心血管内科会诊纪要

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**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。

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
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