Diagnosis and Management of Adult Congenital Heart Disease 1st edition by Michael A. Gatzoulis, Gary D. Webb, Piers E. F. Daubeney – Ebook PDF Instant Download/DeliveryISBN: 0702069321, 9780702069321
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Product details:
ISBN-10 : 0702069321
ISBN-13 : 9780702069321
Author: Michael A. Gatzoulis, Gary D. Webb, Piers E. F. Daubeney
Designed to meet the needs of clinicians working with adults with congenital heart disease, Diagnosis and Management of Adult Congenital Heart Disease , by Drs. Michael A. Gatzoulis, Gary D. Webb, and Piers E. F. Daubeney, offers essential guidance on the anatomical issues, clinical presentation, diagnosis, and treatment options available to practitioners today. This latest edition features completely updated content, including new information for nurses and nurse practitioners who, now more than ever, are playing an important role in the care of adults with CHD. You’ll also access four new chapters, illustrated congenital defects, coverage of long-term outcomes, and much more.
Diagnosis and Management of Adult Congenital Heart Disease 1st Table of contents:
Part I. General Principles
1. Adults With Congenital Heart Disease: A Growing Population
2. Grown-Up Congenital Heart or Adult Congenital Heart Disease: Historical Perspectives
3. Cardiac Morphology and Nomenclature
Sequential Segmental Analysis: General Philosophy
Morphology of the Cardiac Chambers
Arrangement of Atrial Chambers
Determination of Ventricular Morphology and Topology
Analysis of the Atrioventricular Junction
Determination of Morphology of the Great Arteries
Analysis of the Ventriculoarterial Junction
Associated Malformations
Location of the Heart
Conclusion
4. Adults With Congenital Heart Disease: A Genetic Perspective
Genetic Basis of Congenital Heart Disease
Genetics in the Adult Congenital Heart Disease Population
Assessment by the Adult Congenital Heart Disease Clinician
Genetic Testing
Recurrence Risk of Congenital Heart Disease
5. Clinical Assessment
Medical History
Physical Examination
Electrocardiogram
Chest Radiograph
Conclusion
6. Echocardiography
Sequential Segmental Analysis
Echocardiography in Specific Lesions
Conclusion
7. Heart Failure, Exercise Intolerance, and Physical Training
Heart Failure in Adults With Congenital Heart Disease
Mechanisms of Heart Failure in Adult Congenital Heart Disease
8. Cardiovascular Magnetic Resonance
Safety
Techniques
Applications of Cardiovascular Magnetic Resonance in Specific Diseases
Conclusion
9. Cardiac Computed Tomography
Technical Considerations
Cardiac Computed Tomography in Clinical Practice
Conclusion
10. Cardiac Catheterization in Adult Congenital Heart Disease
What Is the Role of Catheterization?
Procedural Preparation
Adult Congenital Heart Disease Catheterization Laboratory
Hemodynamic Assessment
Angiography
Angiography in Specific Cardiac Lesions
Select Adult Congenital Heart Disease Interventions
Conclusion
11. Late Repair and Reoperations in Adult Congenital Heart Disease
Special Considerations
Primary-Late Correction in Adult Life
Reoperation in Adult Life
Conclusion
12. Venous Shunts and the Fontan Circulation in Adult Congenital Heart Disease
Surgical Techniques for Patients With Univentricular Physiology
Fontan Cardiac Physiology
Clinical Status and Monitoring of the Adult Fontan Patient
Major Adverse Events
Therapeutic Options
Long-Term Survival
Conclusion
13. Late Complications Following the Fontan Operation
Clinical Evaluation
History and Long-Term Sequelae
Conclusion
14. Heart and Lung Transplantation in Adult Congenital Heart Disease
Indications
Types of Heart Disease Requiring Transplantation
Timing of Transplantation
Pretransplantation Evaluation
Surgical Considerations
Outcomes
Conclusion
15. Noncardiac Surgery in Adult Congenital Heart Disease
Assessment of Risk
