这本书涵盖了广泛的主题，包括胸痛、冠状动脉疾病，心力衰竭，瓣膜性心脏病、心律失常、高血压病、心包疾病、妊娠相关疾病、非心脏外科手术的心血管风险评估，均是临床工作中会诊常见的问题。每一个章节的内容包括该疾病的概述、临床表现、诊断、治疗，包括基础理论知识和**进展，最后概括出会诊中的常见问题及解决方法，具体的会诊流程和思路。心血管内科是所有综合性医院被请会诊最多的专业之一，有病情复杂、急危重病多、突发病情变化几率大等特点，对会诊医生要求较高，本书的会诊常见问题和解决方法、会诊流程和思路，是本书的一大特色，对规培医生、心血管内科住院总医生、心血管内科低年资主治医生有重要的指导意义。

Contents

Chapter 1  Coronary Artery Disease..........................................................................................................1

Section 1  Differential Diagnosis of Chest Pain.................................................................................1

Section 2  Diagnosis and Early Treatment of Acute Coronary Syndrome...................................9

Section 3  The Management of ST-Segment Elevation Myocardial Infarction........................15

Section 4  Diagnosis and Treatment of Sudden Cardiac Death....................................................24

Section 5  Analysis of Causes for Abnormal Cardiac Injury Markers........................................33

Section 6  Diagnosis and Treatment of Myocardial Bridges.........................................................36

Section 7  Key Points for the Diagnosis and Treatment of Coronary Artery Disease............39

Section 8  Strategies for CAD Myocardial Revascularization......................................................48

Section 9  Non-Invasive Assessment of Myocardial Ischemia.....................................................51

Section 10  Diagnosis and Treatment of Vulnerable Plaques........................................................54

Section 11  Antiplatelet Therapy Strategies After PCI...................................................................57

Section 12  Anti-thrombotic Therapy After PCI in Atrial Fibrillation........................................61

Section 13  Management of Periprocedural Bleeding in PCI Patients.......................................66

Section 14  Common Questions in Consultation for Dyslipidemia.............................................70

Section 15  Thrombolytic Therapy for Acute Myocardial Infarction.........................................78

Section 16  Mechanical Complications of Acute Myocardial Infarction...................................83

Chapter 2  Heart Failure..............................................................................................................................88

Section 1  Differential Diagnosis Approach for Dyspnea..............................................................88

Section 2  Advances in the Diagnosis and Treatment of Acute Left Heart Failure.................94

Section 3  Heart Failure with Preserved Ejection Fraction.........................................................103

Section 4  Pharmacological Treatment of Chronic Heart Failure.............................................106

Section 5  Device Therapy for Heart Failure...................................................................................111

Section 6  Differential Diagnosis of Edema...................................................................................115

Section 7  Advances in Right Heart Failure...................................................................................117

Section 8  Cardiogenic Shock............................................................................................................122

Section 9  Volume Management in Heart Failure.........................................................................128

Section 10  Clinical Application Value of BNP and NT-proBNP.............................................136



Section 11  Pulmonary Embolism.....................................................................................................140

Section 12  Cardiomyopathies...........................................................................................................145

Chapter 3  Arrhythmia..............................................................................................................................163

Section 1  Causes and Management of Sinus Tachycardia.........................................................163

Section 2  Diagnosis and Management of Narrow QRS Complex Tachycardias.................164

Section 3  Diagnosis and Management of Wide QRS Complex Tachycardias......................171

Section 4  Long QT Syndrome...........................................................................................................177

Section 5  Brugada Syndrome............................................................................................................180

Section 6  Syncope...............................................................................................................................185

Section 7  Pharmacotherapy for Atrial Fibrillation.......................................................................192

Section 8  Catheter Ablation for Atrial Fibrillation......................................................................198

Section 9  Temporary Cardiac Pacing..............................................................................................200

Section 10  Clinical Significance and Management of Various Premature

     Contractions.....................................................................................................................206

Chapter 4  Hypertension...........................................................................................................................213

Section 1  Hypertensive Emergencies..............................................................................................213

Section 2  Hypertensive Encephalopathy........................................................................................218

Section 3  Management of Hypertensive Aortic Dissection.......................................................220

Section 4  Characteristics of Hypertension in the Elderly..........................................................226

Section 5  Treatment Strategies for Hypertension in the Elderly..............................................228

Section 6  Treatment-Resistant Hypertension................................................................................238

Section 7  Secondary Hypertension..................................................................................................243

Chapter 5  Pericardial and Valvular Heart Diseases.......................................................................252

Section 1  Pericardial Effusion...........................................................................................................252

Section 2  Viral Myocarditis...............................................................................................................256

Section 3  Infective Endocarditis.......................................................................................................260

Section 4  Cardiac Valvular Diseases...............................................................................................267

Section 5  Pulmonary Hypertension.................................................................................................279

Section 6  Progress in Transcatheter Aortic Valve Replacement Technology........................289

Chapter 6  Pregnancy-Related Diseases...............................................................................................293

Section 1  Hypertension in Pregnancy.............................................................................................293

Section 2  Pregnancy Complicated by Arrhythmia.......................................................................302



VII

Contents  .

Section 3  Pregnancy Complicated by Coronary Heart Disease...............................................309

Section 4  Pregnancy Complicated by Aortic Disease.................................................................315

Section 5  Pregnancy Complicated by Congenital Heart Disease.............................................321

Chapter 7  Cardiovascular Risk Assessment for Non-Cardiac Surgery...................................330

Section 1  Preoperative Assessment.................................................................................................330

Section 2  Surgical Risk Classification............................................................................................332

Section 3  Perioperative Cardiovascular Risk Assessment Methods........................................334

Section 4  Preoperative Assessment and Management of Com-bined Card-iovascular

    Diseases...............................................................................................................................336

Section 5  Perioperative Examinations............................................................................................341

References.........................................................................................................................................................344