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 grafting (CABG), evidence of the functional relevance of coronary artery stenoses is needed either by non-invasive imaging function tests or intravascular hemodynamic measurements. The prognostic and symptomatic benefits of myocardial revascularization depend on whether complete revascularization can be achieved. This needs to be considered when choosing the most appropriate revascularization strategy. In addition, the individual operative risk, the technical feasibility, the presence of diabetes mellitus and the anatomical complexity of coronary artery disease, as assessed by the SYNTAX score, are key criteria when choosing the optimal method of revascularization. For PCI radial artery access and the general use of drug-eluting stents are recommended. For CABG multiple arterial grafts should be strived for including the radial artery for treatment of high-grade coronary stenosis.
journal_name
Herzjournal_title
Herzauthors
Neumann FJ,Hochholzer W,Siepe Mdoi
10.1007/s00059-018-4764-5subject
Has Abstractpub_date
2018-12-01 00:00:00pages
689-694issue
8eissn
0340-9937issn
1615-6692pii
10.1007/s00059-018-4764-5journal_volume
43pub_type
杂志文章,评审相关文献
HERZ文献大全abstract::The current guidelines of the European Society of Cardiology have up-dated and confirmed the role of a primary percutaneous coronary intervention (PCI) as the preferred reperfusion therapy in patients with acute coronary syndrome and ST-elevation. The establishment of regional network structures for implementation of ...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-018-4775-2
更新日期:2019-02-01 00:00:00
abstract::Following surgical correction of chronic aortic regurgitation, left ventricular (LV) volume falls to normal or near normal in most patients; this change generally occurs within the first week after surgery. During the ensuing six months, a significant regression of LV hypertrophy occurs, but most patients do not achie...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1981-06-01 00:00:00
abstract::Echocardiographic studies and radiological measurements of heart volume were performed in 30 female track athletes, 17 female shot-putters or javelin throwers, 12 nonathletic women and 8 female patients with arterial hypertension. The following observations were made: The hearts of the female athletes undergoing endur...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1979-10-01 00:00:00
abstract::In addition to currently available, low risk procedures for reestablishment of patency in arteriosclerotic vascular segments with bougier techniques as described by Dotter and the balloon dilatation modification according to Grüntzig, as necessary together with local thrombolysis, important new developments based on m...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract::Over the past 25 years carotid artery stenting (CAS) has emerged as an alternative to carotid endarterectomy (CEA). Most of all younger patients and symptomatic patients with contralateral carotid artery occlusion particularly benefit from CAS. To achieve an optimal result with CAS, patient selection and even more imp...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-3962-4
更新日期:2013-11-01 00:00:00
abstract::In 190 patients, 208 "screw-in" type pacemaker leads were implanted; 147 in the right ventricle and 61 in the right atrium. There was no significant difference in the time required for atrial (54.7 +/- 19 min) or ventricular fixation (56.0 +/- 25 min). Similarly, fluoroscopy times for both atrial (6.3 +/- 4 min) and v...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1981-12-01 00:00:00
abstract::The term "chest pain with normal coronary arteries" encompasses a large number of different cardiac pathophysiological abnormalities, including impairment of coronary flow reserve, endothelial dysfunction, and early atherosclerosis that, in most cases, cannot be readily differentiated one from the other. To study earl...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-005-2659-8
更新日期:2005-02-01 00:00:00
abstract::Coronary artery anomalies are detected on approximately 1.3% of coronary angiograms. Single coronary artery anomaly (SCA) is defined as the coronary artery arising from a single coronary ostium, nourishing the entire heart. SCA anomalies are usually benign; however, serious complications such as sudden cardiac death a...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-3897-9
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:To determine predictors of patient radiation exposure due to percutaneous coronary interventions (PCI) and to compare our results with the "preliminary reference levels", recently proposed by the European DIMOND research cardiology group: i. e., 75 Gy.cm(2) for dose area kerma product (DAP), 17 min for fluorosc...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-004-2552-x
更新日期:2004-03-01 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::Acute heart failure is a symptom complex of heterogeneous etiology. Clinically, it comprises a broad spectrum ranging from hypertensive pulmonary edema in patients with preserved left ventricular systolic function up to cardiogenic shock in patients with severely depressed left ventricular function. The pathophysiolog...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-015-4336-x
更新日期:2015-08-01 00:00:00
abstract::Cardiovascular diseases are the leading cause of death worldwide. Adherence to a healthy lifestyle lifelong is capable of significantly reducing the cardiovascular risk by up to 70% and is therefore a key component in primary prevention of cardiovascular disease. According to the European and American guidelines lifes...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-019-04886-y
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Elevated levels of the extracellular matrix glycoprotein osteopontin (OPN) may be detected in both myocardium and plasma under various pathological conditions affecting the heart. Several studies demonstrated increased plasma OPN levels in patients with heart failure due to dilated cardiomyopathy (DCM), whil...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-019-4829-0
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Once contraindicated, beta-blockers have become an established, evidence-based, recommended treatment concept in chronic heart failure during the last years. PATHOPHYSIOLOGY:The increased activation of the adrenergic system in heart failure syndrome, which leads to transmission of several adverse biological...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-002-2353-z
