Pediatric Cardiovascular Medicine

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1444335898
Total Pages : 1096 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Pediatric Cardiovascular Medicine by : James H. Moller

Download or read book Pediatric Cardiovascular Medicine written by James H. Moller and published by John Wiley & Sons. This book was released on 2012-03-12 with total page 1096 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first edition of this text, edited by two of the world’s most respected pediatric cardiologists, set the standard for a single-volume, clinically focused textbook on this subject. This new edition, revised and updated by contributors representing today’s global thought leaders, offers increased coverage of the most important current topics, such as pediatric electrophysiology, congenital heart disease, cardiovascular genetics/genomics, and the identification and management of risk factors in children, while maintaining the clinical focus. Published with a companion website that features additional images for download, self-assessment questions designed to aid readers who are preparing for examinations, and other features, Pediatric Cardiovascular Medicine, Second Edition, is the perfect reference for residents, fellows, pediatricians, as well as specialists in pediatric cardiology.

Pediatric Cardiology for Practitioners

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323046363
Total Pages : 698 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Pediatric Cardiology for Practitioners by : Myung Kun Park

Download or read book Pediatric Cardiology for Practitioners written by Myung Kun Park and published by Elsevier Health Sciences. This book was released on 2008-01-01 with total page 698 pages. Available in PDF, EPUB and Kindle. Book excerpt: Park's Pediatric Cardiology for Practitioners is the essential medical reference book for the ever-changing field of pediatric cardiology. Comprehensive in its content, it provides the practical guidance you need to diagnose and manage children with congenital and acquired heart disease. From history and physical examination through preventative treatment and the management of special problems, the fully revised 6th edition incorporates all of the latest concepts in cardiology, distilled in a way that is understandable to pediatricians, family practitioners, NPs, and PAs alike. "...a concise reference book; Students and clinician; practicing Pediatric cardiology will continue to find Park's Pediatric Cardiology book to be easy to read and refer for the precise information readily." Reviewed by: BACCH Newsletter, March 2015 Apply the latest knowledge and methods with coverage of surgical techniques in pediatric cardiology, the application of interventional non-surgical techniques, blood pressure standards, and cardiac arrhythmia treatments. Easily grasp the latest techniques with helpful line drawings throughout. Select the best approaches for your patients with extensive coverage of special problems, including congestive heart failure and syncope. Take advantage of the most recent diagnostic and therapeutic advances in pediatric cardiology. Every topic and chapter has been revised and updated to reflect the latest medical and surgical treatments for all congenital and acquired heart diseases. New surgical approaches, including hybrid procedures, have been updated. A special focus has been placed on noninvasive imaging techniques, normative blood pressure standards, suggested approaches to pediatric hypertension, detection and management of lipid abnormalities as recommended by the Expert Panel, pediatric arrhythmias (including long QT syndrome), and much more. Access the full text online at Expert Consult.

Anderson’s Pediatric Cardiology

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0702079243
Total Pages : 1997 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Anderson’s Pediatric Cardiology by : Robert H. Anderson

Download or read book Anderson’s Pediatric Cardiology written by Robert H. Anderson and published by Elsevier Health Sciences. This book was released on 2019-04-29 with total page 1997 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a leading reference on pediatric cardiology and congenital heart disease, Anderson's Pediatric Cardiology provides exhaustive coverage of potential pediatric cardiovascular anomalies, potential sequelae related to these anomalies, comorbidities and neurodevelopmental problems, and current methods for management and treatment. The fully revised 4th Edition addresses significant and ongoing changes in practice, including recent developments in fetal, neonatal, and adult congenital heart conditions as well as expanded content on intensive care, nursing issues, and societal implications. The outstanding illustration program provides superb visual guidance, and is now supplemented with a remarkable collection of more than 200 professionally curated, author-narrated videos. Offers authoritative, long-term coverage of a broad spectrum of cardiology conditions ranging from fetal development to age 21, including congenital heart disease, adult congenital heart disease (ACHD), acquired heart disease, cardiomyopathies, and rhythm disturbances. Features exceptionally detailed and original drawings by Dr. Robert Anderson and Diane Spicer, including over 850 anatomic, photographic, imaging, and algorithmic figures, and incorporating new images using virtual dissections of 3D datasets obtained in living patients. Contains new chapters on quality improvement in congenital heart disease, models of care delivery, neurocognitive assessment and outcomes, psychosocial issues for patients and families, ethics, nursing implications, acute and chronic renal complications, and telemedicine. Offers a completely new section on fetal imaging and management. Provides a new focus on patient and family-centered care with expert advice on how to communicate difficult diagnoses to patients and families. Features new integration of nursing content into all disease-specific chapters, as well as updated content on genetics, congenital heart disease and follow-up, and new imaging modalities. Contains chapters on new and emerging topics such as MRI and Quantifying the Fetal Circulation in Congenital Cardiac Disease; Congenital Anomalies of the Coronary Arteries; and The Global Burden of Pediatric Heart Disease and Pediatric Cardiac Care in Low- and Middle-Income Countries. Shares the experience and knowledge of an international team of multidisciplinary experts in medicine and advanced practice nursing.

