Insuficiencia cardiaca

Download Insuficiencia cardiaca PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 84 pages
Book Rating : 4.:/5 (733 download)

DOWNLOAD NOW!


Book Synopsis Insuficiencia cardiaca by :

Download or read book Insuficiencia cardiaca written by and published by . This book was released on 2009 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Insuficiencia cardíaca: Un enfoque multidisciplinar

Download Insuficiencia cardíaca: Un enfoque multidisciplinar PDF Online Free

Author :
Publisher : Editorial Club Universitario
ISBN 13 : 8499485952
Total Pages : 87 pages
Book Rating : 4.4/5 (994 download)

DOWNLOAD NOW!


Book Synopsis Insuficiencia cardíaca: Un enfoque multidisciplinar by : José López Castro

Download or read book Insuficiencia cardíaca: Un enfoque multidisciplinar written by José López Castro and published by Editorial Club Universitario. This book was released on 2013-06-12 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: En una sucinta exposición pretendemos ilustrar el manejo de pacientes con insuficiencia cardíaca tanto en el medio hospitalario como extrahospitalario desde una perspectiva multiprofesional, aglutinando el conocimiento de distintos profesionales (médicos, investigadores, enfermeras...) con el fin de realizar una aproximación integral, no tanto a la patología, como al paciente en sí mismo. Aunque esta obra está especialmente diseñada para médicos de Atención Primaria, estudiantes de Ciencias de la Salud y enfermeras con el deseo de que sirva de herramienta útil a la hora de enfrentarse con los pacientes que padecen insuficiencia cardíaca, la abundancia de ilustraciones, tablas y gráficos intentan facilitar la comprensión y permitir una lectura amena y a la vez rigurosa tanto para el experto como para el profano en medicina vascular. Como novedad frente a otros manuales al uso, hemos incluido un capítulo de intervenciones de enfermería, otro de errores frecuentes en el abordaje de la insuficiencia cardíaca y otro que reproduce los resultados del único estudio prospectivo de esta enfermedad en la provincia de Ourense así como una propuesta de vía clínica de gestión en red entre Atención Primaria y Hospitalaria.

ADQI Consensus on AKI Biomarkers and Cardiorenal Syndromes

Download ADQI Consensus on AKI Biomarkers and Cardiorenal Syndromes PDF Online Free

Author :
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3318024074
Total Pages : 218 pages
Book Rating : 4.3/5 (18 download)

DOWNLOAD NOW!


Book Synopsis ADQI Consensus on AKI Biomarkers and Cardiorenal Syndromes by : J.A. Kellum

Download or read book ADQI Consensus on AKI Biomarkers and Cardiorenal Syndromes written by J.A. Kellum and published by Karger Medical and Scientific Publishers. This book was released on 2013-05-14 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Associated with both acute kidney injury (AKI) and cardio-renal syndromes (CRS), new biomarkers represent both a popular area of investigation and a new opportunity for advancement of therapy. This book contains the resolutions of the most recent ADQI conferences on biomarkers in AKI (Dublin) and on cardio-renal syndromes (Venice). The first part answers specific questions about new biomarkers and their use and utility in AKI: What are the most suitable candidate molecules and physiologic measures, how solid and evidence based is the discovery phase? How can we incorporate the new biomarkers in the AKI conceptual model describing the evolution from susceptibility to insult, decreased GFR and organ death? Even if we have a positive biomarker pattern and we can identify patients at risk or patients with early or even subclinical AKI, how is this information affecting our clinical behavior and practice? The second part is dedicated to the appraisal of the current knowledge about the pathophysiological mechanisms involved in different forms of CRS: it contains contributions on the state-of-the-art knowledge and practice of CRS, particularly focusing on the pathophysiology of the five subtypes. Acute and chronic mechanisms of damage are explored in depth, with particular attention to the primacy of organ involvement and the subsequent pathways of organ crosstalk.Presenting the most recent research in the field of biomarkers, AKI and CRS, this publication is an important educational tool for advanced investigators and clinical experts, but also for students and fellows.

