[Troponin elevation in acute ischemic stroke-unspecific or acute myocardial infarction? : Diagnostics and clinical implications].

Abstract:

:Routine determination of troponin levels is recommended for all patients with acute ischemic stroke. In 20-55% of these patients the troponin levels are elevated, which may be caused by ischemic as well as non-ischemic myocardial damage and particularly neurocardiogenic myocardial damage. In patients with acute ischemic stroke, the prevalence of previously unknown coronary heart disease is reported to be up to 27% and is prognostically relevant for these patients; however, relevant coronary stenoses are less frequently detected in stroke patients with troponin elevation compared to patients with non-ST elevation myocardial infarction. The risk of secondary intracerebral hemorrhage due to the necessity for dual platelet aggregation inhibition illustrates the challenging indication for invasive coronary diagnostics and revascularization. Therefore, a diagnostic work-up and interdisciplinary risk evaluation appropriate to the urgency are necessary in order to be able to determine a reasonable treatment approach with timing of the intervention, type and duration of blood thinning. In addition to conventional examination methods, multimodal cardiac imaging is increasingly used for this purpose. This review article aims to provide a pragmatic and clinically oriented approach to diagnostic and therapeutic procedures, taking into account the available evidence.

journal_name

Herz

journal_title

Herz

authors

Kruska M,Fastner C,Scheitz JF,Kolb A,Rutsch M,Papavassiliu T,Borggrefe M,Alonso A,Akin I,Szabo K,Baumann S

doi

10.1007/s00059-020-04967-3

subject

Has Abstract

pub_date

2020-07-06 00:00:00

eissn

0340-9937

issn

1615-6692

pii

10.1007/s00059-020-04967-3

pub_type

杂志文章,评审

相关文献

HERZ文献大全
  • Wolff-Parkinson-White syndrome as initial manifestation of Becker muscular dystrophy.

    abstract:BACKGROUND:Cardiac involvement may precede the onset of muscular manifestations in Becker muscular dystrophy (BMD), but Wolff-Parkinson-White (WPW) syndrome has not been reported as initial cardiac manifestation of BMD. CASE STUDY:In a 43-year-old, HIV-negative male, WPW syndrome was diagnosed at age 26 years upon a r...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-008-3023-6

    authors: Finsterer J,Stöllberger C,Quasthoff S

    更新日期:2008-06-01 00:00:00

  • [Direct inhibition of thrombin. A new strategy for the treatment of atrial fibrillation and acute coronary syndrome?].

    abstract::Direct inhibition of thrombin is a promising new strategy for the treatment of cardiovascular disease and thrombosis. Three intravenous (lepirudin, bivalirudin and argatroban) and one oral direct thrombin inhibitor (ximelagatran) are currently available and approved for some clinical indications in the treatment of ca...

    journal_title:Herz

    pub_type: 杂志文章,评审

    doi:10.1007/s00059-005-2683-8

    authors: Ahrens I,Bode C

    更新日期:2005-05-01 00:00:00

  • Intraarterial beta irradiation to reduce restenosis after PTCA. Experimental and clinical experience.

    abstract::The present data demonstrate clinical feasibility of intracoronary beta brachytherapy and fail to reveal any complications that could be attributed to it. Definitive conclusions regarding safety will have to await longer term evaluation. Proof of efficacy will require strict dose finding evaluation of higher doses tha...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/BF03043599

    authors: Verin V,Popowski Y

    更新日期:1998-09-01 00:00:00

  • Reversible congestive heart failure in severe hypocalcemia.

    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

    authors: Solzbach U,Kitterer HR,Haas H

    更新日期:2010-10-01 00:00:00

  • [ESC/EACTS guidelines on myocardial revascularization 2018 : The most important innovations].

    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

    authors: Neumann FJ,Hochholzer W,Siepe M

    更新日期:2018-12-01 00:00:00

  • [Arrhythmogenic right ventricular cardiomyopathy].

    abstract::Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a primary myocardial disorder that is characterized by localized or diffuse atrophy of predominantly right ventricular myocardium with subsequent replacement by fatty and fibrous tissue. Arrhythmias of right ventricular origin are the main clinical manifestatio...

    journal_title:Herz

    pub_type: 杂志文章,评审

    doi:10.1007/s00059-005-2733-2

    authors: Haverkamp W,Rolf S,Osterziel KJ,Dietz R,Peters S

    更新日期:2005-09-01 00:00:00

  • [Perforation and rupture of coronary arteries].

    abstract::Spontaneous rupture of coronary arteries as well as coronary perforation during percutaneous interventions are rare but potentially life-threatening incidents often resulting in emergency surgery. Frequency of acute perforation due to therapeutic catheterization varies according to the devices employed. With conventio...

    journal_title:Herz

    pub_type: 杂志文章,评审

    doi:10.1007/BF03044364

    authors: Elsner M,Zeiher AM

    更新日期:1998-08-01 00:00:00

  • Multiple left ventricular inferoseptal clefts. Multimodality imaging appearance and differential diagnosis.

