THE ESC TEXTBOOK OF INTENSIVE AND ACUTE CARDIOVASCULAR CARE

- Comprehensive coverage of all aspects of intensive and acute cardiac care
- Diverse and intriguing chapter content including non-cardiac disease and ethical issues
- Numerous new chapters that will increase the reader's knowledge on the subject
- Section devoted to biomarkers and the importance of laboratory medicine on the subject
- Digital version annually updated
- Closely aligned with the ACCA core training curriculum

New to this edition
- The new edition contains six new chapters: patient safety and clinical governance, the heart team, ultrasound-guided vascular access, implanted cardiac support devices; donor management; and palliative care in the ICCU
- Online edition updated annually
- Separate online and print editions
- Chapters will constitute the basis of the whole educational activity for the ACCA in the ESCeL platform
The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACCA) of the ESC. This new updated edition continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care. The textbook is addressed to all those involved in intensive and acute cardiac care, from cardiologists to emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment, but also organisational issues, cooperation among professionals, and interaction with other specialities in medicine.
The largest section of the textbook is devoted to non-cardiac disease which could acutely involve the cardiovascular system. Other noteworthy chapters are on ethical issues - which are so important in acute cardiac care, such as patient safety, donor organ management and palliative care. A unique characteristic of the textbook is the presence of a whole section devoted to biomarkers, which underline the growing importance of laboratory medicine in the field of intensive and acute cardiac care.
A particular asset of the textbook is the digital version available on Oxford Medicine Online, which has additional online features including an extra chapter on lung ultrasound and many more images and videos, as well as a full list of references from all chapters. The online version is updated by the same authors on a yearly basis and is available with the print version and separately on a subscription basis, allowing easy access to content in digital and mobile optimised format. The textbook aligns directly with the core training curriculum for ACCA.
Readership: Cardiologists working in intensive cardiac care units, cardiologists in training, emergency physicians, intensive and critical care doctors and allied health professionals in intensive and acute cardiac care such as internists, surgeons, cardiothoracic anaesthetists and paramedical staff.

Author Information
Marco Tubaro, Head ICCU, Cardiovascular Department, San Filippo Neri Hospital, Rome, Italy.
Marco Tubaro is head of the ICCU at San Filippo Neri hospital in Rome . He is a member of the founding board of the WG Acute Cardiac Care (now Acute Cardiovascular Care Association) of the ESC and was previously national secretary of ANMCO (Italian Association of Hospital Cardiologists). A visiting professor at Camerino University in Italy, Tubaro is an author of more than 370 papers.

Pascal Vranckx, Medical Director ICCU, Cardiology and Critical Care Medicine, ICCU Hartcentrum Hasselt, Belgium.
Pascal Vranckx is a consultant in interventional cardiology and medical director of the Cardiac Intensive Care Unit at Hartcentrum in Hasselt, Belgium. He is a research affiliate to the department of cardiology, Erasmus Medical Center in Rotterdam, The Netherlands. He is also clinical consultant and chair of the Clinical Events Committee Core Laboratories at Cardialysis in Rotterdam, The Netherlands. Pascal Vranckx has authored over 70 publications and over 10 chapters in textbooks and is an associate editor of the ESC Textbook of Acute Cardiology and Intensive Care Medicine 2010 and is deputy editor of EuroIntervention.

Susanna Price, Consultant Cardiologist and Intensivist, Royal Brompton Hospital, London, UK.
Susanna Price trained in both cardiology and intensive care medicine, and is a consultant cardiologist and intensivist at the Royal Brompton Hospital, London. Her main interests are intensive care cardiology, adult congenital heart disease, and critical and perioperative/periprocedural echocardiography. She developed a national training programme in ALS-compliant periresuscitation echocardiography, endorsed by the BSE and supported by the Resuscitation Council. Dr Price sits on a number of committees including Chair of the Accreditation/Certification Committee in Acute Cardiac Care(ESC), a member of the Working Group Intensive Care Echocardiography (ESICM), the Executive Committee European trans-catheter valve replacement/repair registry(ESC), Accreditation Committee(BSE), Education & Training Committee, Intensive Care Society and the ESC Task Force MCQs and Professional Standards.

Christiaan Vrints, Head of Cardiology Department, University Hospital of Antwerp, Belgium.
Christiaan Vrints is past president of the Executive ACCA Board and a Nucleus Member of the Association. He is Professor of cardiology at the University of Antwerp and head of the Department of Cardiology at the University Hospital of Antwerp, Belgium.

