Principles and Problems of Ischemic Heart Disease

Ischemic Heart Disease

Principles and Problems of Ischemic Heart Disease

“Patients do not come to physicians bearing labels that designate their diseases. Ordinarily, they have multiple complaints, each separate one signifying a symptom that’s often blurred by the patient’s misinterpretation of its nature and emotional distortion of its significance. Even the most profound knowledge of scientific principles will frequently fail to unravel the tangle strands. It is in the solution of such common problems that bedside medicine often reigns supreme.

Thoughout much of the volume emphasis is placed on the interpretation and management of such subjective manifestations of IHD as fear, pain, dyspnea, palpitation and faintness. This emphasis stems from our concern—already mentioned –that many young physicians are being unconsciously led, by their teachers, away from the needed training in bedside medicine. Since one cannot have the double advantage of a comprehensive and a personal approach, we have deliberately emphasized the latter and can only hope that we have not too much neglected the former.”

~~excerpt from the Preface

In the Table of Contents:

Part I – Introduction

  1. The Problem of Fear
  2. Some Definitions and Explanations
  3. Highlights in the History of Ischemic Heart Disease

Part II – Some Etiologic and Epidemiologic Considerations

  1. Atheromatous Coronary Disease
  2. Less Common and Rare Causes of Ischemic Heart Disease

Part III – Methods of Examination

  1. Analysis of Symptoms
  2. Other Methods of Examination: Including a Brief Discussion of Coronary Arteriography

Part IV – Physiology and Pathophysiology

  1. Some Considerations of the Anatomy of the Coronary Arteries: Including Certain Clinical Correlations
  2. Coronary Blood Flow
  3. Myocardial Oxygen Consumption
  4. Hemodynamic Alterations
  5. Paradoxical Ventricular Motion in Ischemic Heart Disease
  6. Myocardial Ischemia and Cardiac Dyssynergy: The House Divided against Itself
  7. Other Causes of Dyssynergy of Ischemic Hearts

Part V – Some General Aspects of Prevention and Treatment

  1. Physical Activity and Ischemic Heart Disease
  2. Stress, Diet, Drugs and Habits
  3. Problems Concerning Anticoagulant Therapy
  4. Treatment of Palpitation
  5. General Management of Arrhythmias
  6. Cardiac Resuscitation and Electrical Treatment of Arrhythmias

Part VI – Angina Pectoris

  1. Patterns and Causes of Chest Pain
  2. Misinterpretation of the History and of the Response to Nitroglycerin
  3. The Coexistence of Multiple Causes of Chest Pain
  4. Value, Limitations and Abuse of the Electrocardiogram
  5. The Exertional Electrocardiogram
  6. The Approach to Treatment of Angina
  7. Coronary Dilator Drugs
  8. Management of Preinfarctional Angina: The Intermediate Coronary Syndrome: Status Anginosus

Part VII – Myocardial Infarction

  1. Clinical Pictures of Myocardial Infarction
  2. Problems in Differential Diagnosis of Myocardial Infarction
  3. The Electrocardiogram and Vectorcardiogram in Diagnosis of Myocardial Infarction
  4. Treatment of Uncomplicated Myocardial Infarction: Including the Role of the Intensive Care Unit
  5. Management of Early Complication of Myocardial Infarction
  6. Late Complications and Long-Range Management of Myocardial Infarction

Part VIII Heart Failure in Patients with Ischemic Heart Disease

  1. Heart Failure: Introduction and Some Historical Landmarks
  2. Function and Failure of the Aging Heart
  3. Some Additional Principles of Circulatory Physiology
  4. Cardiac Enlargement
  5. Pathophysiology and Classification of Heart Failure: Performance and Efficiency
  6. Mechanisms of Manifestations of Heart Failure
  7. Acute Heart Failure
  8. Chronic Congestive Failure

Part IX -Other Aspects of Ischemic Heart Disease

  1. Problems of Faints and Spells
  2. Some Considerations of Prognosis
  3. Surgical Treatment of Ischemic Heart Disease
  4. Management of Apprehension


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