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The Esc Textbook of Intensive and Acute Cardiovascular Care

為了解決esc醫學的問題，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.

Myocarditis: Pathogenesis, Diagnosis and Treatment

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Alida L. P. Caforio received her Medicine and Surgery degree and her specialty Cardiology diploma from the Pisa University and attended a pre-graduate and a post-graduate course at the Faculty of Medicine at Scuola Superiore S. Anna, Pisa. She was a clinical research fellow at the Cardiovascular Res

earch Unit, Royal Postgraduate Medical School, Hammersmith Hospital and at the Department of Cardiological Sciences, St. George’s Hospital Medical School, London University, where she was subsequently appointed as honorary lecturer. She was involved in a joint clinical research project between this

department (in collaboration with Prof. William J McKenna) and the Department of Immunology, Middlesex Hospital, University College Medical School, London (Prof. GF Bottazzo) on the role of autoimmunity in myocarditis and in dilated cardiomyopathy. She has received numerous academic and research awa

rds from national and international cardiac societies, including the Italian (SIC) and the European Society of Cardiology (ESC). She was elected chairperson of both SIC and ESC Myocardial and Pericardial Disease Working Groups and was the coordinator of recent ESC expert consensus statements on myoc

arditis (2013, 2018) and dilated cardiomyopathy (2017). She is currently Chair of the ESC Long term Cardiomyopathy and Myocarditis Registry. Since 1997 she has been a senior staff cardiologist in the Division of Cardiology, Department of Cardiological, Thoracic and Vascular Sciences at the Universit

y of Padova-Azienda ospedaliera di Padova, and in 2018 was appointed associate professor of Cardiology at the University of Padova. Her main research focus relates to cardiac immunology, cardiomyopathies and transplantation, invasive and non-invasive cardiovascular imaging techniques particularly in

the field of myocardial and pericardial disease. Prof. Caforio is the author of 566 publications, 141 of which are peer-reviewed full papers, indexed in Medline.

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醫學的問題，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。