Dx/Rx: Heart Failure

Tightly organized into a super-condensed outline bulleted format, this handy, pocket-sized manual details precise, up-to-date information for diagnosis and treatment of Heart Failure. Throughout the book, tables and figures summarize important clinical data and current professional society recommendations, while salient references direct readers to additional information. Current, quick, and concise, For instant access on the ward or in the clinic! Also Available for Your PDA! Based on Dx/Rx: Heart Failure, the PDA version provides quick access to important information in the book. Please contact your Publisher's Representative for more information.

Dennis A. Tighe is University of Massachusetts Medical Center Associate Professor of Medicine; and Associate Director, Noninvasive Cardiology, University of Massachusetts Medical School, Worcester, MA.

Editor's Preface	p. vii
Preface	p. ix
Introduction	p. 1
Definition and Classification of Heart Failure	p. 1
Prevalence and Incidence of HF	p. 2
Risk Factors for the Development of HF	p. 3
Prognosis of HF	p. 3
Etiology of HF	p. 4
Hospitalization Rates	p. 6
Economic Costs	p. 6
References	p. 6
Pathophysiology of HF	p. 9
Introduction	p. 9
Chamber Remodeling	p. 9
Neurohumoral Activation	p. 12
Other Pathophysiologic Considerations in HF	p. 13
Myocardial Ischemia and Infarction	p. 13
Mitral Regurgitation	p. 13
Atrial Fibrillation	p. 14
Bilateral Renal Artery Stenosis	p. 14
Diastolic HF	p. 14
Sodium and Water Retention	p. 14
Mechanisms Underlying Symptoms in HF	p. 15
Dyspnea	p. 15
Fatigue	p. 15
References	p. 15
Clinical Presentation of HF	p. 19
Introduction	p. 19
Symptoms and Physical Signs of Chronic HF	p. 19
Dyspnea and Related Symptoms	p. 19
Fatigue, Weakness, and Reduction in Exercise Capacity	p. 20
Fluid Retention	p. 20
Other Symptoms	p. 21
Physical Findings	p. 21
Symptoms and Physical Signs of Acute HF	p. 23
References	p. 25
Assessment of Patients with HF	p. 27
Assessment of Patients with Acute HF and Pulmonary Edema	p. 27
Introduction	p. 27
Etiology of CPE	p. 31
Hemodynamic Abnormality	p. 32
Precipitating Causes of Acute HF	p. 33
Assessment and Recognition of Asymptomatic and Symptomatic LV Systolic Dysfunction	p. 34
Assessment and Recognition of Asymptomatic and Symptomatic LV Diastolic Dysfunction	p. 38
Recognition of Specific Chronic HF Syndromes	p. 38
Dominant Right-Sided HF	p. 38
High-Output HF	p. 41
Etiologic Considerations of Chronic HF	p. 41
Common Errors in the Diagnosis and Evaluation of HF	p. 43
Evaluation of Refractory HF	p. 48
Severity and Prognosis of HF	p. 49
Factors That Predict Survival in Patients with HF	p. 52
References	p. 52
Management of Patients with HF	p. 55
Goals of Therapy	p. 55
Management of Acute HF and Pulmonary Edema	p. 55
General Measures	p. 55
Preload Reduction	p. 57
Afterload Reduction	p. 60
Inotropic Support	p. 62
Choice of Therapeutic Regimen	p. 64
Treatment of the Underlying Condition	p. 65
Management Options in Chronic HF	p. 66
Introduction	p. 66
Nonpharmacologic Management of HF	p. 66
Pharmacologic Treatment of HF	p. 71
Management of Specific HF Syndromes	p. 90
Diastolic HF	p. 90
Strategies to Reduce Hospital Readmissions and Length of Stay	p. 90
References	p. 91
Index	p. 95
Table of Contents provided by Rittenhouse. All Rights Reserved.

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