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A Comprehensive Approach to Congenital Heart Diseases by IB Vijayalakshmi

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Details of A Comprehensive Approach to Congenital Heart Diseases by IB Vijayalakshmi:

  • Publisher ‏: ‎ JAYPEE BROTHERS MEDICAL PUBLISHERS; 2019 2nd edition
  • Language: ‎ English
  • Pages: 1308
  • ISBN: 9789352701957
  • Item Weight: ‎ 2Kg 885g
  • Dimensions ‏ : ‎ 21.59 x 5.08 x 27.31 cm
  • Packer: ‎ JAYPEE BROTHERS MEDICAL PUBLISHERS PVT.LTD.
  • Authors:IB Vijayalakshmi MD DM DSc FICC FIAMS FIAE FICP FCSI FNAMS FISH FRCP (London)
    Professor Emeritus, Professor of Paediatric Cardiology, Superspecialty Hospital, Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), Bangalore Medical College and Research Institute, Bengaluru, Karnataka, IndiaP Syamasundar Rao MD DCH FAAP FACC FSCAI
    Professor of Paediatrics and Medicine, Emeritus Chief of Paediatric Cardiology, University of Texas–Houston Medical School, Houston, Texas, USA

    Reema Chugh MD FACC
    Cardiologist and Specialist, Adult Congenital Heart Disease and Heart Disease in Pregnancy, Kaiser Permanente Medical Centre, Panorama City, California, USA

A Comprehensive Approach to Congenital Heart Diseases by IB Vijayalakshmi is now Available on Surgicalshoppe.

A Comprehensive Approach to Congenital Heart Diseases by IB Vijayalakshmi is likely a detailed resource on congenital heart diseases (CHD), aiming to provide in-depth knowledge on the classification, diagnosis, management, and treatment of these conditions. While I do not have access to specific details or a summary of this exact title, I can give you a broad understanding of what such a book would cover and the key areas it would likely address.

1. Introduction to Congenital Heart Diseases (CHD)

  • Definition and Overview: CHDs are structural heart defects present at birth. They can involve problems with the heart walls, valves, or blood vessels. They may be detected shortly after birth or later in life.
  • Prevalence and Epidemiology: General statistics on the prevalence of CHDs, their genetic and environmental risk factors, and how these vary across populations.

2. Embryology and Pathophysiology

  • Heart Development: A section discussing the embryological development of the heart, from the primitive heart tube to the fully formed heart, and how disruptions in this process can lead to congenital defects.
  • Pathophysiology of Common Defects: Explaining the physiological consequences of different types of CHDs, including how abnormal blood flow or pressure in the heart affects overall circulation and organ function.

3. Classification of Congenital Heart Diseases

  • Cyanotic vs. Acyanotic: One of the most important classifications, distinguishing between defects that cause oxygen-poor blood to enter systemic circulation (cyanotic) versus those that do not (acyanotic).
  • Common Defects:
    • Acyanotic: Includes defects like ventricular septal defect (VSD), atrial septal defect (ASD), patent ductus arteriosus (PDA), and coarctation of the aorta.
    • Cyanotic: Includes defects such as tetralogy of Fallot, transposition of the great arteries, and truncus arteriosus.
  • Complex and Mixed Defects: Disorders that involve multiple heart chambers and blood vessels.

4. Clinical Presentation

  • Symptoms in Newborns: Cyanosis, murmur, difficulty feeding, poor weight gain, respiratory distress, and signs of heart failure.
  • Presentation in Older Children or Adults: Symptoms may include fatigue, exercise intolerance, recurrent respiratory infections, and failure to thrive.
  • Physical Examination Findings: How to recognize common physical signs of CHDs such as abnormal heart sounds (e.g., murmurs), clubbing, and differential cyanosis.

5. Diagnosis and Investigation

  • Echocardiography: The cornerstone of CHD diagnosis, providing detailed images of the heart’s structure and function.
  • Electrocardiography (ECG) and Chest X-ray: Supporting tools that help assess heart rhythm, size, and other abnormalities.
  • Cardiac MRI and CT Scan: Used in more complex cases or when detailed vascular anatomy needs to be assessed.
  • Other Diagnostic Tools: Including catheterization, genetic testing, and advanced imaging techniques like 3D echocardiography.

6. Management and Treatment Strategies

  • Medical Management: When applicable, including the use of medications such as diuretics, inotropes, and prostaglandin therapy.
  • Surgical Intervention: The mainstay for most congenital heart defects, including repair of septal defects, valve replacement, or correction of blood flow abnormalities.
  • Palliative Surgery: In cases where a full corrective surgery is not possible, palliative procedures like the Fontan procedure or Blalock-Taussig shunt may be performed.
  • Postoperative Care: Long-term follow-up, managing complications like arrhythmias, residual defects, and heart failure.

7. Genetic and Environmental Factors

  • Genetics of CHD: The role of genetic mutations, chromosomal abnormalities (e.g., Down syndrome), and familial inheritance patterns.
  • Environmental Factors: Maternal conditions such as diabetes, viral infections, drug use, and radiation exposure that may influence the likelihood of CHD.

8. Advances in Treatment

  • Minimally Invasive Techniques: The rise of catheter-based interventions for some defects, reducing the need for open-heart surgery.
  • Genetic Research and Targeted Therapies: Advances in understanding the genetic basis of CHDs and how gene therapies may eventually play a role in treatment.
  • Immunosuppressive and Pharmacologic Innovations: In cases involving heart transplantation or significant structural abnormalities.

9. Long-Term Management and Follow-Up

  • Early and Late Complications: Long-term risks associated with congenital heart disease, including arrhythmias, heart failure, and developmental issues.
  • Transition from Pediatric to Adult Care: The importance of continuous care into adulthood as many patients with CHD survive into their 30s and beyond.
  • Psychosocial and Quality of Life Considerations: Support for families and patients coping with chronic heart disease, including mental health, education, and employment concerns.

10. Case Studies and Practical Approaches

  • Clinical Scenarios: The book may include case studies demonstrating how CHD cases are diagnosed and treated, highlighting key decision-making points.
  • Multidisciplinary Approach: How cardiologists, surgeons, neonatologists, and other healthcare professionals collaborate in managing CHD cases.
Weight 2.885 kg
Dimensions 21.59 × 5.08 × 27.31 cm
Stream

MEDICAL

Subject

CARDIOLOGY

Edition

2nd

Binding Type

HARDBOUND

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