Acknowledgments The authors acknowledge the late Donald Baim, MD, Fred Resnic, MD, Jeff Popma, MD, and Laura Mauri, MD, for their previous contributions to this chapter, and Thomas Lee, MD, for his previous contribution to the Guidelines section. Additional content…
Additional content is available online at Elsevier eBooks for Practicing Clinicians The spectrum of stable ischemic heart disease (SIHD) is broad and includes individuals with chronic stable angina, asymptomatic ischemia, prior myocardial infarction, and prior coronary revascularization, as well as…
Ischemic heart disease may manifest clinically as either chronic stable angina (see Chapter 40) or an acute coronary syndrome (ACS). The spectrum of ACS includes ST-segment elevation myocardial infarction (STEMI) (see Chapters 37 and 38) and the non–ST elevation acute…
Additional content is available online at Elsevier eBooks for Practicing Clinicians The care of patients with ST-elevation myocardial infarction (STEMI) has transformed in conjunction with the shift in approach to reperfusion therapy from primarily pharmacologic to catheter-based strategies. With simultaneous…
Additional content is available online at Elsevier eBooks for Practicing Clinicians Myocardial infarction (MI) results from myocardial cell necrosis caused by an imbalance between oxygen supply and demand. Cardiac professional societies have jointly established criteria for the diagnosis of MI…
Additional content is available online at Elsevier eBooks for Practicing Clinicians The coronary circulation is unique in that the heart is responsible for generating the arterial pressure that is required to perfuse the systemic circulation and yet, at the same…
Additional content is available online at Elsevier eBooks for Practicing Clinicians Acute chest pain remains one of the most common reasons for seeking care in the emergency department (ED), accounting for almost 10% of the approximately 100 million nontraumatic visits…
Additional content is available online at Elsevier eBooks for Practicing Clinicians Integrative Cardiology Integrative cardiology is a philosophy of care rather than a description of a discrete set of practices, with a particular focus on prevention of disease and an…
Additional content is available online at Elsevier eBooks for Practicing Clinicians For the past decades, a number of secondary preventive measures have been shown to help improve health and reduce recurrent cardiovascular events in individuals with known cardiovascular disease (CVD).…
Additional content is available online at Elsevier eBooks for Practicing Clinicians This chapter presents basic exercise physiology, describes cardiovascular (CV) adaptations to exercise training, and addresses common clinical issues among physically active individuals. The goal is to help clinicians evaluate…