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  • The ESC Textbook of Cardiovascular Medicine, 2 Vols.: Winner of the BMA Cardiology Book Award 2019

    The ESC Textbook of Cardiovascular Medicine, 2 Vols. by Camm, A. John; Lüscher, Thomas F.; Maurer, Gerald;

    Winner of the BMA Cardiology Book Award 2019

    Series: The European Society of Cardiology Series;

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    Product details:

    • Edition number 3. Aufl.
    • Publisher Oxford University Press
    • Date of Publication 21 December 2018

    • ISBN 9780198784906
    • Binding Hardback
    • No. of pages3408 pages
    • Size 283x230x120 mm
    • Weight 7809 g
    • Language English
    • 0

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    Short description:

    Providing the background information behind clinical practice, with in-depth peer-reviewed articles and broad coverage of the field, The ESC Textbook of Cardiovascular Medicine and its digital counterpart, ESC CardioMed, are invaluable resources for those working in cardiovascular medicine across the world.

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    Long description:

    This new, third edition of The ESC Textbook of Cardiovascular Medicine is a ground-breaking initiative from the European Society of Cardiology that transforms reference publishing in cardiovascular medicine to better serve the changing needs of the global cardiology community. Providing the background information behind clinical practice and the ESC Clinical Practice Guidelines, this publication is an invaluable resource for cardiologists across the world.

    Overseen by Professors A. John Camm, Thomas F. Lüscher, Gerald Maurer, and Patrick W. Serruys, supported by an editorial board of subject experts, and with more than 1000 of the world's leading specialists - from researchers to clinicians - contributing, this dynamic encyclopaedic resource covers more than 63 disciplines within cardiology. Split into six parts: Introduction to the cardiovascular system; Investigations; Heart diseases; Vascular disease; Specific populations - gender and
    race; and Other aspects of Cardiology, The ESC Textbook of Cardiovascular Medicine gives readers a trustworthy insight into all aspects of cardiovascular medicine.

    To respond nimbly to the rapid evolution of the field, the textbook is also published online in an innovative digital version, titled ESC CardioMed. This digital resource is continually updated by the author teams. With expert editors and authors, and stringent peer-review, it combines the discoverability of digital with the higest standards of academic publishing. Highly illustrated, with embedded multi-media features, along with cross-referenced links to the ESC Clinical Practice
    Guidelines, related content, and primary research in the European Heart Journal, ESC CardioMed provides users with a dynamic, forward-thinking resource, at the heart of cardiology.

    As a continually evolving knowledge base, The ESC Textbook of Cardiovascular Medicine, together with the online counterpart ESC CardioMed, equips all cardiologists - from trainees and consultants, to device specialists and allied healthcare professionals - with a powerful, multi-faceted resource covering all aspects of cardiovsacular medicine.

    The great strengths of this book are: 1. It is as contemporaneous as a cardiology textbook can be. 2. It is comprehensive. 3. It has been written by excellent authors ... It's a great textbook, and arguably the gold standard for a general cardiology textbook.

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    Table of Contents:

