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心脏病学实践2015

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心脏病学实践2015

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《心脏病学实践2015》为长城国际心血管学会议用书。从心血管疾病的预防和管理、心血管疾病的临床问题和研究进展、从病例学习处理原则等部分阐述,每一部分以数篇论述组成,完成者均为该领域专家,阐述临床热点、疑点和难点,条理清晰,内容严谨,配图清晰美观,文字精准简练。
Catalogue

第一部分 心血管疾病的预防和管理
弥合裂痕,应对挑战——中国冠心病康复治疗的展望
“互联网+”时代心血管疾病的预防和管理
3D打印技术在心血管医学应用的现状与前景
雾霾下的心脏健康:空气污染与心血管疾病
吸烟导致死亡——机制尚不可知
限盐的争议与共识
高血压的罪魁祸首:糖还是盐?
限制食物来源胆固醇的争议与共识
复方制剂策略与心血管疾病二级预防
2014年ESC血栓工作组关于阿司匹林用于一级预防的意见书
2014AHA/ASA卒中一级预防指南要点解读

第二部分 心血管疾病临床问题与研究进展
第一篇 高血压与代谢性疾病
欧美与我国高血压指南差异的解读
高血压管理的公共卫生策略:分级、分期、分型管理
高血压补充叶酸预防脑卒中的机制与循证医学证据
儿童和青少年高血压
老年高血压降压目标的争议与思考
糖尿病患者的降压治疗——要降到什么水平?
高血压的控制——不能忽视患者参与的重要性
妊娠期高血压降压目标与降压药物的选择
胃肠道——代谢性高血压发病的始动器官?
常染色体显性多囊肾的保护:强化降压的益处——HALT-PKD研究解读
脂肪分布与心血管疾病的危险
难治性高血压治疗的新技术与新器械
夜间血压升高的筛查与处理
AHA/ACC/ASH关于冠心病合并高血压治疗的科学建议
他汀对女性心血管疾病一级预防的价值
老年人群应用他汀风险与获益再评价
他汀不良反应的应对策略
他汀的精准医疗:从基因水平评价他汀获益人群
PCSK9抑制剂未来的作用与定位
PCSK9抑制剂的新证据与适应证的评价
IMPROVE-IT的启示:强化他汀还是他汀联合依折麦布?
极低密度脂蛋白及其亚型与动脉粥样硬化进展的关联性
LDL-C干预新靶点的假说与探索
LDL-C控制目标的困惑与思考
NICE血脂异常管理建议的要点概述与解读
绝经期女性激素替代治疗的心血管安全性评估
糖尿病微血管病变的机制与干预策略
2015年减肥药物临床实践指南解读
IFSO减重手术治疗一级肥胖
第二篇 冠心病
经皮介入治疗治疗左主干病变的长期预后
非阻塞性冠心病治疗进展
脂代谢相关基因突变与冠心病
从PROMISE研究看胸痛的诊断:影像学还是功能学检查?
比伐芦定治疗急性冠脉综合征的证据
2型急性心肌梗死的诊治与研究进展
急性心肌梗死直接PCI:完全血运重建还是仅处理罪犯血管?
急性心肌梗死溶栓后介入治疗的时机选择
TOTAL不是终结:血栓抽吸装置争议与共识
冠心病伴有严重左室收缩功能不全的血运重建治疗
冠状动脉分叉病变的新技术与新策略
Impella在高危PCI中的应用
生物可降解支架是将来的金标准吗?ABSORBⅡ研究解读
药物洗脱支架的新技术与新证据
建立血管“弹性参数”理念,推广经前臂动脉入径7F指引导管在复杂冠脉病变中的应用
冠心病患者心率控制的意义-SIGNIFY研究解读
脂蛋白相关磷脂酶A2抑制剂治疗稳定性冠心病的尝试:STABILITY研究
延长PCI术后双联抗血小板治疗时间的利弊分析
替格瑞洛的新证据与争议
传统治疗措施的重新评价:硝酸酯类药物
创新无止境——冠状窦缩小装置治疗心绞痛:COSIRA研究
2014年ESC/EACTS心肌血运重建指南要点解读
多模态冠脉影像学进展
2014年ACC/AHA非ST段抬高急性冠脉综合征治疗指南的要点解读
分层、抗栓和重建——解读欧洲2015年NSTE-ASC指南
第三篇 心律失常
如何识别心外膜起源的心动过速
p受体阻滞剂在长QT综合征中的应用
心房颤动消融治疗——冷冻与射频治疗优劣的比较
心房颤动导管消融围术期抗凝治疗进展
持续性房颤导管消融策略的比较:Less may be more?
房颤外科消融治疗——when,why and how?
达比加群预防房颤卒中:血药浓度监测是否必要?
围术期房颤的预防:新的进展
左心耳封堵的适应证选择——从临床研究到实践
严格控制危险因素预防心房颤动消融治疗后房颤复发
孤立性房颤:真的存在吗?
缺血性脑卒中患者中房颤的筛查
房颤患者的管理能否改善预后——真实世界中的指南实践
ICD植入术中除颤阈值测试:目前的观点
器质性室速导管消融的终点再评价
心脏性猝死的一级预防:现状与未来
无导线起搏技术的应用前景
必脏辅助装置在室性心动过速导管消融中的应用进展
妊娠期心律失常的处理策略进展
2014年NICE心房颤动管理指南解读
第四篇 心脏结构与心脏功能
欧洲急性心力衰竭入院前及院内早期管理的建议解读
经导管主动脉瓣置换术治疗二叶式主动脉瓣狭窄的现状及展望
心力衰竭时心脏和全身代谢异常
收缩性心力衰竭治疗进入新纪元:PARADIGM-HF研究
机械循环辅助装置在心力衰竭救治中的作用
如何正确看待“p受体阻滞剂用于慢性心力衰竭伴心房颤动不能降低患者病死率”的荟萃分析结果?
射血分数保留的心力衰竭——现代的理解与挑战
右心功能衰竭诊治进展
心力衰竭患者水盐代谢的管理与进展
心力衰竭远程监测及患者自我管理的进展
心力衰竭的细胞和基因治疗进展
TAVI治疗的新器械与新进展
ESC肥厚型心肌病诊断及管理指南重点解析
二尖瓣疾病治疗新技术介绍与展望
复杂性先天性心脏病矫治术后经皮肺动脉瓣植入术临床应用和进展
AHA40岁以上成人先天性心脏病管理科学声明要点解读
第五篇 其他临床问题
经胸超声心动图在门诊儿童心脏病患者的初次使用ACC/AAP/AHA/ASE/HRS/SCAI/SCCT/SCMR/SOPE适用标准(2014)解读
静脉血栓的起源与发生
成人肺动脉高压的药物治疗
深静脉血栓后综合征:预防、诊断和治疗策略
心血管影像加强辐射防护的方法
心包炎的药物治疗
马方综合征的药物治疗
ESC急性肺栓塞诊断和管理指南要点解读
2014年ESC主动脉疾病诊断和治疗指南要点解读
ESC/ESA非心脏手术心血管疾病评估及防治最新指南

