Heart Failure in Clinical Practice
Over the years, there has been considerable progress in the diagnosis and management of the syndrome of heart failure, the end-stage of most cardiac diseases. While the outlook for heart failure patients is significantly improved, little has yet been achi
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Michael Y. Henein (Editor)
Heart Failure in Clinical Practice
Prof. Michael Y. Henein Department of Public Health and Clinical Medicine, Umeå University, and Umeå Heart Centre Umeå, Sweden
ISBN: 978-1-84996-152-3 DOI: 10.1007/978-1-84996-153-0
e-ISBN: 978-1-84996-153-0
Springer Dordrecht Heidelberg London New York A catalogue record for this book is available from the British Library Library of Congress Control Number: 2010925793 © Springer-Verlag London Limited 2010 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use The publisher makes no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made Cover design: eStudio Calamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Foreword
Heart failure is a complex clinical syndrome caused by a variety of etiologies: myocardial, valvular, and congenital. While the majority of its signs and symptoms are because of myocardial disease, one should not forget the less common cases which need the surgeon’s intervention. In addition, the fast development of cardiac devices has set a platform for potential recovery of patients previously considered as end-stage heart failure. I strongly recommend this excellent and comprehensive book edited by Professor Michael Henein as a manual and guide for understanding and managing patients with heart failure. Donald Ross
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Preface
Over the years we have made considerable progress in the diagnosis and management of the syndrome of heart failure, the end-stage of most cardiac diseases. A Pharaonic diagnosis by means of observation of the signs of fluid retention has now been replaced by noninvasive cardiac function assessment, while tests for myocardial pathology and the assessment of intra-cardiac pressures aid in the diagnosis. Similarly, management of heart failure patients has progressed from bed rest, until death, to a fully active exercise program. Thanks to the most recent pharmacological developments, even patients with very poor pump function can now enjoy near normal life without fluid retention. Furthermore, noninvasive cardiac imaging has allowed clinicians to identify patients in need of heart pump assistance
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