    PART 1. Introduction to the cardiovascular system
    Section 1. Cardiovascular history and physical examination
    Section editor: Nicholas Boon
    Approach to cardiovascular assessment
    Cardiovascular symptoms
    Cardiovascular signs
    Section 2. Developmental biology of the heart
    Section editor: Miguel Torres
    Cardiac embryogenesis
    The molecular basis of cardiac embryogenesis
    From heart-forming region to ballooning chambers
    Development of the ventricles and valves
    Development of the cardiac conduction system
    Epicardial and coronary vascular development
    Cardiomyocyte development from mid-gestation through preadolescence
    Section 3. Functional anatomy of the heart
    Section editor: Siew Yen Ho
    Introduction
    Cardiac anatomy in the interventional era: an overview
    Normal conduction system, coronary arteries, and coronary veins
    Normal atrial and ventricular myocardial structures
    The heart as a functional unit
    Ventricular structure and function
    Functional anatomy of atria
    Functional anatomy of left heart valves
    Functional anatomy of right heart valves
    Functional anatomy of myocardial perfusion
    Section 4. Cardiovascular physiology
    Section editor: Guido Grassi
    The heart as a pump: governing principles
    Cardiac electrophysiology
    Cardiovascular physiology: regulation of coronary circulation
    Regulation of blood pressure
    Heart/kidney interactions
    Cardiovascular response to exercise
    Cardiovascular response to mental stress
    The cardiovascular system during sleep
    The ageing heart
    Alterations in cardiovascular physiology in pathological states
    Section 5. Cardiovascular pharmacology
    Section editor: Faiez Zannad
    Renin-angiotensin system and neprilysin
    Mineralocorticoid receptor antagonists
    Autonomic nervous system drugs
    Pharmacology of vasodilators
    Positive inotropes
    Antiarrhythmics
    Pharmacology of oral antiplatelet drugs
    Fibrinolytic therapy
    Lipid-lowering drugs
    Oral diabetes treatments and cardiovascular disease
    Renal pharmacology for the cardiologist
    Potassium binders
    Cardiovascular effects of non-cardiovascular drugs
    Drug-drug interactions
    Local drugs in interventional cardiology pharmacology
    Section 6. Anticoagulation
    Section editor: Raffaele DeCaterina
    An overview of haemostasis, in relation to atherothrombotic, thromboembolic, and venous cardiovascular disease
    Current targets of anticoagulants
    Epidemiology of non-vitamin K antagonist oral anticoagulants in heart disease
    Unfractionated heparin
    Low-molecular-weight heparin
    Fondaparinux and its derivatives
    Bivalirudin and argatroban
    Reversal of parenteral anticoagulants
    Vitamin K antagonists
    The NOACs: pharmacodynamics and pharmacokinetics
    The NOACs: clinical pharmacology
    The NOACs in special situations: the elderly, renal impairment, combination with antiplatelet agents and thrombolytics
    Reversal of oral anticoagulants
    Epidemiological data on the use of traditional anticoagulants in cardiovascular disease
    Section 7. Epidemiology and global burden
    Section editor: Sumeet Chugh
    Strategies for assessment of global disease burden
    Epidemiology and global burden of hypertension
    Epidemiology and global burden of ischaemic heart disease
    Epidemiology and global burden of cardiomyopathy
    Epidemiology and global burden of arrhythmias
    Epidemiology and global burden of rheumatic heart disease
    Epidemiology and global burden of myocarditis and pericarditis
    Epidemiology and global burden of infective endocarditis
    Epidemiology and global burden of peripheral arterial disease and aortic aneurysms
    PART 2. Investigations
    Section 8. Electrocardiogram
    Section editor: Antonio Bayes de Luna
    Introduction
    Atrial abnormalities
    Ventricular hypertrophy
    Intraventricular conduction disturbances
    ECG patterns of ischaemia and necrosis
    ECG patterns related to arrhythmias and sudden death: channelopathies, early repolarization, and preexcitiation
    ECG in syncope, palpitations, dyspnoea, and chest pain
    The abnormal ECG without apparent heart disease and the normal ECG in serious heart diseases: two extremes
    Ambulatory ECG monitoring
    Section 9. Chest radiography
    Section editor: Christian Herold
    Normal anatomy with a focus on the cardiac silhouette and the great vessels
    Pulmonary venous hypertension
    Pulmonary arterial hypertension and acute and chronic thromboembolism
    Pulmonary infections
    Focal abnormalities
    Lines, tubes, and implantable devices
    Section 10. Cardiac ultrasound
    Frank Flachskampf
    Principles of echocardiographic imaging and velocity assessment by Doppler and speckle tracking
    Technical equipment for echocardiography
    Transthoracic echocardiography and the standard examination of specific cardiac structures
    Stress echocardiography
    Contrast echocardiography
    Three-dimensional echocardiography
    Coronary heart disease
    Hypertension and diabetes
    Transoesophageal echocardiography
    Left ventricular function, heart failure, and resynchronization therapy
    Assist devices
    Cardiomyopathies, myocarditis, and the transplanted heart
    Cardiac valves
    Echocardiography in transcatheter aortic valve implantation
    Transcatheter mitral valve repair: from edge-to-edge to annuloplasty
    Prosthetic valve evaluation
    Pulmonary hypertension and the right ventricle
    Echocardiographic assessment: diseases of the aorta
    Atrial fibrillation, cardiogenic embolism, and tumors
    Emergency echocardiography
    Section 11. Cardiovascular magnetic resonance
    Section editor: Dudley Pennell
    Normal anatomy and function
    Cardiovascular magnetic resonance physics, techniques, and contrast agents
    Coronary artery disease
    Cardiomyopathies
    Congenital heart disease
    Valvular heart disease
    Atherosclerosis imaging
    Angiography
    Cardiovascular magnetic resonance in less common pathologies
    Section 12. Cardiovascular computed tomography
    Section editor: Stephan Achenbach
    Technology of cardiac computed tomography
    Coronary calcium
    Coronary computed tomography angiography: detection of coronary artery stenosis
    Coronary computed tomography angiography: imaging of coronary atherosclerotic plaque
    Computed tomography myocardial perfusion
    Computed tomography for cardiac morphology, function, and valve disease
