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Functional CT Assessment of Coronary Stenoses
Richard J. Bloomingdale and Kavitha M. Chinnaiyan
Publication Date: 10-28-2024
Determining the hemodynamic impact of coronary artery stenoses has implications for patient management but conventional tools, e.g., diameter stenosis, are only modestly predictive. Fractional flow reserve (FFR) has been the gold standard adjudicator of hemodynamically significant coronary stenosis in the cardiac catheterization laboratory. Software algorithms utilizing models of computational flow dynamics have enabled FFR estimations obtained from static coronary CT angiography (CCTA) images. Optimal scan parameters including achieving an appropriate heart rate, vasodilation with nitroglycerin, and minimizing image noise and motion are necessary to ensure sufficient image quality for CT-derived FFR (CT-CT-FFR). CT-FFR must be interpreted in conjunction with CTA findings with attention to individual anatomic considerations. Lesion-specific values of <0.75 are considered hemodynamically significant, and values >0.8 are considered non-flow limiting, while values in the 0.75–0.80 range are intermediate, requiring further consideration of clinical and imaging factors. This chapter discusses concepts of functional assessment of coronary artery stenoses with CCTA as well as guidance for acquisition and interpretation.
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How Much Exercise Is Enough?
Barry A. Franklin and Cindy Haskin-Popp
Publication Date: 10-21-2024
Physical inactivity and low levels of fitness represent strong indicators for increased mortality. Yet, this fact is often underappreciated by the medical community and the patients they serve. Individuals with low fitness also have higher rates of surgical complications, have higher annual healthcare costs, and are two to three times more likely to die prematurely than their risk-factor-matched, fitter counterparts. Among individuals with elevated cholesterol levels, the combination of cholesterol-lowering drug therapy and higher levels of fitness results in substantially lower mortality than either intervention alone. Moreover, regular exercisers who are hospitalized with chest pain also have much better short-term outcomes.
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Vitamins and Supplements: Evidence in the Prevention and Treatment of Cardiovascular Disease
Jenna M. Holzhausen and Aaron D. Berman
Publication Date: 9-20-2024
The fourth edition of Dr. James Rippe's classic Lifestyle Medicine textbook continues to lead and inform the rapidly growing field of lifestyle medicine. This is the discipline which focuses on the impact of daily habits and actions on both short and long-term health and quality of life. The first edition of this comprehensive Work named the field of lifestyle medicine in the academic medical literature. The fourth edition continues to span and expand the field and offers extensive evidence-based literature in virtually every aspect of lifestyle medicine. This Handbook, edited by cardiologist, Dr. James Rippe, who is a leading lifestyle medicine researcher, represents the combined wisdom and recommendations of over 325 experts in virtually every aspect of lifestyle medicine. Chapter authors have been chosen because of their background as leaders in various aspects of lifestyle medicine. Lifestyle Medicine, Fourth Edition, contains extensive sections on the treatment and prevention of coronary heart disease, stroke, cancer, diabetes, obesity, substance abuse, dementia, and many other clinical conditions. Key lifestyle modalities such as physical activity, nutrition, weight management, sleep, stress reduction and positive connections with other humans are supported by detailed discussion and state of the art evidence. The expanded section on behavioral medicine provides an important framework for these discussions. Every chapter has been completely revised and many new topics added such as lifestyle medicine for nursing, psychiatry, and preventive neurology. The fourth edition of this classic text continues to serve as the leading, comprehensive Handbook in lifestyle medicine. The original has been called the "indispensable bible" of lifestyle medicine and the fourth edition of this Work continues to justify this designation. There is no longer any serious doubt that daily habits and actions significantly impact on multiple aspects of health. The fourth edition of Lifestyle Medicine provides the scientific evidence to support this assertion and will serve as an invaluable reference and guide, not only to lifestyle medicine practitioners but to all primary care physicians, subspecialty physicians, nurses, and other healthcare practitioners"-- Provided by publisher.
