Abstract:
:Incorporating prognostically related auscultatory, M-mode, 2DE and recent Doppler echocardiographic features, the following strict criteria for establishing the diagnosis of mitral valve prolapse (MVP) have been advanced: 1. auscultatory; mid-to-late systolic clicks and a late systolic murmur at the apex or mid-to-late systolic clicks at the apex which move appropriately with maneuvers that alter LV volume or late systolic murmur at the apex in young patients (coinciding that a similar murmur in elderly population is non-specific for MVP); 2. two-dimensionally "targeted" M-mode criterion: marked (greater than 3 mm) late systolic buckling posterior to C-D line (moderate 2 mm late systolic buckling or 3 mm holosystolic displacement "arouse suspicion" but do not establish MVP); 3. two-dimensional echocardiographic criteria: severe bowing of leaflet(s) on the parasternal long axis and four-chamber view (mild to moderate bowing alone are unacceptable) or left atrial coaptation point; 4. Doppler echocardiographic criteria: moderate or severe Doppler mitral regurgitation with any degree of leaflet bowing or mild Doppler mitral regurgitation with at least moderate bowing of one leaflet (mild leaflet bowing and mild mitral regurgitation can be regarded as "probable MVP"). The concept of mitral valve prolapse syndrome encompasses that which was earlier described in patients with a high prevalence of symptoms. In controlled studies, however, it has become apparent that cardiac and psychiatric symptoms can be found as frequently in normal subjects as in those with MVP. These results indicate that clinicians may have erroneously diagnosed patients with MVP because of premature acceptance that MVP is the cause of a distinctive syndrome.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Herzjournal_title
Herzauthors
Rueda B,Arvan Ssubject
Has Abstractpub_date
1988-10-01 00:00:00pages
277-83issue
5eissn
0340-9937issn
1615-6692journal_volume
13pub_type
杂志文章,评审相关文献
HERZ文献大全abstract:BACKGROUND:Saphenous vein graft disease (SVGD) after by-pass surgery is an important cause of morbidity and mortality for patients with coronary artery disease. Comprehensive evaluation of biochemical and hematological parameters associated with this problem is limited. Plateletcrit (PCT) provides complete information ...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-3798-y
更新日期:2014-02-01 00:00:00
abstract::As a result of an aging, increasingly obese, and decreasingly physically active population, the global incidence and prevalence of type 2 diabetes mellitus (DM) is increasing. While little can be done to influence the contribution of aging to the increasing global prevalence of diabetes, opportunities abound to develo...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-004-2605-1
更新日期:2004-08-01 00:00:00
abstract::A 55-year-old woman who was admitted to hospital with acute chest pain as a case of emergency suffered from an acute anteroseptal myocardial infarction. Four weeks later coronary angiography revealed a long dissection of the left anterior descending artery (LAD) as well as a significant stenosis of the left main and t...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/BF03043931
更新日期:1999-08-01 00:00:00
abstract::The clinical syndrome of congestive heart failure can result from inadequate myocardial contraction (systolic myocardial failure), from pseudo-heart failure due to circulatory overload, or from failure of the ventricles to fill at low pressure (diastolic myocardial failure). The presence of systolic or diastolic heart...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1991-09-01 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: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::This review summarizes some information on the management of diabetic patients at risk for or with already established coronary artery disease. Improved knowledge among diabetologists regarding treatment and prevention of cardiovascular complications and among cardiologists regarding diabetology is a prerequisite for ...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-008-3105-5
更新日期:2008-04-01 00:00:00
abstract::A Monte Carlo simulation model is presented which allows an assessment of the costs for coronary heart disease (CHD) (from a social security perspective) to be made over a time interval of 10 years. The difference between a CHD population and a normal population is calculated whereby the CHD population corresponds in ...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/pl00001964
更新日期:2000-08-01 00:00:00
abstract::In primary prevention, traditional risk factors are a useful first step in determining who is at cardiovascular risk, however, it has been noted that a considerable number of those at risk cannot be identified on the basis of traditional risk factors alone. Among blood biomarkers, C-reactive protein (CRP), measured by...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-009-3305-7
更新日期:2009-12-01 00:00:00
abstract::Chronic ischemic heart disease patients are already being treated worldwide with bone marrow stem cells both in the context of clinical studies and in therapy trials. By combining this therapy with established revascularization procedures such as bypass surgery, a high level of patient safety can be achieved. To date,...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-010-3354-y
更新日期:2010-08-01 00:00:00
abstract::During recent years, experimental data have collected convincing evidence for the fatal interaction of myocardial ischemia, ventricular tachyarrhythmias, and sudden cardiac death. In the clinical setting, data reporting on the daily relevance of such a fatal interaction lacked until recently. However, there is now inc...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1995-06-01 00:00:00
abstract::The diagnosis of constrictive pericarditis should be considered in any patient with unexplained right heart failure. The differentiation between constrictive pericarditis and restrictive cardiomyopathy is based on a combination of clinical presentation, history and imaging, and on occasion, on the basis of invasive he...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-012-3663-4
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:The current study aimed to evaluate the influence of regular annual influenza vaccinations on cardiovascular (CV) death and heart failure-related hospitalizations (HFrH) in stable outpatients with heart failure with reduced ejection fraction. METHODS:The Turkish research team-HF (TREAT-HF) is a network unde...