    Computed tomography for cardiac interventions
    Section 13. Nuclear cardiology and positron emission tomography
    Section editor: Philipp Kaufmann
    Basic principles and technological state of the art: SPECT
    Basic principles and technological state of the art: PET
    Basic principles and technological state of the art: hybrid imaging
    Assessment of coronary artery disease: chronic stable angina
    Assessment of coronary artery disease: imaging-guided management and therapy
    Integration of stress nuclear imaging in the diagnostic and management algorithms of stable coronary artery disease
    Assessment of coronary artery disease: nuclear myocardial perfusion imaging in specific patient populations
    Heart failure
    Endocarditis and device infection
    Infiltrative disease (amyloidosis/sarcoidosis)
    Future potential
    Section 14. Invasive imaging and haemodynamics
    Section editor: Carlo Di Mario
    Haemodynamic data
    Coronary Angiography and Ventriculography
    Intravascular ultrasound imaging
    Optical coherence tomography
    Near-infrared spectroscopy
    Functional coronary assessment: fractional flow reserve
    Functional coronary assessment: instantaneous wave-free ratio and other indices
    Section 15. Selection of imaging techniques
    Section editor: Jeroen Bax
    Choice of imaging techniques
    PART 3. Heart Diseases
    Section 16 Genetics of cardiovascular diseases
    Section editor: Heribert Schunkert
    Introduction
    Genetic counselling
    Principles of cascade screening
    Principles of molecular genetic testing
    Basic principles of genetic disease
    Monogenic and oligogenic cardiovascular diseases: genetics of arrhythmias-long QT syndrome
    Monogenic and oligogenic CV diseases - Genetics of arrhythmias - short QT Syndrome
    Monogenic and oligogenic CV diseases - Genetics of arrhythmias - Brugada Syndrome
    Monogenic and oligogenic CV diseases - Genetics of arrhythmias - catecholaminergic polymorphic ventricular tachycardia
    Post-mortem genetic testing in sudden death cases
    Genetics of cardiomyopathies - Hypertrophic cardiomyopathy
    Genetics of cardiomyopathies - Dilated cardiomyopathy
    Genetics of cardiomyopathies: left ventricular non-compaction
    Genetics of cardiomyopathies - Arrhythmogenic Right Ventricular Cardiomyopathy
    Genetics of cardiomyopathies: cardiac manifestations of genetic mitochondrial diseases
    Genetics of cardiomyopathies - Myocardial infiltration
    Genetics of vascular disease: Marfan syndrome and aortic disease
    Structural diseases of the heart - Genetics of congenital heart diseases
    Structural diseases of the heart: syndromes affecting the cardiovascular system
    Complex Cardiovascular Diseases - Atherosclerosis - genetic factors
    Complex Cardiovascular Diseases - Dyslipidaemias - genetic factors
    Complex cardiovascular diseases: genetic determi nants of atrial fibrillation
    Complex cardiovascular diseases: the genetics of arterial hypertension
    Section 17. Congenital heart disease in children and adults
    Section editor: John Deanfield
    Introduction
    Nomenclature
    Epidemiology and incidence
    Aetiology, genes, and environment
    Fetal circulation & perinatal programming
    Clinical Presentations & Initial Investigations
    Echocardiography
    Cross-Sectional imaging/modelling
    Functional Testing
    Electrophysiological abnormalities and Arrhythmias
    Interventional catheterization
    Long term Outcomes
    Arterial Disease in the Young
    Contraception and pregnancy
    Pulmonary Hypertension
    Heart Failure
    Support/Transplantation
    Atrial septal defect
    Atrioventricular septal defect
    Ventricular septal defect
    Patent ductus arteriosus
    Pulmonary valve stenosis
    Vascular Rings
    Aortic stenosis and left ventricular outflow tract obstruction
    Coarctation
    Tetralogy of Fallot
    Ebstein's Anomaly
    Hypoplastic left heart syndrome
    Single ventricle/total cavopulmonary connection (Fontan circulation)
    Total anomalous pulmonary venous connection
    Complete transposition of the great arteries
    Congenitally corrected transposition of the great arteries
    Section 18. Prevention in cardiovascular disease and rehabilitation
    Section editor: Massimo Piepoli
    Introduction
    Cardiovascular risk estimation at the individual level
    Risk factor management at the level of the individual using lifestyle changes
    Risk factor intervention at the population level
    Cardiac rehabilitation and exercise training
    Prevention in cardiovascular disease and rehabilitation
    Settings and stakeholders
    Section 19. Diabetes mellitus and metabolic syndrome
    Section editor: Lars Ryden
    Introduction
    Dysglycaemia - Definition, classification and diagnosis
    Vascular complications of dysglycaemia
    Cardiovascular risk assessment in diabetes and pr e-diabetes
    Preventing cardiovascular complications in patients with dysglycemia
    Special conditions - Acute coronary syndromes
    Special conditions - Revascularisation
    Diabetes and heart failure
    Diabetes and arrhythmias
    Diabetes and lower extremity arterial disease
    Special conditions: kidney disease
    Person centred care
    Section 20. Heart and the brain
    Section editor: Hans-Christoph Diener
    Acute ischaemic stroke: classification and diagnosis
    Impact of stroke on heart function
    Causes of cardioembolic stroke
    Embolic stroke of undetermined source
    Treatment of acute stroke
    Closure of a patent foramen ovale for the prevention of stroke
    Secondary stroke prevention in patients with atrial fibrillation
    Management of vascular risk factors and co-morbidities in secondary stroke prevention
    Intracranial haemorrhage in patients with atrial fibrillation on anticoagulants
    Atrial Fibrillation and dementia
    Section 21. Cardiovascular problems in chronic kidney disease
    Section editor: Christoph Wanner
    Epidemiology and chronic kidney disease as a cardiovascular risk factor
    Causes of death in renal disease
    Pathophysiology
    Cardiovascular imaging in chronic kidney disease
    Prevention and drug therapy in chronic kidney disease
    Device therapy in chronic kidney disease (implantable cardioverter defibrillator, cardiac resynchronization therapy)
    Special considerations in patients undergoing renal replacement therapy and kidney transplant patients
    Section 22. Erectile dysfunction
    Section editor: Charalambos Vlachopoulos