第三部分 从病例学习处理原则
高血压治疗中发生低血压病例分析与处理
顽固性心绞痛诊治示例
早知今日,何必当初?——一例复杂起搏器囊袋感染处理过程的思索
血运重建策略的选择病例分析
系统性红斑狼疮合并心脏病变病例分析
心肌淀粉样变性的病例诊断与分析
ICD异常放电病例分析
PCI术中器械选择得失的病例分析
顽固性水肿病例分析
Book Abstract

《心脏病学实践2015》:
一、高血压与盐
高血压的预防是公共卫生的重中之重,除了药物控制以外,长久以来各大膳食指南都着重于限制钠盐的摄入。大量流行病调查和临床观察结果显示,钠盐的摄入与高血压发病呈正相关,而钾盐的摄入则呈负相关。
食盐的摄入导致高血压的证据强于其他任何生活行为。不少研究都表示从偏远的低盐生活环境移居到城市环境,生活方式的改变,增加了食盐的摄入量,人群的血压值随之升高。居住在中国西南地区的少数民族彝族,大都地处偏远的深山,平日食用极少量钠盐,随着年龄的增长,彝族农民收缩压平均升高仅每年0.13mmHg,舒张压每年0.23mmHg。与之相对比的是,迁居到城市地区生活的彝族人,每日摄入钠盐增多,血压水平也相对增高。一些海岛地区的流行病学研究也发现,越靠近海岸的居民,越方便获取食盐,平均每日摄入食盐量较高,高血压的发病率也高于远离海岸的低盐饮食地区。
INTERSALT研究是较早关于钠盐摄入与高血压关系的大型国际性流行病学调查研究,从全世界52个中心一共纳入了10079位参与者,采用标准方法检测参与者24小时尿钠排泄,尿钠排泄最低0.2mmol/24h(巴西雅诺马马印第安人),最高至242mmol/24h(中国北方地区)。该研究发现食盐摄入与年龄相关的血压升高有明显关系,而平均日消耗食盐量较少的人群平均血压也较低,血压几乎与年龄不相关。
此外,多个干预性研究也证实降低高盐地区人群的饮食含盐量,能明显降低血压值和高血压的发病率。葡萄牙是著名的高摄盐地区,Forte等的试验在葡萄牙同一城区的两个社区进行,各有800名相似生活方式的参与者,平均每天摄入食盐21g,高血压发病率为30%。在其中一个社区大力推广健康生活低盐饮食的教育,努力把每日摄盐量降低到12g。第二年末,对照组收缩压有小幅度增加,而控盐干预组收缩压和舒张压都明显下降,两组平均血压相差13/6mmHg。而且干预组是社区整体血压都呈下降趋势,包括正常血压和高血压人群,不同年龄及性别之间也没有差异。
……

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Jingdong book