Practical Pediatric Cardiology

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Author :
Publisher : Springer
ISBN 13 : 1447141830
Total Pages : 163 pages
Book Rating : 4.4/5 (471 download)

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Book Synopsis Practical Pediatric Cardiology by : Alan G. Magee

Download or read book Practical Pediatric Cardiology written by Alan G. Magee and published by Springer. This book was released on 2015-11-02 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Heart disease in children has a number of diagnostic traps for the unwary, and all of us involved in the specialty have been caught at one time or another. For example, it is sometimes very difficult to differentiate between respiratory and cardiac disease in infants and between neurological and cardiac conditions in older children, and the consequences of taking the wrong path can be significant. This book is a collection of cases highlighting situations which can ensnare even the best cardiologist. Although they illustrate the importance of taking a good history and performing a thorough examination, the most important lesson is learning to keep an open mind and develop the ability to think laterally. As clinicians we need to have the confidence to make a decision for our patients but also the humility to be able to acknowledge that we don’t always get it right first time, and it is imperative that we learn from the experience. We hope the reader will find these short chapters interesting and while they are not evidence-based medicine in the true sense, they do represent a wide range of clinical experience from which we can all learn. ​

Fundamentals of Pediatric Cardiology

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781785006
Total Pages : 200 pages
Book Rating : 4.7/5 (85 download)

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Book Synopsis Fundamentals of Pediatric Cardiology by : David J. Driscoll

Download or read book Fundamentals of Pediatric Cardiology written by David J. Driscoll and published by Lippincott Williams & Wilkins. This book was released on 2006 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on Dr. Driscoll's thirty years of successful bedside teaching at the Mayo Clinic, Fundamentals of Pediatric Cardiology is the ideal textbook for residents in pediatrics, family medicine, internal medicine, and pediatric and adult cardiology. This concise, well-organized, and easy-to-understand text can be read cover-to-cover during a pediatric cardiology rotation and focuses sharply on what primary care physicians need to know for initial evaluation and management of patients. Dr. Driscoll explains the many types of congenital heart defects, focusing on the most frequent cardiac problems in infants, children, and adolescents. Emphasis is on use of new diagnostic tools in conjunction with the physical examination.

Critical Heart Disease in Infants and Children E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323070078
Total Pages : 1041 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Critical Heart Disease in Infants and Children E-Book by : David G. Nichols

Download or read book Critical Heart Disease in Infants and Children E-Book written by David G. Nichols and published by Elsevier Health Sciences. This book was released on 2006-08-29 with total page 1041 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric intensivists, cardiologists, cardiac surgeons, and anesthesiologists from the leading centers around the world present the collaborative perspectives, concepts, and state-of-the-art knowledge required to care for children with congenital and acquired heart disease in the ICU. Their multidisciplinary approach encompasses every aspect of the relevant basic scientific principles, medical and pharmacologic treatments, and surgical techniques and equipment. From the extracardiac Fontan procedure, and the Ross procedure through new pharmacologic agents and the treatment of pulmonary hypertension to mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization—all of the developments that are affecting this rapidly advancing field are covered in depth. Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access. Features chapters each written and reviewed by intensivists, surgeons, and cardiologists. Integrates the authors' extensive experiences with state-of-the-art knowledge from the literature. Offers four completely new chapters: Cardiac Trauma, Congenital Heart Disease in the Adult, Congenitally Corrected Transposition of the Great Arteries, and Outcome Evaluation. Describes the basic pharmacology and clinical applications of all of the new pharmacologic agents. Details important refinements and developments in surgical techniques, including the Ross pulmonary autograft replacement of the aortic valve, video-assisted fluoroscopy, and the extracardiac Fontan connection, and discusses their indications and potential complications. Explores the latest advances in the treatment of pulmonary hypertension, new developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Examines issues affecting adults with congenital heart disease.