    Sex and the heart
    Erectile dysfunction: definition and size of the problem
    Asking
    Erectile dysfunction as a marker and predictor of cardiovascular disease
    Testosterone, erectile dysfunction, and the heart
    Sexual function and dysfunction in women (and the effect for the couple)
    Lifestyle issues
    Drugs
    Surgery
    Management of a patient with erectile dysfunction with or without known cardiovascular disease
    Section 23. Lung Disease
    Section editor: Martin Cowie
    Epidemiological relationships between respiratory and cardiovascular diseases
    Long Term Oxygen Therapy/Ventilation and Cardiovascular outcomes in chronic lung and respiratory disease
    Effect of chronic obstructive pulmonary disease treatment on cardiovascular outcome
    Muscle weakness in chronic obstructive pulmonary disease and heart failure
    Pulmonary rehabilitation in Chronic Lung Disease and Heart Failure
    Sleep apnoea: definition, prevalence and role in cardiovascular diseases
    Sleep Related Breathing Disorders - Classification and diagnosis
    Sleep apnoea: treatment options and sleep/cardiovascular outcome
    Beyond positive airway pressure therapy: experimental and non-conventional treatments in sleep apnoea
    Atmospheric pollution and cardiovascular risk
    High-altitude pulmonary oedema
    Section 24. Gastrointestinal disease
    Section editor: Gerhard Rogler
    Introduction
    Gut microbiome, metabolic syndrome, and atherosclerosis
    Gut microbiota and coronary artery disease
    The gut and cardiovascular diseases
    Intestinal absorption and drug levels
    Chronic heart failure and liver function
    Protein-losing enteropathy associated with heart disease
    Section 25. Rheumatoid arthritis and the heart
    Section editor: Thomas Lüscher
    Introduction
    Mechanisms of inflammation
    Inflammatory diseases: inflammation and cardiovascular disease
    Rheumatoid arthritis: basic mechanisms in joints
    Anti-inflammatory therapies for cardiovascular disease
    Treatment aims in rheumatoid arthritis
    Inflammatory bowel disease: basic mechanisms
    Inflammatory bowel disease and the heart
    Psoriasis
    Section 26. Rheumatic heart disease
    Section editor: Ferande Peters
    Introduction
    Epidemiology of acute rheumatic fever and rheumatic heart disease
    Pathogenesis: from acute rheumatic fever to rheumatic heart disease
    Clinical features and diagnosis of acute rheumatic fever
    Echocardiography in acute rheumatic fever and rheumatic heart disease
    Prevention and definitive therapy of acute rheumatic fever
    Chronic rheumatic disease
    Clinical scenarios in chronic rheumatic heart disease
    Therapeutic options in chronic rheumatic heart disease
    Section 27. Cardio-oncology
    Section editor: John Groarke
    Introduction
    Radiation-induced heart disease: surveillance and management
    Surveillance for cardiotoxicity in patients receiving potentially cardiotoxic chemotherapy
    Anthracycline-related cardiotoxicity: epidemiology, surveillance, prophylaxis, management, and prognosis
    Trastuzumab-related cardiotoxicity: epidemiology, surveillance, management, prophylaxis, and prognosis
    Cardiovascular complications of novel kinase inhibitors
    Cardiovascular complications of novel multiple myeloma treatments
    Cardiovascular risk in men with prostate cancer
    Cardiac arrhythmias and cancer therapies
    Section 28. HIV
    Section editor: Nombulelo P. Magula
    Introduction
    Epidemiology of HIV-associated cardiovascular complications
    HIV-associated cardiomyopathy and myocarditis
    Pericarditis and myopericarditis in HIV
    Vascular disease: coronary, stroke, and peripheral vascular disease
    Pulmonary hypertension: definitions, classification, diagnosis, and management
    Antiretroviral treatment
    Section 29. Acute coronary syndromes
    Section editor: Stefan James
    Introduction
    The plaque
    Epidemiology of acute coronary syndromes
    General risk factors of acute coronary syndromes
    Pathophysiology of acute coronary syndromes
    Thrombotic response
    Development of myocardial infarction
    Diagnosis and risk stratification of acute coronary syndromes
    Treatment of non-ST elevation acute coronary syndromes
    Treatment of ST-segment elevation acute coronary syndromes
    Section 30. Takotsubo syndrome
    Section editor: Christian Templin
    Introduction
    Incidence and definition of takotsubo syndrome
    Mechanisms of takotsubo syndrome
    Signal transduction pathways initiated by catecholamines in takotsubo syndrome: focus on nitrosative stress and energetic impairment
    Triggers of takotsubo syndrome
    Clinical presentation of takotsubo syndrome
    Diagnostic testing in takotsubo syndrome
    ECG features and arrhythmias in takotsubo syndrome
    Co-morbidities in takotsubo syndrome
    Management of takotsubo syndrome
    Takotsubo syndrome complications, outcome, and prognosis
    Section 31. Chronic ischaemic heart disease
    Section editor: William Wijns
    Introduction
    Pathology of Stable Coronary Artery Disease
    Pathophysiology of coronary circulation
    Myocardial ischaemia: definition and causes
    Importance of the Coronary Collateral Circulation
    Coronary artery disease: from atherosclerosis to obstructive disease, inducible ischaemia, and the ischaemic cascade
    Clinical symptoms of stable ischaemic heart disease
    Non invasive functional evaluation
    Invasive and non-invasive (computed tomography) angiography
    Invasive functional evaluation
    Intracoronary imaging
    Risk stratification and risk scores
    Medical management: lifestyle and behavioural changes
    Medical management: pharmacological therapy
    Myocardial revascularization: symptomatic and prognostic indications
    Cost Effectiveness
    Patient Reported Outcome Measures in Cardiovascular Disease
    Ischaemic heart disease and diabetes
    Percutaneous coronary intervention versus coronary artery bypass grafting
    Refractory angina
    Chronic ischaemic cardiomyopathy
    Microvascular angina
    Vasospastic angina
    Section 32. Myocardial disease
    Section editor: Perry Elliott
    Introduction
    Classification of cardiomyopathies
    General approach to diagnosis of cardiomyopathies
    Hypertrophic cardiomyopathy: genetics
    Hypertrophic cardiomyopathy: diagnosis and assessment of symptoms
    Hypertrophic cardiomyopathy: medical management of heart failure symptoms and arrhythmias
