心血管内科会诊纪要Essentials of Cardiovascular Consultations

这本书涵盖了广泛的主题，包括胸痛、冠状动脉疾病，心力衰竭，瓣膜性心脏病、心律失常、高血压病、心包疾病、妊娠相关疾病、非心脏外科手术的心血管风险评估，均是临床工作中会诊常见的问题。每一个章节的内容包括该疾病的概述、临床表现、诊断、治疗，包括基础理论知识和最新进展，最后概括出会诊中的常见问题及解决方法，具体的会诊流程和思路。心血管内科是所有综合性医院被请会诊最多的专业之一，有病情复杂、急危重病多、突发病情变化几率大等特点，对会诊医生要求较高，本书的会诊常见问题和解决方法、会诊流程和思路，是本书的一大特色，对规培医生、心血管内科住院总医生、心血管内科低年资主治医生有重要的指导意义。

郭素峡主任是引进的特色人才，东莞市人民医院心内科主任，博士后、日本访问学者，带领团队克服技术难关，敢于挑战。对冠状动脉慢性闭塞病变运用多种技术开通血管，对高风险病变，包括左主干病变，多支血管病变可在ECMO及IABP支持下开通血管

Contents Chapter 1　Coronary Artery Disease..........................................................................................................1 Section 1　Differential Diagnosis of Chest Pain.................................................................................1 Section 2　Diagnosis and Early Treatment of Acute Coronary Syndrome...................................9 Section 3　The Management of ST-Segment Elevation Myocardial Infarction........................15 Section 4　Diagnosis and Treatment of Sudden Cardiac Death....................................................24 Section 5　Analysis of Causes for Abnormal Cardiac Injury Markers........................................33 Section 6　Diagnosis and Treatment of Myocardial Bridges.........................................................36 Section 7　Key Points for the Diagnosis and Treatment of Coronary Artery Disease............39 Section 8　Strategies for CAD Myocardial Revascularization......................................................48 Section 9　Non-Invasive Assessment of Myocardial Ischemia.....................................................51 Section 10　Diagnosis and Treatment of Vulnerable Plaques........................................................54 Section 11　Antiplatelet Therapy Strategies After PCI...................................................................57 Section 12　Anti-thrombotic Therapy After PCI in Atrial Fibrillation........................................61 Section 13　Management of Periprocedural Bleeding in PCI Patients.......................................66 Section 14　Common Questions in Consultation for Dyslipidemia.............................................70 Section 15　Thrombolytic Therapy for Acute Myocardial Infarction.........................................78 Section 16　Mechanical Complications of Acute Myocardial Infarction...................................83 Chapter 2　Heart Failure..............................................................................................................................88 Section 1　Differential Diagnosis Approach for Dyspnea..............................................................88 Section 2　Advances in the Diagnosis and Treatment of Acute Left Heart Failure.................94 Section 3　Heart Failure with Preserved Ejection Fraction.........................................................103 Section 4　Pharmacological Treatment of Chronic Heart Failure.............................................106 Section 5　Device Therapy for Heart Failure...................................................................................111 Section 6　Differential Diagnosis of Edema...................................................................................115 Section 7　Advances in Right Heart Failure...................................................................................117 Section 8　Cardiogenic Shock............................................................................................................122 Section 9　Volume Management in Heart Failure.........................................................................128 Section 10　Clinical Application Value of BNP and NT-proBNP.............................................136  Section 11　Pulmonary Embolism.....................................................................................................140 Section 12　Cardiomyopathies...........................................................................................................145 Chapter 3　Arrhythmia..............................................................................................................................163 Section 1　Causes and Management of Sinus Tachycardia.........................................................163 Section 2　Diagnosis and Management of Narrow QRS Complex Tachycardias.................164 Section 3　Diagnosis and Management of Wide QRS Complex Tachycardias......................171 Section 4　Long QT Syndrome...........................................................................................................177 Section 5　Brugada Syndrome............................................................................................................180 Section 6　Syncope...............................................................................................................................185 Section 7　Pharmacotherapy for Atrial Fibrillation.......................................................................192 Section 8　Catheter Ablation for Atrial Fibrillation......................................................................198 Section 9　Temporary Cardiac Pacing..............................................................................................200 Section 10　Clinical Significance and Management of Various Premature 　　　　　 Contractions.....................................................................................................................206 Chapter 4　Hypertension...........................................................................................................................213 Section 1　Hypertensive Emergencies..............................................................................................213 Section 2　Hypertensive Encephalopathy........................................................................................218 Section 3　Management of Hypertensive Aortic Dissection.......................................................220 Section 4　Characteristics of Hypertension in the Elderly..........................................................226 Section 5　Treatment Strategies for Hypertension in the Elderly..............................................228 Section 6　Treatment-Resistant Hypertension................................................................................238 Section 7　Secondary Hypertension..................................................................................................243 Chapter 5　Pericardial and Valvular Heart Diseases.......................................................................252 Section 1　Pericardial Effusion...........................................................................................................252 Section 2　Viral Myocarditis...............................................................................................................256 Section 3　Infective Endocarditis.......................................................................................................260 Section 4　Cardiac Valvular Diseases...............................................................................................267 Section 5　Pulmonary Hypertension.................................................................................................279 Section 6　Progress in Transcatheter Aortic Valve Replacement Technology........................289 Chapter 6　Pregnancy-Related Diseases...............................................................................................293 Section 1　Hypertension in Pregnancy.............................................................................................293 Section 2　Pregnancy Complicated by Arrhythmia.......................................................................302  VII Contents　. Section 3　Pregnancy Complicated by Coronary Heart Disease...............................................309 Section 4　Pregnancy Complicated by Aortic Disease.................................................................315 Section 5　Pregnancy Complicated by Congenital Heart Disease.............................................321 Chapter 7　Cardiovascular Risk Assessment for Non-Cardiac Surgery...................................330 Section 1　Preoperative Assessment.................................................................................................330 Section 2　Surgical Risk Classification............................................................................................332 Section 3　Perioperative Cardiovascular Risk Assessment Methods........................................334 Section 4　Preoperative Assessment and Management of Com-bined Card-iovascular 　　　　　Diseases...............................................................................................................................336 Section 5　Perioperative Examinations............................................................................................341 References.........................................................................................................................................................344