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Upon coincubation with platelet aggregates, CD34(+) progenitor cells have the potential to differentiate into foam cells. There is evidence that progenitor cells from diabetic and nondiabetic patients have different properties, which may affect the patients' prognosis. In this study we investigated an in vit...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-4012-y
更新日期:2015-05-01 00:00:00
abstract::Despite great advances in the pathophysiology and etiology of myocarditis, the clinical diagnosis of myocarditis in daily clinical practise remains challenging. Often the diagnosis was not clear because of the heterogeneity of clinical symptoms and the lack of guidelines for adequate diagnostic requirements and consec...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-3988-7
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:The radiation risk of patients undergoing invasive cardiology remains considerable and includes skin injuries and cancer. To date, submillisievert coronary angiography has not been considered feasible. PATIENTS AND METHODS:In 2011, we compared results from 100 consecutive patients undergoing elective corona...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-4015-8
更新日期:2015-05-01 00:00:00
abstract::Certification is a critical component of quality assurance in medicine. From the certification of individual persons, through units and up to whole hospitals, certification stimulates testing and optimization of treatment processes, thereby improving the quality of care. Minimum case numbers needed to acquire a certif...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-018-4718-y
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Left ventricular filling pressure (LVFP) is raised by the compromised contraction and impaired ventricular compliance in dilated hearts with systolic dysfunction. Timely recognition and staging of this condition are important for planning of the treatment strategy and making the prognosis. Two-dimensional sp...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-3817-z
更新日期:2014-03-01 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::Stress echocardiography has come a long way in the past ten to twelve years since it first began. There have been many procedural and technical advances. The results being obtained by those laboratories with active programs are very gratifying. Stress echocardiography is proving to be particularly valuable in women an...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1991-10-01 00:00:00
abstract::Modern therapeutic options in ischemic coronary disease such as thrombolysis, coronary angioplasty, new emerging strategies in treating heart failure and secondary prevention have resulted in decreasing cardiac mortality over the last ten years. In the era of interventional cardiology a new focus of clinical interest ...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1994-02-01 00:00:00
abstract:BACKGROUND:Culture-negative endocarditis is a diagnostic challenge with variable clinical presentation and protean manifestations. ETIOLOGY AND DIAGNOSIS:The two main causes why endocarditis may be culture-negative are 1. antibiotic treatment prior to obtaining blood cultures, and 2. the presence of fastidious microor...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-001-2314-y
更新日期:2001-09-01 00:00:00
abstract::With intravenous thrombolysis mortality of acute myocardial infarction can be significantly reduced, not only in the first hours after the onset of symptoms, but also up to 24 hours. The open infarct related coronary artery is important concerning long-term clinical outcome. If thrombolysis can be administered within ...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1992-02-01 00:00:00
abstract::Idiopathic dilated cardiomyopathy is a severe disease of unknown etiology. Accumulating evidence suggests that agonist-like autoantibodies against the beta 1 adrenoceptor in the circulation of dilated cardiomyopathy may play an important role. The aim of this study was to evaluate the effects of the selective beta 1-a...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s000590050018
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Atrial remodeling in the form of fibrosis is considered the basis in the development of atrial fibrillation (AF). The aim of this study was to investigate the effects of doxycycline on atrial remodeling induced by chronic intermittent hypoxia (CIH) and the mechanisms underlying such changes. METHODS:A total...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-018-4768-1
更新日期:2020-11-01 00:00:00
abstract::Geminin, a key regulator of DNA replication licensing in the cell cycle, plays an essential role in determining the fate of cells via suppression of cell proliferation and cellular differentiation. Neuropeptide Y (NPY) intensifies the proliferation of vascular smooth muscle cells (VSMCs) directly by binding with Y1 re...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-018-4721-3
更新日期:2019-12-01 00:00:00
abstract::We report the case of a patient with both a left bundle branch block-preexcited tachycardia using a Mahaim bundle and a tachycardia exhibiting a left bundle branch pattern without preexcited complexes related to an AV nodal reentrant tachycardia. Successful ablation of the nodoventricular tract was obtained in the pos...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::Obstructive pulmonary vascular disease and pulmonary hypertension are facts daily encountered by pediatric cardiologists. However longterm thromboembolism, pulmonary vascular obstruction and cor pulmonale are rare conditions in children. The case report of a four years old child treated by a Pudenz ventriculo venous s...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1978-04-01 00:00:00
abstract::In ten patients with angiographically-documented coronary artery disease, stable angina pectoris and reproducible exercise-induced ST-segment depression, the extent and duration of antiischemic and antianginal effects of transdermal nitroglycerin patches delivering 10 mg/24 hours were investigated according to a doubl...
journal_title:Herz
pub_type: 临床试验,杂志文章
doi:
更新日期:1987-02-01 00:00:00