Table of Contents
Introduction
1: Intensive and acute cardiac care: an introduction
2: Training and certification in acute cardiac care
3: Patient safety and clinical governance
4: Databases, registries and quality of care
The pre-hospital phase and the emergency department
5: Sudden cardiac death: epidemiology and prevention
6: Cardiopulmonary resuscitation and the post-cardiac arrest syndrome
7: The emergency medical system
8: Chest pain and chest pain units
9: Acute dyspnoea in the emergency department
The intensive cardiac care unit
10: Recommendations for the structure, organization and operation of the intensive cardiac care units
11: The intensive cardiac care unit team
12: The heart team in acute cardiac care
13: Ethical issues in cardiac arrest and acute cardiac care: a European perspective
Monitoring and investigations in the intensive cardiac care unit
14: Pathophysiology and clinical assessment of the cardiovascular system (including pulmonary artery catheter)
15: The respiratory system
16: Neurological conditions of the acute care patient
17: Monitoring of the kidney, liver and other vital organs
18: Blood gas analysis: acid-base and fluid and electrolyte disorders
19: Clinical assessment and monitoring of chest radiographs
20: Echocardiography and thoracic ultrasound
21: Ultrasound-guided vascular access in intensive/acute cardiac care
22: Computed tomography angiography and other applications of computed tomography
23: Cardiac magnetic resonance in the intensive cardiac unit
Procedures in intensive cardiac care unit
24: Mechanical ventilation
25: Non-invasive ventilation
26: Temporary pacing
27: Pericardiocentesis
28: Chest tubes
29: Renal support therapy
30: Portable (short-term) mechanical circulatory support
31: Implanted cardiac support devices
32: Nutrition support in acute cardiac care
33: Physiotherapy in critically ill patients
34: Donor organ management
The laboratory in intensive and acute cardiac care
35: The use of biomarkers in acute cardiovascular disease
36: Biomarkers in acute coronary syndromes
37: Biomarkers in acute heart failure
38: Biomarkers of coagulation and thrombosis
39: Biomarkers of renal and hepatic failure
Acute coronary syndromes
40: Atherosclerosis and thrombosis
41: The universal definition of myocardial infarction
42: Systems of care for patients with acute ST elevation myocardial infarction (STEMI networks)
43: ST-segment elevation myocardial infarction
44: Fibrinolytic antithrombotic and antiplatelet drugs in acute coronary syndromes
45: Mechanical complications of myocardial infarction
46: Non ST-segment elevation acute coronary syndromes
47: Percutaneous coronary interventions in patients with acute coronary syndromes
48: Coronary artery bypass graft surgery
49: Cardiogenic shock in patients with acute coronary syndromes
50: Gender considerations in acute coronary syndromes
Acute heart failure
51: Acute heart failure: epidemiology, classification and pathophysiology
52: Acute heart failure: early pharmacological therapy
53: Non-pharmacologic therapy of acute heart failure: when drugs alone are not enough
54: Acute heart failure: heart failure surgery and transplantation
Arrhythmias
55: Conduction disturbances and pacemaker
56: Atrial fibrillation and supraventricular arrhythmias
57: Ventricular tachyarrhythmias and implantable cardioverter-defibrillator
Other acute cardiovascular conditions
58: Myocarditis and pericarditis
59: Acute valve disease and endocarditis
60: Congenital heart disease in adults
61: Aortic emergencies
62: Cardiac complications in trauma
63: Cardiac emergencies in pregnancy
Concomitant acute conditions
64: Acute respiratory failure and acute respiratory distress syndrome
65: Pulmonary hypertension
66: Pulmonary embolism
67: Stroke
68: Acute kidney injury
69: Hyperglycaemia, diabetes and other endocrine emergencies
70: Bleeding and haemostatic disorders
71: Anaemia and transfusion
72: Infection, sepsis and multiorgan dysfunction syndrome
73: Acute pain in the intensive cardiac care unit
74: Acute cognitive disorders: recognition and management of delirium in the cardiovascular intensive care unit
75: Special conditions in the immunosuppressed patient
76: Perioperative cardiac care of the high-risk non-cardiac patient
77: Perioperative management of the high risk surgical patient: cardiac surgery
78: Palliative care in the intensive cardiac care unit