Multidisciplinary Team
Perioperative Management
Additional Considerations
Postoperative Management
16. Critical Care
Acute Cardiovascular Management of Oxygen Delivery
Vascular Access
Infective Endocarditis
Feeding
Coagulation Defects and Anticoagulation
Rehabilitation Following Critical Illness
Conclusion
17. Arrhythmias in Adult Congenital Heart Disease
Bradycardia
Atrial Tachycardias
Atrial Fibrillation
Accessory Atrioventricular Pathways
Ventricular Tachycardia
Conclusion
18. Invasive Electrophysiology
Invasive Electrophysiology in Adult Congenital Heart Disease Patients With Atrial Arrhythmias
Ventricular Arrhythmias in Adult Congenital Heart Disease
Conclusion
19. Pacemakers and Internal Cardioverter Defibrillators in Adult Congenital Heart Disease
Implantable Cardiac Devices and Congenital Heart Disease
Sudden Death in Adults With Congenital Heart Disease and Implantable Cardioverter Defibrillators
Cardiac Resynchronization Therapy
Financial Support for Cardiac Resynchronization Therapy Section
Adults With Congenital Heart Disease Living With a Pacemaker or Implantable Cardioverter-Defibrillator: Medium- and Long-Term Consequences
20. Infective Endocarditis
Epidemiology
Infective Endocarditis Prophylaxis
Clinical Presentation
Management
Prognosis and Further Treatment
21. Transition of Care From Pediatrics
Continuity of Care
Maximal Responsibility of Health Care Management
Guidance for Providers and Programs
Conclusions
22. Pregnancy and Contraception
Importance of the Multidisciplinary Team
Preconception Counseling
Hemodynamic Changes in Pregnancy
The Prediction of Outcome
Principles of Antenatal Care
Principles of Care During Labor and Delivery
Endocarditis Prophylaxis
Cardiac Investigations During Pregnancy
Drug Therapy During Pregnancy
High-Risk Conditions During Pregnancy
23. Obstetric Analgesia and Anesthesia
Physiological Changes in Pregnancy
Planning
Analgesia for Labor
Vaginal Delivery
Anesthesia for Cesarean Section and Other Procedures
Specific Considerations for Certain Conditions
What Anesthetists Want to Know From Cardiologists
Conclusion
24. Quality of Life in Patients With Pulmonary Hypertension and Nursing in Adults With Congenital Heart Disease
Experiences of Living With Pulmonary Hypertension
Summary
Adult Congenital Heart Disease in Nursing
25. Psychosocial Issues in Adult Congenital Heart Disease
Introduction
Psychological Functioning of Adults with Congenital Heart Disease
Social Functioning of Adults with Congenital Heart Disease
Quality of Life of Adults with Congenital Heart Disease
Conclusion
26. Supportive and Palliative Care for Adults With Congenital Heart Disease
Introduction and Scope of the Problem
Concept of Comprehensive Care
Specific Considerations in Adults with Congenital Heart Disease
What is Known About Communication and Provision of End-of-Life Care in Adults with Congenital Heart Disease?
Practical Aspects of Comprehensive Care
Practical Recommendations for Effective Communication
Tasks During Later Stages of and Toward the End of Life
Bereavement
Conclusions
27. Anesthesia in Adult Congenital Heart Disease, Including Anesthesia for Noncardiac Surgery
General Anesthesia for Cardiac Surgery
Anesthesia for Noncardiac Surgery
28. Insurability of Adults With Congenital Heart Disease
Expression of Mortality
Gender Difference in Mortality
Smoker Versus Nonsmoker Differences in Mortality
Mortality and the Underwriting Process
Age and Relative Mortality Risk
Life Expectancy in the Insured Population
Limitations to Existing Long-Term Mortality Data
Review of Mortality Risk for Specific Congenital Heart Lesions
Adult Congenital Heart Disease Surgery: Kirklin/Barratt-Boyes
Atrial Septal Defect
Ventricular Septal Defect
Valvular Pulmonary Stenosis
Valvular Aortic Stenosis
Coarctation of the Aorta
Tetralogy of Fallot
