at risk and the more aggressive the reperfusion attempt. Artikel-Nr. 9781402072147
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