Pediatric Cardiovascular Medicine

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Author :
Publisher :
ISBN 13 :
Total Pages : 1044 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Pediatric Cardiovascular Medicine by : James H. Moller

Download or read book Pediatric Cardiovascular Medicine written by James H. Moller and published by . This book was released on 2000 with total page 1044 pages. Available in PDF, EPUB and Kindle. Book excerpt: Moller (pediatrics, U. of Minnesota Medical School) and Hoffman (emeritus professor of pediatrics, U. of California) present 64 contributions that cover basic science, diagnostic techniques, congenital and acquired lesions, and treatment modalities in pediatric cardiovascular medicine. Features include explanation of the differences between the two international approaches used to name and classify congenital heart disease; a drug appendix organized into common pharmacological usage groups; up-to-date sections on embryology, ventricular function, and pulmonary circulation and hypertension; illustrations of anatomy, echocardiography, and angiography; practical information about cardiac auscultation and how to approach the various scenarios of cardiac failure; and discussion of congenital heart disease in adults. Annotation copyrighted by Book News, Inc., Portland, OR

Pediatric Cardiology

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Author :
Publisher : Mosby
ISBN 13 : 9780323023672
Total Pages : 0 pages
Book Rating : 4.0/5 (236 download)

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Book Synopsis Pediatric Cardiology by : Victoria L. Vetter

Download or read book Pediatric Cardiology written by Victoria L. Vetter and published by Mosby. This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new title in the REQUISITES IN PEDIATRICS series guides you through evaluation of the pediatric heart patient with the most common congenital and acquired diseases. As in other volumes in the Pediatric Requisites series, this volume provides rapid-reference features such as uniform, consistently formatted chapters; tables of differential diagnosis; lab values/radiologic studies; treatment/therapy options; and guidance on when to refer. At the end of each chapter, a list of key points helps you study for boards or recertification. Extensive illustrations include EKGs, as well as chest x-rays, echocardiograms, angiograms, and MRIs, to help you understand when to order and how to interpret these tests. Perfect for exam review or quick reference, this is one resource you'll consult again and again. Consistently formatted chapters make it easy to find the information you need quickly. Extensive tables expedite quick reference. "When to refer" information help you to investigate all options before referral. Excellent resource for board study.

Paediatric Cardiology

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0702037354
Total Pages : 1344 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Paediatric Cardiology by : Robert H. Anderson

Download or read book Paediatric Cardiology written by Robert H. Anderson and published by Elsevier Health Sciences. This book was released on 2009-09-25 with total page 1344 pages. Available in PDF, EPUB and Kindle. Book excerpt: As patients live longer and need to be treated over the long term and the management of pediatric cardiology problems and congenital heart disease moves more into the mainstream, turn to Pediatric Cardiology for current clinical guidance. Trust Dr. Robert Anderson, godfather of cardiac morphology, to bring you coverage of potential cardiovascular anomalies, all potential diseases related to anomalies or developmental problems, and methods for management and treatment. New contributors from all over the world-including 70% new to this edition-present the latest challenges in the field and emphasize the adolescent and post-operative outcomes for management. Now, in full color, this leading reference offers you everything you need to treat and manage pediatric heart conditions. A comprehensive and exhaustive reference of fundamental and clinical aspects of heart disease in infancy and childhood. The contributors are well-known experts in the field and the editors are a world class group who have published extensively in the field. Emphasizes the treatment of corrected congenital heart disease for coverage of the clinical management of cardiac problems in the adolescent and young adult. Integrates development in chapters on lesions to make physiology clinically relevant for the specific cardiac lesions. Provides the latest clinical perspectives on neonate cardiac development management issues so you can offer the best long-term care. Presents the contributions of 70% new authors, from all over the world, in a consistent format to make referencing global perspectives quick and easy. Captures the nuances of the anatomical structure of lesions through full-color illustrations depicting morphologic, congenital, and surgically corrected examples for exceptional visual guidance.

Pediatric Practice Cardiology

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Publisher : McGraw Hill Professional
ISBN 13 : 0071769706
Total Pages : 400 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Pediatric Practice Cardiology by : Marie Gleason

