Abstract:
:The efficacy and tolerance of the standardized hawthorn (crataegus) extract WS 1442 were tested in a multicenter utilization observational study. We monitored 1,011 patients with cardiac insufficiency stage NYHA II, treated with this extract (Crataegutt novo 450, 1 tablet b.i.d.) over a period of 24 weeks. During and at the end of the observation period a significant improvement in clinical symptoms (reduced performance in the exercise tolerance test, fatigue, palpitation and exercise dyspnea) was observed. Ankle edema and nocturia disappeared by 83%, and by half of the patients respectively manifesting these symptoms before treatment. The improvement and economization of cardiac performance were additionally shown by a reduction in blood pressure, an increased maximal exercise tolerance and a reduction in the difference in the pressure/heart rate product (PHRP). The positive effects of WS 1442 were further demonstrated by an improved ejection fraction and an increased percentile shortening fraction measured using M-mode echocardiography. The stabilizing effect of the hawthorn extract on the heart rate was shown by a slower rest pulse, as well as by an increase in the number of day and night normorhythmic patients, as documented by long-term ECG. The reduction in the number of patients showing ST depressions, arrhythmias and ventricular extrasystoles at the maximum exercise level is regarded as an indication for an improved myocardial perfusion. Fourteen side effects were noted. In two cases (abdominal discomfort and facial pains accompanied by tachycardia) a possible relationship with the hawthorn therapy, was postulated which however was considered unlikely by the treating physicians. Almost 2/3 of the patients felt better or much better following the 24 weeks of treatment. More than 3/4 of the participating physicians noted a good or a very good efficacy, and 98.7% noted a good or a very good tolerance. High-dose hawthorn therapy is an efficient, well-tolerated and easily regulated therapeutic alternative for patients suffering from cardiac insufficiency stage NYHA II.
journal_name
Herzjournal_title
Herzauthors
Tauchert M,Gildor A,Lipinski Jdoi
10.1007/BF03044432keywords:
subject
Has Abstractpub_date
1999-10-01 00:00:00pages
465-74; discussion 475issue
6eissn
0340-9937issn
1615-6692journal_volume
24pub_type
杂志文章相关文献
HERZ文献大全abstract::Hydralazine is a smooth muscle relaxant and a potent arteriolar dilator. The major hemodynamic effect of hydralazine in patients with heart failure are increased cardiac output and stroke volume, and decreased vascular resistance without any significant change in pulmonary and systemic venous pressure. Hydralazine als...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1983-08-01 00:00:00
abstract::An electrophysiological study (EPS) and a programmed ventricular stimulation (PVS) are strongly recommended and clearly indicated before the implantation of a cardioverter defibrillator (ICD), if patients present with a cardiac arrest and no structural heart disease or a hypertrophic cardiomyopathy. In these patients ...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-005-2671-z
更新日期:2005-03-01 00:00:00
abstract::The guidelines on myocardial revascularization published in 2018 are a joint initiative of the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery. To establish indications for myocardial revascularization by percutaneous coronary intervention (PCI) or coronary artery bypass graftin...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-018-4764-5
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Modern high-resolution imaging techniques have provided new insights into the pathogenesis of aortic dissection during recent years. Distinct pathologic entities or potential precursors of classic false-lumen aortic dissection such as intramural hematoma or penetrating atherosclerotic ulcer have been identif...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-002-2406-3
更新日期:2002-09-01 00:00:00
abstract::The diagnosis of varicose veins is based on historical details pertaining to risk factors such as familial preponderance, advanced age, overweight, multiple births, professional activities carried out mainly in the standing or sitting position, use of oral contraceptives, diuretics or drugs which lower venous tone. Sw...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:Experimental and clinical studies have suggested that the presence of fragmented QRS complex (fQRS) is associated with various cardiovascular diseases. fQRS may predict major adverse cardiovascular events (MACE). The current meta-analysis was performed using clinical outcome studies to evaluate the role of f...
journal_title:Herz
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00059-014-4155-5
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:The prognostic importance of high-sensitivity cardiac troponin T (hs-cTnT) has recently been reported in patients with heart failure. The myocardial performance index (MPI), which combines parameters of both systolic and diastolic ventricular function, provides a better marker of left ventricular dysfunction...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-015-4322-3
更新日期:2015-11-01 00:00:00
abstract::The use of drug-eluting stents (DESs) for patients with coronary artery disease is widespread. DESs have been associated with a lower rate of repeat revascularization, death, and myocardial infarction compared with bare metal stents. However, DESs can lead to a prothrombotic environment in the coronary arteries, resul...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-015-4304-5
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Studies focusing on the relationship between calcified lesions and adverse outcomes in the drug-eluting stent (DES) era have presented inconsistent conclusions. The aim of this study was to assess the association between target lesion calcification and adverse outcomes in patients undergoing DES implantation...
