Essential Adult Cardiology. Dieser Artikel ist nicht verfügbar.Essential Adult Cardiology

This is a practical textbook of adult cardiology aimed at medical students, junior doctors, and those more senior who need to know more about cardiac trial results and recent research advances. It represents a digest of 50 years of practical clinical experience, much of which will be valuable to nurses and paramedics engaged with heart problems. The book covers basic topics through to advanced ones. Many medical professionals find diagnosing and managing cardiac conditions harder than most other specialties. Only those who study the mechanical and electrical functions of the heart will gain a facility for accurate diagnosis and management. The aim of this book has been to define and explain all the key information about cardiac problems and to provide the evidence needed for sound cardiac diagnosis and management. Knowing and understanding all this book has to offer will not a cardiologist make; especially one capable of complex assessment, judgement, and invasive intervention. It will, however, provide a foundation. Managing a disturbed cardiovascular system from every physical, emotional, and functional point of view requires some talent. Through the knowledge gained within and hands-on experience, a cardiologist with enough clinical wisdom to achieve patient benefit should emerge. I have summarised the history of cardiology, modern advances in cardiac intervention, and key references to many important therapeutic trials. All are necessary for an appreciation of current cardiac management. An area of difficulty for many students and doctors is cardiac examination, especially auscultation of the heart. Another area of difficulty is 'reading' ECGs. Few now appreciate that it was over seven decades ago that cardiologists first developed the skills needed to detect and assess congenital and valvular abnormalities using only their eyes, ears, and hands. Using feedback from cardiac catheterisation and surgery, these skills developed further. Except for those working on desert islands and in impoverished third world countries, the highly specialised skills of cardiologist doyens like Paul Wood and Aubrey Leatham might now seem antiquated. Echocardiography, MRI, CT, and PET scanning are now seen as more useful and reliable. ECG interpretation is difficult because it requires not only experience with true abnormalities but also an acquaintance with the many variations of normal. I hope to impart a better understanding by including details of how ECGs are generated and how abnormalities arise. The two commonest causes of cardiac morbidity are atherosclerosis and arteriosclerosis. To understand how atherosclerosis affects the coronary and other arteries and how arteriosclerosis relates to left ventricular hypertrophy and hypertension, I have included information about these processes at a clinical, histological, and molecular level. Patients are most troubled by shortness of breath, angina, heart attacks, and rhythm problems. To understand them fully, one must consider valvular and adult congenital heart disease, together with the reasons for heart failure and its optimal management. Also included are less common conditions like myocarditis, cardiomyopathy, cardiac tumours, and heart disease in pregnancy. Cardiologists like to quote relevant trials as acronyms, so some of the game-changing and controversial ones will be found throughout the text. The bibliography provided will enable dedicated students to take their study of cardiology further, to an expert level, should they wish. Those who want details of cardiac surgery will not find enough detail here. They should consult dedicated surgical textbooks on the subject.

Cardiologist. Formerly, British Heart Foundation Research Fellow, St. George's Hospital, London. Lecturer in Cardiology, Charing Cross Hospital, London.Chef de Clinique, Cardiologist, Vrije Universiteit. Amsterdam.Former Director: Cardiac Centre. Loughton. Essex, UK.Dr. David H. Dighton qualified at the London Hospital Medical College in 1966 with MB and BS (London) degrees. In 1970, after a year or so in NHS general practice, he became a British Heart Foundation Fellow in Cardiology at St. George's Hospital, Hyde Park Corner, London, working with cardiologists Dr. Aubrey Leatham and Dr. Alan Harris. In 1973, he became a MRCP(UK), and later a Lecturer (London University) in Medicine and Cardiology at Charing Cross Hospital, London. In 1980, as Chef de Clinique (Assistant Professor) at the Vrije University Hospital, Amsterdam, he helped to introduce transvenous pacing, and collaborated in ongoing coronary artery research with Dr. Pim de Feyter and others. After returning to the UK in 1982, he worked both in his own private medical and cardiac practice in Loughton, Essex (The Loughton Clinic, established in 1973), undertaking invasive cardiac investigations at the Wellington Hospital, London. In 2000, he started a private cardiac diagnostic centre, specialising in the early detection and prevention of coronary artery disease (The Cardiac Centre, Loughton). This closed, once the Public Services Authority directed the GMC to withdraw his licence to practice in the UK (the political reasons are detailed in his book, 'The NHS. Our Sick Sacred Cow.' 2023). As an independent private cardiologist and general physician, he disagreed with UK medical bureaucracy and who they thought most qualified to devise, regulate and supervise medical practice; opinions he based on having been a medical student, general physician and cardiologist for sixty years without ever having one complaint from any patient. Between 2003 and 2006, he undertook food research and wrote two books on food and the heart. Between 2023 and 2025, he published ten books on medical and cardiac subjects. A recent technical book (2025), explores the possible neurophysiological bases for tiredness, fatigue and exhaustion and the relationship to heart disease. Another recent medical book (his 11th) explains tiredness and its cure to a general audience (Tired All the Time, 2025). His latest book, 'Always Tired? 2026, explains tiredness and its relationship to life, illness and mortality, in the simplest of ways. He continues to publish books on cardiac topics, to write haiku (his most recent - his twelfth book - 'A Life: Contemplated in Haiku, Poems and Senryu, 2025) and to research cardiac prevention. This is his fourteenth book (see the list of other books by the author).His interest in the frontier that lies between art and science in medical practice, led to his book, The Art and Science of Medical Practice. It details not only what he was taught by many experienced, world-class physicians and surgeons, but what he learned from practising both the art and science of medicine in teaching hospitals and in private practice. He has other interests. He is a poor linguist but loves learning languages and communicating in those other than his mother tongue. He draws and paints in oils on canvas. For his own amusement he plays the guitar and piano. He likes to compose and play simple melodies, one of which introduces his YouTube videos for patients on understanding heart problems (Dr. Dighton Interviews). Another he played live for a friend on Facebook. For further information: www.daviddighton.com email:david@daviddighton.com