Download or read book Pediatric Practice Cardiology written by Marie Gleason and published by McGraw Hill Professional. This book was released on 2012-06-01 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hands-on guidance for managing pediatric patients with congenital and acquired heart disease FULL-COLOR ILLUSTRATIONS Part of the Pediatric Practice series, Pediatric Practice: Cardiology is filled with practical, clinically relevant guidance for the diagnosis and treatment of cardiac conditions in children. The care of the patient forms the core of this text, which provides perspectives on epidemiology, pathophysiology, and diagnosis that every pediatrician, cardiologist, family physician, and pediatric nurse needs to know. Pediatric Practice: Cardiology includes concise yet detailed overviews of pediatric cardiac conditions, along with proven diagnostic and management strategies you can incorporate into your practice immediately. It familiarizes primary care providers with the tools used in the care of pediatric cardiology patients and explains the different types of congenital heart defects. Additional coverage includes the risk factors for acquired adult heart disease and the different forms of inflammatory heart disease. Features of the Pediatric Practice Series The Pediatric Practice series simplifies the care of pediatric patients by delivering: Tips that tell you what you must know—and what you must do—at every stage of care Diagnostic and treatment algorithms Signs/Symptoms and Differential Diagnosis boxes “When to Refer” boxes, which examine all the relevant clinical considerations Diagnostic Tests—with a realistic emphasis on the right tests to order Medical Treatment coverage that includes drugs, dosages, and administration in an easy-to-read tabular format Convenient icons and a consistent chapter design Numerous clinical color photos and didactic diagrams

Pediatric Cardiology

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118503392
Total Pages : 400 pages
Book Rating : 4.1/5 (185 download)

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Book Synopsis Pediatric Cardiology by : Walter H. Johnson

Download or read book Pediatric Cardiology written by Walter H. Johnson and published by John Wiley & Sons. This book was released on 2014-02-03 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Caring for children with heart disease is extremely complex, requiring a different and often tailor-made approach compared with adults with similar cardiac problems. Built on the success of previous editions and brought to you by a stellar author team, Pediatric Cardiology: The Essential Pocket Guide provides a unique, concise and extremely practical overview of heart disease in children. From history-taking, physical examination, ECG, and chest X-ray – the basics that enable clinicians to uncover possible problems and eliminate areas of false concern – it goes on to examine the range of more complex topics in the diagnosis and treatment/management of childhood cardiovascular disease. New to this edition you’ll find: An enhanced section on imaging including recent advances in cardiac MRI and fetal echocardiography. New techniques in genetic testing for heart disease in special populations. Much more emphasis on the importance of echocardiography in understanding the pathophysiology of congenital cardiac malformations. Expanded section on cardiac conditions in the neonate, specifically on prenatal diagnosis and management, neonatal screening for congenital heart disease, and hypoplastic left heart syndrome. Expanded and updated congestive cardiac failure section, including the latest in genetic and metabolic causes of heart failure, and medical/surgical treatment options; discussion of bridging therapies; essentials of transplantation, including common drug treatment regimens, clinical recognition of treatment complications and rejection, outcomes, morbidity and survival. In addition, every chapter is fully updated with the very latest clinical guidelines and management options from the AHA, ACC and ESC. Pediatric Cardiology: The Essential Pocket Guide, 3rd edition, is quite simply a must-have guide for all members of the multidisciplinary team managing children suffering from heart disease.

Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care

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Publisher : Springer
ISBN 13 : 9781447146186
Total Pages : 3572 pages
Book Rating : 4.1/5 (461 download)

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Book Synopsis Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care by : Eduardo da Cruz

Download or read book Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care written by Eduardo da Cruz and published by Springer. This book was released on 2013-10-28 with total page 3572 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care provides a consistent and comprehensive approach to multiple congenital and acquired cardiac pathologies pre, peri and postoperatively, with the use of algorhythms, guidelines and current research issues. Included with the e-reference are interactive videos with the most common interventions, online access to practical learning activities, and to the comprehensive Aristotle score and database. This reference work satisfies the need for a universal and practical review of management of critically ill children and adults with congenital heart disease, based upon taskforce decisions and the cumulative experience of the world leaders in the field.

Essential Pediatric Cardiology

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 9780071409193
Total Pages : 628 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Essential Pediatric Cardiology by : Peter Koenig

Download or read book Essential Pediatric Cardiology written by Peter Koenig and published by McGraw Hill Professional. This book was released on 2004 with total page 628 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical and concise guide for assessing suspected cardiac disorders in the neonate, child, and adolescent. Written for the non-specialist, this text takes an evidence-based approach to common cardiac problems the generalist will likely encounter.

Pediatric Cardiology

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Author :
Publisher : Cambridge Scholars Publishing
ISBN 13 : 1527549844
Total Pages : 701 pages
Book Rating : 4.5/5 (275 download)

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Book Synopsis Pediatric Cardiology by : P. Syamasundar Rao

Download or read book Pediatric Cardiology written by P. Syamasundar Rao and published by Cambridge Scholars Publishing. This book was released on 2020-04-23 with total page 701 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of pediatric cardiology was in its early stages of development when the author of this book began his career in the mid-1960s, meaning that he was able to witness the stepwise evolution of the field over the last 50 years. This book presents this unique historical perspective, describing the development of new knowledge while providing care of patients with heart disease over this time period. It brings together advances made in the field, particularly regarding the management of congenital heart defects.

