Clinical significance and management of arrhythmias in the heart failure patient.

Abstract:

:Congestive heart failure (CHF) is a common manifestation of hypertension, coronary artery disease, and dilated cardiomyopathy. The Framingham study showed that the incidence of CHF increases twofold with each decade of age. The presence of CHF increases the age-adjusted death rate 5.5-fold for women and 8-fold for men, and it increases the sudden death rate 5.5-fold in both men and women. Ventricular arrhythmias are a common accompaniment of CHF. Ambient ventricular premature complexes occur in most of these patients, and nearly one half of all CHF patients will have nonsustained ventricular tachycardia on a 24-h ambulatory electrocardiographic (Holter) recording. In addition, low left ventricular ejection fraction (LVEF) predicts inducible sustained ventricular tachycardia on electrophysiologic study. One-year mortality increases with worsening New York Heart Association (NYHA) Functional Class and decreasing LVEF. As the overall yearly mortality increases, the proportion of patients who die of arrhythmias decreases. The precise mechanism of death is frequently difficult to assess. Nonarrhythmic causes of death include CHF, shock, electromechanical dissociation, and myocardial rupture. Arrhythmic causes are most commonly due to ventricular tachycardia/ventricular fibrillation. Bradycardic events (asystole or heart block) are usually associated with progressively worsening CHF. Noncardiac causes that may confuse classification include pulmonary embolus and cerebrovascular accident. Because many patients have ischemic heart disease as the etiology of the CHF, a recurrent ischemic event can likewise make classification difficult. Overall, approximately one half of all deaths in CHF are arrhythmic and one half are nonarrhythmic.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Greene HL

subject

Has Abstract

pub_date

1992-09-01 00:00:00

pages

I13-21

eissn

0160-9289

issn

1932-8737

journal_volume

15 Suppl 1

pub_type

杂志文章,评审
  • Endovascular stents: preliminary clinical results and future developments.

    abstract::At present, there is an exponential use of new interventional techniques whose proper role and value have not yet been defined. The intracoronary stent is just one example. There is no doubt that stents can be implanted with a high technical success rate associated with highly predictable immediate angiographic result...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960160503

    authors: de Jaegere PP,de Feyter PJ,van der Giessen WJ,Serruys PW

    更新日期:1993-05-01 00:00:00

  • Hyponatremia in acute decompensated heart failure: mechanisms, prognosis, and treatment options.

    abstract::Hyponatremia is common and is increasingly recognized as an independent prognostic marker that adversely affects morbidity and mortality in various disease states, including heart failure. In acute decompensated heart failure (ADHF), the degree of hyponatremia often parallels the severity of cardiac dysfunction and is...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.20822

    authors: Jao GT,Chiong JR

    更新日期:2010-11-01 00:00:00

  • Systolic, diastolic, and pulse pressures as coronary risk factors in a population with low cholesterol levels: a prospective 10-year evaluation.

    abstract:BACKGROUND:Pulse pressure (PP) has recently been found to be predictive of subsequent cardiovascular, particularly coronary, events in some middle-aged and elderly populations. HYPOTHESIS:The aim of this prospective population-based study was to evaluate the roles of systolic (SBP), diastolic blood pressure (DBP), and...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960260209

    authors: Onat A,Ceyhan K,Erer B,Başar O,Uysal O,Sansoy V

    更新日期:2003-02-01 00:00:00

  • Isolated left ventricular abnormal trabeculation in adults is associated with neuromuscular disorders.

    abstract:BACKGROUND:Isolated left ventricular abnormal trabeculation (ILVAT) is defined as > 3 coarse trabeculations of the left ventricular wall, apically to the papillary muscles, in hearts without congenital malformations. HYPOTHESIS:The aims of the study were to assess by echocardiography the prevalence of ILVAT, to confir...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960220212

    authors: Stöllberger C,Finsterer J,Valentin A,Blazek G,Tscholakoff D

    更新日期:1999-02-01 00:00:00

  • Signal-averaged electrocardiographic late potentials in children with complete heart block.

    abstract::The purpose of this study was to examine signal-averaged electrocardiographic (SA-ECG) late potentials to predict ventricular arrhythmias during intrinsic cardiac rhythm and during ventricular pacing in children with complete heart block (CHB). Recordings of SA-ECG were obtained from eight patients (aged 3-18 years) w...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960170610

    authors: Hayabuchi Y,Matsuoka S,Kubo M,Akita H,Kuroda Y

    更新日期:1994-06-01 00:00:00

  • Postoperative troponin I values: insult or injury?

    abstract:BACKGROUND:Troponin I (TnI) is increasingly employed as a highly specific marker of acute myocardial ischemia. The value of this marker after cardiac surgery is unclear. HYPOTHESIS:The purpose of this study was to measure serum TnI levels prospectively at 1, 6, and 72 h after elective cardiac operations. In addition, ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960231009

    authors: Horvath KA,Parker MA,Frederiksen JW,Palmer AS,Fullerton DA

    更新日期:2000-10-01 00:00:00

  • The evolution of management of acute coronary syndromes (unstable angina and non-ST segment elevation myocardial infarction): Part l.

    abstract::As I advanced through medical school at Johns Hopkins, and throughout my subsequent training, I was constantly reminded of the contributions made to medicine by our predecessors. Many of whom were at Johns Hopkins, but many were not. As I continue active involvement in the education of medical students and physicians,...

