Thrombotic occlusion of a prosthetic heart valve: diagnosis and management.

abstract：:Chest pain in a young person is often caused by chest wall tenderness, associated with mitral valve prolapse, or attributed to psychologic factors. Ischemic cardiac pain may be overlooked because of its rare occurrence in this age group. A 35-year-old woman complained of substernal chest pressure precipitated by exert...

journal_title：Mayo Clinic proceedings

authors： Click RL,Spittell JA Jr,Puga FJ

更新日期：1988-04-01 00:00:00

abstract：:Arterial calcification in the coronary arteries frequently indicates concomitant atherosclerotic plaque but can be present in the medial layers with no evidence of plaque. Calcification of the medial layer of arteries is seen most often in the peripheral arteries but also is widely recognized In the coronary arteries....

journal_title：Mayo Clinic proceedings

authors： Qiao JH,Doherty TM,Fishbein MC,Salusky IB,Luthringer DL,Fitzpatrick LA,Shah PK,Rajavashisth TB

更新日期：2005-06-01 00:00:00

abstract：:The neurologist has become increasingly involved in the multidisciplinary treatment of patients with chronic noncancer pain (CNP). Chronic noncancer pain affects a diverse patient population with multiple underlying diagnoses and associated therapies. Following the model of the American Board of Anesthesiology and the...

journal_title：Mayo Clinic proceedings

authors： Jacobson PL,Mann JD

更新日期：2003-01-01 00:00:00

abstract：:Guidelines for the use of antibiotics in infants and children must take into account drug absorption, distribution, metabolism, and excretion. In the developing human being, these factors may differ significantly from those in the adult, and so there are differences in therapeutic efficacy and toxicity. Certain drugs ...

journal_title：Mayo Clinic proceedings

authors： Rhodes KH

更新日期：1977-11-01 00:00:00

abstract：:In this article, we report a case of Leuconostoc bacteremia in a 7-month-old infant who had short-gut syndrome after a gastroschisis repair and who was dependent on total parenteral nutrition through a central venous catheter. The organism was initially misidentified as viridans group streptococcus. Detection of vanco...

journal_title：Mayo Clinic proceedings

authors： Dhodapkar KM,Henry NK

更新日期：1996-12-01 00:00:00

abstract：:As part of a multicenter investigative trial, transurethral microwave thermotherapy of the prostate was used in 60 men with symptomatic benign prostatic hypertrophy. A single office treatment on the Prostatron, a device that provides concurrent microwave heating of the prostate and conductive cooling of the urethra, w...

journal_title：Mayo Clinic proceedings

authors： Blute ML,Tomera KM,Hellerstein DK,Atkinson EJ,Patterson DE,Segura JW

更新日期：1992-05-01 00:00:00

abstract：:There is overwhelming evidence that racial and ethnic minorities face multiple health care disparities. Recognizing and addressing cultural and religious/spiritual (RS) values is a critical aspect of providing goal-concordant care for patients facing a serious illness, especially at the end of life. Failure to address...

journal_title：Mayo Clinic proceedings

authors： Partain DK,Ingram C,Strand JJ

更新日期：2017-01-01 00:00:00

abstract：:The sport of snow skiing by the physically disabled, which originated in Europe in 1935 and first received attention in the United States in the 1940s, is reviewed in terms of opportunities available, instructions, adaptive equipment necessary, and benefits provided. Persons with a wide variety of disabilities (such a...

journal_title：Mayo Clinic proceedings

authors： Laskowski ER

更新日期：1991-02-01 00:00:00

abstract：OBJECTIVE:To describe the survival of a large nonobstructive hypertrophic cardiomyopathy (NO-HCM) cohort and to identify risk factors for increased mortality in this population. PATIENTS AND METHODS:Patients were identified from the Mayo Clinic HCM database from January 1, 1975, through November 30, 2006, for this ret...

journal_title：Mayo Clinic proceedings

authors： Hebl VB,Miranda WR,Ong KC,Hodge DO,Bos JM,Gentile F,Klarich KW,Nishimura RA,Ackerman MJ,Gersh BJ,Ommen SR,Geske JB

更新日期：2016-03-01 00:00:00

abstract：:The frequently encountered disorder of venous thromboembolism (VTE) can cause serious morbidity and even death. Nevertheless, in more than 70% of patients who die of pulmonary embolism (PE), the diagnosis is not considered before death. Thus, clinicians should have a high index of suspicion for VTE, especially in high...

journal_title：Mayo Clinic proceedings

authors： Rosenow EC 3rd

更新日期：1995-01-01 00:00:00

abstract：:Rapid eye movement sleep behavior disorder (RBD) is diagnosed by a clinical history of dream enactment accompanied by polysomnographic rapid eye movement sleep atonia loss (rapid eye movement sleep without atonia). Rapid eye movement sleep behavior disorder is strongly associated with neurodegenerative disease, especi...

