Overview
- Editors:
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Patrick W. Serruys
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Cardiac Catheterization Laboratory, Thorax Center, Erasmus University, Rotterdam, The Netherlands
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RĂ¼diger Simon
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Department of Cardiology, University Hospital, Kiel, Germany
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Kevin J. Beatt
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Academic Unit of Cardiovascular Medicine, Charing Cross and Westminster Hospital, London, UK
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Table of contents (26 chapters)
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An investigational tool
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From in-vitro to in-vivo model
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- Guy R. Heyndrickx, Williamas Wijns, Stephen F. Vatner
Pages 3-22
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- Patrick W. Serruys, Brian Jaski, Federico Piscione, Folkert Ten Kate, Pim De Feyter, Marcel Van Den Brand et al.
Pages 23-35
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Electrocardiographic changes
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- Robert G. Macdonald, Robert L. Feldman
Pages 43-51
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Role of collaterals during PTCA
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Coronary flow and flow reserve
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- Patrick W. Serruys, Felix Zijlstra, Hans H. C. Reiber, Kevin Beatt, G. J. Laarman, Jos Roelandt et al.
Pages 93-120
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Myocardial metabolism
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- Patrick W. Serruys, Federico Piscione, William Wijns, Johan A. J. Hegge, Eef Harmsen, Marcel Van Den Brand et al.
Pages 127-142
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- Jan Willem De Jong, Tom Huizer, J. Arly Nelson, Wlodzimierz Czarnecki, Johannes J. R. M. Bonnier, Patrick W. Serruys
Pages 143-150
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- Harald Tillmanns, Rainer Zimmermann, Wolfram H. Knapp, Frantisek Helus, Peter Georgi, Bernhard Rauch et al.
Pages 151-154
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Myocardial function
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- Milan Grbic, Ulrich Sigwart
Pages 155-165
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- Michel E. Bertrand, Jean M. Lablanche, Jean L. Fourrier, Antoine Gommeaux, Israel Mirsky
Pages 175-191
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- Michael S. Norell, Raphael Balcon
Pages 193-205
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- Cees A. Visser, Jacques J. Koolen, George K. David, Arend J. Dunning
Pages 207-216
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- Anthony C. Pearson, Arthur J. Labovitz, Morton Kern, Michel Vandormael
Pages 217-231
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- Patrick W. Serruys, Federico Piscione, William Wijns, Cees Slager, Pim De Feyter, Marcel Van Den Brand et al.
Pages 233-266
About this book
Obstruction of coronary blood flow and the resultant consequences are the center stage pathophysiologic events in cardiology today. The speculations of Jenner, Burns, Heberdin, McKenzie, Prinzmetal and many others had until now been left to observations of isolated tissue and intact animal experimentation. Only with the advent of Gruentzig's technique, which allowed us to 'work safely inside the coronary arteries' are we able to observe the effects of coronary occlusion in living conscious man. PTCA provides not only a therapeutic modality for non-operatively opening coronary obstructions, but has also provided the best model for studying the effects of acute ischemia on the heart. The procedure also lead the way to all other interventional cardiology developments, including modern thrombolysis in the setting of acute myocardial infarction. In his previous works, Serruys has examined how PTCA can serve as a model for studying acute ischemia. In this book, he and his co-authors discuss the effects of balloon-induced ischemia on the electrocardiographic changes, coronary blood flow dynamics, cardiac muscle metabolism and left ventricular function, as well as measures to counter these effects and provide for reperfusion in unstable angina and acute myocardial infarction. Technology has expanded the 'eyes' of the observer of these events. The authors use many techniques including ECG recording from surface, endocardium, and intracoronary electrodes; angiographic assessment of coronary flow pattern using digital techniques, as well as doppler flow measurements; biochemical assessment of metabolic products stimulated by ischemia; and digital angiographic and echo doppler assessment of left ventricular function.
Reviews
`... durch die hervorragende Aufmachung and Ă¼bersichtliche Gestaltung. FĂ¼r jeden Kardiologen und Herzchirurgen ein unentbehrliches Werk, das den neuesten Stand dieser Behandlungsmethode aufzeigt.'
Herz/Kreislauf, 23/1, 1991
Editors and Affiliations
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Cardiac Catheterization Laboratory, Thorax Center, Erasmus University, Rotterdam, The Netherlands
Patrick W. Serruys
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Department of Cardiology, University Hospital, Kiel, Germany
RĂ¼diger Simon
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Academic Unit of Cardiovascular Medicine, Charing Cross and Westminster Hospital, London, UK
Kevin J. Beatt