Applying Conceptual Models of Nursing

Download Applying Conceptual Models of Nursing PDF Online Free

Author :
Publisher : Springer Publishing Company
ISBN 13 : 082618006X
Total Pages : 436 pages
Book Rating : 4.8/5 (261 download)

DOWNLOAD NOW!


Book Synopsis Applying Conceptual Models of Nursing by : Dr. Jacqueline Fawcett, PhD, ScD (hon), RN, FAAN, ANEF

Download or read book Applying Conceptual Models of Nursing written by Dr. Jacqueline Fawcett, PhD, ScD (hon), RN, FAAN, ANEF and published by Springer Publishing Company. This book was released on 2016-11-16 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical resource for nursing students, educators, researchers, and practitioners provides content about the conceptual models of nursing that are used as organizing frameworks for nursing practice, quality improvement projects, and research. Chapters break these abstract models down into their core concepts and definitions. Discussions of each model provide examples of practical application so readers can employ these organizing frameworks. This is the only book to apply these models to quality improvement projects, particularly those in DNP programs and clinical agencies. For every conceptual model, diagrams, information boxes, and other visual elements clarify and reinforce information. Each chapter features applications of the conceptual models to a wide variety of examples, including nursing practice assessment and an intervention, a literature review and descriptive qualitative, instrument development, correlational, experimental, and mixed-method studies. Other valuable features include faculty templates for practice, quality improvement, and research methodologies for each conceptual model, along with extensive references. Key Features: Focuses on applying conceptual models in practice Demonstrates how a wide range of nursing conceptual models are applied to nursing practice, quality improvement, and research PowerPoint templates for each conceptual model avaliable to faculty Provides abundant diagrams, boxes, and other visual elements to clarify and reinforce information Includes an extensive list of references for each conceptual model

Handbook of Bibliometric Indicators

Download Handbook of Bibliometric Indicators PDF Online Free

Author :
Publisher : John Wiley & Sons
ISBN 13 : 3527337040
Total Pages : 511 pages
Book Rating : 4.5/5 (273 download)

DOWNLOAD NOW!


Book Synopsis Handbook of Bibliometric Indicators by : Roberto Todeschini

Download or read book Handbook of Bibliometric Indicators written by Roberto Todeschini and published by John Wiley & Sons. This book was released on 2016-08-22 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: At last, the first systematic guide to the growing jungle of citation indices and other bibliometric indicators. Written with the aim of providing a complete and unbiased overview of all available statistical measures for scientific productivity, the core of this reference is an alphabetical dictionary of indices and other algorithms used to evaluate the importance and impact of researchers and their institutions. In 150 major articles, the authors describe all indices in strictly mathematical terms without passing judgement on their relative merit. From widely used measures, such as the journal impact factor or the h-index, to highly specialized indices, all indicators currently in use in the sciences and humanities are described, and their application explained. The introductory section and the appendix contain a wealth of valuable supporting information on data sources, tools and techniques for bibliometric and scientometric analysis - for individual researchers as well as their funders and publishers.

Patient-Centered Medicine

Download Patient-Centered Medicine PDF Online Free

Author :
Publisher : CRC Press
ISBN 13 : 1909368032
Total Pages : 310 pages
Book Rating : 4.9/5 (93 download)

DOWNLOAD NOW!


Book Synopsis Patient-Centered Medicine by : Moira Stewart

Download or read book Patient-Centered Medicine written by Moira Stewart and published by CRC Press. This book was released on 2013-12-28 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: This long awaited Third Edition fully illuminates the patient-centered model of medicine, continuing to provide the foundation for the Patient-Centered Care series. It redefines the principles underpinning the patient-centered method using four major components - clarifying its evolution and consequent development - to bring the reader fully up-to-

Pediatric Pulmonology

Download Pediatric Pulmonology PDF Online Free

Author :
Publisher :
ISBN 13 : 9781610026529
Total Pages : 1200 pages
Book Rating : 4.0/5 (265 download)

DOWNLOAD NOW!