journal_title:Herz
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00059-015-4324-1
更新日期:2015-12-01 00:00:00
abstract::Surgical aortic valve replacement still represents the gold standard in patients with severe symptomatic aortic valve stenosis. In addition to conventional aortic valve replacement by mechanical or biological prostheses via a median sternotomy, novel approaches including minimally invasive strategies and new devices, ...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-017-4593-y
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:The polymer-free biolimus-A9 drug-coated stent (DCS) was reported to have superior safety and efficacy outcomes compared with a bare metal stent in the LEADERS FREE trial of high-bleeding-risk patients with acute coronary syndrome and on dual antiplatelet treatment (DAPT) for 1 month. The aim of this investi...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-018-4701-7
更新日期:2019-12-01 00:00:00
abstract::Transcatheter procedures have been adopted as novel treatment strategy for patients with valvular heart disease, particularly for those who are inoperable or at high risk for surgical valve procedures. Significant technological advances have resulted in an improvement of devices for transcatheter aortic valve replacem...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-015-4207-5
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:The aim of this study was to investigate the prognostic value of restrictive right ventricular filling pattern (RRVFP) in patients with the first acute inferior wall myocardial infarction (IWMI) complicated by right ventricular myocardial infarction (RVMI) undergoing primary percutaneous coronary interventio...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-017-4631-9
更新日期:2019-04-01 00:00:00
abstract::Myocardial remodeling comprises changes in cardiac shape, mass, diameter, and function in response to changes in hemodynamic load, cardiac damage, or neurohumoral stimulation. Adaptive remodeling is a consequence of physiological stimuli such as physical activity. Maladaptive remodeling results from pathologic conditi...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-011-3549-x
更新日期:2012-02-01 00:00:00
abstract::Atrial fibrillation represents the most common atrial arrhythmia seen in clinical practice. The surgical treatment of atrial fibrillation is recommended in symptomatic patients as well as in asymptomatic patients at low postoperative risk. As a "stand alone" procedure, surgical ablation therapy is indicated after fail...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-011-3533-5
更新日期:2011-12-01 00:00:00
abstract::Recent developments in technology have stimulated interest in the use of catheter-directed laser energy for removal of atherosclerotic plaques. Over the past three years, intensive research efforts by a number of investigators have defined the potential therapeutic benefit of laser angioplasty, as well as its limitati...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1985-12-01 00:00:00
abstract::One of the most important problems in clinical cardiology is still unresolved, i.e., the development of a restenosis following coronary balloon angioplasty. Our knowledge about the sequelae of pathophysiologic events occurring during neointima formation is still far from complete (Figure 1) and numerous therapeutic tr...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/BF03044285
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:The"no-reflow" phenomenon is associated with a worse prognosis at follow-up for patients with acute ST-segment elevation myocardial infarction (STEMI). Predicting and preventing no-reflow is therefore a crucial step in improving the prognosis of STEMI patients. The purpose of this study was to investigate the...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-4026-5
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Unstable angina accounts for more than one million hospital admissions annually. 6-8% of patients with this condition have non-fatal myocardial infarction or die within the first year after diagnosis. Recently, the term "acute coronary syndromes" has been used to describe the spectrum of conditions that incl...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/pl00002018
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:Renal denervation (RDN) has been proposed as a novel antihypertensive intervention for treating resistant hypertension. It remains to be investigated which patient groups can potentially benefit from RDN. The present study aimed to evaluate the efficacy and safety of RDN in patients with mild-moderate resist...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-017-4664-0
更新日期:2019-08-01 00:00:00
abstract::Left ventricular hypertrophy (LVH) is a strong, independent predictor of cardiovascular events and all-cause mortality. Patients with LVH are at increased risk for stroke, coronary heart disease, congestive heart failure, and sudden cardiac death. Hypertension is a major influence on the development of LVH. The progno...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-006-2819-5
更新日期:2006-06-01 00:00:00
abstract::Identification of familial forms of different diseases has provided a unique opportunity to study how changes in the structure of a gene create a dysfunction in the physiology of the resulting protein. Changes in the genes encoding for ion channels produce modifications in the function of the channel. Changes in the s...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-007-2976-1
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVES:Endothelial dysfunction is involved in various aspects of vascular biology and different stages of cardiovascular diseases (CVDs). Nucleotide-binding oligomerization domain-containing protein (NOD) 2, a pivotal innate immune receptor for muramyl dipeptide (MDP), has been reported to be a central regulator in...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-020-04996-y
更新日期:2020-11-27 00:00:00
abstract::Reducing cardiac mortality and improving quality of life are the main objectives of cardiac rehabilitation. In recent years, outpatient rehabilitation within easy patient reach has achieved the same status as inpatient rehabilitation. Outpatient rehabilitation permits close involvement of the patient's family and soci...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-011-3557-x
更新日期:2012-02-01 00:00:00
abstract::Acute myocarditis is a major inflammatory heart disease with a variety of clinical courses from the acute to chronic phases represented by unexpected circulatory deterioration during hospitalization and progression to dilated cardiomyopathy. Predicting these disease courses is important for patient management. However...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-012-3661-6
更新日期:2012-09-01 00:00:00
abstract::Cardiac function, including the heart muscle and valves, can be severely altered by congenital and acquired heart diseases. Several graft materials are currently used to replace diseased cardiac tissue and valvular segments. Implantable grafts are either non-vital or can trigger an immune response which leads to graft...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-010-3355-x
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:The differential diagnosis of pericardial effusion is often challenging because different etiologies can be discussed. Of particular therapeutic and prognostic importance is the definitive differentiation of malignant pericardial effusion from benign effusions. The definitive diagnosis of malignant pericardi...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-011-3451-6
更新日期:2011-06-01 00:00:00
abstract::The impaired cardiac performance in patients with congestive cardiac failure may be improved by the introduction of inotropic therapy. Dopamine and dobutamine are both potent cardiac stimulants although their haemodynamic profile is different. Dobutamine would appear to be the more appropriate choice in cardiac failur...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1983-02-01 00:00:00
abstract::Cardiac surgery in patients with chronic pulmonary diseases carries a high risk of postoperative pulmonary complications (ppc) because both are known to cause ppc. Autopsy studies have revealed ppc as the main cause of mortality in approximately 5-8% of patients after cardiac surgery. Not all pulmonary diseases are hi...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-4034-5
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:In contemporary practice with early catheterization in most patients with suspected acute myocardial infarction, the clinical utility of new or presumably new left bundle branch block (LBBB) as a diagnostic criterion equivalent to ST-segment elevation is not well established. This study therefore aimed to de...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-015-4326-z
更新日期:2015-12-01 00:00:00