Cardiac Intensive Care 3rd Edition 2019 Pdf

  Cardiac Intensive Care 3rd Edition 2019  Pdf 


 Executive Content Strategist 

 Robin Carter 

Senior Content Development  


 Jennifer Shreiner   

Bublishing Services Manager  

Catherine Jackson  

Senior Project Manager/Specialist  

Carrie Stetz  

Design Direction  

Amy Buxton  


  Pages: 791                                                                                                                                

  •  Language: English                                                                                                             
  • Format: PDF                                                                                                      

  • Size 17.1 MB

  •                                                                                                                                                                                        OUTLINE                                                                                                                                     

  •   Western Bioethics
  •    Principlism
  •   Beneficence
  •   .  Patient Autonomy
  •  .  Nonmaleficence
  •  . Justice
  •  . Consequentialism
  •  . Casuistry

  • Practical Guidelines For Ethical Decision Making 
  •    Patient Partnership
  •   Authority for Medical Decision Making
  •  . Communication
  •  . Determining Patients’ Values and Preferences

  • Withholding and Withdrawing of Life Support
  •  . Legal Precedents
  •  . Patients With Decision-Making Capacity
  •  . Advance Directives
  •  . Living Wills and Medical Powers of Attorney
  •  . Patient Self-Determination Act
  •  . Deciding to Withhold or Withdraw Life Suppor
  •  . Withholding and Withdrawing Basic Life Support
  •  . Withholding Advanced Life Support
  •   Cross-Cultural Conflic
  •     Conclusion


  • The first edition of Cardiac Intensive Care was published in 1998 and the second in 2010. New editions of textbooks attempt to keep pace with the rapid changes in patient demographics, new understanding of pathophysiology, and advances in treatment. Formats of textbooks evolve as technology improves and our understanding grows regarding how and where learners do the actual learning. The third edition of Cardiac Intensive Care is no exception. As all patient care begins with a grounding in ethics and the ability to perform an accurate history and physical exam, those topics are covered in the beginning of the book. I continue to believe that a strong grounding in the pathophysiology of cardiovascular disease is mandatory to make accurate diagnoses and appropriate treatment decisions. Thus the first chapters of the new edition focus on the scientific underpinnings of cardiac intensive care. However, as the field has evolved, chapters on specific topics such non–ST segment myocardial infarction, unstable angina, coronary spasm, complications of interventional procedures, emergency coronary bypass surgery—all common admission diagnoses to the cardiac intensive care unit (CICU) in the past—are no longer pertinent to the current CICU and have been omitted. The new edition has chapters on takotsubo cardiomyopathy, acute myocarditis, cardiorenal syndrome, electrical storm, distributive shock, and temporary mechanical circulatory support devices—all of which are commonly encountered in today’s CICU. In recognition of the complexity and advanced illness of current CICU patient populations, along with the recognition of the limitations of care and our obligation to ensure quality of life as opposed to quantity of life, we have added a chapter on palliative care. We have also added audio clips of heart sounds and videos of procedures and diagnostic imaging in the online version of this book, available at My hope is to make this textbook more of a living document than previous editions, with online and social media discussions of topics relevant to cardiac intensive care.

At the twentieth anniversary of the publication of the first edition, the loss of contributors to earlier editions is inevitable. Giants of cardiology who contributed their time and expertise to writing chapters in earlier editions who are no longer with us include H.J.C. Swan, Kanu Chatterjee, Bill Little, Ralph Shabetai, Burt Sobel, Bob O’Rourke, and Mark Josephson. Their contributions to teaching, mentoring, research, and patient care continue to live on and inspire the next generations of physicians. A project of this magnitude would not be possible without the contributions of many. I would be remiss if I did not acknowledge the critical contributions of Jennifer Shreiner and Carrie Stetz from Elsevier, whose tireless efforts along with constant but gentle encouragement have kept the third edition (more or less) on schedule. The artists and copyeditors at Elsevier are the best in the business. Responsibility for any mistakes or typographical errors that find their way into the finished book falls on my shoulders, not theirs. In addition, I am deeply indebted to the contributing authors. Book chapters do not return much in the way of academic currency, but I am eternally grateful to the selfless chapter authors who contributed their time and expertise without the expectation of anything in return other than a free copy of the book. Without them, this book would not have been possible. I would also like to express my heartfelt gratitude to my boss, Doug Mann (who also edits a cardiology textbook for Elsevier that you may have heard of), for hiring me to work at Washington University, for always supporting my various academic endeavors, and for being a superb role model as a person and an academic cardiologist. Finally, I thank my family for tolerating the time I spent working on this and other projects.


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