    Hypertrophic cardiomyopathy: invasive management of left ventricular outflow tract obstruction
    Hypertrophic cardiomyopathy: prevention of sudden cardiac death
    Dilated cardiomyopathy: genetics
    Dilated Cardiomyopathy - Clinical diagnosis and medical management
    Dilated cardiomyopathy: management of arrhythmia and prevention of sudden cardiac death
    Restrictive cardiomyopathy
    Arrhythmogenic right ventricular cardiomyopathy: genetics
    Arrhythmogenic right ventricular cardiomyopathy: diagnosis
    Arrhythmogenic right ventricular cardiomyopathy: management of symptoms and prevention of sudden cardiac death
    Left ventricular non-compaction: genetics and embryology
    Left ventricular non-compaction: diagnosis and clinical management
    Myocarditis - Aetiology & histopathological diagnosis
    Myocarditis - Clinical presentation
    Myocarditis: imaging techniques
    Myocarditis - Treatment of myocarditis
    The heart in neuromuscular disease: primary mitochondrial diseases
    The heart in neuromuscular disease: myotonic dystrophy
    The Heart in Neuromuscular disease - Duchenne and Limb Girdle Muscular Dystrophies
    The heart in inherited metabolic disorders: lysosomal and glycogen storage diseases
    Cardiac Amyloidosis
    Peripartum Cardiomyopathy
    Childhood cardiomyopathy
    Section 33. Pericardial disease
    Section editor: Yehuda Adler
    Overview of pericardial syndromes
    Acute and recurrent pericarditis
    Pericardial effusion
    Cardiac tamponade
    Constrictive pericarditis
    Pericardial masses and congenital abnormalities
    Pericardial involvement in neoplastic disease
    Multimodality imaging of pericardial diseases
    Interventional therapies for pericardial diseases
    Surgical therapies for pericardial disease
    What next?
    Section 34. Tumours of the heart
    Section editor: Gaetano Thiene
    Masses and cardiac tumours: classification and diagnosis
    Benign cardiac tumours
    Malignant tumours, pericardial tumours, and therapy
    Section 35. Valvular heart disease
    Section editor: Helmut Baumgartner
    Introduction and general comments
    Aortic regurgitation
    Aortic stenosis
    Mitral regurgitation
    Mitral stenosis
    Tricuspid regurgitation
    Tricuspid stenosis
    Combined and multiple valve diseases
    Prosthetic valves
    Management during non-cardiac surgery
    Management during pregnancy
    Section 36. Infective endocarditis
    Section editor: Gilbert Habib
    Epidemiology and physiopathology
    Diagnosis
    Prognosis and complications
    Prosthetic valve endocarditis
    Cardiac device-related endocarditis
    Right-sided infective endocarditis
    Non-bacterial thrombotic endocarditis
    Congenital heart disease
    Indications for surgery: guidelines
    Surgical techniques
    Antibiotic prophylaxis and prevention of infective endocarditis
    Conclusion and future directions
    Section 37. Heart failure
    Section editor: John McMurray
    Epidemiology of Heart Failure
    Definition, epidemiology, and burden of disease: HFrEF
    Definition, epidemiology, and burden of disease: HFpEF
    Definitions: quality of life, health, and health-related quality of life
    Chronic heart failure diagnosis: symptoms, signs, and the ECG
    Chronic heart failure diagnosis: HFpEF
    Chronic heart failure diagnosis: echocardiography
    Chronic heart failure diagnosis: cardiovascular magnetic resonance imaging
    Chronic heart failure diagnosis - Biomarkers
    Chronic heart failure diagnosis - Genetics
    Estimating prognosis - Prognostic scores
    Estimating prognosis - Biomarkers
    Comorbidity (HFrEF and HFpEF) - Atrial fibrillation
    Co-morbidity (HFrEF and HFpEF): diabetes mellitus
    Co-morbidity (HFrEF and HFpEF): hypertension
    Comorbidity (HFrEF and HFpEF) - Renal dysfunction
    Comorbidity (HFrEF and HFpEF) - Anaemia/iron deficiency
    Co-morbidity (HFrEF and HFpEF): obesity, cachexia, sarcopenia, and the impact of nutrition
    Comorbidity (HFrEF and HFpEF) a Lung disease
    Comorbidity (HFrEF and HFpEF) - Sleep disordered breathing
    Comorbidity (HFrEF and HFpEF) - Cancer
    Co-morbidity (HFrEF and HFpEF): valvular heart disease
    HFrEF pharmacological treatment: diuretics
    HFrEF pharmacological treatment: ACEIs and/or ARBs
    HFrEF pharmacological treatment: angiotensin receptor-neprilysin inhibitors
    HFrEF pharmacological treatment: beta blockers
    HFrEF pharmacological treatment - Ivabradine
    HFrEF pharmacological treatment: digitalis glycosides
    HFrEF pharmacological treatment - Hydralazine and isosorbide dinitrate
    HFrEF other treatment: indications and results of implantable cardioverter defibrillator and cardiac resynchronization therapy
    HFrEF other treatment - Revascularization
    HFrEF other treatment: ventricular assist devices
    Advanced Heart Failure other treatment - Transplantation
    HFrEF other treatment: nurse-led heart failure management programmes
    HFpEF treatment - Pharmacological therapy
    Patient monitoring in heart failure
    Exercise rehabilitation in heart failure
    Palliative care in heart failure
    Acute heart failure - Diagnosis
    Acute heart failure - Immediate management/stabilization
    Acute heart failure - Treatment
    Section 38. Bradycardia
    Section editor: Giuseppe Boriani
    Introduction
    Aetiology and epidemiology of bradyarrhythmias
    Classification of bradyarrhythmias
    Methods and tools for the diagnosis of intermittent and persistent bradycardia
    Anatomy and physiology of the sinus node
    The sinus node: normal and abnormal chronotropic response and drug effects
    Sinus node disease: pathophysiology and natural history
    Sinus node disease: ECG patterns and diagnosis
    Sinus node disease: the role of electrophysiological testing
    Atrial tachyarrhythmias in bradycardiaatachycardia syndrome: characterization and evolution
    Anatomy and physiology of the atrioventricular node
    Atrioventricular conduction abnormalities and atrioventricular blocks: ECG patterns and diagnosis
    Atrioventricular conduction abnormalities and atrioventricular blocks: role of electrophysiology testing
    Congenital atrioventricular blocks: clinical presentation, clinical evaluation, and management
    Carotid sinus syndrome: clinical presentation, diagnosis, and management
    Bradycardia in athletes: clinical evaluation and management
    Cardiac pacing: basic concepts
    Temporary pacing
    Permanent cardiac pacing in bradyarrhythmias: device coding
    Pacing for bradycardia: device features and algorithms and clinical impact
