ESC Guidelines Desk Reference 2010: Compendium of Abridged ESC Guidelines 2010

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9781907673009: ESC Guidelines Desk Reference 2010: Compendium of Abridged ESC Guidelines 2010

Normal electrocardiogram in the newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Abnormal electrocardiogram in the newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 Section VIII: Pregnancy and Heart Disease . . . . . . . . . . . . . . . . . 171 1. Cardiovascular Disease during Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Physiological changes during pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 In general . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Congenital heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Marfan syndrome and other inherited conditions affecting the aorta . . . . . . . . . . . . . . . . . . . . . . . . 175 Acquired valvular heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Cardiomyopathies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176 Arrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176 Hypertensive disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Section IX: Valvular Heart Disease . . . . . . . . . . . . . . . . . . . . 179 1. Valvular Heart Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 Patient evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182 Indications for treatment in native valve diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183 Prosthetic valves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190 Management during non-cardiac surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193 Management during pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193 Section X: Infective Endocarditis . . . . . . . . . . . . . . . . . . . . . 195 1. Prevention, Diagnosis and Treatment of Infective Endocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 Classification, definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198 Preventive measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198 Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200 Prognostic assessment at admission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202 Antimicrobial therapy: principles and methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 Indications and optimal timing of surgery in left-sided NVE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205 Neurological complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Prosthetic valve infective endocarditis (PVE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Cardiac device-related infective endocarditis (CDRIE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207 Right-sided infective endocarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 Section XI: Pulmonary Hypertension . . . . . . . . . . . . . . . . . . . 209 1. Pulmonary Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 Clinical classification of pulmonary hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 Pulmonary arterial hypertension (Group 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213 Pulmonary veno-occlusive disease and pulmonary capillary haemangiomatosis (Group 1’) . . . . . . . 224 Pulmonary hypertension due to left heart disease (Group 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224 Pulmonary hypertension due to lung diseases and/or hypoxaemia (Group 3) . . . . . . . . . . . . . . . . . 224 Chronic thromboembolic pulmonary hypertension (Group 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225 Definition of pulmonary arterial hypertension referral centre . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225 Section XII: Arrhythmias . . . . . . . . . . . . . . . . . . . . . . . . 227 1. Supraventricular Arrhythmias (SVA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229 General evaluation and management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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