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ISBN:
Category : Coronary artery bypass
Languages : en
Pages : 0
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Book Description
Author:
Publisher:
ISBN:
Category : Coronary artery bypass
Languages : en
Pages : 0
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Book Description
Author: U. S. Department of Health and Human Services
Publisher: CreateSpace
ISBN: 9781491071472
Category : Medical
Languages : en
Pages : 50
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Book Description
Cardiovascular disease remains the leading cause of death among women in the United States. More than 500,000 women die of cardiovascular disease each year, exceeding the number of deaths in men and the next seven causes of death in women combined. This translates into approximately one death every minute. This report focuses on women because of the differences in clinical presentation and extent and location of coronary disease on presentation, which affect the treatment options for coronary artery disease (CAD). Currently available guidelines and systematic reviews provide specific treatment recommendations for women only among a subset of treatment options, and overall assume that treatment options are equally effective for both sexes when gender data are not available. However, women have a worse prognosis than men for manifestations of CAD such as acute myocardial infarction, and some data suggest that women and men may not respond equally to the same treatments. Further, women are more likely than men to experience bleeding complications. In 2012, a Comparative Effectiveness Review (CER), “Treatment Strategies for Women With Coronary Artery Disease,” attempted to assess the comparative effectiveness of the major treatment options for CAD specifically in women, evaluating these comparisons: 1. Percutaneous coronary intervention (PCI) versus fibrinolysis or PCI versus conservative/supportive medical management in women with ST elevation myocardial infarction (STEMI) 2. Early invasive versus initial conservative management in women with unstable angina or non-ST elevation myocardial infarction (UA/NSTEMI) 3. PCI versus coronary artery bypass graft surgery (CABG) versus optimal medical therapy in women with stable or unstable angina Given the clinical and economic importance of treating CAD in women, the ongoing investment in CAD research on medical therapy, PCI and CABG, and the remaining areas of uncertainty, we sought to create a prioritized future research agenda that would represent the interests of diverse stakeholders and allow the remaining areas of uncertainty to be addressed.
Author: U. S. Department of Health and Human Services
Publisher: CreateSpace
ISBN: 9781483983400
Category : Medical
Languages : en
Pages : 218
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Book Description
Cardiovascular disease remains the leading cause of death among women in the United States. More than 500,000 women die of cardiovascular disease each year, exceeding the number of deaths in men and the next seven causes of death in women combined. This translates into approximately one death every minute. Coronary artery disease (CAD)—which includes coronary atherosclerotic disease, myocardial infarction (MI), acute coronary syndrome, and angina—is the most prevalent form of cardiovascular disease and is the largest subset of this mortality. An estimated 16.3 million Americans 20 years of age and older have CAD, and the overall CAD prevalence is 7 percent in adults in the United States (8.3% for men, 6.1% for women). The prevalence of CAD is higher in men than in women across different age groups until they reach 75 years of age, giving the perception that CAD is a male-specific disease. This report focuses on women because of the differences in clinical presentation and coronary anatomy, which affect the treatment options for CAD. Currently available guidelines and systematic reviews provide specific treatment recommendations for women only among a subset of treatment options and overall assume that treatment options are equally effective for both sexes when gender data are not available. However, women have a worse prognosis than men for manifestations of CAD such as acute myocardial infarction, and some data suggest that women and men do not respond equally to the same treatments. Further, women are more likely than men to experience bleeding complications. In women, CAD is misdiagnosed or not treated as aggressively as in men or is under researched. Multiple factors are likely to contribute to the lower use of evidence-based medicine (medical therapy and/or coronary revascularization) and the higher rate of cardiovascular complications among women with CAD. These factors include: Cardiovascular disease affects women later in life; At the time CAD is diagnosed, women are more likely to have comorbid factors such as diabetes mellitus, hypertension, hypercholesterolemia, peripheral vascular disease, and heart failure; Women present with angina-equivalent symptoms such as dyspnea or atypical symptoms more often than men; The coronary vessels in women tend to be smaller than those of men, which makes them more difficult to revascularize percutaneously and surgically, and microvascular disease of the coronary arteries is more common in women than in men; Women tend to have less extensive CAD and a higher proportion of nonobstructive CAD; Delay in hospitalization, symptom pattern and recognition, and higher frequency of nonobstructive CAD ultimately results in delay in diagnosis and effective treatment; Because of underrepresentation of women in randomized controlled trials (RCTs), a lack of solid data on cardiovascular disease in women leaves uncertainty about the risk–benefit ratio of treatment. Thus, a better understanding of the evidence for the effectiveness of medical treatment and revascularization therapies specifically in women is needed in order to reduce cardiovascular events in women. Although CAD is the leading cause of death for women in the United States, treatment studies to date have primarily enrolled men and may not reflect the benefits and risks that women experience. We conducted this systematic review of the medical literature to assess the comparative effectiveness of the major treatment options for CAD specifically in women, evaluating these comparisons: 1. PCI versus fibrinolysis or PCI versus conservative/supportive medical management in women with STEMI; 2. Early invasive versus initial conservative management in women with UA/NSTEMI; 3. PCI versus CABG versus optimal medical therapy in women with stable or unstable angina. The endpoints assessed were clinical outcomes, modifiers of effectiveness by demographic and clinical factors, and safety outcomes.
