By Ong Yong Yau, Woo Keng Thye, Ng Han Seong, Patrick Tan, Tang Ong Teng
During this re-creation of A scientific method of medication, the editor has assembled a panel of best clinicians and researchers, and reorganized the cloth within the key parts of drugs, cardiology, endocrinology, gastroenterology, hematology, neurology, oncology, rheumatology, renal medication and respiration drugs. This booklet is exclusive -- it displays the event of major specialists on styles of sickness within the Asia-Pacific sector. There are a number of different related books, yet these are by way of authors from the West and consequently provide a unique standpoint. The publication additionally comprises discussions on genetic illnesses, an infection and antimicrobial resistance to antibiotics, highlighting neighborhood incidences and records. every one bankruptcy starts off with the fundamental strategies of a selected subject and steadily develops the subject matter to provide the cutting-edge within the subject. With its concentrate on practices particular to Asia-Pacific, this ebook is a needs to for the coed, practising clinician and learn scientist attracted to the most recent advancements during this a part of the area.
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Additional resources for A Clinical Approach to Medicine
Scintigraphy, perfusion scanning or cardiovascular magnetic resonance imaging (CVMRI) are in general superior to ECG stress testing for the detection of IHD. In addition, electron-beam computed tomography (EBCT) can detect coronary artery calcification which correlates with the presence of coronary atheroscleorosis. However, the clinical significance of such findings, especially in asymptomatic subjects, is not clear. Myocardial viability and reversibility of hibernating myocardium due to chronic ischemia is best assessed using CVMRI or positron emission tomography (PET).
Zanchetti A, To what extent should blood pressure be brought by hypertensive treatment? High Blood Pressure Cardiovasc Prevention 1:197–200, 1992. 12. MacMahon SW, The effect of antihypertensive drug treatment on the incidence of stroke and of coronary heart disease, Clin Exp Hypertens A11:807–823, 1989. 13. SHEP Cooperative Research Group, Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension: final results of the Systolic Hypertension in the Elderly Program (SHEP), JAMA 265:3255–3264, 1991.
In contrast, patients with chest pain which is not typical of angina and without resting ECG evidence of myocardial ischemia may be subjected to functional testing, especially when there is a lingering suspicion that the chest pain could be due to coronary insufficiency. The principle of functional testing lies in provoking myocardial ischemia by increasing the cardiac workload, and therefore oxygen demand. Gradual increase in workload can be achieved with exercise protocol utilizing physical activity, such as a treadmill or bicycle ergometer, or pharmacological agents, such as dobutamine, adenosine and dipyridamole.
A Clinical Approach to Medicine by Ong Yong Yau, Woo Keng Thye, Ng Han Seong, Patrick Tan, Tang Ong Teng