    Electrocardiographic patterns of cardiac pacemakers: normal and abnormal findings
    Follow-up of pacemaker patients with bradyarrhythmias: scope of follow-up and organizational issues
    Pacemakers in children and adolescents
    Lead management
    Electromagnetic interference in pacemaker patients
    Pacemaker syndrome
    Section 39. Syncope
    Section editor: Michele Brignole
    Definition, epidemiology, classification, and pathophysiology
    Diagnostic evaluation
    Reflex syncope
    Cardiac syncope
    Orthostatic intolerance: orthostatic hypotension and postural orthostatic tachycardia syndrome
    Unexplained syncope in patients with high risk of sudden cardiac death
    Recommendations of the European Society of Cardiology Guidelines for the diagnosis and management of syncope (version 2018)
    Section 40. Supraventricular tachycardias
    Section editor: Carina Blomstorm-Lundqvist
    Introduction
    Epidemiology of supraventricular tachycardias
    Atrial premature beats
    Definitions, clinical presentation, symptoms, quality of life, and patient preferences
    Differential diagnosis of supraventricular tachycardias
    Acute management of supraventricular tachycardias with and without established diagnosis (termination and/or rate regulation of tachycardia)
    Management of rapid heartbeats/tachycardias with rhythm or rate control in the absence of ECG-verified diagnosis
    Management of specific supraventricular tachycardias
    Sinus node-related tachycardias: physiological sinus tachycardia, inappropriate sinus tachycardia, sinus node reentrant tachycardia, and postural orthostatic tachycardia syndrome
    Atrial tachycardias: focal and multifocal atrial tachycardias
    Atrial tachycardias: macroreentrant atrial tachycardias, CTI-dependent atrial flutter (clockwise, anticlockwise), and non-CTI-dependent macroreentrant atrial tachycardia
    Atrioventricular nodal reentrant tachycardia
    Accessory pathways-related tachycardias: Wolff-Parkinson-White syndrome and atrioventricular reentrant tachycardias
    Concealed accessory pathways and related tachycardias
    Permanent junctional reciprocating tachycardia
    Pre-excitation related to Mahaim physiology
    Asymptomatic pre-excitation
    Non-reentrant junctional tachycardias
    Health economy
    Section 41. Atrial fibrillation
    Section editor: John Camm
    Introduction
    Epidemiology
    Mechanisms of atrial fibrillation: electrophysiological basis
    Mechanisms of atrial fibrillation: genetics
    Mechanisms of atrial remodelling
    Types of atrial fibrillation
    Silent atrial fibrillation
    Atrial fibrillation progression and prevention
    Clinical investigation of patients presenting with atrial fibrillation
    Management of acute presentation with atrial fibrillation rate control
    Restoration of sinus rhythm: direct current cardioversion
    Pharmacological cardioversion for atrial fibrillation
    Rate control: medical therapy
    Rate control: ablation and device therapy (ablate and pace)
    Rhythm control: antiarrhythmic drugs
    Development of atrial fibrillation catheter ablation and ablation strategies
    Rhythm control: surgical ablation
    Rate versus rhythm control therapy for atrial fibrillation
    Follow-up of patients with atrial fibrillation
    Stroke risk factors and risk stratification in atrial fibrillation
    Stroke prevention in atrial fibrillation
    Bleeding risk in anticoagulated patients with atrial fibrillation
    Thromboprophylaxis in atrial fibrillation: device therapy and surgical techniques
    Classification and mechanisms of atrial flutter
    Atrial flutter: clinical presentation
    Atrial flutter: management
    Atrial fibrillation and heart failure
    Atrial fibrillation and athletes
    Atrial fibrillation in the elderly
    Atrial fibrillation after cardiopulmonary surgery
    Atrial fibrillation and hypertension
    Atrial fibrillation and hyperthyroidism
    Atrial fibrillation and obesity
    Atrial fibrillation and sleep apnoea and chronic obstructive pulmonary disease
    Atrial fibrillation and chronic kidney disease
    Atrial fibrillation in pregnancy
    Atrial fibrillation associated with adult congenital heart disease
    Integrated care management in atrial fibrillation
    Patient education
    Section 42. Ventricular tachycardia
    Section editor: Brian Olshansky
    Classification of ventricular tachycardias
    Evaluation and acute management of wide QRS complex tachycardia
    Classification and treatment of non-sustained ventricular tachycardia
    Sustained monomorphic ventricular tachycardia associated with structural heart disease: classification, assessment, and initial treatment
    Bundle branch reentry tachycardia
    Electrical storm
    Sustained monomorphic ventricular tachycardia: the role of catheter ablation
    Sustained and non-sustained ventricular tachycardia and no associated heart disease (idiopathic ventricular tachycardia)
    Polymorphic ventricular tachycardias including torsade de pointes
    Section 43. Sudden Cardiac Death
    Section editor: Gerhard Hindricks
    Epidemiology and underlying substrates
    Arrhythmic mechanisms of sudden cardiac death: bradycardia and tachycardia
    Risk stratification for sudden cardiac death in the general population
    Risk stratification for sudden cardiac death in ischaemic cardiomyopathy
    Risk stratification for sudden cardiac death in dilated cardiomyopathy
    Risk stratification for sudden cardiac death in hypertrophic cardiomyopathy
    Risk stratification for sudden cardiac death in arrhythmogenic right ventricular cardiomyopathy
    Risk stratification for sudden cardiac death in primary electrical disorders
    New techniques for risk assessment in sudden cardiac death
    Prevention of sudden cardiac death in the general population
    Prevention of sudden cardiac death in ischaemic cardiomyopathy
    Secondary prevention of sudden cardiac death in ischaemic cardiomyopathy
    Primary prevention of sudden death in idiopathic dilated cardiomyopathy
    Secondary prevention of sudden death in idiopathic dilated cardiomyopathy
    Primary prevention of sudden cardiac death in hypertrophic cardiomyopathy
    Secondary prevention of sudden cardiac death in hypertrophic cardiomyopathy
    Primary prevention of sudden cardiac death in arrhythmogenic right ventricular cardiomyopathy
    Secondary prevention of sudden cardiac death in arrhythmogenic right ventricular cardiomyopathy