journal_title：Mayo Clinic proceedings

authors： St Louis EK,Boeve BF

更新日期：2017-11-01 00:00:00

abstract：:We measured cardiopulmonary function at rest and during exercise in 15 healthy survivors of neonatal respiratory distress syndrome (RDS) and compared the results with those in 15 normal subjects. The mean birth weight of the RDS group was 1,771 g, and 12 of the 15 patients had required endotracheal intubation. The oxy...

journal_title：Mayo Clinic proceedings

authors： Driscoll DJ,Kleinberg F,Heise CT,Staats BA

更新日期：1987-08-01 00:00:00

abstract：OBJECTIVE:To derive risk models for percutaneous coronary intervention (PCI) outcomes from clinical and laboratory variables available before the procedure so they can be used for preprocedure risk stratification. PATIENTS AND METHODS:Using the Mayo Clinic registry, we analyzed 9035 PCIs on 7640 unique patients from J...

journal_title：Mayo Clinic proceedings

authors： Singh M,Rihal CS,Lennon RJ,Spertus J,Rumsfeld JS,Holmes DR Jr

更新日期：2007-06-01 00:00:00

abstract：:Many misconceptions continue to persist in both the lay and the professional literature regarding the proper approach to the diagnosis and treatment of hypoglycemia. Often, patients with a symptom complex suggestive of hypoglycemia have normal levels of plasma glucose in association with these symptoms. The major diag...

journal_title：Mayo Clinic proceedings

authors： Nelson RL

更新日期：1985-12-01 00:00:00

abstract：:The introduction of transesophageal echocardiography has provided a new acoustic window to the heart and mediastinum. High-quality images of certain cardiovascular structures [left atrial appendage, thoracic aorta, mitral valvular apparatus, and atrial septum] can be obtained readily (average examination, 15 to 20 min...

journal_title：Mayo Clinic proceedings

authors： Seward JB,Khandheria BK,Oh JK,Abel MD,Hughes RW Jr,Edwards WD,Nichols BA,Freeman WK,Tajik AJ

更新日期：1988-07-01 00:00:00

abstract：:Aortic valve replacement is a lifesaving measure in patients with severe aortic valve disease. In the United States, the most commonly used prostheses are the mechanical and bioprosthetic valves. With mechanical valves, long-term anticoagulation is necessary because of high thrombogenic potential. Bioprosthetic valves...

journal_title：Mayo Clinic proceedings

authors： Staab ME,Nishimura RA,Dearani JA,Orszulak TA

更新日期：1998-03-01 00:00:00

abstract：OBJECTIVE:To test the hypothesis that chromosomal rearrangements (CRs) can distinguish low risk of progression (LRP) from intermediate and high risk of progression (IHRP) to prostate cancer (PCa) and if these CRs have the potential to identify men with LRP on needle biopsy that harbor IHRP PCa in the prostate gland. P...

journal_title：Mayo Clinic proceedings

authors： Vasmatzis G,Kosari F,Murphy SJ,Terra S,Kovtun IV,Harris FR,Zarei S,Smadbeck JB,Johnson SH,Gaitatzes AG,Therneau TM,Rangel LJ,Knudson RA,Greipp P,Sukov WR,Knutson DL,Kloft-Nelson SM,Karnes RJ,Cheville JC

更新日期：2019-01-01 00:00:00

abstract：OBJECTIVE:To determine the incidence and predictors of infective endocarditis (IE) in a population-based cohort of patients with mitral valve prolapse (MVP). PATIENTS AND METHODS:We identified all adult Olmsted County residents with MVP diagnosed by echocardiography from January 1989 to December 1998 and cross-matched...

journal_title：Mayo Clinic proceedings

authors： Katan O,Michelena HI,Avierinos JF,Mahoney DW,DeSimone DC,Baddour LM,Suri RM,Enriquez-Sarano M

更新日期：2016-03-01 00:00:00

abstract：:Multiple regression analysis were used to investigate the relationship between blood pressure and age, sex, relative weight, antihypertensive medication, diabetes mellitus, diet (low-salt, low-cholesterol, and weight-reducing regimens), cigarette smoking, coffee drinking, and aerobic exercise among a stratified random...

journal_title：Mayo Clinic proceedings

authors： Phillips SJ,O'Fallon WM,Whisnant JP

更新日期：1988-07-01 00:00:00

abstract：:Studies were undertaken to determine the effects of lidocaine on ischemic myocardium, which was induced by coronary artery constriction in open-chested dogs. A real-time epicardial fluorescent technique to detect in vivo-reduced nicotinamide adenine dinucleotide (NADH) during 60 seconds of ischemia was used. Blood flo...