Critical Heart Disease in Infants and Children E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455751006
Total Pages : 960 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Critical Heart Disease in Infants and Children E-Book by : Ross M. Ungerleider

Download or read book Critical Heart Disease in Infants and Children E-Book written by Ross M. Ungerleider and published by Elsevier Health Sciences. This book was released on 2018-09-26 with total page 960 pages. Available in PDF, EPUB and Kindle. Book excerpt: Features comprehensive updates throughout the text, including indications, techniques, potential complications in perioperative management of patients, and surgical techniques for congenital heart disease. Covers recent advances in the treatment of pulmonary hypertension, developments in mechanical assist devices, heart and lung transplantation, and interventional cardiac catheterization. Features an all-new, full-color format that speeds navigation and helps clarify complex concepts. Contains 27 new chapters with an emphasis on the team approach to patient care in the ICU including creating multidisciplinary teams, quality and performance improvement, training , and challenges and solutions to developing a cohesive team environment. Includes a detailed chapter on bedside ultrasound, walking you through the techniques you’re most likely to encounter in the ICU. Employs well-documented tables, text boxes, and algorithms to make clinical information easy to access, and to provide a more complete understanding of echocardiography, imaging modalities, pulmonary hypertension, and more. Describes the basic pharmacology and clinical applications of new pharmacologic agents. Examines issues affecting adults with congenital heart disease.

The Pediatric Cardiology Handbook

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Author :
Publisher :
ISBN 13 :
Total Pages : 404 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Pediatric Cardiology Handbook by : Myung Kun Park

Download or read book The Pediatric Cardiology Handbook written by Myung Kun Park and published by . This book was released on 1997 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise guide to everything the non-specialist needs to know about how to approach a paediatric cardiology problem. These topics are given extended coverage: chest pain; syncope; supraventricular tachycardia; premature ventricular contractions; hyperlipidaemia; and cardiac transplantation.

Pediatric Cardiac Surgery

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Publisher : John Wiley & Sons
ISBN 13 : 1119282306
Total Pages : 1124 pages
Book Rating : 4.1/5 (192 download)

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Book Synopsis Pediatric Cardiac Surgery by : Constantine Mavroudis

Download or read book Pediatric Cardiac Surgery written by Constantine Mavroudis and published by John Wiley & Sons. This book was released on 2023-01-19 with total page 1124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Der Bereich der pädiatrischen Herz- und Gefäßchirurgie umfasst nicht nur die Herzchirurgie bei Säuglingen und Kindern, sondern auch die Herzchirurgie bei Erwachsenen zur Korrektur von angeborenen Herzfehlern. Da die Kindersterblichkeit aufgrund von Herzfehlern zurückgeht und Patienten mit angeborenen Herzfehlern zunehmend ein langes, gesundes Leben führen, ergeben sich neue Herausforderungen. Somit war der Bedarf an Einführungen in diesen lebensrettenden Bereich noch nie so groß. Pediatric Cardiac Surgery ist ein gut verständliches, umfassendes Lehrbuch, das diesen Bedarf seit über dreißig Jahren erfüllt und von Fachleuten auf allen Ebenen genutzt wird. Das Lehrwerk, das zahlreiche farbige Abbildungen enthält, bietet zunächst eine wissenschaftliche Einführung in die kardiovaskuläre Entwicklung und dann detaillierte Analysen von Defekten in verschiedenen Bereichen des Herzens mit den entsprechenden Verfahren zur Korrektur dieser Defekte. Die aktualisierte fünfte Auflage berücksichtigt die neuesten wissenschaftlichen Erkenntnisse und bleibt damit ein unverzichtbares Werk zu diesem Thema. Die fünfte Auflage von Pediatric Cardiac Surgery enthält unter anderem: * Beiträge von über 75 nationalen und internationalen Experten auf dem Gebiet * Beeindruckende anatomische Illustrationen von Rachid Idriss * Neue Kapitel, in denen der neueste Stand der Forschung dargestellt wird, sowie neue Inhalte in Bezug auf die kardiale Bildgebung und die medizinische Ausbildung Pediactric Cardiac Surgery ist ein wichtiges Nachschlagewerk für Herzchirurgen, die sich auf Kinder und Erwachsene spezialisiert haben, Kardiologen und alle medizinischen Fachkräfte, die mit pädiatrischen oder erwachsenen Herzpatienten arbeiten.