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Current Approach to Heart Failure

Denault, André Y. MD, PhD, ABIM-CCM, FRCPC, FASE, FCCS; Giraldeau, Geneviève MD, FRCPC

doi: 10.1213/ANE.0000000000002334
Books, Multimedia, and Meeting Reviews

Published ahead of print July 27, 2017.

Department of Anesthesiology, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada,

Department of Medicine, Cardiology Division, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada

Published ahead of print July 27, 2017.

Current Approach to Heart Failure is a 642-page book that addresses a very important and rapidly evolving clinical problem. The book is divided into 6 parts. Part I deals with new concepts in the epidemiology and mechanisms of heart failure. Part II explores the role of cardiac imaging. Part III deals with the treatment of heart failure. Part IV explores particular forms of heart failure, such as heart failure due to hypertension, right heart failure, and acute heart failure. Part V is an overview of heart failure in special populations, such as oncology patients, patients with iron deficiency, and those with renal disorders. And finally, part VI is dedicated to prognostic factors and rehabilitation.

The book is well written, referenced, and up to date. At the end of every chapter, the authors briefly summarized future directions. This allows the reader to appreciate exactly what the current state of knowledge is and what the most relevant questions in each of these fields are. There are numerous illustrations in color, particularly in the imaging section, which makes it very interesting to read. In addition, there is an effort throughout the text to establish links between chapters. Emerging concepts, including atrial function in heart failure, the evaluation of patients with cancer in relation to the cardiac effect of chemotherapy, and the association of heart failure with iron deficiency, were especially interesting.

It would have been useful for the reader, however, to have a complete list of abbreviations at the beginning of the book since they are provided inconsistently while reading. In the more theoretical chapters, the addition of recapitulative tables outlining important concepts would have helped with the visual support and consolidation of the most relevant information. The balance between the coverage of subjects of importance in heart failure was inconsistent. The effect of heart failure on other organs, such as the brain, lungs, liver, and gut, would also have been relevant to cover, along with the new concept of cardiointestinal syndrome, as well as outlining the importance of pulmonary hypertension in all stages and types of heart failure. Finally, there are some other important subjects not covered in the review of cardiomyopathies leading to heart failure. It would have been interesting to have a full chapter on heart failure with preserved ejection fraction compared with heart failure with low ejection fraction. Furthermore, a discussion of ischemic versus nonischemic cardiomyopathy, including a review of the most important etiologies such as myocarditis, hypertrophic cardiomyopathy, noncompaction, familial dilated cardiomyopathy, sarcoidosis, amyloidosis, giant cells, and hypereosinophilic syndrome, would have been quite useful. The management of anesthesia in patients with heart failure undergoing cardiac or noncardiac surgery would also have been a nice addition to the book.

The electronic material provided with the book could not be found on the website, but it would be very relevant, particularly the echocardiographic videos.

Overall, this book is extremely relevant for any clinician working with patients with heart failure. It provides useful information, includes well-summarized, state-of-the-art concepts, and is a valuable resource to have.

André Y. Denault, MD, PhD, ABIM-CCM, FRCPC, FASE, FCCSDepartment of AnesthesiologyMontreal Heart InstituteUniversité de MontréalMontreal, Quebec,

Geneviève Giraldeau, MD, FRCPCDepartment of MedicineCardiology DivisionMontreal Heart InstituteUniversité de MontréalMontreal, Quebec, Canada

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