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 subx_scription basis, allowing easy access to content in digital and mobile optimised format. The textbook aligns directly with the core training curriculum for ACCA.

Introduction
1. Introduction: intensive and acute cardiac care
2. Clinical competence and certification in intensive and 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 the chest pain units
9. Acute dyspnoea in the ED
The Intensive Cardiac Care Unit
10. Recommendations for the structure, organization and operation of the ICCUs
11. The intensive cardiac care team
12. The heart team
13. Ethical issues in cardiac arrest and acute cardiac care: a European perspective
Monitoring and investigations in the ICCU
14. Pathophysiology and clinical assessment of the cardiovascular system
15. The respiratory system
16. Monitoring the neurological conditions of the acute cardiac care patients
17. Monitoring of the kidney, liver and other vital organs
18. Blood gas analysis: acid-base and fluid and electrolyte disorders
19. Chest x-rays
20. Echocardiography and thoracic ultrasound
21. Ultrasound-guided vascular access
22. Cardiac computed tomography
23. Cardiac MRI
Procedures in Intensive Cardiac Care Unit
24. Principles of mechanical ventilation
25. Non-invasive ventilation
26. Temporary pacing
27. Pericardiocentesis
28. Chest tubes
29. Renal support therapy
30. 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 coronary syndromes
43. ST segment elevation myocardial infarction
44. Anticoagulants and antiplatelet drugs in acute coronary syndromes
45. Mechanical complications of myocardial infarction
46. Non ST segment elevation myocardial infarction
47. Percutaneous coronary interventions in patients with acute coronary syndromes
48. Coronary artery bypass graft
49. Cardiogenic shock in patients with acute coronary syndromes
50. Age and gender considerations in ACS
Acute heart failure
51. Acute heart failure: epidemiology, classification and pathophysiology
52. Acute heart failure: early pharmacological treatment
53. Non pharmacologic therapy of acute heart failure
54. Cardiac surgery and transplantation in acute heart failure
Arrhythmias
55. Conduction disturbances and pacemaker
56. Atrial fibrillation and supraventricular arrhythmias
57. Ventricular tachyarrhythmias and ICD
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. Acute haemostatic disorders
71. Bleeding, anaemia and transfusion
72. Infection, sepsis and multiorgan dysfunction syndrome
73. Acute pain in the ICCU
74. Acute cognitive disorders: recognition and management of delirium in the ICCU
75. Special conditions in the immunosuppressed patient
76. Peri-operative cardiac care of the high risk non-cardiac patient
77. Peri-procedural and peri-operative management of the high risk cardiac patient
78. Palliative care in the ICCU

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