journal_title:Herz
pub_type: 临床试验,杂志文章
doi:10.1007/s00059-016-4460-2
更新日期:2017-05-01 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::Plasma catecholamines and hemodynamic were assessed in 32 patients with heart failure of varying degrees due to coronary artery disease as well as in twelve healthy control subjects. The studies employed the use of a (Swan-Ganz) semi-floating, balloon-tipped, thermodilution catheter during supine bicycle ergometry at ...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1982-06-01 00:00:00
abstract::The standardized and constant fixed-dose rate, no necessity for a close and regular blood monitoring as well as the small number of interactions with other drugs and daily food make therapy with the new oral anticoagulants dabigatran and rivaroxaban and in future presumably apixaban much easier and more feasible than ...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-012-3619-8
更新日期:2012-06-01 00:00:00
abstract::The discovery of an intracardial mass in patients presents a serious diagnostic dilemma. The differential diagnosis of this condition may seem abundant, but myxomas and intracardial thrombosis are the most frequent diagnoses. A connection between pregnancy and the presence of thrombosis has been documented frequently....
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-008-3127-z
更新日期:2008-11-01 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::Regardless the general acceptance of cardiac operations by physicians and patients as routine procedures since the early seventies conventional cardiac surgery is still associated with a significant surgical trauma and exceptional invasiveness in part effected by the extracorporeal circulation. In parallel to the comm...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-002-2377-4
更新日期:2002-08-01 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::Doppler echocardiography enables noninvasive determination of blood velocity and flow area through which quantitation of blood flow in vessels and across valvular orifices can be achieved. The stroke volume is rendered as the product of the flow area and the area beneath the velocity curve; on taking the heart rate in...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1986-10-01 00:00:00
abstract:BACKGROUND:The German national guidelines on chronic heart failure provide treatment recommendations to physicians and reflect the current level of evidence; however, it is questionable to what extent these recommendations are applied in the routine practice and what the effect of guideline adherence on mortality is. ...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-016-4401-0
更新日期:2016-11-01 00:00:00
abstract::Diabetes mellitus is an increasingly prevalent condition in the modern era. Coronary artery disease is the major cause of mortality in this population. Despite advances in the therapeutic modalities available for management of coronary artery disease, diabetic patients tend to have worse short and long term outcomes. ...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-004-2614-0
更新日期:2004-08-01 00:00:00
abstract::Heart failure is one of the leading diseases in internal medicine worldwide. Because of the increase in population aging, the incidence and prevalence of heart insufficiency is rising annually and is now the most frequent individual diagnosis among hospitalized patients in Germany. The mortality rate has recently been...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-018-4715-1
更新日期:2020-04-01 00:00:00
abstract::Blood pressure, together with proteinuria, represents one of the most important factors in the progression of chronic renal failure (CRF). Antihypertensive therapy is beneficial to slow down the progression of a variety of chronic renal diseases, no matter what the cause. Intraglomerular hypertension, increased glomer...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-003-2508-6
更新日期:2004-05-01 00:00:00
abstract::Positron emission tomography, advanced through technical developments, has now evolved into a routinely applicable method for clinical investigation. The rubidium-82 generator, without the need for a cyclotron, provides a source of positron radionuclide which enables delineation of cardiac structures. Three characteri...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::Exertional dyspnea is a nonspecific symptom with a variety of underlying causes. It can be challenging to differentiate a beginning cardiac disease from a pulmonary disease or from deconditioning alone. In the presence of obesity, the overall assessment is even more difficult. Rare diseases, such as pulmonary hyperten...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-018-4730-2
更新日期:2018-09-01 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::Non-invasive tomographic imaging modalities have recently contributed to identifying aortic intramural hematoma, a variant form of classic dissection, which is characterized by the absence of an intimal tear and thus the absence of direct flow communication, and which represents an important disease entity in acute ao...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-011-3501-0
更新日期:2011-09-01 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