Author: Nieca Goldberg
Publisher: Ballantine Books
ISBN: 0345492285
Category : Health & Fitness
Languages : en
Pages : 482
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Book Description
WINNER OF THE BOOKS FOR A BETTER LIFE AWARD One out of every two women will die of heart disease. It is the single greatest health risk for women today–more than stroke and all cancers combined. In the course of her practice, and as chief of Women’s Cardiac Care at New York’s Lenox Hill Hospital, Dr. Nieca Goldberg has come to a startling realization: Women experience heart disease in a fundamentally different way than men do. The physiology of a woman’s heart attack is not the same as a man’s, the symptoms of heart disease and signs of impending heart attack differ for women, and once heart disease has been recognized, women often do not get the treatment and medications they require. Now here are detailed, age-specific programs that give women the facts and the guidance they need to recognize, treat, and prevent heart disease, including • how you can rate your risk of heart disease • the effects of menopause on your heart • risk factors you can change–starting today • a heart-healthy exercise plan that works for you • a complete guide to heart-healthy supplements • the truth about hormone replacement therapy and the heart • recovering from a heart attack or surgery Authoritative, caring, and up-to-the-minute, this is the women’s health book for the new millennium.
Author: Adrian Vella
Publisher: Wiley-Blackwell
ISBN: 9781405169288
Category : Medical
Languages : en
Pages : 170
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Book Description
Clinical Dilemmas in Diabetes provides evidence-based clinical guidance on the most common and problematic areas of concern encountered in diagnosing, treating and managing patients with diabetes. Each chapter is highly topical and has been selected due to current interest, specific recent developments, and areas of controversy. This valuable guide provides assistance in managing the life-long treatment of diabetes and the complications that often develop in patients. Clinical Dilemmas in Diabetes guides the medical team in their decision-making, particularly when there are conflicts in the treatment for the disease and the complications. Part of the Clinical Dilemmas series, the well-focused chapter structure allows for quick retrieval of information, and each opens with a “Learning Points” box to aid easy assimilation of the main issues. With a leading team of contributors and editors, Professor Robert A. Rizza is the immediate Past-President of the American Diabetes Association. This book is perfect for use on the wards and clinics as well as for self-study by diabetologists, diabetes specialist nurses, endocrinologists, GPs and cardiologists.
Author: Hanna Z. Mieszczanska
Publisher: Springer Science & Business Media
ISBN: 1447155173
Category : Medical
Languages : en
Pages : 462
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Book Description
Cardiovascular disease is the leading cause of death in women in the US, with more women dying from heart disease than men. Women may have different presentation from men and often need a different approach to diagnosis and treatment. There are also unique topics of management of heart disease in women, including issues during pregnancy, lactation, and menopause. Many different health care providers, as well as cardiologists are involved in treating these patients. A manual reviewing diagnosis and treatment of cardiac disease in women would help providers without specific cardiology training to deliver care with greater efficiency. A practical and comprehensive guide geared towards these providers would be a highly practical and valuable resource that would be utilized in everyday practice in offices that include urban clinics, general medicine offices, obstetrics and gynecology offices, as well as in the surgical subspecialties. This book will be a highly practical resource that can be directly applied to the issues that arise in everyday practice. There is no available book on the market that focuses on a broader approach to cardiac disease in women or focuses on non-cardiology providers (and their trainees) who have the need to know more about treatment of cardiovascular disease in women.
