A. Freeman – Cardiac Sarcoidosis (2015)

Автор: A. Freeman
Название книги: Cardiac Sarcoidosis (2015)
Формат: PDF
Жанр: Медицина
Страницы: 175
Качество: Изначально компьютерное, E-book

This book will provide, for the first time available, a concise but high yield topic review of cardiac sarcoidosis from risk factors to the development of the disease through treatment options. The book will include concepts that are emerging and those that are now known on the topic, and will use real world examples to help illustrate best practices in the management of this disease entity.

Sarcoidosis remains an elusive diagnosis even in this day and age with fantastic
technology available in nearly any sizeable city. Further, once diagnosed, the disease
can be progressive and disabling or remain quiescent for years. It can affect any
organ, but of course, one of the greatest concerns is cardiac involvement which can
lead to sudden death, arrhythmia, and heart failure, in addition to a great many other
complications.
This handbook is meant to serve as a clinician’s fi eld guide to diagnosing, managing,
and treating cardiac sarcoidosis. Much of the epidemiology, pathophysiology,
and treatments are reviewed with a strong clinical angle to all discussions in an
effort to provide high yield and immediately implementable concepts at the bedside.
You will fi nd clear commentary on virtually any situation to be encountered in this
disease process and clear direction on how to proceed in diagnosing and managing
the disease. The major caveat is that there is still no gold standard in diagnosing the
disease, and even worse, no strong consensus on treatment options. Despite this, our
authors have worked hard to present evidence-based and balanced approaches, and
in areas with little to no evidence, we have clearly attempted to provide best
practice.
You will notice that each chapter ends with “Pearls of Wisdom.” This is our
attempt to provide some of the deep wisdom in the text of the chapter in a very high
yield and manageable chunk for those who might be pressed for time. A thorough
read of each chapter should provide the depth of knowledge that will then also be
reinforced by these Pearls. The book ends with case examples to guide clinicians
through real-world case scenarios with actual management situations described in
detail. Our hope is to provide a beacon of light through the sometimes murky waters
of cardiac sarcoidosis.
While all sections of this guide are equally strong, some notable sections include
an in-depth discussion on the possibilities for pathogenesis, and a clear focus on
multi-modality imaging, and management with immunosuppression. The research
as of late in this fi eld has clouded the understanding of where this disease emanates
from, but the section on pathophysiology should give the reader some understanding
of the very heterogeneous environment that may result in the disease state. As mentioned, there is no clear cut algorithm for diagnosing the disease, which, in the
current era is largely dependent on advanced imaging diagnostics. The imaging sections,
and notably the multi-modality section, will serve to anchor the clinician in
making good decisions in this realm of many possible approaches. While little evidence
supports various immunosuppression regimens, the sections on treatment
will serve to provide perspective in this arena where little guidance exists.
In sum, we hope you will fi nd this guide an easy-to-access, in-depth, and wellindexed
guide for the latest in diagnosis and treatment of this complicated and challenging
disease.