哈里森心血管病学

出版时间：2011-6  出版社：北京大学医学  作者：洛斯卡奥 编  页数：628  

内容概要

《哈里森内科学》是一部内科学经典名著，享有“内科学著作之父”的美誉。
本书为《哈里森内科学》系列之《哈里森心血管病学》分册，本书强调基础与临床的整合，汇集了本领域内最新的进展，不但内容具有权威性和先进性，而且语言规范、地道。无论是临床医生、教师还是医学生，有这样一本原版经典专著放在案头，经常翻阅，不但可以获取医学知识，对提高专业外语水平也大有裨益。

作者简介

作者：（美国）洛斯卡奥（Joseph Loscalzo）

书籍目录

Contributors
Preface
SECTION I INTRODUCTION TO CARDIOVASCULAR DISORDERS
 1 Basic Biology of the Cardiovascular System
 2 Epidemiology of Cardiovascular Disease
 3 Approach to the Patient with Possible
SECTION II DIAGNOSIS OF CARDIOVASCULAR DISORDERS
 4 Chest Discomfort
 5 Dyspnea and Pulmonary Edema
 6 Hypoxia and Cyanosis
 7 Edema
 8 Palpitations
 9 Physical Examination of the Cardiovascular System
 10 Approach to the Patient with a Heart Murmur
 11 Electrocardiography
 12 Noninvasive Cardiac Imaging: Echocardiography,Nuclear
Cardiology, and MP,I/CT Imaging
 13 Diagnostic Cardiac Catheterization and Angiography
SECTION III HEART RHYTHM DISTURBANCES
 14 Principles ofElectrophysiology
 15 The Bradyarrhythmias
 16 The Tachyarrhythmias
SECTION IV DISORDERS OF THE HEART
 17 Heart Failure and Cor Pulmonale
 18 Cardiac Transplantation and Prolonged Assisted
Circulation
 19 Congenital Heart Disease in the Adult
 20 Valvular Heart Disease
 21 Cardiomyopathy and Myocarditis
 22 Pericardial Disease
 23 Tumors and Trauma of the Heart
 24 Cardiac Manifestations of Systemic Disease
 25 Infective Endocarditis
 26 Acute Rheumatic Fever
 27 Chagas' Disease
 28 Cardiogenic Shock and Pulmonary Edema
 29 Cardiovascular Collapse, Cardiac Arrest, and Sudden
Cardiac Death
SECTION V DISORDERS OF THE VASCULATURE
 30 The Pathogenesis, Prevention, and
 31 Disorders of Lipoprotein Metabolism
 32 The Metabolic Syndrome
 33 Ischemic Heart Disease
 34 Unstable Angina and Non-ST-Elevation Myocardial
Infarction
 35 ST-Segment Elevation Myocardial Infarction
 36 Percutaneous Coronary Intervention
 87 HypertensiveVascular Disease
 38 Diseases of the Aorta
 39 Vascular Diseases of the Extremities
 40 Pulmonary Hypertension
SECTION VI CARDIOVASCULAR ATLASES
 41 Atlas of Electrocardiography
 42 Atlas of Noninvasive Cardiac Imaging
 43 Atlas of Cardiac Arrhythmias
 44 Atlas of Percutaneous Revascularization
Appendix
Review and Self-Assessment
Index

章节摘录

版权页：   插图：   Patients with exertional dyspnea should be asked to walk under observation in order to reproduce the symptoms.The patient should be examined for new findings that were not present at rest and for oxygen saturation.A "picture" of the patient while symptomatic may be worth thousands of dollars in laboratory tests. Following the history and physical examination,a chest radiograph should be obtained.The lung volumes should be assessed (hyperinflation indicates obstructive lung disease,low lung volumes suggest interstitial edema or fibrosis,diaphragmatic dysfunction,or impaired chest wall motion).The pulmonary parenchyma should be examined for evidence of interstitial disease and emphysema.Prominent pulmonary vasculature in the upper zones indicates pulmonary venous hypertension,while enlarged central pulmonary arteries suggest pulmonary artery hypertension.An enlarged cardiac silhouette suggests a dilated cardiomyopathy or valvular disease.Bilateral pleural effusions are typical of congestive heart failure and some forms of collagen vascular disease.Unilateral effusions raise the specter of carcinoma and pulmonary embolism but may also occur in heart failure.Computed tomography (CT) of the chest is generally reserved for further evaluation of the lungparenchyma (interstitial lung disease) and possible pulmonary embolism. Laboratory studies should include an electrocardiogram to look for evidence of ventricular hypertrophy and prior myocardial infarction.Echocardiography is indicated in patients in whom systolic dysfunction,pulmonary hypertension,or valvular heart disease is suspected. DISTINGUISHING CARDIOVASCULAR FROM RESPIRATORYSYSTEM DYSPNEA If a patient has evidence of both pulmonary and cardiac disease,a cardiopulmonary exercise test should be carried out to determine which system is responsible for the exercise limitation.If,at peak exercise,the patient achieves predicted maximal ventilation,demonstrates an increase in dead space or hypoxemia (oxygen saturation below 90%),or develops bronchospasm,the respiratory system is probably the cause of the problem.Alternatively,if the heart rate is >85% of the predicted maximum,if anaerobic threshold occurs early,if the blood pressure becomes excessively high or drops during exercise,if the O2 pulse (O2 consumption/heart rate,an indicator of stroke volume) falls,or if there are ischemic changes on the electrocardiogram,an abnormality of the cardiovascular system is likely the explanation for the breathing discomfort.

编辑推荐

《哈里森心血管病学(英文)》是一部内科学经典名著，享有“内科学著作之父”的美誉。

用户评论 (总计7条)

•   从基础到临床，一本实用，又很促进英语学习的好书。
•   速度太快了，前一天晚上买的，第二天上午就到了，比亚马逊快太多了！
•   纸张非常好，送货非常快，正在阅读中。
•   书本相对不厚，有看下去的信心
•   买时只看了封面和出版时间，觉的挺新，一下买了6本，送人的，收到后傻眼了，全英文哦，因为我要送的医生里没有懂英文滴！退吧，也不知道地址，就压箱底了！最郁闷的一次购物啦！建议向淘宝一样，能有个方便随时沟通的平台！
•   很激动的买了，因为以后的方向是心血管系统，想提高下专业英语，所以就激动了其实冷静下看，有点操之过急，很多基础的英语词汇还没完全吃透，想拿下这本书有点难，有点急，所以建议大家，一定要有点医学英语基础，而且对心血管内科有浓厚兴趣的再买，不建议作为案头书，翻译难度大。以后慢慢啃，内心还是很喜欢的~
•   质量没得说，书是全新的，很喜欢，准备刻苦攻读