Abstract:
:After an unusually long period of time of 6 years, in August 2019 the updated version of the European Society of Cardiology (ESC) guidelines from 2013 on the management of stable coronary artery disease was published. The course of "stable" coronary artery disease is only assumed to be stable and pathologically is often progressive but initially goes unnoticed. In order to raise awareness for the progressive character of "stable" coronary artery disease, the term chronic coronary syndrome (CCS) was introduced. In this overview the various phenotypes of CCS are divided into three groups. 1) Suspected obstructive coronary artery disease: the emphasis here is on functional, noninvasive imaging diagnostics of ischemia and cardiac computed tomography (CT). These diagnostic options have become even more important in the light of the decreasing prevalence of coronary artery disease. 2) Known obstructive coronary artery disease: here there are many new practice-relevant recommendations, particularly in the field of pharmaceutical treatment with antithrombotic drugs. 3) Microvascular disease: in symptomatic patients the exclusion of epicardial coronary stenoses using invasive coronary angiography should not signify the end of the diagnostic procedure. Functional tests in the catheter laboratory should be initiated in order not to overlook a microvascular cause of the complaints and do an injustice to the patient.
journal_name
Herzjournal_title
Herzauthors
Silber Sdoi
10.1007/s00059-019-04862-6subject
Has Abstractpub_date
2019-12-01 00:00:00pages
676-683issue
8eissn
0340-9937issn
1615-6692pii
10.1007/s00059-019-04862-6journal_volume
44pub_type
杂志文章相关文献
HERZ文献大全abstract::According to the current guidelines coronary revascularization in acute coronary syndromes (ACS) is primarily performed by percutaneous coronary interventions (PCI). However, in several scenarios like complex coronary pathologies, unsuccessful PCI, complicated PCI or cardiogenic shock, surgical coronary revascularizat...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-010-3327-1
更新日期:2010-03-01 00:00:00
abstract::Despite all advances in the diagnostic and therapy of cardiovascular diseases the mortality from malignant ventricular tachyarrhythmias is still a major health problem. In addition to established therapeutic strategies in the prevention of sudden cardiac death such as antiarrhythmic drug treatment, catheter ablation o...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 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::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::Genetic testing plays an increasing role in cardiovascular medicine. Advances in technology and the development of novel and more affordable (high throughput) methods have led to the identification of genetic risk factors in research and clinical practice. Also, this progress has simplified the screening of patients a...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-017-4576-z
更新日期:2017-08-01 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:BACKGROUND:Limited data exist on bioresorbable scaffolds (BRS) in patients with acute coronary syndrome (ACS). The aim of the present study was to evaluate novolimus-eluting BRS (DESolve) as interventional treatment for patients with ACS, and to compare its 12-month outcomes with the everolimus-eluting bioresorbable sc...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-019-4822-7
更新日期:2020-12-01 00:00:00
abstract::Venous disease of the lower extremities comprises several common conditions such as varicose veins, superficial thrombophlebitis, deep venous thrombosis and chronic venous insufficiency. The high prevalence and increasing incidence with age of these disorders impose relevant diagnostic and therapeutic concerns. Varico...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-007-2958-3
更新日期:2007-02-01 00:00:00
abstract:CASE REPORT:A 41-year-old male saw his general practitioner because of progressive atypical angina symptoms and palpitations for the last 7 years. Chest X-ray showed a mediastinal mass. Further investigation by computed tomography (CT), magnetic resonance imaging (MRI) and cardiac catheterization revealed two bronchoge...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-002-2366-7
更新日期:2002-12-01 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::Coronary artery disease (CAD) is a leading cause of morbidity and mortality in western countries and is of significant socio-economic importance due to its increasing prevalence. Until percutaneous coronary interventions (PCI) were established, CAD could only be treated by surgical revascularization or pharmacological...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-013-3917-9
更新日期:2013-08-01 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
