Jeremias: Cardiac Intensive Care 2nd edition (Expert Consult Series)

Since the publication of the first edition of Cardiac Intensive Care, there have been considerable changes in the level of care and the complexity of therapies provided in the cardiac intensive care unit (CICU). To reflect these changes appropriately, the second edition of Cardiac Intensive Care has not only been updated, but also completely restructured with many new chapters. 

Given that most CICU admissions are still related to coronary artery disease and its acute manifestations, one major focus of this text remains the diagnosis and therapeutic options for patients with acute coronary syndromes. Section III, Coronary Artery Disease, is divided into Acute Myocardial Infarction, Complications of Acute Myocardial Infarction, and Complications of Percutaneous Interventional Procedures. We recognize, however, the ever-increasing multifaceted disease states that are cared for in the CICU and have included sections on Noncoronary Diseases, Pharmacologic Agents in Cardiac Intensive Care Unit, and Advanced Diagnostic and Therapeutic Techniques. 

The evidence base for practice in the CICU is expanding rapidly, placing high demands on the daily “rounders.” The field of cardiovascular medicine has expanded to subsume multiple subspecialties and a multitude of procedures, including percutaneous coronary intervention, percutaneous valve procedures, peripheral arterial procedures, atrial and ventricular ablations, pacemaker and defibrillator implantations, and cardiac imaging. The cardiac intensivist is required to make informed decisions about the potential benefit versus the risks of referring patients for these procedures and to interpret the data derived from these procedures adequately. In addition, adding to the dynamic environment, optimal patient care in the CICU is delivered via a multidisciplinary approach involving physicians, nurses, ethicists, respiratory therapists, nutritionists, physical therapists, and social workers. The goal of this second edition of Cardiac Intensive Care is to provide a comprehensive, conceptual, yet practical and evidence-based text for all specialties involved in patient care in a CICU.

Foreword  

The care of acutely ill cardiac patients has evolved over the past 40 years through a series of landmark developments and milestones. Coronary intensive care began in the 1960s with the introduction of electrocardiogram (ECG) monitoring for patients with acute myocardial infarction (MI). ECG monitoring coupled with the introduction of antiarrhythmic interventions (cardioversion, defibrillation, and lidocaine) led to a dramatic decrease in the mortality of patients with acute MI, largely through a reduction of in-hospital ventricular dysrhythmias. This was the first major milestone in the care of patients with acute MI. At this time, hemodynamic dysfunction and pump failure emerged as the leading causes of death in acute MI.

In the early 1970s, the introduction of bedside pulmonary artery catheterization, by Willie Ganz and Jeremy Swan at the Cedars-Sinai Medical Center, made possible accurate assessment of hemodynamic dysfunction in critically ill cardiac patients. This landmark development spawned a new era of coronary care that led to better assessment and management of pump dysfunction, stimulating the introduction of afterload-reducing therapy for heart failure. Around the same time, the concept of infarct size as a major determinant of ventricular dysfunction and prognosis began in the experimental laboratory, triggering a search for interventions to limit infarct size in experimental animals. The results of various therapies in this regard were inconsistent in the laboratory and in the clinical arena.

The next major milestone came in the late 1970s and early 1980s, when the role of coronary thrombosis as the proximate cause of acute MI became firmly established through the landmark study of Marcus DeWood, then a trainee in cardiology. With this observation and the elegant early experimental work of many investigators, the importance of timely reperfusion as a powerful method for infarct size limitation was recognized. The focus on reperfusion, initially with intracoronary and subsequently with intravenous thrombolysis and more recently with primary angioplasty, as a means of reducing infarct size and decreasing mortality revolutionized contemporary care of patients with developing MI.

This advance represented another major milestone in coronary care. All this stepwise progress over the years has led to a substantive and steadily declining mortality for patients with acute MI. The past several years have witnessed an explosion in our knowledge of vascular biology, atherogenesis, plaque disruption and thrombosis, and the concept of acute coronary syndromes. These concepts have led to dramatic improvements in our ability to diagnose and manage patients with unstable angina with potent antithrombotic strategies ranging from aspirin and heparin to platelet receptor antagonists and direct thrombin inhibitors to angioplasty and stent implantation.

Throughout this progress, coronary care units evolved from specialized areas catering to patients with acute ischemic syndromes to a place where we now take care of the ever-increasing population of patients with other critical cardiovascular illnesses, such as acute and severe chronic heart failure, chronic pulmonary hypertension, life-threatening cardiac dysrhythmias, aortic dissection, and other diagnoses. A modern coronary care unit is, in reality, a cardiac intensive care unit.

