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Coronary Heart Surgery: A Rehabilitation Measure

Editat de H. Roskamm, M. Schmuziger
en Limba Engleză Paperback – 29 feb 2012
On the occasion of the inauguration of the Department of Heart Surgery at the Rehabilitation Center in Bad Krozingen, we held under the aus­ pices of the European Society of Cardiology an International Symposium on March 17 to 18, 1978 with the topic: . "Coronary Heart Surgery - a Rehabilitation Measure" This book contains the papers given at that time. The editors of this book, together with the other members of the sci­ entific committee - H. Denolin from Brussels, Ch. Hahn from Geneva, and F. Loogen from DUsseldorf - aimed at selecting controversial top­ ics as well as speakers representing different viewpoints. Thus avoid­ ing portrayal of an image of a world of coronary bypass surgery in which all problems have found a solution. In keeping with the topic of the meeting, special emphasis was drawn to the long-term functional results of aortocoronary bypass surgery; symptomatic imprQvement be­ ing, in most patients, significant enough and lasting for at least some years, thus allowing the patients to return to work. However, a combination of social, economic, and psychological factors may hamper optimal rehabilitation, as can be seen from some of the following papers. The incorporation of heart surgery into a rehabilitation center - being the motif of this symposium - may hopefully stimulate a global approach to cardiac rehabilitation which includes surgical, medical, psychological, vocational, and social rehabilitation mea­ sures. Bad Krozingen, January 1979 H. Roskamm M. Schmuziger Table of Contents 1.
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Specificații

ISBN-13: 9783642672972
ISBN-10: 3642672973
Pagini: 416
Ilustrații: XI, 394 p.
Dimensiuni: 170 x 244 x 22 mm
Greutate: 0.66 kg
Ediția:Softcover reprint of the original 1st ed. 1979
Editura: Springer Berlin, Heidelberg
Colecția Springer
Locul publicării:Berlin, Heidelberg, Germany

Public țintă

Research

Descriere

On the occasion of the inauguration of the Department of Heart Surgery at the Rehabilitation Center in Bad Krozingen, we held under the aus­ pices of the European Society of Cardiology an International Symposium on March 17 to 18, 1978 with the topic: . "Coronary Heart Surgery - a Rehabilitation Measure" This book contains the papers given at that time. The editors of this book, together with the other members of the sci­ entific committee - H. Denolin from Brussels, Ch. Hahn from Geneva, and F. Loogen from DUsseldorf - aimed at selecting controversial top­ ics as well as speakers representing different viewpoints. Thus avoid­ ing portrayal of an image of a world of coronary bypass surgery in which all problems have found a solution. In keeping with the topic of the meeting, special emphasis was drawn to the long-term functional results of aortocoronary bypass surgery; symptomatic imprQvement be­ ing, in most patients, significant enough and lasting for at least some years, thus allowing the patients to return to work. However, a combination of social, economic, and psychological factors may hamper optimal rehabilitation, as can be seen from some of the following papers. The incorporation of heart surgery into a rehabilitation center - being the motif of this symposium - may hopefully stimulate a global approach to cardiac rehabilitation which includes surgical, medical, psychological, vocational, and social rehabilitation mea­ sures. Bad Krozingen, January 1979 H. Roskamm M. Schmuziger Table of Contents 1.

Cuprins

1. Controversial Points in Selection of Patients for Surgery.- Changing Medical and Surgical Therapy in Coronary Artery Disease — Need for Prospective Studies.- A Critical Review of the Veterans Administrative Cooperative Study.- The Effect of Coronary Bypass on Longevity — a Nonrandomized Study.- The Effects of Aortocoronary Bypass Surgery on Life Expectancy — a Nonrandomized Study.- Does Coronary Bypass Surgery Prolong Life Expectancy?.- Are There Indications for Surgery in Asymptomatic Patients?.- Factors to Prolong Survival in Patients with Coronary Artery Disease.- Preinfarction Angina due to LAD Stenosis — a Surgical Follow-up.- Aortocoronary Bypass Surgery in Patients with Organic Coronary Atherosclerosis Combined with Spasm.- Indications and Results of Emergency Coronary Revascularization.- 2. Controversial Points in Surgical Tactics and Techniques.- Complete Revascularization, Including Moderate Stenosis?.- Is Revascularization Limited to Good Quality and High Caliber Vessels?.- Diffuse Coronary Artery Disease; Is it a Contraindication for Surgery?.- Revascularization of Partially Infarcted Areas — Pathologist’s Point of View.- Revascularization of Partially Infarcted Myocardium.- Indications for Distal Coronary Artery Endarterectomy and Proximal Coronary Artery Bypass Grafts.- Patency Rate and Functional Results of Left Anterior Descending Bypass Surgery by Internal Mammary Artery.- The Internal Mammary Artery as a Coronary Artery Bypass Graft.- Does the Choice of Grafts (Veins or IMA) Influence Patency Rate and Functional Results?.- Intra-operative Estimation of Technical and Functional Causes of Limited Aortocoronary Bypass Flow.- 3. Indications for and Results of Aneurysmectomy.- Tachyarrhythmia as an Indication for Cardiac Surgery.- Does Aneurysmectomy Reduce Life-Threatening Ventricular Arrhythmias?.- Modification of Ventricular Function by Hypercontraction of the Surviving Heart Muscle Following Myocardial Infarction 174.- Factors Influencing Results in Surgery of Postinfarction Ventricular Aneurysms.- Functional Analysis of the Left Ventricle with Postinfarction Aneurysm.- 4. Anesthesia and Myocardial Protection in Coronary Heart Surgery.- Primary Importance of Myocardial Blood Flow in Determining in the Survival of Ischemic Myocardium.- Myocardial Protection by Cardioplegic Solutions.- Myocardial Protection by Pulsatile Flow — Clinical Experience.- Comparative Study of Three Methods of Myocardial Protection.- Anesthesia for Coronary Artery Surgery.- Myocardial Protection by a Calcium Antagonist.- Myocardial Protection and Postoperative Care with Vasodilator Therapy (Nitrates).- Can Postoperative Care be Facilitated by Preoperative Preparation?.- 5. Functional Results of Coronary Heart Surgery.- Factors Influencing Long-Term Improvement of Angina Pectoris, Exercise Tolerance, and Exercise Electrocardiography in Patients After Vein Bypass Surgery.- Long-Term Effect of Coronary Bypass Surgery on Exercise Tolerance: A 2-Year Randomized Study.- Improvement of Hemodynamics During Exercise.- Pulmonary Artery Pressure During Exercise and LV Diastolic Compliance Before and After Coronary Artery Surgery.- Factors Influencing Improvement of Hemodynamics During Exercise.- Thallium201 Myocardial Perfusion Scintigraphy for the Evaluation of Post Coronary Bypass Patients.- Regional Ventricular Function at Rest, During Leg Raising and Physical Exercise Before and After Aortocoronary Bypass Surgery.- Global and Regional Postoperative Left Ventricular Function in Relation to Preoperative Function and Degree of Revascularization.- Early Myocardial Depression After Coronary Artery Bypass Surgery.- Indications for and Results of Reoperation.- 6. What Can be Done to Improve Long-Term Results and Vocational Rehabilitation?.- Recent Changes in Incidence and Course of Hepatitis After Heart Surgery.- Contributing Factors Preventing Return to Work of Cardiac Surgery Patients.- Clinical Results and Social Implications in Patients After Coronary Bypass Surgery.- Clinical Results and Return to Work After Coronary Heart Surgery.- Need for Coronary Bypass Surgery in Europe.