    abstract:BACKGROUND:Left ventricular inferoseptal clefts are a localized variant of myocardial structure, easily overlooked but potentially raising concern when identified through imaging. CASE STUDY:Here we illustrate and describe inferoseptal clefts by means of multimodality imaging and consider them in relation to possible ...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-011-3424-9

    authors: Wein M,Wolf-Puetz A,Niehues R,Klein T,Kilner PJ,Klein RM

    更新日期:2011-08-01 00:00:00

  • Arrhythmias in acute pericarditis. An endomyocardial biopsy study.

    abstract::It is still controversial whether the arrhythmias in acute pericarditis are of myocardial or pericardial origin. The aim of the present study was to investigate the occurrence of arrhythmias and conduction disorders in patients with acute pericarditis with no endomyocardial biopsy evidence of myocarditis (group 1: 40 ...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/pl00001990

    authors: Ristić AD,Maisch B,Hufnagel G,Seferovic PM,Pankuweit S,Ostojic M,Moll R,Olsen E

    更新日期:2000-12-01 00:00:00

  • [Cardiac structure-function relationship and the renin-angiotensin-aldosterone system in hypertensive heart disease].

    abstract::Based on the epidemiologic data of the Framingham heart study, arterial hypertension and coronary artery disease are the most frequent etiologic factors for the development of heart failure. In the pressure overloaded heart, hypertrophic growth of the myocardium includes the enlargement of cardiac myocytes stimulated ...

    journal_title:Herz

    pub_type: 杂志文章,评审

    doi:

    authors: Funck RC,Wilke A,Rupp H,Maisch B,Brilla CG

    更新日期:1995-10-01 00:00:00

  • [High frequency current catheter ablation of accessory conduction pathways].

    abstract::Radiofrequency catheter ablation has established as the first line therapy for the curative treatment of patients with accessory pathway. Atrioventricular accessory pathways irrespective of the exact localisation can be successfully ablated in more than 90% of all cases. Severe complications associated with the ablati...

    journal_title:Herz

    pub_type: 杂志文章,评审

    doi:10.1007/BF03044318

    authors: Hindricks G,Kottkamp H,Borggrefe M,Breithardt G

    更新日期:1998-06-01 00:00:00

  • Channelopathies: a new category of diseases causing sudden death.

    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

    authors: Brugada J,Brugada R,Brugada P

    更新日期:2007-05-01 00:00:00

  • [Effect of magnesium on infarct size after coronary occlusion. Animal experiment studies].

    abstract::In addition to its antiarrhythmic and antithrombotic effects magnesium is said to have a beneficial effect in patients with acute myocardial infarction. Magnesium can protect myocardial tissue after coronary occlusion and reduces infarct size in experimental models of ischaemia and reperfusion, though the given doses ...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/BF03042653

    authors: Thämer V,Grunert S,Bier F,Schlack W

    更新日期:1997-06-01 00:00:00

  • Predictive value of visceral adiposity index for type 2 diabetes mellitus: A 15-year prospective cohort study.

    abstract:BACKGROUND:The emerging term "visceral adiposity index (VAI)" was reported to be closely correlated with glycemic disturbances and diabetes risk. However, whether VAI could predict future type 2 diabetes mellitus (DM) is unknown. Here, we aimed to assess the predictive value of VAI for DM in a Chinese population via a ...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-014-4175-1

    authors: Wang Y,He S,He J,Wang S,Liu K,Chen X

    更新日期:2015-05-01 00:00:00

  • Use of tolvaptan vs. furosemide in older patients with heart failure : Meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:It is not known whether older patients with acute heart failure (HF) receiving tolvaptan have decreased mortality rates and a better long-term prognosis than patients who receive furosemide. We conducted a systematic review of randomized controlled trials (RCTs) to address this issue. METHODS:The Medline, E...

    journal_title:Herz

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00059-017-4563-4

    authors: Huang WL,Yang Y,Yang J,Yang J,Wang HB,Xiong XL,Zhang YF

    更新日期:2018-06-01 00:00:00

  • Postcardiac injury syndrome after cardiac implantable electronic device implantation.

    abstract:BACKGROUND:Postcardiac injury syndrome (PCIS) is an inflammatory complication that derives from injury to the epicardium, myocardium, or endocardium. It occurs after trauma, myocardial infarction, percutaneous coronary intervention, cardiac surgery, intracardiac ablation, and implantation of cardiac implantable electro...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-020-04910-6

    authors: Filbey K,Sedaghat-Hamedani F,Kayvanpour E,Xynogalos P,Scherer D,Meder B,Katus HA,Zitron E

    更新日期:2020-11-01 00:00:00

  • QTc interval prolongation during recovery from brief high-intensity intermittent exercise in obese adults.

    abstract::The risk of malignant arrhythmias is higher during extremely intense exercise and after its cessation. It is still unclear whether high-intensity interval exercise (HIE), an increasingly popular option in preventive and rehabilitative medicine, can lead to an impaired electrophysiological milieu, as revealed by QT int...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-019-4808-5

    authors: Nie J,Shi Q,Kong Z,Lao CK,Zhang H,Tong TK

    更新日期:2020-12-01 00:00:00

  • [Functional aspects of endothelial phenotypes in the human heart. Immunohistochemical study for the evaluation of endothelial adhesion molecule expression].

    abstract:BACKGROUND AND PURPOSE:The endothelial lining is a confluent monolayer of thin and rhomboid-shaped cells, that covers the inner surface of all blood vessels. However, the essential role of endothelial cells in all aspects of cardiovascular physiology, homeostasis and the pathogenesis of most cardiovascular diseases no ...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-004-2418-2

    authors: Wilhelmi M,Leyh R,Haverich A

    更新日期:2004-05-01 00:00:00

  • Ventricular hypertrophy and hypertension: prognostic elements and implications for management.

