哈里森心血管病學

內(nèi)容概要

《哈里森內(nèi)科學》是一部內(nèi)科學經(jīng)典名著，享有“內(nèi)科學著作之父”的美譽。
本書為《哈里森內(nèi)科學》系列之《哈里森心血管病學》分冊，本書強調(diào)基礎(chǔ)與臨床的整合，匯集了本領(lǐng)域內(nèi)最新的進展，不但內(nèi)容具有權(quán)威性和先進性，而且語言規(guī)范、地道。無論是臨床醫(yī)生、教師還是醫(yī)學生，有這樣一本原版經(jīng)典專著放在案頭，經(jīng)常翻閱，不但可以獲取醫(yī)學知識，對提高專業(yè)外語水平也大有裨益。

作者簡介

作者：（美國）洛斯卡奧（Joseph Loscalzo）

書籍目錄

Contributors
Preface
SECTION I INTRODUCTION TO CARDIOVASCULAR DISORDERS
 1 Basic Biology of the Cardiovascular System
 2 Epidemiology of Cardiovascular Disease
 3 Approach to the Patient with Possible
SECTION II DIAGNOSIS OF CARDIOVASCULAR DISORDERS
 4 Chest Discomfort
 5 Dyspnea and Pulmonary Edema
 6 Hypoxia and Cyanosis
 7 Edema
 8 Palpitations
 9 Physical Examination of the Cardiovascular System
 10 Approach to the Patient with a Heart Murmur
 11 Electrocardiography
 12 Noninvasive Cardiac Imaging: Echocardiography,Nuclear
Cardiology, and MP,I/CT Imaging
 13 Diagnostic Cardiac Catheterization and Angiography
SECTION III HEART RHYTHM DISTURBANCES
 14 Principles ofElectrophysiology
 15 The Bradyarrhythmias
 16 The Tachyarrhythmias
SECTION IV DISORDERS OF THE HEART
 17 Heart Failure and Cor Pulmonale
 18 Cardiac Transplantation and Prolonged Assisted
Circulation
 19 Congenital Heart Disease in the Adult
 20 Valvular Heart Disease
 21 Cardiomyopathy and Myocarditis
 22 Pericardial Disease
 23 Tumors and Trauma of the Heart
 24 Cardiac Manifestations of Systemic Disease
 25 Infective Endocarditis
 26 Acute Rheumatic Fever
 27 Chagas' Disease
 28 Cardiogenic Shock and Pulmonary Edema
 29 Cardiovascular Collapse, Cardiac Arrest, and Sudden
Cardiac Death
SECTION V DISORDERS OF THE VASCULATURE
 30 The Pathogenesis, Prevention, and
 31 Disorders of Lipoprotein Metabolism
 32 The Metabolic Syndrome
 33 Ischemic Heart Disease
 34 Unstable Angina and Non-ST-Elevation Myocardial
Infarction
 35 ST-Segment Elevation Myocardial Infarction
 36 Percutaneous Coronary Intervention
 87 HypertensiveVascular Disease
 38 Diseases of the Aorta
 39 Vascular Diseases of the Extremities
 40 Pulmonary Hypertension
SECTION VI CARDIOVASCULAR ATLASES
 41 Atlas of Electrocardiography
 42 Atlas of Noninvasive Cardiac Imaging
 43 Atlas of Cardiac Arrhythmias
 44 Atlas of Percutaneous Revascularization
Appendix
Review and Self-Assessment
Index

章節(jié)摘錄

版權(quán)頁：   插圖：   Patients with exertional dyspnea should be asked to walk under observation in order to reproduce the symptoms.The patient should be examined for new findings that were not present at rest and for oxygen saturation.A "picture" of the patient while symptomatic may be worth thousands of dollars in laboratory tests. Following the history and physical examination,a chest radiograph should be obtained.The lung volumes should be assessed (hyperinflation indicates obstructive lung disease,low lung volumes suggest interstitial edema or fibrosis,diaphragmatic dysfunction,or impaired chest wall motion).The pulmonary parenchyma should be examined for evidence of interstitial disease and emphysema.Prominent pulmonary vasculature in the upper zones indicates pulmonary venous hypertension,while enlarged central pulmonary arteries suggest pulmonary artery hypertension.An enlarged cardiac silhouette suggests a dilated cardiomyopathy or valvular disease.Bilateral pleural effusions are typical of congestive heart failure and some forms of collagen vascular disease.Unilateral effusions raise the specter of carcinoma and pulmonary embolism but may also occur in heart failure.Computed tomography (CT) of the chest is generally reserved for further evaluation of the lungparenchyma (interstitial lung disease) and possible pulmonary embolism. Laboratory studies should include an electrocardiogram to look for evidence of ventricular hypertrophy and prior myocardial infarction.Echocardiography is indicated in patients in whom systolic dysfunction,pulmonary hypertension,or valvular heart disease is suspected. DISTINGUISHING CARDIOVASCULAR FROM RESPIRATORYSYSTEM DYSPNEA If a patient has evidence of both pulmonary and cardiac disease,a cardiopulmonary exercise test should be carried out to determine which system is responsible for the exercise limitation.If,at peak exercise,the patient achieves predicted maximal ventilation,demonstrates an increase in dead space or hypoxemia (oxygen saturation below 90%),or develops bronchospasm,the respiratory system is probably the cause of the problem.Alternatively,if the heart rate is >85% of the predicted maximum,if anaerobic threshold occurs early,if the blood pressure becomes excessively high or drops during exercise,if the O2 pulse (O2 consumption/heart rate,an indicator of stroke volume) falls,or if there are ischemic changes on the electrocardiogram,an abnormality of the cardiovascular system is likely the explanation for the breathing discomfort.

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《哈里森心血管病學(英文)》是一部內(nèi)科學經(jīng)典名著，享有“內(nèi)科學著作之父”的美譽。

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