Book Synopsis Pediatric Pulmonology by : American Academy of Pediatrics Section on Pediatric Pulmonology and Sleep Medicine

Download or read book Pediatric Pulmonology written by American Academy of Pediatrics Section on Pediatric Pulmonology and Sleep Medicine and published by . This book was released on 2023 with total page 1200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely revised and updated, the second edition of this authoritative guide provides the latest information on the diagnosis, treatment, and ongoing management of pulmonary issues in children. The book covers genetic, congenital, and allergic conditions, as well as acquired and infectious respiratory ailments. Pulmonary issues related to other systemic disorders are also covered, along with respiratory care and pediatric sleep medicine. More than 300 finely detailed images complement the text. New Second Edition Features Expanded content on sleep medicine, including sleep development and maturation, insomnia, parasomnias, sleep-related movement disorders, and obstructive sleep apnea Cystic fibrosis newborn screening and CFTR-related metabolic syndrome Expanded coverage of pneumonia, including when caused by COVID-19 Expanded coverage of primary ciliary dyskinesia Vaping and other forms of nicotine exposure Content Highlights Foundation--anatomy; physiology; physical examination; pulmonary testing; imaging; and bronchoscopy Allergic Conditions--bronchopulmonary aspergillosis; hypersensitivity pneumonitis; eosinophilic pneumonia; and asthma Anatomical Disorders--congenital abnormalities of the upper airway; congenital lung anomalies; and chest wall and spinal deformities Upper Airway Infections--croup, epiglottitis, and bacterial tracheitis Lower Airway Infections--bronchiectasis; bronchiolitis; viral pneumonia (including when caused by COVID-19); nonviral pneumonia; complications of pneumonia; recurrent pneumonia; tuberculosis; and nontuberculous mycobacteria Noninfectious Pulmonary Disorders--atelectasis; respiratory disorders associated with systemic inflammatory diseases; interstitial lung disease; bronchopulmonary dysplasia; pleural effusion (noninfectious); pneumothorax and pneumomediastinum; and pulmonary hemorrhage Pediatric Sleep Medicine--sleep development and maturation; obstructive sleep apnea; home sleep testing; sleep-related movement disorders; insomnia; parasomnias; narcolepsy and other disorders of excessive somnolence; sudden infant death syndrome and brief resolved unexplained events; and congenital central hypoventilation syndrome Other Pulmonary Issues--acute aspiration and aspiration-related lung disease; lung transplant; asthma and other respiratory disorders associated with obesity; and functional respiratory disorders Genetic Disorders--cystic fibrosis; cystic fibrosis newborn screening and CFTR-related metabolic syndrome; and primary ciliary dyskinesia and other genetic lung diseases Lung Disease Associated With Systemic Disorders--respiratory considerations in children with cardiac disease; lung disease associated with endocrine disorders; pulmonary complications of gastrointestinal diseases; pulmonary complications of sickle cell disease; pulmonary manifestations of oncological disease and treatment; pulmonary complications of immunologic disorders; and pulmonary complications of neuromuscular disorders Treating and Managing Pulmonary Disease--airway clearance techniques; aerosol delivery of medication; bronchodilators; antibiotics for pulmonary conditions; nutritional aspects of pulmonary conditions; oxygen therapy; and nicotine and tobacco

PET/CT in Infection and Inflammation

Download PET/CT in Infection and Inflammation PDF Online Free

Author :
Publisher : Springer
ISBN 13 : 3319904124
Total Pages : 112 pages
Book Rating : 4.3/5 (199 download)

DOWNLOAD NOW!


Book Synopsis PET/CT in Infection and Inflammation by : Thomas Wagner

Download or read book PET/CT in Infection and Inflammation written by Thomas Wagner and published by Springer. This book was released on 2018-08-01 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pocket book provides clinicians with the necessary information to understand the role of FDG PET/CT in infection and inflammation. It will help both in making appropriate imaging requests with adequate clinical information and in interpreting the report. The coverage encompasses a wide range of topics, including the role of PET/CT in pyrexia of unknown origin, vasculitis, autoimmune diseases, prosthetic joint infections, osteomyelitis and diabetic foot, immunodeficiency disease, and vascular graft surgery. The book will be a very useful guide to a great test that can provide significant assistance in patient management. It is published within the Springer series Clinicians’ Guides to Radionuclide Hybrid Imaging, in which leading professionals succinctly explain the importance of nuclear medicine in the diagnosis and management of oncological and non-oncological conditions.

Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs

Download Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs PDF Online Free

Author :
Publisher : Human Kinetics
ISBN 13 : 9780736048644
Total Pages : 294 pages
Book Rating : 4.0/5 (486 download)

DOWNLOAD NOW!


Book Synopsis Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs by : American Association of Cardiovascular & Pulmonary Rehabilitation

Download or read book Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs written by American Association of Cardiovascular & Pulmonary Rehabilitation and published by Human Kinetics. This book was released on 2004 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edition addresses the cost effectiveness of interventions that educate and motivate patients to assume personal responsibility for long-term disease prevention.

Occupational Safety and Hygiene

Download Occupational Safety and Hygiene PDF Online Free

Author :
Publisher : CRC Press
ISBN 13 : 1138000477
Total Pages : 648 pages
Book Rating : 4.1/5 (38 download)

DOWNLOAD NOW!


Book Synopsis Occupational Safety and Hygiene by : Pedro Arezes

Download or read book Occupational Safety and Hygiene written by Pedro Arezes and published by CRC Press. This book was released on 2013-04-04 with total page 648 pages. Available in PDF, EPUB and Kindle. Book excerpt: Occupational Safety and Hygiene presents selected papers from the International Symposium on Occupational Safety and Hygiene – SHO2013 (Guimarães, Portugal, 14-15 February 2013), which was organized by the Portuguese Society for Occupational Safety and Hygiene (SPOSHO). The contributions from 15 different countries focus on: - Occupational safety - Risk assessment - Safety management - Ergonomics - Management systems - Environmental ergonomics - Physical environments - Construction safety - Human factors The papers included in the book are mainly based on research carried out at universities and other research institutions, but they are also based on practical studies developed by Occupational Health & Safety (OHS) practitioners within their companies. As a result, this book will be useful to get acquainted with the state-of-the-art of the research within the aforementioned domains, as well as with some practical tools and approaches that are currently used by OHS professionals worldwide.

Onco-Nephrology E-Book

Download Onco-Nephrology E-Book PDF Online Free

Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323549616
Total Pages : 498 pages
Book Rating : 4.3/5 (235 download)

DOWNLOAD NOW!


Book Synopsis Onco-Nephrology E-Book by : Kevin W. Finkel

Download or read book Onco-Nephrology E-Book written by Kevin W. Finkel and published by Elsevier Health Sciences. This book was released on 2019-07-02 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt: Kidney disease and cancer are frequent comorbidities that require specialized knowledge and expertise from both the nephrologist and the oncologist. Written by three pioneers in this growing subspecialty, Onco-Nephrology provides authoritative, definitive coverage of the mechanism and management of these two life-threatening diseases. This unique, single-volume resource covers current protocols and recommends management therapies to arrest kidney failure and allow oncologic treatments to continue and succeed. - Addresses acute and chronic kidney diseases that develop from a variety of cancers. This includes direct kidney injury from the malignancy, paraneoplastic effects of the cancer, and various cancer agents used to treat the malignancy. - Discusses key issues regarding kidney disease in patients with cancer, including conventional chemotherapeutic regimens and new novel therapies (targeted agents and immunotherapies) or the malignancies themselves that may promote kidney injury; patients with chronic kidney disease who acquire cancer unrelated to renal failure; and kidney transplantation, which has been shown to carry an increased risk of cancer. - Contains dedicated chapters for each class of the conventional chemotherapeutic agents, targeted cancer agents, and cancer immunotherapies including the basic science, pathogenic mechanisms of injury, clinical manifestations, and treatment. - Includes special chapters devoted to the individual classes of chemotherapies that relate to kidney disease for quick reference. Discusses increasingly complex problems due to more numerous and specialized anti-cancer drugs, as well as increased survival rates for both cancer and renal failure requiring long-term patient care. - Covers anti-VEGF (antivascular endothelial growth factor) agents and cancer immunotherapies – treatments that are being recognized for adverse kidney effects. - Utilizes a clear, logical format based on the ASN Core Curriculum for Onco-Nephrology, making this reference an excellent tool for board review, as well as a practical resource in daily practice. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Helping people share decision making

