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The Esc Textbook of Cardiovascular Imaging

為了解決ESC Heart Failure的問題，作者 這樣論述：

Jose Luis Zamorano, Head of Cardiology, University Hospital Ramon y Cajal, Jeroen Bax, Director of the Echo Lab, Leiden University Medical Center, The Netherlands, Juhani Knuuti, Director of Cardiology, University of Turku and Turku University Hospital, Turku, Finland, Patrizio Lancellotti, Director

ofthe Echo Lab, University of Li�ge Hospital, GIGA Cardiovascular Sciences, Department of Cardiology, CHU SartTilman, Li�ge, Belgium, Bogdan Popescu, Head of Cardiology, University of Medicine and Pharmacy ＂Carol Davila＂, Euroecolab, Emergency Institute for Cardiovascular Diseases ＂Prof. Dr. C. C.I

liescu＂, Bucharest, Romania, Fausto Pinto, - Heart and Vascular Dpt, University Hospital Santa Maria, CHULN, Centro Acad�mico de Medicina de Lisboa (CAML), Centro Cardiovascular da Universidade de Lisboa (CCUL), Faculdade de Medicina da Universidade de Lisboa (FMUL), Lisbon, Portugal, Udo Sechtem, D

irector of Cardiology, Department of Cardiology, Robert-Bosch-Krankenhaus and Cardiologicum, Jos� Luis Zamorano is Professor of Medicine at the University Complutense in Madrid and Director of the Cardiovascular Institute at the University Clinic San Carlos, Madrid. His key research interests includ

e ischaemic heart disease, cardiovascular risk factors and imaging modalities. He serves on numerous Editorial Boards, including the European Journal of Echocardiography, the American Society of Echocardiography and the European Heart Journal. He has authored over 200 articles for peer-reviewed jour

nals. Professor Bax is Director of Non-invasive Imaging and Director of the Echo Laboratory in the Department of Cardiology at Leiden University Medical Centre, The Netherlands. He is also Past-President of the European Society of Cardiology. Professor Knuuti is Director of Cardiology at University

of Turku and Turku University Hospital, Turku, Finland. Professor Knuuti’s main research field is noninvasive imaging especially using PET, SPECT, echocardiography, MRI and CT. The main research focus has been on cardiovascular diseases especially coronary artery disease and heart failure. In these

conditions, the focus has been in understanding the physiology and pathophysiology of these diseases as well in developing new tests for diagnosis and therapy guidance. He has 823 publications, of which 553 are original articles and reviews. Professor Patrizio Lancellotti is Head of the Intensive Ca

re Cardiology unit at the University of Li�ge Hospital Center and Professor of Clinical Medicine at the University of Li�ge. His research has led to significant progress in the care of patients suffering from functional mitral insufficiency. Bogdan A. Popescu is Professor of Cardiology at the Univer

sity of Medicine and Pharmacy ＂Carol Davila＂ in Bucharest, Romania. He is head of the Third Cardiology Department and director of the echocardiography laboratory at the Institute of Cardiovascular Disease ＂Prof. C. C. Iliescu＂ in Bucharest. He published more than 180 scientific papers in peer-review

ed journals and more than 25 book chapters and books in cardiology and cardiac imaging. His main fields of research interest are on myocardial function/heart failure, valvular heart disease and cardiomyopathies. Professor Pinto received MD and PhD from Lisbon School of Medicine, University of Lisbon

, Portugal and completed fellowships at Santa Maria University Hospital (Lisbon, Portugal), and Stanford University Medical School (CA, USA), where he was Clinical Attending in the Echo lab. He is Dean of the Faculty of Medicine of the University of Lisbon, Professor of Cardiology and Head of the Ca

rdiovascular Department. He was President and founder of the European Association of Echocardiography (2003-2004) and President of the ESC (2014-2016). He is President Elect of WHF, FESC, FACC, FASA, FSCAI, FASE and Honorary Member of several international societies. He was Editor in Chief of the Po

rtuguese Journal of Cardiology (1999-2015), and Member of the Editorial Board of several international journals. He published over 600 indexed articles and has presented over 1500 lectures/chairmanships at national and international meetings. His main areas of interest are cardiovascular imaging amo

ng others. Professor Sechtem is the Project Coordinator for Research, Division of Cardiology, Department of Internal Medicine, Robert-Bosch-Krankenhaus Stuttgart and also the Associate Professor of Medicine and Cardiology at the University of T�bingen

