This book provides a practical guide to the pathogenesis of common cardiac complications among senior total joint arthroplasty (TJA) patients. It features extensive guidance on how to use anatomical markers from advanced cardiovascular imaging modalities to determine potential high- and low-risk patients. There is extensive guidance to surgical orthopaedic professionals on the cardiovascular considerations within this patient group, while cardiologists are presented with the unique features of this surgery to cardiac management,
Managing Cardiovascular Risk In Elective Total Joint Arthroplasty comprehensively details the available techniques for dealing with cardiac challenges encountered during TJA. It provides a valuable resource for all medical professionals involved in treating these patients and for medical trainees seeking to develop their understanding of this newly created field of medicine.
Author(s): Eric E. Harrison, Nghia H. Ho
Publisher: Springer
Year: 2023
Language: English
Pages: 144
City: Cham
Foreword
Preface
Contents
1: Preface
2: Total Joint Replacement, Contemporary Concepts
2.1 Case Report
2.2 Surgical Approach
2.3 Implant Design
2.4 Outcomes
2.5 Surgical Approach
2.6 Implant Design
2.7 Outcomes
References
3: Impact of CMS Mandatory and Volunteer Bundle Total Joint Arthroplasty Care and How This Has Created New Models for Inpatient Surgery
3.1 Case
3.2 Background
3.3 Requirements for Successful Participation in a Risk Bundle Program
3.4 Florida Orthopaedic Institute Experience with BPCI 2 Risk Bundle Program
3.5 Summary
References
4: Latest Advances in Cardiac Imaging Modalities
4.1 Case Study Presentation
4.2 Introduction
4.3 Advancements in Cardiac Computed Tomography
4.4 The Physics of Cardiac CT Improved
4.5 Plaque Analysis with Cardiac CT
4.6 Machine Learning
4.7 Advancements in Cardiac PET/CT
4.7.1 Physics of PET
4.7.2 SPECT vs PET/CT
4.7.3 Diagnostic Accuracy of PET and its Radionuclides (Tracers)
4.7.4 Accuracy of Perfusion PET
4.7.5 Combining PET and CT Imaging in CAD Patients
4.8 Advancements in Cardiac Magnetic Resonance Imaging
4.8.1 Physics of Cardiac Magnetic Resonance Imaging
4.8.2 Coronary Artery Plaque Imaging
4.9 Advancements in 4D: Strain Echocardiography
4.9.1 Experience
4.10 Accuracy vs Cost
4.11 Chapter Summary
References
5: Atrial Fibrillation
5.1 Case 1 Presentation: Simple Case
5.2 Case 2 Presentation: More Complex Case
5.3 Case Review: Not Reproduced
5.4 Conclusion
References
6: Experience with MACE
6.1 Myocardial Adverse Cardiac Events in Cardio-Orthopedics
References
7: Risk Evaluation
7.1 Case 1
7.2 Before Cardio-Orthopedics
7.3 Case 2 Report
7.4 Case Report
7.5 Pulmonary Emboli and DVT
7.6 Risk Factor Pearls
References
8: Hypertension
8.1 Case Presentation 1
8.2 Case Presentation 2
References
9: Troponins
9.1 Results
9.2 Conclusions
References
10: Palliation of Pain Secondary to Degenerative Joint Disease in the Inoperable Patient Population
10.1 Case Presentation
10.2 Peripheral Nerve Blocks
10.3 Radiofrequency (RF) Treatment
10.4 Peripheral Nerve Stimulation
10.5 Shoulder Pain
10.5.1 Clinical Scenario
10.6 Hip Pain
10.7 Knee Pain
10.8 Conclusion
References
11: Current and Future Trends in Orthopedics
11.1 Robotics
11.2 Stem Cells
11.3 Immunologic Drugs
References
Index