Download Helping people share decision making PDF Online Free

Author :
Publisher : The Health Foundation
ISBN 13 : 1906461406
Total Pages : 78 pages
Book Rating : 4.9/5 (64 download)

DOWNLOAD NOW!


Book Synopsis Helping people share decision making by : Debra de Silva

Download or read book Helping people share decision making written by Debra de Silva and published by The Health Foundation. This book was released on 2012 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Blood Conservation in Cardiac Surgery

Download Blood Conservation in Cardiac Surgery PDF Online Free

Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461221803
Total Pages : 678 pages
Book Rating : 4.4/5 (612 download)

DOWNLOAD NOW!


Book Synopsis Blood Conservation in Cardiac Surgery by : Karl H. Krieger

Download or read book Blood Conservation in Cardiac Surgery written by Karl H. Krieger and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 678 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here, two of the foremost cardiothoracic surgeons have brought together many of the top cardiologists and haematologists to produce the most current reference source on all aspects of blood conservation, from an overall clinical approach to the use of erythropoietin and the benefits of post-operative blood salvage. The subject matter covers numerous areas involved in the preoperative considerations in cardiac surgery, the intraoperative decision-making in cardiac surgery, postoperative bleeding and management and a section on the algorithm for bloodless surgery used at the New York Hospital-Cornell Medical Center.

Triathlon Medicine

Download Triathlon Medicine PDF Online Free

Author :
Publisher : Springer Nature
ISBN 13 : 3030223574
Total Pages : 415 pages
Book Rating : 4.0/5 (32 download)

DOWNLOAD NOW!


Book Synopsis Triathlon Medicine by : Sergio Migliorini

Download or read book Triathlon Medicine written by Sergio Migliorini and published by Springer Nature. This book was released on 2019-11-06 with total page 415 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers an ultimate clinical guide to all the medical issues related to triathlon – a very popular Olympic and international sport, and the most modern of all the endurance activities. Triathletes experience a range of environmental conditions and physiological demands, depending on the race, that must be taken into consideration when preparing for medical assistance. The book addresses in detail the topics of cardiovascular adaptations, overuse injuries, overtraining syndrome, endurance anaemia, nutrition and the physiological aspects associated with the discipline. It provides information on the training and technical aspects of the different distances in triathlon disciplines, with a special focus on safety in open-water swimming. Dedicated chapters also cover issues related to female, young, master and para-triathletes. Combining research perspectives with many years of experience practicing in the field, this book offers sport medicine physicians, orthopedists, physical therapists and coaches a comprehensive guide to the evaluation, treatment and prevention of all the overuse conditions and to improving athletes’ performance.

Cancer Pain Relief and Palliative Care

Download Cancer Pain Relief and Palliative Care PDF Online Free

Author :
Publisher : Technical Report Series
ISBN 13 :
Total Pages : 88 pages
Book Rating : 4.3/5 (9 download)

DOWNLOAD NOW!


Book Synopsis Cancer Pain Relief and Palliative Care by : WHO Expert Committee on Cancer Pain Relief and Active Supportive Care

