Cardiothoracic Surgery in the Elderly: Evidence Based Practice is an important and timely book that reflects the thoughtful work of pioneers in geriatric surgery. It encompasses their knowledge related to geriatric surgery, and their reflections and guidance on the rapidly accumulating knowledge related to improving the health and surgical care of seniors. This book provides a scholarly review of the constantly expanding knowledge base about cardiovascular and thoracic surgery in seniors. The book follows a logical sequence covering general aspects of care, cardiac surgery and thoracic surgery. Chapters are focused on common, devastating and often missed complications of surgical care in the seniors. These include delirium, depression, pressure sores, functional losses, incontinence, volume depletion and asymptomatic or atypical complications -myocardial infarction, post-operative diarrhea, urinary track infections and pneumonia. Each is expertly reviewed. Strategies to help the surgeons and the surgical team anticipate, recognize and effectively prevent or manage such problems are discussed and the evidence basis for such strategies is provided. Cardiothoracic Surgery in the Elderly: Evidence Based Practice is particularly timely and the first to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problems. It catalogs well the expanding knowledge basis for achieving successful surgical outcomes in the very old. It provides a most useful resources for cardiovascular thoracic surgeons in training and those already in practice.

Principles and Practice of Geriatric Surgery presents the fundamentals of surgical care for the fastest growing segment of the US population, providing a vital integration of operative strategies with the physiological changes of aging. Among the topics covered are the endocrine system, otolaryngology, respiratory system, cardiovascular system, GI system, hepatobiliary system, urogenital system, soft tissue and musculoskeletal system, neurosurgery, and transplantation.

Cardiothoracic nursing has undergone great change over the last decade. With the continuing improvement of surgical techniques, pharmacology and pre- and post-operative care, there have been many new initiatives and innovations in the nature and practice of this specialised sector of nursing. Rehabilitation and patient education are to name but a few of the areas where exciting new challenges and opportunities for cardiothoracic nurses have opened up. This book is a definitive and accessible text for cardiothoracic nurses. Written for nurses from a nursing perspective, it offers practical advice and information on all aspects of cardiothoracic surgical nursing and pays particular attention to the continuing developments cardiothoracic nurses must face.

Reviews the best therapies and surgical techniques available to provide quality care for the elderly cardiac patient and of those areas that require further research. The authors detail preventive therapies and the cardiovascular syndromes that disproportionately afflict the older individual, including arrhythmias (particularly atrial fibrillation), syncope, heart failure (particularly diastolic heart failure), and ischemic heart disease. They also delineate the surgical management of the heart patient with discussions of postoperative management and its complications and of specific surgical procedures such as coronary artery bypass grafting, valve surgery, pacemaker and defibibrillators, and surgical management of heart failure.

Aging of the heart and arteries : relevance to cardiovascular disease / Samer S. Najjar and Edward G. Lakatta -- Frailty : keystone in the bridge between geriatrics and cardiology / William Russell Hazzard -- Cardiovascular risk factors in the elderly : evaluation and intervention / Susan J. Zieman and Beth R. Malasky -- Stable coronary artery disease in the elderly / Beth R. Malasky and Joseph S. Alpert -- Age and mortality and morbidity in ST-segment elevation myocardial infarction / Steven P. Schulman and Gary Gerstenblith -- Unstable angina/non-ST-elevation myocardial infarction in the elderly / Stephen D. Wiviott and Christopher P. Cannon -- Percutaneous coronary intervention in the elderly / Michael J. McWilliams and Eric J. Topol -- Cardiac surgery in the elderly / David D. Yuh and William A. Baumgartner -- Heart failure in the elderly / Michael W. Rich -- Valvular heart disease in the elderly / Milind Y. Desai and Gary Gerstenblith -- Arrhythmia management in the elderly / Jonathan P. Piccini and Hugh Calkins -- Peripheral arterial disease in the elderly / Emile R. Mohler III and William R. Hiatt -- Cardiac rehabilitation in older cardiac patients / Philip A. Ades -- Clinical pharmacology / Janice B. Schwartz -- Medical treatment of the cardiac patient approaching the end of life / Lofty L. Basta, W. Daniel Doty, and Michael D.D. Geldart.

With an exponential growth in the number of older adults, understanding the common disorders of the elderly patient requiring cardiac care is becoming increasingly important. Incorporating recent advances in the field, Tresch and Aronow's Cardiovascular Disease in the Elderly 6th Edition has been completely revised and updated to provide cardiologists, primary care physicians, geriatricians and other clinicians caring for the elderly a comprehensive and accessible overview of the epidemiology, pathophysiology and treatment of cardiovascular disorders in older patients.

A comprehensive review by renowned authorities of the many exciting developments occurring across the rapidly emerging field of "minimally invasive" or "minimal access" cardiac surgery. The book's distinguished panel of contributors presents the interventional cardiologists perspective, spells out the key factors for success in beating-heart coronary bypass grafting through limited incisions, and surveys the various methods of harvesting the internal thoracic artery. Other topics treated include immobilization of the surgical field, minimal access valve and congenital surgery, alternative methods of anastomosis, and port-access coronary bypass grafting. Minimally Invasive Cardiac Surgery summarizes all the latest findings on the powerful new techniques, as well as the results, of minimally invasive coronary surgery, including valvular heart disease, congenital heart disease, and coronary revascularization.

primary goal of all forms of therapy is not just prolonging life, but improving the quality of life, has forced analysis of what constitutes quality of life, a concept whose structure pervades all walks of life and eludes definition. Global well being, happiness, morale, vitality, fullness of social life, and satisfaction must be integrated and assessed for the effects of the disease and the therapy, in the context of specific personality traits, attitudes to life, family situation, and socio-economic and political freedom. A growing inter est in research on this subject has led to a clearer understanding of the components which come to determine quality of a patient's life, and how they can be measured in a reproducible manner so that valid comparisons can be made. Keeping these recommendations of analysing quality of life within the context of patients who have undergone open heart surgery, it seemed appro priate to me to separate the influence of various forms of open heart surgery into five aspects of life which can comprehensively reflect the quality of life outcome of the operation. These five 'components' are (1) Physiological state, which summarises the traditionally reported incidence of operative mortality and morbidity, objectively and subjectively measured physical ca pacity, and the residual symptoms, treatment and long-term survival. (2) Intellectual functioning relates to the psychoneurolgocial deficit in memory, reasoning or judgement because of cerebral microembolism and hypo perfusion during cardiopulmonary bypass.

This book considers mainly the current perioperative care, as well as progresses in new cardiac surgery technologies. Perioperative strategies and new technologies in the field of cardiac surgery will continue to contribute to improvements in postoperative outcomes and enable the cardiac surgical society to optimize surgical procedures. This book should prove to be a useful reference for trainees, senior surgeons and nurses in cardiac surgery, as well as anesthesiologists, perfusionists, and all the related health care workers who are involved in taking care of patients with heart disease which require surgical therapy. I hope these internationally cumulative and diligent efforts will provide patients undergoing cardiac surgery with meticulous perioperative care methods.

In this book it is shown how this specialty has evolved over the past 20 years, with significant advances in diagnosis and palliative and definitive techniques for correction of cardiovascular diseases. The book contains 10 cahpters, which are showing the classical adult and pediatric cardiac surgery.