Transposition of the Great Arteries
Fontan Operation
Atrial Arrhythmias in Congenital Heart Disease
Endocarditis
How You Can Help Your Patient Obtain Insurance Coverage
Part II. Septal Defects
29. Atrial Septal Defect (Interatrial Communication)
Definition and Morphology
Genetics and Epidemiology
Early Presentation and Management
Late Outcome
Outpatient Assessment
Late Management Options
Arrhythmia and Sudden Cardiac Death
Pregnancy
Level of Follow-Up, Endocarditis Prophylaxis, and Exercise
30. Ventricular Septal Defect
Definition and Morphology
Associated Abnormalities
Prevalence and Genetic Factors
Pathophysiology
Early Clinical Presentation
Management in Childhood
Late Outcome and Complications
Outpatient Assessment of the Adult Patient
Management of the Adult Patient
31. Atrioventricular Septal Defects
Definition and Morphology
Embryology, Epidemiology, and Genetics/Maternal Exposure
Early Presentation
Outpatient Assessment of the Adult with Atrioventricular Septal Defect
Part III. Diseases of the Mitral Valve
32. Cor Triatriatum and Congenital Mitral Stenosis
Introduction
Cor Triatriatum
Congenital Mitral Stenosis
33. Mitral Valve Prolapse, Mitral Regurgitation
Anatomy of the Mitral Valve
Definition, Etiology, and Pathology of Mitral Valve Prolapse
Prevalence of Mitral Valve Prolapse
Early Presentation of Mitral Valve Prolapse
Management of Mitral Valve Prolapse
Late Outcome of Mitral Valve Prolapse
Late Management Options
Pregnancy
Exercise and Mitral Valve Prolapse
Conclusions
34. Partial Anomalous Pulmonary Venous Connections and the Scimitar Syndrome
Definition and Morphology
Scimitar Syndrome
Genetics and Epidemiology
Early Presentation and Management
Late Outcome
Outpatient Assessment
Late Management Options
Pregnancy
Endocarditis Prophylaxis, Exercise, and Noncardiac Surgery
Part IV. Diseases of the Left Ventricular Outflow Tract
35. Valvular Aortic Stenosis
Definition, Morphology, and Epidemiology
Associated Lesions
Genetics and Molecular Biology
Pathophysiology and Clinical Course (Without Intervention)
Physical Examination
Investigations
Management
Outcomes and Follow-Up
36. Subvalvular and Supravalvular Aortic Stenosis
Subvalvular Aortic Stenosis
Supravalvular Aortic Stenosis
Pregnancy in the Presence of Left Ventricular Outflow Tract Obstruction
37. Aortic Regurgitation
Etiology
Primary Aortic Valve Abnormality
Aortic Root Pathology
Aortic Regurgitation Associated With Other Congenital Lesions
Acquired Aortic Regurgitation
Clinical and Natural Course in Children with Aortic Regurgitation
Acute Aortic Regurgitation
Chronic Aortic Regurgitation
Stages of Chronic Aortic Regurgitation
Disease Progression Considerations
Outpatient Management
Vasodilator Therapy
Timing of Surgery
Surgical Options
Transcatheter Aortic Valve Replacement for Aortic Regurgitation
Outcomes After Surgery
Pregnancy
Endocarditis Prophylaxis
Exercise
38. Sinus of Valsalva Aneurysms
Introduction
Morphology
Associated Defects
Epidemiology
Investigations
Presentation
Management
Outpatient Assessment
Arrhythmia and Sudden Death
Pregnancy
Level of Follow-Up and Endocarditis Prophylaxis
Part V. Diseases of the Aorta
39. Patent Ductus Arteriosus and Aortopulmonary Window
Patent Ductus Arteriosus
Incidence and Classification
Late Outcome
Outpatient Assessment
Late Management Options
Pregnancy
Level of Follow-Up, Endocarditis Prophylaxis, and Exercise
Aortopulmonary Window
Associated Lesions
Early Presentation
Late Presentation
Outpatient Assessment and Management
40. Aortic Coarctation and Interrupted Aortic Arch
Coarctation of the Aorta
Interrupted Aortic Arch
41. Truncus Arteriosus
Definition and Morphology
Epidemiology and Genetics
Early Presentation and Natural History
Surgical Repair
Late Outcome and Management
42. Vascular Rings, Pulmonary Slings, and Other Vascular Abnormalities
Normal Embryogenesis
