One of the most time-consuming tasks in clinical medicine is seeking the opinions of specialist colleagues. There is a pressure not only to make referrals appropriate but also to summarize the case in the language of the specialist. This book explains basic physiologic and pathophysiologic mechanisms of cardiovascular disease in a straightforward manner, gives guidelines as to when referral is appropriate, and, uniquely, explains what the specialist is likely to do. It is ideal for any hospital doctor, generalist, or even senior medical student who may need a cardiology opinion, or for that ma.

In recent years our understanding of molecular mechanisms of drug action and interindividual variability in drug response has grown enormously. Meanwhile, the practice of anesthesiology has expanded to the preoperative environment and numerous locations outside the OR. Anesthetic Pharmacology: Basic Principles and Clinical Practice, 2nd edition, is an outstanding therapeutic resource in anesthesia and critical care: Section 1 introduces the principles of drug action, Section 2 presents the molecular, cellular and integrated physiology of the target organ/functional system and Section 3 reviews the pharmacology and toxicology of anesthetic drugs. The new Section 4, Therapeutics of Clinical Practice, provides integrated and comparative pharmacology and the practical application of drugs in daily clinical practice. Edited by three highly acclaimed academic anesthetic pharmacologists, with contributions from an international team of experts, and illustrated in full colour, this is a sophisticated, user-friendly resource for all practitioners providing care in the perioperative period.

Ventricular arrhythmias cause most cases of sudden cardiac death, which is the leading cause of death in the US. This issue reviews the causes of arrhythmias and the promising new drugs and devices to treat arrhythmias.

EMT-Basics can find themselves in critical situations that require advanced cardiac life support (ACLS). Although EMT-Bs are not trained to provide advanced-level skills, there is much they can do to improve the quality of management and thus the patient?s chance for survival by understanding ACLS and facilitating its administration by ALS providers. ACLS for EMT-Basics familiarizes the reader with cardiac emergencies and skills used to manage them.

When you need to know how to order, perform and evaluate core EP tests and optimize patient care, turn to the one, updated resource you can count on for clear and accessible guidance: Electrophysiologic Testing, 5th Edition. Electrophysiological Testing has become the most trusted resource for those learning or mastering EP testing, from students, nurse and technicians to residents, cardiology fellows, primary care physicians and cardiologists. Dr Fogoros's singular approach clarifies the role of electrophysiology in the evaluation of cardiac arrhythmias and provides clear, easy-to-understand summaries of complex topics. The result is a book that provides just what you need – not more – to successfully test for abnormal heart rhythms using today’s most common devices and techniques. What's new? Completely revised to update the data from recent randomized trials on ablation, ICDs and CRT Expanded information on the CARTO system A chapter on dysautomia Plus an all-new section of self-assessment questions to help you master essential concepts and test your recall of key information

This book provides an overview of the history, manifestations, and treatment of heart disease and heart rhythm disorders. In addition, it covers the effects on the lives of patients, coping mechanisms, and relationships with doctors, family, religion, and death. The book uniquely intersects the fields of medicine, literature, science, and art. Chapters begin by familiarizing the reader with the historical aspects of manifestations and treatment – discussing both scientific and psychological aspects of the disease. Chapters also discuss the evolution of several treatment modalities. Every chapter of the book contains interesting and evocative patient stories and their treatment. Rhythms of Broken Hearts will be of interest to a wide spectrum of health care practitioners as well as to patients and related family members with interest in understanding their symptoms and disease entity. _____________________________________________________________________ In Rhythm of Broken Hearts, Dr. Gomes distills a multifaceted perspective with a unique story that knits history, physiology, emotion, and wisdom.Jonathan L. Halperin, M.D. If you ever have a broken heart -- romantic or medical -- you will be totally absorbed in this dazzling multicultural read. Grace Schulman Dr. Gomes’s affinity and empathy for his patients and their stories narrated in this book, make universal the experiences of illness that we all must navigate at some point in our lives.Jeremy N. Ruskin, MD

This concise yet comprehensive text clearly explains and illustrates challenging concepts and helps you retain the material - from course exams and the USMLE Step 1 right through to clinical practice. Quickly reference essential information thanks to abundant tables throughout, and drug classification boxes at the beginning of each chapter. See how pharmacology applies to practice with real-world case studies. Prepare for exams with self-assessment questions at the end of each chapter. Understand complex concepts visually with the aid of superb full-color illustrations. An additional glossary, chapter-by-chapter summaries and case studies, a full list of featured drugs, 150 USMLE-style questions, animations, and more. Learn the latest pharmacologic mechanisms and applications with new and updated drug information throughout. Be aware of new "off label" uses, including important FDA regulations.

An exposé on Big Pharma and the American healthcare system’s zeal for excessive medical testing, from a nationally recognized expert More screening doesn’t lead to better health—but can turn healthy people into patients. Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening. Drawing on 25 years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with “abnormal” test results have been drastically lowered just when technological advances have allowed us to see more and more “abnormalities,” many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10% of 2,000 healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers. With genetic and prenatal screening now common, patients are being diagnosed not with disease but with “pre-disease” or for being at “high risk” of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care.

Philip Sarkis was a good doctor - maybe a little too good. So when he is sued for malpractice after a young patient dies suddenly he sinks into an alcoholic depression, losing his family and his career.