The ESC Textbook of Intensive and Acute Cardiovascular Care

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACCA) of the ESC. This new updated edition continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care. It is addressed to all those involved in intensive and acute cardiac care, from cardiologists to emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment, but also organizational issues, cooperation among professionals, and interaction with other specialities in medicine. The largest section of the textbook is devoted to non-cardiac disease which could acutely involve the cardiovascular system. Other noteworthy chapters are on ethical issues important in acute cardiac care, such as patient safety, donor organ management and palliative care. A unique characteristic of the title is the presence of a whole section devoted to biomarkers, which underline the growing importance of laboratory medicine in the field of intensive and acute cardiac care.

Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine.


Author(s):  
Magda Heras ◽  
Alessandro Sionis ◽  
Susanna Price

Advances in the treatment of cardiovascular diseases have changed their natural course and resulted in improved outcomes with prolongation of life. In parallel, subspecialization in cardiology has meant that training in the advanced management of critically ill cardiac patients to the level that is now required is no longer met within general cardiology. The growing demand for training in intensive cardiac care has led to the recognition of acute cardiac care as a subspecialty in its own right. This chapter describes the concept of clinical competence and its assessment within this challenging field. It also details the core curriculum and certification process established by the Acute Cardiovascular Care Association of the European Society of Cardiology to train and certify physicians in acute cardiac care.


Author(s):  
Susanna Price ◽  
Sofie Gaevert ◽  
Alessandro Sionis ◽  
Eric Bonnefoy ◽  
Magda Heras

Advances in the treatment of cardiovascular diseases have changed their natural course and resulted in improved outcomes with prolongation of life. In parallel, subspecialization in cardiology has meant that training in the advanced management of critically ill cardiac patients to the level that is now required is no longer met within general cardiology. The growing demand for training in intensive cardiac care has led to the recognition of acute cardiac care as a subspecialty in its own right. This chapter describes the concept of clinical competence and its assessment within this challenging field. It also details the core curriculum and certification process established by the Acute Cardiovascular Care Association of the European Society of Cardiology to train and certify physicians in acute cardiac care.


Author(s):  
Jean-Louis Vincent ◽  
Jacques Creteur

Acute cardiac syndromes are common and responsible for considerable mortality and morbidity. Decision making in such patients can be difficult clinically but can also be complex and challenging from an ethical perspective. This chapter reviews some of the ethical problems, including organ donation and withholding/withdrawing, that can occur in the acutely ill adult cardiac patient, starting with a brief look at the ethical principles that should guide our decision making: beneficence, non-maleficence, autonomy, and distributive justice. The role of advance directives and considerations related to family presence during cardiopulmonary resuscitation will also be discussed. With the increasing incidence and prevalence of coronary artery disease worldwide, the number of patients with cardiac arrest and requiring acute cardiac care is going to increase, and doctors will increasingly be faced with difficult ethical decisions associated with these patients. Open discussion and debate about these issues and good communication among patients, family members, and members of the health care team are essential to ensure that all patients receive the best possible end-of-life care.


Author(s):  
Jean-Louis Vincent

Acute cardiac syndromes are common and responsible for considerable mortality and morbidity. Decision making in such patients can be difficult clinically but can also be complex and challenging from an ethical perspective. This chapter reviews some of the ethical problems, including organ donation and withholding/withdrawing, that can occur in the acutely ill adult cardiac patient, starting with a brief look at the ethical principles that should guide our decision making: beneficence, non-maleficence, autonomy, and distributive justice. The role of advance directives and considerations related to family presence during cardiopulmonary resuscitation will also be discussed. With the increasing incidence and prevalence of coronary artery disease worldwide, the number of patients with cardiac arrest and requiring acute cardiac care is going to increase, and doctors will increasingly be faced with difficult ethical decisions associated with these patients. Open discussion and debate about these issues and good communication among patients, family members, and members of the health care team are essential to ensure that all patients receive the best possible end-of-life care.


Author(s):  
Jean-Louis Vincent

The respiratory system is key to the management of patients with respiratory, as well as haemodynamic, compromise and should be monitored. The ventilator is more than just a machine that delivers gas; it is a true respiratory system monitoring device, allowing the measurement of airway pressures and intrinsic positive end-expiratory pressure and the plotting of pressure/volume curves. For effective and reliable monitoring, it is necessary to keep in mind the physiology, such as the alveolar gas equation, heart-lung interactions, the equation of movement, etc. Monitoring the respiratory system enables adaptation of not only respiratory management, but also haemodynamic management.


Author(s):  
Susanna Price ◽  
Marco Tubaro ◽  
Pascal Vranckx ◽  
Christiaan Vrints

Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and an important cause of loss of disability-adjusted life years. For most types of CVD, early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centers appropriately equipped in order to deal with these critically ill cardiac patients. The textbook explores the intricate nature of Intensive and Acute Cardiovascular Care and provides assistance for diagnosis and preventive care across the multitude of cardiovascular diseases.


2019 ◽  
Vol 112 (2) ◽  
pp. 79-81
Author(s):  
François Roubille ◽  
Eric Bonnefoy ◽  
Etienne Puymirat ◽  
Meyer Elbaz ◽  
Patrick Henry

2015 ◽  
Vol 4 (1) ◽  
pp. 3-5 ◽  
Author(s):  
Patrizio Lancellotti ◽  
Susanna Price ◽  
Thor Edvardsen ◽  
Bernard Cosyns ◽  
Aleksandar N Neskovic ◽  
...  

Echocardiography is one of the most powerful diagnostic and monitoring tools available to the modern emergency/critical care practitioner. Currently, there is a lack of specific European Association of Cardiovascular Imaging/Acute Cardiovascular Care Association recommendations for the use of echocardiography in acute cardiovascular care. In this document, we describe the practical applications of echocardiography in patients with acute cardiac conditions, in particular with acute chest pain, acute heart failure, suspected cardiac tamponade, complications of myocardial infarction, acute valvular heart disease including endocarditis, acute disease of the ascending aorta and post-intervention complications. Specific issues regarding echocardiography in other acute cardiac care scenarios are also described.


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