Classification and Morphology of Individual Lesions
Genetics and Epidemiology
Clinical Manifestations
Investigations
Management
Late Outcome
Arrhythmia and Sudden Cardiac Death
Pregnancy
Level of Follow-Up, Endocarditis Prophylaxis, and Exercise
Part VI. Diseases of the Tricuspid Valve
43. Ebstein Anomaly
Definition and Morphology
Genetics and Epidemiology
Early Presentation
Outpatient Assessment
Early Management
Late Outcome
Late Management
Pregnancy
Level of Follow-up, Endocarditis Prophylaxis, Exercise
44. Tricuspid Regurgitation and Stenosis
Definitions and Morphology
Genetics and Epidemiology
Early Presentation and Management
Late Outcome
Outpatient Assessment
Late Management Options
Arrhythmia and Sudden Cardiac Death
Pregnancy, Exercise, and Endocarditis Prophylaxis
Part VII. Diseases of the Right Ventricular Outflow Tract
45. Pulmonary Stenosis
Definition and Morphology
Early Presentation and Management
Late Outcome
Late Complications
Outpatient Assessment
Late Management Options
Arrhythmia and Sudden Cardiac Death
Pregnancy
Level of Follow-Up, Endocarditis Prophylaxis, and Exercise
46. Double-Chambered Right Ventricle
Definition and Morphology
Genetics and Epidemiology
Presentation and Diagnosis
Management
Late Outcomes
Outpatient Assessment of the Adult With Double-Chambered Right Ventricle
Part VIII. Cyanotic Conditions
47. Tetralogy of Fallot
Definition and Morphology
Genetics and Epidemiology
Early Presentation and Management
Late Outcomes
Outpatient Assessment
Late Management Options
Arrhythmia and Sudden Cardiac Death
Pregnancy
Level of Follow-Up
Endocarditis Prophylaxis
Exercise
Future Therapies
48. Pulmonary Atresia With Ventricular Septal Defect
General Overview
Anatomy
Genetics and Epidemiology
Early Presentation
Management
Long-Term Outcome
Outpatient Assessment
Imaging
Long-Term Management
Pregnancy
Other Recommendations
49. Absent Pulmonary Valve Syndrome
Definition and Morphology
Epidemiology and Genetics
Tetralogy of Fallot with Absent Pulmonary Valve
Absent Pulmonary Valve in Isolation
Summary
50. Pulmonary Atresia With Intact Ventricular Septum
Definition and Morphology
Genetics and Epidemiology
Fetal Presentation
Early Presentation and Management
Late Outcome
Outpatient Assessment
Late Management Options
Arrhythmia and Sudden Cardiac Death
Pregnancy
Follow-Up, Endocarditis Prophylaxis, and Exercise
51. Transposition of the Great Arteries
Definition and Morphology
Genetics and Epidemiology
Early Presentation and Management
Late Outcome
Outpatient Assessment
Late Management Options
Pregnancy
Level of Follow-up
Endocarditis Prophylaxis
Exercise
52. Eisenmenger Syndrome
Definition and Morphology
Etiology
Clinical Classification
Genetics and Epidemiology
Right Ventricular Remodeling
Early Presentation and Management
Late Outcome
Outpatient Assessment
Late Management Options
Arrhythmia and Sudden Cardiac Death
Pregnancy
Level of Follow-Up and Endocarditis Prophylaxis
Exercise, Air Travel, and Exposure to High Altitude
Supportive and Palliative Care
53. Congenitally Corrected Transposition of the Great Arteries
Definition and Morphology
Associated Anomalies
Genetics and Epidemiology
Presentation and Management in Childhood
Presentation and Management in Adulthood
Diagnostic Evaluation in Adulthood
Pregnancy
Level of Follow-Up
Antibiotic Prophylaxis
Exercise
54. Double-Outlet Right Ventricle
Definition
History
Embryology
Epidemiology
Classification
Pathophysiology and Presentation
Other Considerations
Indications for Repair and Preoperative Evaluation
Surgical Repair
Special Situations
Surgical Outcomes
Outpatient Assessment of the Adult With Double-Outlet Right Ventricle
Arrhythmias and Sudden Cardiac Death
Pregnancy
Follow-Up and Endocarditis Prophylaxis
Conclusion
Part IX. Univentricular Hearts
55. Double-Inlet Ventricle
Definition and Morphology