Author: JoAnne Micale Foody
Publisher: Springer Science & Business Media
ISBN: 1592590012
Category : Medical
Languages : en
Pages : 368
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Book Description
Leading clinicians and researchers concisely review the significant risk factors, including dyslipidemias, hypertension, diabetes, lack of exercise, obesity, tobacco, and homocysteine, and outline the best preventive strategies available. They also offer an overview of the new paradigms in coronary artery disease pathophysiology, including the nature of the unstable atherosclerotic plaque, new strategies for the modification of plaque constituents, the importance of the endothelium in the maintenance of cardiovascular health, and the emerging roles of oxidative stress, infection, and inflammation. Comprehensive and pathbreaking, Preventive Cardiology: Strategies for the Prevention and Treatment of Coronary Artery Disease provides physicians with the understanding and tools necessary to bring the practice of preventive cardiology to their patients.
Author: Martha Gulati
Publisher: John Wiley & Sons
ISBN: 047067847X
Category : Health & Fitness
Languages : en
Pages : 273
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Book Description
Mention the term "heart disease" and most people picture an overweight, middle-aged man. Yet the reality is that heart disease is the number one killer of women in North America, accounting for a third of all deaths in women and far surpassing the prevalence of breast cancer. Cardiologist Dr. Martha Gulati and holistic pharmacist Sherry Torkos separate the facts from the many myths surrounding heart disease and offer the latest information on both the conventional medical approach and the role of natural medicine in understanding this illness. Saving Women's Hearts examines the unique gender differences for women and provides valuable insight into the screening procedures, diagnosis, treatment options, and most importantly, prevention of heart disease. Written by the leading experts in this field, this practical guide covers: How the heart works and the various types of heart disease Why heart disease is different and unique for women The known and emerging risk factors for heart disease What you need to know about tests and screening procedures Medications - the good, the bad, the ugly, the noteworthy Nature's Pharmacy - the role of vitamins and other supplements Nutritional strategies for better heart health The latest exercise guidelines for women The impact of stress and practical tips on managing stress The role of sleep and heart health And much more...
Author: Nieca Goldberg
Publisher:
ISBN:
Category : Health & Fitness
Languages : en
Pages : 488
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Book Description
The single greatest health risk for women today-more than stroke and all cancers "combined-is heart disease. Yet despite this documented fact, heart disease is still considered primarily a "male problem," with the result that far too many women go untreated by doctors and are misinformed by the existing literature. Now, with this groundbreaking new book, Dr. Nieca Goldberg, the nation's leading expert on women's heart disease, has at last remedied this situation. "Women "Are Not Small Men presents detailed, decade-by-decade programs that give women at any age OF life the facts and the guidance they need to recognize, treat, and prevent heart disease. In the course of her work as founder and chief of the Women's Heart Program at New York's Lenox Hill Hospital, Dr. Goldberg has come to a startling realization: Women experience heart disease in a fundamentally different way than men do. The physiology of a woman's heart attack is not the same as a man's, the symptoms of heart disease and signs of impending heart attack differ for women, and once heart disease has been recognized, women often do not get the treatment and medications they need. In this accessible book, she uses these critical insights to build a complete treatment and prevention program geared to the unique needs of women. Engagingly written and grounded in compelling true patient stories, the book presents comprehensive instructions on what you can do to maintain or improve your heart health, including how to spot the warning signs of heart disease, the exercises and diet to follow for prevention and recovery, how to assess risk factors, techniques for reducing stress, the truth about estrogen and hormonereplacement therapy, which supplements and herbal remedies really work, and how to become your own advocate in dealing with the medical profession. Dr. Nieca Goldberg has made it her mission to give women the treatment and information they deserve. Now she makes her research, prevention program, and recovery strategies accessible to all women. Authoritative, caring, and up-to-the-minute, this is destined to become the women's health book of the new millennium.
Author: Wilbert S. Aronow
Publisher: Academic Press
ISBN: 0128026057
Category : Medical
Languages : en
Pages : 244
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Book Description
Translational Research in Coronary Artery Disease: Pathophysiology to Treatment covers the entire spectrum of basic science, genetics, drug treatment, and interventions for coronary artery disease. With an emphasis on vascular biology, this reference fully explains the fundamental aspects of coronary artery disease pathophysiology. Included are important topics, including endothelial function, endothelial injury, and endothelial repair in various disease states, vascular smooth muscle function and its interaction with the endothelium, and the interrelationship between inflammatory biology and vascular function. By providing this synthesis of current research literature, this reference allows the cardiovascular scientist and practitioner to access everything they need from one source. Provides a concise summary of recent developments in coronary and vascular research, including previously unpublished data Summarizes in-depth discussions of the pathobiology and novel treatment strategies for coronary artery disease Provides access to an accompanying website that contains photos and videos of noninvasive diagnostic modalities for evaluation of coronary artery disease