    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

    authors: Krauser DG,Devereux RB

    更新日期:2006-06-01 00:00:00

  • CRP in cardiovascular disease.

    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

    authors: Karakas M,Koenig W

    更新日期:2009-12-01 00:00:00

  • [Diagnostic value of left bundle branch block in patients with acute myocardial infarction. A prospective analysis].

    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

    authors: Wegmann C,Pfister R,Scholz S,Markhof A,Wanke S,Kuhr K,Rudolph T,Baldus S,Reuter H

    更新日期:2015-12-01 00:00:00

  • [Cardiac surgery in underlying chronic pulmonary disease. Prognostic implications and efficient preoperative evaluation].

    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

    authors: Fistera D,Steveling H,Koch A,Teschler H

    更新日期:2014-02-01 00:00:00

  • Eosinophilic myocarditis.

    abstract::Eosinophilic myocarditis is caused by activation of eosinophilic granulocytes whereby there is a release of eosinophilic granules. Quite a few of the released compounds, especially eosinophilic cationic proteins, have a tissue-damaging effect also in the myocardium. Eosinophilia may be due to hypersensitivity, parasit...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-012-3701-2

    authors: Baandrup U

    更新日期:2012-12-01 00:00:00

  • [ECG results: tips and tricks for the correct diagnosis : Bradycardia and tachycardia rhythm disorders].

    abstract::The 12-lead surface electrocardiogram (ECG) is of great importance for the diagnostics of cardiac arrhythmias. For the correct and systematic analysis it has a sensitivity and specificity for the correct diagnosis of supraventricular tachycardia or ventricular tachycardia of more than 95%. Nevertheless, the assessment...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-018-4684-4

    authors: Trappe HJ

    更新日期:2018-03-01 00:00:00

  • [Diagnosis and treatment of infective endocarditis. Current ESC guidelines].

    abstract::To account for the current evidence in the field of infective endocarditis and to harmonize deviant national guidelines, in 2009 the European Society of Cardiology published novel recommendations on the prevention, diagnosis and treatment of infective endocarditis.The most important changes can be found concerning ant...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-010-3403-6

    authors: Plicht B,Erbel R

    更新日期:2010-12-01 00:00:00

  • Diabetes mellitus and cardiovascular disease. Pandora's box has been opened.

    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

    authors: Berry J,Keebler ME,McGuire DK

    更新日期:2004-08-01 00:00:00

  • Endothelial dysfunction as an early sign of atherosclerosis.

    abstract::The endothelium, the monolayer covering the inner surface of blood vessels, plays a pivotal role in the regulation of vascular tone and structure, as well as vascular inflammation and thrombosis, i.e., of key events of the atherosclerotic disease process and its clinical complications, such as myocardial infarction an...

    journal_title:Herz

    pub_type: 杂志文章,评审

    doi:10.1007/s00059-007-3073-1

    authors: Giannotti G,Landmesser U

    更新日期:2007-10-01 00:00:00

  • Effects of ACE inhibition versus non-ACE inhibitor antihypertensive treatment on myocardial fibrosis in patients with arterial hypertension. Retrospective analysis of 120 patients with left ventricular endomyocardial biopsies.

    abstract:BACKGROUND AND PURPOSE:In experimental arterial hypertension, left ventricular hypertrophy (LVH) becomes pathologic with impaired myocardial function if myocardial fibrosis occurs. Myocardial fibrosis is associated with activated circulating or local renin-angiotensin-aldosterone systems. The primary objective of this ...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-003-2524-6

    authors: Brilla CG,Rupp H,Maisch B

    更新日期:2003-12-01 00:00:00

  • Spontaneous dissection of the LAD mimicking inferior myocardial infarction.

    abstract::The case presented here is intended to raise awareness of two uncommon coronary angiographic findings in the clinical context of acute coronary syndrome. The prevalence of patients presenting with spontaneous coronary dissection as the underlying cause of an ST-elevation myocardial infarction is low. It is typically f...

    journal_title:Herz

    pub_type: 杂志文章

    doi:10.1007/s00059-011-3522-8

    authors: Hofmann U,Schanzenbächer P

    更新日期:2012-05-01 00:00:00

  • [Experience with 208 "screw-in" type pacemaker leads with particular reference to atrial positioning (author's transl)].

    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:

    authors: Machraoui A,Schött D,Ong TS,Straub H,Jaedicke W,Barmeyer J

    更新日期:1981-12-01 00:00:00