This second edition of Cardiac Intensive Care, presented in a new full-color design, edited by Allen Jeremias, MD, MSc, and David L. Brown, MD, provides a state-of-the-art compendium summarizing all of the progress that has been made in the diagnosis, assessment, and treatment of patients with critical cardiac illnesses over the past several years. The 52 chapters and 3 appendices are written by experienced authors who have made important contributions in their respective fields. Nine new chapters have been added in this new edition dealing with topics including quality assurance and improvement, physical examination, mechanical treatments for acute ST segment elevation MI, non–ST segment elevation MI, and management of post–cardiac surgery patients. The convenience of full-text online access at expertconsult.com is an added bonus.

The editors have captured the essence of what is the state of the art in a rapidly evolving and dynamic field. The contents of this text provide a nice blend of pathophysiology and the more pragmatic issues of actual intensive cardiac care. In addition to dealing in detail with the issues of acute cardiac problems, this text provides a broader perspective by including many useful chapters that deal with critical care issues of a more general nature, such as airway and ventilator management, resuscitation, dialysis, and ultrafiltration. The editors and the authors are to be commended for having produced an up-to-date and useful treatise on cardiovascular critical care.

P. K. Shah, MD

Shapell and Webb Chair and Director

Division of Cardiology and Oppenheimer Atherosclerosis Research Center

Cedars-Sinai Heart Institute

Los Angeles, California

  

Book Features 

• Features the authoritative perspectives of a stellar group of contributors-many of whom are the pioneers in the fields they cover-for the best available guidance.
• Provides the basic science framework for the clinical material through a section on the scientific foundation of cardiac intensive care to give you the complete picture.
• Presents a pharmacological introduction to the classes of drugs so you know which are most commonly used in the CICU.
• Covers which noncoronary diseases frequently result in admittance to the CICU to prepare you for those diagnoses that are not of a cardiac nature.

New to this edition

• Offers the convenience of full-text online access at expertconsult.com.
• Features nine new chapters-Quality Assurance and Improvement in the Cardiac Intensive Care Unit; Physical Examination in the CICU; Mechanical Treatments for Acute ST-Elevation MI; Non-ST Elevation Myocardial Infarction: Diagnosis, Prognosis, Risk Stratification, and Management; Glycoprotein IIb/IIIa Inhibitors; Vascular Access Procedures; Ventilator Management for the Cardiac Patient; Management of Post-Operative Complications in the Cardiac Surgery Patient; Guidelines Relevant to Care in the Cardiac Intensive Care Unit-to keep the book and you up to date.
• Presents the text in a new, full-color design and layout for a more visually-appealing and accessible format that makes finding the information you need quick and easy.

Contents
Section I - Introduction

• CHAPTER 1 - Evolution of the Coronary Care Unit: Past, Present, and Future
• CHAPTER 2 - Ethical Issues of Care in the Cardiac Intensive Care Unit
• CHAPTER 3 - Cardiac Intensive Care Unit Admission Criteria
• CHAPTER 4 - Physical Examination in the Cardiac Intensive Care Unit

Section II - Scientific Foundation of Cardiac Intensive Care

• CHAPTER 5 - Role of the Cardiovascular System in Coupling the External Environment to Cellular Respiration
• CHAPTER 6 - Regulation of Cardiac Output
• CHAPTER 7 - Coronary Physiology and Pathophysiology
• CHAPTER 8 - Pathophysiology of Acute Coronary Syndromes: Plaque Rupture andAtherothrombosis
• CHAPTER 9 - Regulation of Hemostasis and Thrombosis

Section III - Coronary Artery Disease

Acute Myocardial Infarction

• CHAPTER 10 - Diagnosis of Acute Myocardial Infarction
• CHAPTER 11 - Acute Myocardial Infarction
• CHAPTER 12 - Reperfusion Therapies for Acute ST Segment Elevation Myocardial Infarction
• CHAPTER 13 - Adjunctive Pharmacologic Therapies in Acute Myocardial Infarction
• CHAPTER 14 - Medical Management of Unstable Angina and Non–ST Segment Elevation Myocardial Infarction
• CHAPTER 15 - Elevated Cardiac Troponin in the Absence of Acute Coronary Syndromes: Mechanism, Significance, and Prognosis