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Biophysics and Pathophysiology of Radiofrequency Lesion Formation
Nishaki K. Mehta and David E. Haines
Publication Date: 8-5-2024
Written and edited by world-renowned experts in the field, including Dr. Shoei K. Stephen Huang, a pioneer of radiofrequency catheter ablation procedures, Huang's Catheter Ablation of Cardiac Arrhythmias, 5th Edition, provides authoritative, comprehensive information on these increasingly used electrophysiology procedures. This outstanding resource is packed with cutting-edge content in every area of this fast-changing field, including anatomy, diagnostic criteria, differential diagnosis, mapping, and ablation. Ideal for practitioners who need a definitive, user-friendly ablation text for the electrophysiology lab or office setting, it offers quick access to practical content, using detailed tables and high-quality images to help you apply what you learn in your practice
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GPS for success : skills, strategies, and secrets of superachievers
Barry A. Franklin
Publication Date: 5-5-2022
Next to food and clothing, achieving personal and professional success is rated at the very top of the hierarchical order of human needs. Everybody wants to be somebody! In this ultimate success book that includes timeless information for generations to come, the author has meticulously chronicled proven skills, strategies and secrets that, if regularly followed, will empower the reader to live the life that they imagine. Just like your car's or phone's GPS, these life navigation skills can get you from where you are to where you want to go in your career. In addition, critically important knowledge and abilities, including job interviewing, must-know people skills, writing, and public speaking, are covered. In this book, the author has scoured the world's literature on these topics and interviewed highly successful people to provide one-stop shopping regarding the most proven and practical recommendations for future career success. He has also peppered the text with personal experiences and motivational/inspirational success stories, as well as testimonials/sage advice/quotes from the world's most successful people --past and present. The key objectives of this book are to: Highlight the foundational factors underlying future career success: love what you do; realize that your behaviors largely determine your luck in life; emphasize that highly successful people take 100% responsibility for their actions and destiny; and that the secret to success involves the selfless serving of others. The rewards return--through a boomerang effect. Provide specific examples and inspirational stories highlighting 10 critical behavioral skills for success. These include: look for the good in people and situations; how to activate the law of attraction; establish goals in writing ("if it's not on paper, it's vapor"); take action (#1 success characteristic); know that persistence pays; ask for things you want; enhance your speaking, writing, and interviewing skills; why it's important to work with and learn from people you want to emulate; the essence of superb people skills (e.g., integrity, making others feel important); and to regularly apply the law of sow and reap. Detail complementary approaches, tactics, and perspectives that can help you achieve your breakthrough (major) life goals. These include: time management skills and the 80/20 rule; looking for greener pastures; showcasing your talents (visibility ₂!opportunities); committing to never-ending improvements in performance, service (or products); embracing discipline/focus/sacrifice; routinely exceeding people's expectations; striving for greater rewards; and seeing an ocean of opportunities before you. In aggregate, these yield BIG rewards in life. Provide a potpourri of related topics, including unlooked-for opportunities; leadership and bringing out the best in those around you; avoiding overcautiousness; volunteering (raising your hand); reframing future commitments; the power (and magic) of an unexpected thank you note; and the disproportionate dividends and good karma that result from giving back and mentoring others.
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Exercise-related acute cardiovascular events: Pathophysiologic considerations, risk modulators, and prophylactic interventions
Barry A. Franklin and Peter Kokkinos
Publication Date: 2019
This book examines the links between physical activity (PA), cardiorespiratory fitness (CRF), and cardiovascular and metabolic diseases. It presents an overview of the role of PA and CRF in the prevention and management of risk factors associated with cardiometabolic diseases such as hypertension, peripheral vascular disease, stroke, type 2 diabetes, metabolic syndrome, dyslipidemia, obesity, and atherosclerosis. In addition, it explores how these risks vary with different populations such as the elderly and people of various racial backgrounds. The book also highlights risks associated with exercise and presents a prescription for appropriate and efficacious exercise to minimize risk and maximize health benefits for the heart. Cardiorespiratory Fitness in Prevention and Management of Cardiometabolic Disease is an essential resource for physicians, exercise physiologists, medical students, residents, fellows, nurses, and researchers in cardiology, cardiorespiratory fitness, exercise science, health promotion and disease prevention, public health, and epidemiology.
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The Heart-Healthy Handbook
Barry A. Franklin and Simon R. Dixon
Publication Date: 3-8-2017
The Heart-Healthy Handbook was prepared by a highly skilled and dedicated medical writing team of Beaumont Health professionals, with representative expertise in clinical and interventional cardiology, cardiovascular surgery, electrophysiology, nursing, pharmacology, exercise physiology, geriatrics, psychosocial issues, diagnostic testing, cardiac imaging, nutrition, obesity, diabetes and metabolism, and women s heart issues.
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Current Diagnosis and Treatment Cardiology
James A. Goldstein and Amr Abbas
Publication Date: 2017
A concise, authoritative compilation of the essential knowledge needed to diagnose and manage cardiovascular disease
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How to use the radiofrequency hot balloon for ablation of atrial fibrillation
David E. Haines
Publication Date: 5-15-2017
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