Download or read book Cancer Pain Relief and Palliative Care written by WHO Expert Committee on Cancer Pain Relief and Active Supportive Care and published by Technical Report Series. This book was released on 1990 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considers what can - and should - be done to comfort patients suffering from the distressing symptoms of advanced cancer. Prepared by nine renowned experts in oncology, neurology, pain management and nursing care, the book draws together the evidence and arguments needed to define clear lines of action, whether on the part of the medical and nursing professions or in the form of national legislation. Throughout, arguments for palliative care take their force from the magnitude of unrelieved suffering currently borne by the majority of terminally ill patients. Although methods for the relief of pain are emphasized, other physical, psychological, and spiritual needs for comfort are also included in the report's comprehensive recommendations. The concept of palliative care is explained in terms of its concern with quality of life and comfort before death, emphasis on the family as the unit of care, dependence on teamwork, and relationship to curative interventions. Subsequent sections concentrate on measures for the relief of pain and other physical symptoms, the psychosocial needs of the patient and family, and the need for spiritual comfort. A section devoted to ethics provides several important statements concerning the legal and ethical distinction between killing the pain and killing the patient, and the need to recognize the limits of medicine. ..". crammed with very valuable information ... an altogether excellent book..." - Family Practice ..". a comprehensive report on cancer pain relief and active supportive care ... a valuable reference for those specializing in cancer care and for the generalist caring for dying patients..." - Nursing and Health care WHO definition of palliative care

Mini Nutritional Assessment (MNA)

Download Mini Nutritional Assessment (MNA) PDF Online Free

Author :
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805568037
Total Pages : 202 pages
Book Rating : 4.8/5 (55 download)

DOWNLOAD NOW!


Book Synopsis Mini Nutritional Assessment (MNA) by : Bruno J. Vellas

Download or read book Mini Nutritional Assessment (MNA) written by Bruno J. Vellas and published by Karger Medical and Scientific Publishers. This book was released on 1999 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first of a new series which will present the proceedings of the newly established Nestlé Nutrition Workshop Series: Clinical & Performance Programme aimed at adult nutrition. Undernutrition is a common phenomenon in elderly people, and malnutrition reaches significant levels in those being in hospital, nursing homes or home care programs. Consequences of malnutrition often go unrecognised owing to the lack of specific validated instruments to assess nutritional status in frail elderly persons. The Mini Nutritional Assessment (MNA) provides a single, rapid assessment of nutritional status in the elderly of different degrees of independence, allowing the prevalence of protein-energy malnutrition to be determined and to evaluate the efficacy of nutritional intervention and strategies. Easy, quick and economical to perform, it enables staff to check the nutritional status of elderly people when they enter hospitals or institutions and to monitor changes occurring during their stay. Moreover, the MNA is predictive of the cost of care and length of stay in hospital. This publication will be of immense assistance to heads of geriatric teaching units, teachers in nutrition, clinicians general practitioners and dieticians, enabling them to better detect, recognise and start treatment of malnutrition in the elderly.

Acute Coronary Care

Download Acute Coronary Care PDF Online Free

Author :
Publisher : Springer Science & Business Media
ISBN 13 : 146133828X
Total Pages : 536 pages
Book Rating : 4.4/5 (613 download)

DOWNLOAD NOW!


Book Synopsis Acute Coronary Care by : Robert M. Califf

Download or read book Acute Coronary Care written by Robert M. Califf and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a patient develops symptoms suggestive of and infarction, this section is emphasized. There acute coronary insufficiency, the health care sys are brief sections on prediction and prevention of tem is presented with a challenging diagnostic ischemic events, methods of diagnosing and siz and management problem. During the past 20 ing infarcts, and methods of monitoring the pa years, hospitals have been developing coronary tient with myocardial ischemia. A major focus of care units as the specialized inhospital facilities for the text is on "coronary care." As indicated above, such patients. For the past 15 years, many com during the past 20 years five distinct phases of munities have employed paramedical personnel coronary care have evolved: (a) prehospital, (b) to extend the principles of "coronary care" to the postadmission, (c) coronary care unit, (d) predis site of the patient who develops the problem. charge, and (e) convalescent. Cardiac rehabilitation programs have also been The section on pathophysiology begins with a established to facilitate the return to function of chapter by Greenfield and Rembert discussing patients who have had acute coronary insuffi the factors that determine the transmural distri ciency. More recently, aggressive medical and bution of blood flow. Reimer then shows the surgical techniques have been developed to either relationship between coronary blood flow and prevent or limit the extent of myocardial necrosis both reversible and irreversible damage to the that develops due to acute coronary insufficiency. myocardium.