Genetics and Epidemiology
Early Presentation and Management
Management
Late Outcome
Outpatient Assessment
Late Management Options
Arrhythmia and Sudden Cardiac Death
Pregnancy
Level of Follow-Up, Endocarditis Prophylaxis, and Exercise
56. Atrioventricular Valve Atresia
Tricuspid Atresia
Mitral Atresia and Hypoplastic Left Heart Syndrome
Late Outcome
Outpatient Assessment
Post-Fontan or Post–Total Cavopulmonary Connection Patients With Tricuspid Atresia or Hypoplastic Left Heart Syndrome
Late Management Options
Pregnancy and Contraception
Level of Follow-Up, Endocarditis Prophylaxis, and Exercise
57. Heterotaxy and Isomerism of the Atrial Appendages
Definitions
Morphology
Epidemiology and Genetics
Associated Cardiac Lesions in Heterotaxy Syndrome
Early Presentation and Initial Management
Late Presentation and Outcomes
Complications and Late Management Options
Outpatient Assessment
Conduction System Abnormalities and Arrhythmias
Pregnancy
Level of Follow-Up and Endocarditis Prophylaxis
Part X. Coronary Artery Abnormalities
58. Congenital Anomalies of the Coronary Arteries
Primary Congenital Coronary Anomalies
Secondary Congenital Coronary Anomalies
59. Kawasaki Disease
Definition/Morphology
Genetics, Epidemiology and Etiology
Early Presentation and Management
Adult Onset Kawasaki Disease
Late Outcome, Long-Term Management
Patients With No Evidence of Coronary Artery Abnormalities
Myocardial Infarction
Coronary Artery Sequelae
Outpatient Assessment of the Adult With Kawasaki Disease
Late Management Opinions
Pregnancy
Level of Follow-Up
Part XI. Other Lesions
60. Myocarditis and Dilated Cardiomyopathy
Definition
Epidemiology and Etiology
Genetics of Dilated Cardiomyopathy
Pathogenesis
Clinical Presentation and Assessment
Evidence of Myocardial Inflammation and Infection
Management
Outpatient Assessment, Level of Follow-Up, and Exercise
Arrhythmia and Sudden Cardiac Death
Emerging Role of Cardiovascular Magnetic Resonance
Prognosis
Pregnancy
Conclusion
61. Hypertrophic Cardiomyopathy
Definition
Morphology and Pathophysiology
Epidemiology
Genetics
Presentation and Outpatient Assessment
Late Outcomes
Management
Pregnancy
Endocarditis Prophylaxis and Exercise
62. Constrictive Pericarditis and Restrictive Cardiomyopathy
Definition and Morphology
Epidemiology and Genetics
Early Presentation and Management
Late Outcome
Outpatient Assessment
Late Management Options
Arrhythmia and Sudden Cardiac Death
Pregnancy
Level of Follow-Up, Endocarditis Prophylaxis, and Exercise
63. Arrhythmogenic Cardiomyopathy
Pathologic Findings
Pathogenesis of Arrhythmogenic Cardiomyopathy
Clinical Findings and Natural History
Outpatient Assessment, Management, and Treatment
Risk Stratification
64. Noncompacted Myocardium
Definitions
Epidemiology
Pathology and Pathogenesis
Current Diagnostic Criteria
Clinical Presentation (Cardiac and Noncardiac Findings)
Association With Neuromuscular Disorders, Metabolic and Genetic Syndromes, and Congenital Heart Defects
Genetics
Management and Conclusion
65. Rheumatic Fever
Pathogenesis
Special Clinical Manifestations
Pathology
Therapy of Inflammatory Manifestations
Conclusion
66. Cardiac Tumors
Diagnosis of Cardiac Tumors
Treatment and Prognosis
Primary Benign Cardiac Tumors
Primary Malignant Cardiac Tumors
Secondary Cardiac Tumors
67. Marfan Syndrome: A Cardiovascular Perspective
Genetics
Clinical Presentation and Natural History
Treatment
Outpatient Assessment
Pregnancy
Level of Follow-Up
Endocarditis Prophylaxis
Exercise
68. Idiopathic Pulmonary Hypertension
Epidemiology
Definition and Clinical Classification
Pulmonary Vascular Pathophysiology and Genetic Factors
Cardiac Pathophysiology
Clinical Presentation and Assessment
Management Options
Pregnancy
Level of Follow-Up, Endocarditis Prophylaxis, and Exercise
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