    Secondary prevention of sudden cardiac death after catheter ablation of ventricular tachycardia
    Prevention of sudden cardiac death in primary electrical disorders
    The implantable cardioverter defibrillator, conclusions on sudden cardiac death, and future perspective
    Section 44. Systemic hypertension
    Section editor: Bryan Williams
    Epidemiology and Pathophysiology of Hypertension
    Blood pressure measurement in hypertension: definition and classification of blood pressure levels
    Target organ damage, cardiovascular disease risk, and clinical evaluation of the hypertensive patient
    Secondary causes of hypertension
    Blood pressure Thresholds for treatment and blood pressure treatment targets in hypertension
    Sodium and potassium intake, blood pressure and cardiovascular prevention
    Drug treatment of hypertension
    Device based treatment for hypertension
    Hypertension in Specific conditions / comorbidities
    Hypertension in Special situations
    Part 4 Vascular disease
    Section 45. Pulmonary Hypertension
    Section editor: Marc Humbert
    Introduction
    Pulmonary hypertension: definition
    Pulmonary hypertension: epidemiology
    Pathophysiologic Mechanisms in Pulmonary Hypertension
    Pulmonary hypertension genes as major diagnostic tools
    Mechanisms of right ventricular failure
    Clinical Presentation of Pulmonary Hypertension
    Life-threatening complications of pulmonary hypertension
    Pulmonary hypertension: clinical classification
    Echocardiographic findings in pulmonary hypertension
    Screening for pulmonary arterial hypertension
    Diagnosis and clinical Investigation of patients presenting with pulmonary hypertension
    Management of pulmonary hypertension - Basic treatment
    Management of pulmonary hypertension: targeted therapies
    Management of pulmonary hypertension - Treatment algorithm
    Lung transplantation in pulmonary arterial hypertension
    Idiopathic pulmonary arterial Hypertension
    Heritable pulmonary arterial Hypertension
    Pulmonary arterial Hypertension induced by drugs and toxins
    Pulmonary arterial Hypertension associated with connective tissue disease
    Portopulmonary Hypertension
    Pulmonary arterial Hypertension associated with congenital heart diseases
    Pulmonary Arterial Hypertension associated with HIV infection
    Pulmonary veno-occlusive disease and/or pulmonary capillary haemangiomatois
    Pulmonary hypertension due to left heart diseases
    Pulmonary hypertension due to chronic lung diseases
    Chronic thromboembolic pulmonary hypertension
    'Group 5' pulmonary hypertension due to multiple and/or unclear mechanisms
    Referral centres and patient education
    Genetic counselling in pre-capillary pulmonary hypertension
    Risk assessment and treatment goals in patients presenting with pulmonary arterial hypertension
    Conclusion
    Section 46. Diseases of the aorta
    Section editor: Raimund Erbel
    Introduction
    The normal aorta
    Aortic aneurysm - Thoracic aortic aneurysm - Diagnostic approach
    Aortic aneurysm - Thoracic aortic aneurysm - Therapeutic options
    Aortic aneurysm - Aortic arch aneurysms
    Aortic aneurysm - Abdominal aortic aneurysm - Diagnostic Approach
    Aortic aneurysm - Abdominal aortic aneurysm - Therapeutic options
    Aortic sclerosis - Clinical signs and diagnosis
    Aortic sclerosis - Therapy
    Acute aortic syndrome - Diagnostic strategy and clinical features
    Acute aortic syndrome: emerging role of biomarkers
    Acute aortic syndrome - Aortic dissection - Ascending aortic dissection
    Acute aortic syndrome - Aortic dissection - Descending aortic dissection
    Acute aortic syndrome - Intramural Haematoma
    Penetrating aortic ulcer
    Acute aortic syndrome - Traumatic aortic injury
    Acute aortic syndrome - latrogenic aortic trauma
    Genetic diseases of the aorta - Chromosomal and inherited diseases
    Genetic diseases of the aorta: aortic diseases related to Marfan syndrome and other genetic abnormalities
    Genetic diseases of the aorta - Aortic diseases associated with bicuspid aortic valves
    Aortitis - infectious and non-infectious diseases
    Aortic tumor
    Long-term follow-up in patients with aortic diseases
    Aortic centres
    Section 47. Trauma to the cardiovascular system
    Section editor: Christoph Nienaber
    Trauma to the cardiovascular system
    Section 48. Non-cardiac surgery
    Section editor: Steen Kristensen
    Introduction and epidemiology
    Preoperative evaluation: surgical risk for cardiac events and functional capacity risk indices
    Preoperative evaluation - Biomarkers
    Preoperative evaluation - Non Invasive testing
    Preoperative evaluation - Angiography
    Risk reduction strategies: perioperative management of cardiovascular medication
    Risk reduction strategies: perioperative management in patients on antithrombotic therapy
    Risk reduction strategies: coronary revascularization before non-cardiac surgery
    Specific diseases: chronic heart failure/hypertension
    Specific diseases: valvular heart disease
    Specific diseases: arrhythmias
    Specific diseases: renal disease
    Specific diseases: stroke
    Specific diseases: pulmonary diseases
    Perioperative monitoring: transoesophageal echocardiography
    Perioperative Monitoring - Right Heart catherization
    Perioperative monitoring: glycaemic control
    Perioperative monitoring: anaesthesiology
    Conclusions and recommendations
    Section 49. Peripheral arterial diseases
    Section editor: Victor Aboyans
    Introduction
    Epidemiology and risk factors
    General aspects
    Antithrombotic drugs in peripheral arterial diseases
    Extracranial carotid and vertebral artery disease
    Upper extremity artery disease
    Mesenteric artery disease
    Renal artery disease
    Lower extremity artery disease
    Multisite artery disease
    Cardiac conditions in peripheral arterial diseases
    Gaps in evidence
    Section 50. Venous thromboembolism
    Section editor: Stavros Konstantinides
    Introduction
    Epidemiology and socioeconomic consequences of venous thromboembolism
    Predisposing factors for first and recurrent venous thrombosis
    Pathophysiology of acute pulmonary embolism
    Diagnosis - clinical prediction rules and laboratory tests
    Diagnosis of acute pulmonary embolism and evolving imaging modalities
    Prognostic assessment
    Treatment - haemodynamic and respiratory support
    Treatment - anticoagulation
    Treatment - thrombolysis
