Collateral Circulation of the Heart 1st Edition (2009) (PDF) by Christian Seiler

Description

The sober explanation for this book is a call by the Springer-Verlag, London, to edit a publication on ‘The functional relevance of the collateral circulation’ of the heart. Alternatively, it could be ‘sold’ as the result of my intention to reduce entropy of 18 years of scientific work on the topic of the coronary circulation, which was itself meant to diminish the amount of ‘useless’ energy. Such a process of reducing disarray in a system with the aim of grasping it better is related to simplification, which carries the risk of introducing error. This can be exemplified by the historic view of angina pectoris, which used to be simplified as being always fatal, thus obscuring for nearly two centuries the view of a ‘self-healing’ mechanism such as the collateral circulation of the heart. It would be na? ¨ve, to assume the present work to be free of erroneous oversimplification, because the very nature of scientific work is related to generating (simple) hypotheses with their subsequent falsification. In that context and bluntly, my primary interest in the field of the collateral circulation was not initiated with a vision of eradicating the consequences of coronary artery disease (CAD) by promoting the growth of natural bypasses. The time for such sizeable ideas had passed in the 1970s with the start of the work by Wolfgang Schaper. my primary interest in the field of the collateral circulation was not initiated with a vision of eradicating the consequences of coronary artery disease (CAD) by promoting the growth of natural bypasses. The time for such sizeable ideas had passed in the 1970s with the start of the work by Wolfgang Schaper. my primary interest in the field of the collateral circulation was not initiated with a vision of eradicating the consequences of coronary artery disease (CAD) by promoting the growth of natural bypasses. The time for such sizeable ideas had passed in the 1970s with the start of the work by Wolfgang Schaper.

User’s Reviews

Cardiovascular diseases are the leading cause of death in industrialized
countries. Established options for revascularization include angioplasty
and surgical bypass, both of which are unsuitable in 20–30% of patients in
whom the extent of coronary atherosclerosis is especially severe. An
alternative treatment strategy for revascularization is therefore warranted
both to control symptoms as well as to alter the course of advanced
coronary artery disease. An ideal candidate to fill in this gap is
therapeutic promotion of coronary collateral growth, that is, the induction
of natural anastomoses of ischemic areas. In order to reach this goal, a
comprehensive understanding of the human coronary collateral circulation
with regard to its relevance, accurate assessment, the pathogenetic and
pathophysiological aspects, and the different therapeutic options is
mandatory. Collateral Circulation of the Heart focuses on the practical
aspects of human coronary collateral vessels. It includes explanation of
the basic science and pathophysiological aspects, as the clinical aspects
cannot be fully understood without a thorough grounding in the physiology
of the formation of collaterals. Professor Seiler, an international expert
on the subject, has written this authoritative reference to provide a
comprehensive review of the topic, its impact and clinical relevance.
Suitable for all cardiologists, cardiovascular radiologists, internal
medicine and critical care physicians, students of cardiovascular medicine
and human physiologists, the book contains many stunning illustrations that
give a flavor of the huge variability in collateral vessel formation,
including all the relevant imaging modalities, and the possibilities of
alleviating ischemic symptoms in many patients. –This text refers to the
hardcover edition.

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