abstract::This paper deals with the anatomic differences between single ventricle and small outlet chamber, straddling tricuspid orifice and valve, and displaced tricuspid orifice and valve. In single ventricle, both atrioventricular orifices enter a chamber which contains the sinuses of both definitive ventricles, while a smal...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1979-04-01 00:00:00
abstract::M-mode, two-dimensional and Doppler echocardiography enable evaluation of morphologic changes in valvular structures, detection of secondary changes in cardiac chambers and left ventricular function and quantification of blood flow patterns. In mitral stenosis, with M-mode echocardiography the diagnosis can be establi...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1984-08-01 00:00:00
abstract::The American Heart Association (AHA) radically changed the recommendations regarding endocarditis prophylaxis, if patients undergo dental work. For the vast majority of patients previously considered to be at significant risk for bacterial endocarditis (especially patients with degenerative and rheumatic heart disease...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-009-3208-7
更新日期:2009-02-01 00:00:00
abstract::Heart failure remains a frequent cause of death and is the leading reason for hospitalization in Germany although therapeutic options have significantly increased over the past years particularly in heart failure with reduced ejection fraction. Clinical symptoms are usually preceded by cardiac remodeling, which was or...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-016-4530-5
更新日期:2017-02-01 00:00:00
abstract::In recent years we identified numerous cardiovascular risk factors and had been able to reduce cardiovascular events by a variety of different interventions. There is no question that we can improve the course of coronary artery disease (CAD) in patients with a high-risk profile by modifying these factors. Despite thi...
journal_title:Herz
pub_type: 临床试验,杂志文章
doi:10.1007/pl00001948
更新日期:2000-03-01 00:00:00
abstract::We present a case of severe congestive left heart failure due to profound and long-term hypocalcemia caused by surgically induced hypoparathyroidism. Hypocalcemia as a potential contributor to heart failure should be included in the differential diagnosis of all patients with congestive heart failure who do not respon...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-010-3374-7
更新日期:2010-10-01 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 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::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-lat...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1988-10-01 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::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: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::Patients with congenital heart disease have an increased chance to suffer from brady- as well as tachyarrhythmias. The impact of these on quality of life, morbidity and mortality is more often imperative as compared to heart-healthy individuals. The substrate for these may be either congenital or acquired. Improvement...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/BF03043882
更新日期:1999-06-01 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:BACKGROUND:The most common cause of procedural failure in cardiac catheterization using the transradial approach is radial artery spasm. The aim of this study was to compare the procedural success rate of the 6‑Fr Glidesheath Slender with the 6‑Fr standard sheath in transradial coronary angiography and intervention. M...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-018-4707-1
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND AND AIM OF THE STUDY:The predisposition to atrial fibrillation (AF) in mitral stenosis (MS) has been demonstrated with several electrocardiographic (increased P-wave dispersion) and echocardiographic parameters (atrial electromechanical delay). Despite the improvement in P-wave dispersion after percutaneous ...
journal_title:Herz
pub_type: 临床试验,杂志文章
doi:10.1007/s00059-012-3672-3
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:In the present study, the electropharmacological activity of traditional Chinese medicine, Ginkgo biloba extract (GBE), on human hyperpolarization-activated nucleotide-gated (HCN) channels and the underlying "funny" currents was investigated. METHODS:Standard two-electrode voltage-clamp recordings were empl...
journal_title:Herz
pub_type: 杂志文章
doi:10.1007/s00059-020-04933-z
更新日期:2020-05-20 00:00:00
abstract::I. The actual data base on the decision-making process of indication for revascularization reveals that angiographic severity of coronary artery disease (CAD) is the primary determinant of referral to coronary interventional procedures. Several recent studies demonstrated that after an acute myocardial infarction, wom...
journal_title:Herz
pub_type: 杂志文章,评审
doi:10.1007/s00059-005-2716-3
更新日期:2005-08-01 00:00:00