    Treatment: catheter-based intervention and inferior vena cava filters
    Management of pulmonary embolism in pregnancy
    Management of pulmonary embolism in patients with cancer
    Risk of recurrence and optimal duration of anticoagulation
    Chronic thromboembolic pulmonary hypertension
    Section 51. Venous disease
    Section editor: Sebastien Schellong
    Epidemiology and classification of venous disease
    Imaging for venous thrombosis
    Venous recanalisation
    Varicose veins
    Chronic venous insufficiency and post-thrombotic syndrome
    PART 5. Specific Populations - gender and race
    Section 52. Cardiovascular disease in women
    Section editor: Noel Bairey Merz
    Background
    Sex and gender differences overview
    Traditional cardiovascular disease risk factors
    Non-traditional cardiovascular disease risk factors unique to or predominant in women
    Cardiovascular disease prevention guidelines
    Ischaemic heart disease in women
    Heart failure in women
    Valvular heart disease
    Cardiac rehabilitation
    Peripheral arterial disease in women
    Future directions
    Section 53. Pregnancy and heart disease
    Section editor: Vera Regitz-Zagrosek
    General considerations
    Pregnancy risk assessment
    Gynaecological, obstetric, and neonatological aspects
    Congenital heart disease and pulmonary hypertension
    Aortic diseases
    Valvular heart disease
    Ischaemic heart disease in pregnancy
    Arrhythmias in pregnancy
    Cardiomyopathies and heart failure
    Hypertensive disorders
    Venous thromboembolism in the peripartum period
    Drugs during pregnancy and breastfeeding
    Section 54. Ethnicity
    Section editor: Gregory H. Y. Lip
    Global perspectives of hypertension and cardiovascular disease
    Ethnicity and cardiovascular risk factors
    Ethnicity and coronary artery disease
    Ethnicity and hypertension
    Ethnicity and cardiac arrhythmias
    Ethnicity and heart failure
    Ethnicity and inherited cardiac disease
    Ethnic differences in responses to cardiovascular drugs
    PART 6. Other aspects
    Section 55. Sports and heart disease
    Section editor: Antonio Pelliccia
    Cardiovascular adaptation to exercise and sport (according to type of sport, gender, and ethnicity)
    Clinical assessment of the athleteas heart: normal and abnormal ECGs in athletes
    Imaging testing for differential diagnosis of the athlete's heart from structural cardiac diseases
    Sudden cardiac death in athletes: implications for pre-participation evaluation and safety in sport arenas
    Exercise and sport in the management of cardiovascular diseases (ischaemic heart disease, heart failure, and hypertension)
    Section 56. Elderly
    Section editor: Franz Messerli and Tomasz Grodzicki
    Multimorbidity and polypharmacy in the elderly with cardiovascular diseases
    Palliative and end-of-life care in elderly subjects with cardiovascular disease
    Dementia and cardiovascular diseases
    Frailty, sarcopenia, and falls in cardiovascular disease
    Socioeconomic issues and cardiovascular disease (with emphasis on the caregivers)
    Comprehensive geriatric assessment in cardiovascular disease
    Degenerative cardiovascular disease in elderly
    Lessons from European Society of Cardiology Guidelines
    Arterial stiffness: from isolated systolic hypertension to syncope
    Arterial stiffness: from isolated systolic hypertension to syncope
    Interventions in the elderly: special considerations
    Section 57. Precision medicine
    Section editor: Paulus Kirchhof
    Personalized medicine: an introduction
    Personalized management of coronary artery disease
    Disease mechanisms guiding therapy
    Personalised management of atrial fibrillation
    Individualized valve therapy
    Genetically-modified animals as tools to personalize the study of arrhythmia mechanisms and treatment
    Opportunities for personalized approaches in heart failure
    Personalized Therapies for Cardiac Channelopathies
    Section 58. Decision-making and Heart Team
    Section editor: Patrick Serruys
    The Heart Team: introduction
    Heart Teams in coronary artery disease
    Decision-making and Heart Teams in valvular heart disease: the transcatheter aortic valve implantation team model
    Heart Teams in atrial fibrillation
    Heart Teams in grown-up congenital heart disease
    The Heart Team: conclusions and future perspectives
    Section 59. Psychological factors and heart disease
    Sectione editor: Susanne Pedersen
    Introduction
    Psychological factors and incident heart disease
    Psychological impact of heart disease
    Impact of psychological factors on outcomes
    Mechanisms: psychological factors and outcomes
    The wider psychosocial context
    Interventions: what works for whom?
    Clinical implications and future perspectives
    Conclusions
    Likely developments over the next 5-10 years
    Personal perspective
    Section 60. Interpretation of clinical trials
    Section editor: John Cleland
    Trial Design from a Clinical Perspective
    Clinical Trial Design: Statistical Issues
    Reporting Cardiovascular Clinical Trials
    Principles and methods of intervention research
    Interpretation
    Meta-analysis
    Section 61. Environment
    Section editor: Thomas Münzel
    Summary
    Introduction
    Pathophysiology of noise-induced cardiovascular diseases
    Pathophysiology of air pollution-mediated cardiovascular events
    Epidemiology of traffic noise and cardiometabolic disease
    Epidemiology of air pollution and cardiometabolic diseases
    Strategies to mitigate cardiovascular effects of noise and air pollution
    Future perspectives
    Conclusions
    Development and challenges over the next decade
    Section 62. Occupational and regulatory aspects
    Section editor: Demosthenes Katritsis
    Occupational risk factors for heart disease
    Regulations concerning individual risk and public safety
    Section 63. Economics and cost-effectiveness
    Section editor: Lorenzo Mantovani
    Introduction to health economics and cost-effectiveness of cardiovascular prevention
    Health and economic impact of non-adherence to preventative cardiovascular medicines
    Economics of new therapies in electrophysiology
    Medical economics and interventional cardiology
    Economics of new therapies for heart failure, atrial fibrillation, and hypercholesterolaemia
    PART 7. Appendices
    Cardiovascular disease risk estimation
    Patient reported outcome measures

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