Complications of Acute Myocardial Infarction

• CHAPTER 16 - Recurrent Ischemia after Reperfusion Therapy for Acute Myocardial Infarction
• CHAPTER 17 - Cardiogenic Shock
• CHAPTER 18 - Right Ventricular Infarction
• CHAPTER 19 - Mechanical Complications of Acute Myocardial Infarction
• CHAPTER 20 - Ventricular and Supraventricular Arrhythmias in Acute Myocardial Infarction
• CHAPTER 21 - Conduction Disturbances in Acute Myocardial Infarction

Complications of Percutaneous Interventional Procedures

• CHAPTER 22 - Diagnosis and Treatment of Complications of Coronary and Valvular Interventions
• CHAPTER 23 - Vascular Complications after Percutaneous Coronary Intervention

Section IV - Noncoronary Diseases: Diagnosis and Management

• CHAPTER 24 - Acute Heart Failure and Pulmonary Edema
• CHAPTER 25 - Sudden Cardiac Death
• CHAPTER 26 - Pacemaker and Implantable Cardioverter-Defibrillator Emergencies
• CHAPTER 27 - Acute Presentations of Valvular Heart Disease
• CHAPTER 28 - Hypertensive Emergencies
• CHAPTER 29 - Acute Aortic Syndromes: Diagnosis and Management
• CHAPTER 30 - Pericardial Disease
• CHAPTER 31 - Acute Respiratory Failure
• CHAPTER 32 - Massive Acute Pulmonary Embolism
• CHAPTER 33 - Pulmonary Hypertension
• CHAPTER 34 - Hemodynamically Unstable Presentations of Congenital Heart Disease in Adults
• CHAPTER 35 - Overdose of Cardiotoxic Drugs

Section V - Pharmacologic Agents in the CICU

• CHAPTER 36 - Anticoagulation: Antithrombin Therapy
• CHAPTER 37 - Antiplatelet Therapy
• CHAPTER 38 - Inotropic and Vasoactive Agents in the Cardiac Intensive Care Unit
• CHAPTER 39 - Diuretics and Newer Therapies for Sodium and Edema Management in Acute Decompensated Heart Failure
• CHAPTER 40 - Antiarrhythmic Electrophysiology and Pharmacotherapy
• CHAPTER 41 - Analgesics, Tranquilizers, and Sedatives
• CHAPTER 42 - Pharmacologic Interactions in the CICU

Section VI - Advanced Diagnostic and Therapeutic Techniques: Indications and Technical Considerations

• CHAPTER 43 - Echocardiography in the CICU
• CHAPTER 44 - Vascular Access in the Intensive Care Unit
• CHAPTER 45 - Invasive Hemodynamic Monitoring in the Cardiac Intensive Care Unit
• CHAPTER 46 - Intra-Aortic Balloon Pump Counterpulsation
• CHAPTER 47 - Ventricular Assist Device Therapy in Advanced Heart Failure—State of the Art
• CHAPTER 48 - Cardiac Transplantation
• CHAPTER 49 - Emergency Airway Management
• CHAPTER 50 - Mechanical Ventilation in the Cardiac Care Unit
• CHAPTER 51 - Emergency Dialysis and Ultrafiltration
• CHAPTER 52 - Cardiocerebral Resuscitation, Defibrillation, and Cardioversion

APPENDIX 1: Color Key to ACC/AHA Management Guidelines: Estimate of Certainty (Precision) of Treatment Effect

APPENDIX 2: ACC/AHA Guidelines for Primary Percutaneous Coronary Intervention of ST Segment Elevation Acute Myocardial Infarction

APPENDIX 3: ACC/AHA Guidelines for Early Hospital Care of Patients with Unstable Angina/Non-ST Segment Elevation Myocardial Infarction

A Anti-ischemic and Analgesic Therapy

B Antiplatelet Therapy

C Anticoagulant Therapy

APPENDIX 4: ACC/AHA Guidelines for the Management of Chronic Heart Failure

• A Patients at High Risk for Developing Heart Failure (Stage A)
• B Patients with Cardiac Structural Abnormalities or Remodeling Who Have Not Developed Heart Failure Symptoms (Stage B)
• C Patients with Current or Prior Symptoms of Heart Failure (Stage C)
• D Patients with Refractory End-Stage Heart Failure (Stage D) 

Product Details

• Hardcover: 736 pages
• Publisher: Saunders; 2 edition (March 23, 2010)
• Language: English
• ISBN-10: 141603773X
• ISBN-13: 978-1416037736
• Product Dimensions: 11 x 8.8 x 1.3 inches

List Price: $195.00