The Esc Textbook of Intensive and Acute Cardiovascular Care

為了解決ESC Heart Failure的問題，作者 這樣論述：

The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACVC) of the ESC. Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types

of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all t

he different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascu

lar diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine. SECTION 1 focusses on the definition, structure, organisation and function of ICCU’s, ethical issues and quality of care. SE

CTION 2 addresses the pre-hospital and immediate in-hospital (ED) emergency cardiac care. SECTIONS 3-5 discuss patient monitoring, diagnosis and specific procedures. Acute coronary syndromes (ACS), acute decompensated heart failure (ADHF), and serious arrhythmias form SECTIONS 6-8. The main other ca

rdiovascular acute conditions are grouped in SECTION 9. Finally SECTION 10 is dedicated to the many concomitant acute non-cardiovascular conditions that contribute to the patients’ case mix in ICCU. This edition includes new chapters such as low cardiac output states and cardiogenic shock, and pacem

aker and ICDs: troubleshooting and chapters have been extensively revised. Purchasers of the print edition will also receive an access code to access the online version of the textbook which includes additional figures, tables, and videos to better to better illustrate diagnostic and therapeutic tec

hniques and procedures in IACC. The third edition of the ESC Textbook of Intensive and Acute Cardiovascular Care will establish a common basis of knowledge and a uniform and improved quality of care across the field.

以人工神經網路(ANN)分析心臟衰竭再住院的危險因子

為了解決ESC Heart Failure的問題，作者邱彥蓁 這樣論述：

研究目的：以人工神經網路及統計運算方法預測人口學特徵與疾病因子對於心臟衰竭再住院的影響程度。研究方法：本研究以次級資料進行分析，運用北部某醫學大學臨床研究資料庫資料，採人工神經網路(Artificial Neural Network, ANN)演算法來預測心臟衰竭住院病患再住院的危險因子，本研究個案之基本人口學特徵為年齡、性別、BMI；疾病因子為高血壓、高血脂、冠狀動脈疾病、心肌梗塞、糖尿病、慢性阻塞性肺病、慢性腎臟病。研究資料區間自2010年01月01日至2020年12月31日，總樣本數為3,256筆，以R軟體進行隨機分組，分為75%訓練組(N=2,442)及25%測試組(N=814)，透

過輸入變項之不同，進行各模組間比較。每項模組訓練以十折交叉驗證進行試驗，取其準確度最佳之結果作為評估心臟衰竭再住院模型之標準。最後針對選擇出的最佳模組，呈現各變項在神經網路模型中的相對重要程度。研究結果：經各項模組比較後發現，納入所有變項之模組表現最佳，測試組之敏感度為94.49%、準確度為80.96%，以及ROC曲線下面積為85.96%，其表示各項危險因子納入模型中對於預測結果皆有幫助。最後，依據此結果進行變項重要性評估，結果發現，慢性腎臟病為影響心臟衰竭再住院最重要的危險因子，比例為19.86%，糖尿病則次之(11.78%)，冠狀動脈疾病位居第三(10.82%)。影響較小則為BMI(6.0

3%)及高血壓(6.27%)。結論：依據本研究結果，納入所有危險因子之模組表現最佳，亦表示各項危險因子對於心臟衰竭再住院患者皆有其影響性。目前國內多數醫療器材廠商較難取得疾病患者原始資料，來輔助產品之優化，期望可透過本研究實際的預測結果，將各項危險因子之影響程度提供醫療器材廠商增強儀器訓練及模型校正，達到產品最佳化之精準預測能力。