journal_title：Mayo Clinic proceedings

authors： Baron DW,Walls JT,Anderson RE,Harrison CE Jr

更新日期：1982-07-01 00:00:00

abstract：:Six insulin-requiring chronically hyperglycemic diabetic patients underwent glucose control for 72 hours with an artificial endocrine pancreas, the Biostator Glucose Controller. Euglycemia was within 4 hours and was maintained (110 leads to 2 mg/dl) thereafter. The concentration of hemoglobin A (HbA) was elevated, at ...

journal_title：Mayo Clinic proceedings

authors： Service FJ,Fairbanks VF,Rizza RA

更新日期：1981-06-01 00:00:00

abstract：:Physical inactivity increases the risk of many chronic disorders. Numerous studies have convincingly demonstrated that undertaking and maintaining moderate levels of physical activity (eg, brisk walking 3 hours a week) greatly reduces the incidence of developing many chronic health conditions, most notably type 2 diab...

journal_title：Mayo Clinic proceedings

authors： Chakravarthy MV,Joyner MJ,Booth FW

更新日期：2002-02-01 00:00:00

abstract：OBJECTIVE:To summarize results of telemedicine evaluations of speech and language disorders in patients in a small, rural hospital and in large multidisciplinary medical practices. MATERIALS AND METHODS:Eight patients underwent assessment as part of experiments with the National Aeronautics and Space Administration-la...

journal_title：Mayo Clinic proceedings

authors： Duffy JR,Werven GW,Aronson AE

更新日期：1997-12-01 00:00:00

abstract：OBJECTIVE:To determine the prevalence of abnormalities in endothelium-dependent and endothelium-independent coronary flow reserve among patients with non-obstructive coronary artery disease and chest pain. MATERIAL AND METHODS:We studied endothelium-dependent (after infusion of 10(-6) M to 10(-4) M of acetylcholine) a...

journal_title：Mayo Clinic proceedings

authors： Hasdai D,Holmes DR Jr,Higano ST,Burnett JC Jr,Lerman A

更新日期：1998-12-01 00:00:00

abstract：OBJECTIVE:To review the diagnostic evaluation and the clinical course of patients with pretruncal nonaneurysmal subarachnoid hemorrhage. MATERIAL AND METHODS:The study population consisted of a consecutive series of patients with a pretruncal nonaneurysmal subarachnoid hemorrhage encountered at Mayo Clinic Rochester d...

journal_title：Mayo Clinic proceedings

authors： Wijdicks EF,Schievink WI,Miller GM

更新日期：1998-08-01 00:00:00

abstract：:Allergen immunotherapy involves exposing a patient to a gradually escalating dose of a specific allergen with the intention of decreasing allergic and inflammatory responses, ultimately leading to a sustained decrease in allergic symptoms. A build-up phase (once weekly injections) is followed by a maintenance phase (o...

journal_title：Mayo Clinic proceedings

authors： Rank MA,Li JT

更新日期：2007-09-01 00:00:00

abstract：OBJECTIVE:To investigate an association between tumor necrosis factors-alpha (TNFα) inhibitors or other immunosuppressants and the development of uveal and cutaneous melanoma. PATIENTS AND METHODS:We performed a retrospective incidence and case-control analysis of patients in Olmsted County, MN, who were diagnosed wit...

journal_title：Mayo Clinic proceedings

authors： Damento GM,Pulido JS,Abbott BA,Hodge DO,Dalvin LA

更新日期：2019-07-01 00:00:00

abstract：OBJECTIVE:To compare cardiovascular (CV) event rates and risk in patients without previous CV disease in whom atorvastatin or simvastatin was newly initiated in a managed care setting. PATIENTS AND METHODS:Patients aged 18 to 64 years in whom atorvastatin or simvastatin was newly initiated between January 1, 2003, and...

journal_title：Mayo Clinic proceedings

authors： Jacobson TA,Wertz DA,Hoy T,Kuznik A,Grochulski D,Cziraky M

更新日期：2008-12-01 00:00:00

abstract：:Hepatitis C virus infection is common, often silent, and almost always chronic and can lead to cirrhosis and hepatocellular cancer. Deaths related to chronic hepatitis C are expected to increase dramatically in the future. Many cases of infection are asymptomatic and are undiagnosed because of a lack of recognition by...

journal_title：Mayo Clinic proceedings

authors： Gross JB Jr

更新日期：1998-04-01 00:00:00

abstract：OBJECTIVES:To determine the long-term outcome of patients presenting with synchronous lymphoma and severe liver dysfunction and to describe the outcome of patients treated with initial mechlorethamine-based therapy used as a bridge to more conventional chemotherapy. PATIENTS AND METHODS:We reviewed the clinical course...

journal_title：Mayo Clinic proceedings

authors： Ghobrial IM,Wolf RC,Pereira DL,Fonseca R,White WL,Colgan JP,Habermann TM,Inwards DJ,Markovic SN,Ansell SM,Micallef IN,Porrata LF,Witzig TE

更新日期：2004-02-01 00:00:00