    journal_title:Clinical cardiology

    pub_type: 社论,历史文章

    doi:10.1002/clc.20392

    authors: Conti CR

    更新日期:2008-04-01 00:00:00

  • Impact of tricuspid regurgitation and right ventricular dysfunction on outcomes after transcatheter aortic valve replacement: A systematic review and meta-analysis.

    abstract::Far less attention has been paid to the prognostic effect of right-side heart disease on outcomes after transcatheter aortic valve replacement (TAVR) when compared with the left side. Therefore, we performed a systematic review and meta-analysis on the impact of tricuspid regurgitation (TR) and right ventricular (RV) ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,meta分析

    doi:10.1002/clc.23126

    authors: Fan J,Liu X,Yu L,Sun Y,Jaiswal S,Zhu Q,Chen H,He Y,Wang L,Ren K,Wang J

    更新日期:2019-01-01 00:00:00

  • Localization of a misplaced coronary artery stent by magnetic resonance imaging.

    abstract::Coronary artery stents have been developed to overcome arterial abrupt closure and restenosis following balloon angioplasty. Complications of stent insertion include loss of the device from its delivery system into the peripheral circulation. Certain types of stents are almost radiolucent, making localization of the l...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960180313

    authors: Mohiaddin RH,Roberts RH,Underwood R,Rothman M

    更新日期:1995-03-01 00:00:00

  • Acute effects of alcohol on left ventricular dynamics during isometric exercise in normal subjects.

    abstract::The aim of this study was to assess whether drinking social amounts of alcohol impairs myocardial contractility in normal humans. To that end, 17 healthy volunteers performed isometric handgrip exercise before and 60 minutes after an intake of 1 g/kg body weight of ethanol within 60 minutes. Left ventricular M-mode ec...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960060302

    authors: Kupari M,Heikkilä J,Ylikahri R

    更新日期:1983-03-01 00:00:00

  • Comparison of the efficacy of simvastatin and standard fibrate therapy in the treatment of primary hypercholesterolemia and combined hyperlipidemia.

    abstract::Five multicenter, randomized, double-blind, placebo-controlled studies were conducted in France to compare the efficacy and safety of once-daily simvastatin treatment (10-40 mg/day) with conventional therapy with gemfibrozil 900 mg/day, ciprofibrate 100 mg/day, bezafibrate 400 mg/day, and fenofibrate 300 or 400 mg/day...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1002/clc.4960181107

    authors: Bruckert E,De Gennes JL,Malbecq W,Baigts F

    更新日期:1995-11-01 00:00:00

  • Long-term outcome after senning operation for transposition of the great arteries.

    abstract:BACKGROUND:The Senning operation for transposition of the great arteries (TGA) was first introduced by Senning in 1959 and was revived by Quaegebeur et al. in the late 1970s, thus becoming the intervention of choice for the correction of TGA in many centers. HYPOTHESIS:The purpose of this study was to evaluate the lon...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960271107

    authors: Agnetti A,Carano N,Cavalli C,Tchana B,Bini M,Squarcia U,Frigiola A

    更新日期:2004-11-01 00:00:00

  • Diffuse pulmonary hemorrhage complicating thrombolytic therapy for acute myocardial infarction.

    abstract::Diffuse pulmonary hemorrhage has rarely been reported as a complication of thrombolytic therapy. Recently, two patients who developed this complication were observed at our institution. This diagnosis should be considered in any post-thrombolytic patient with respiratory distress, diffuse pulmonary infiltrates, and an...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960200321

    authors: Gopalakrishnan D,Tioran T,Emanuel C,Clark VL

    更新日期:1997-03-01 00:00:00

  • Colchicine for large pericardial effusion.

    abstract::On the basis of our reported experience with colchicine for recurrent pericarditis, we administered colchicine to two patients with large pericardial effusions complicating idiopathic pericarditis. The first was a 26-year-old male who showed clinical deterioration following emergency pericardiocentesis and aspirin (3 ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960210220

    authors: Adler Y,Guindo J,Finkelstein Y,Khouri A,Assali A,Bayes-Genis A,Bayes de Luna A

    更新日期:1998-02-01 00:00:00

  • Serial analyses of C-reactive protein and myeloperoxidase in acute coronary syndrome.

    abstract:BACKGROUND:C-reactive protein (CRP) and myeloperoxidase (MPO) are involved in the pathogenesis of atherosclerosis, mainly during periods of instabilization. This study aims to test the hypothesis that patients with acute coronary syndrome (ACS) maintain a persistent inflammatory state, and that this is associated with ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20462

    authors: Borges FK,Borges FK,Stella SF,Souza JF,Wendland AE,Werres Junior LC,Ribeiro JP,Polanczyk CA

    更新日期:2009-11-01 00:00:00

  • Angiotensin-II-receptors: new targets for antihypertensive therapy.

    abstract::The renin-angiotensin system regulates blood pressure and sodium homeostasis through a series of coordinated substrate-enzyme interactions. These interactions result in the production of angiotensin II (AII), which exerts a number of diverse biologic effects mediated through AII cell-surface receptors. Dysregulation o...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960200103

    authors: Oliverio MI,Coffman TM

    更新日期:1997-01-01 00:00:00

  • A comparison of treadmill scores to diagnose coronary artery disease.

    abstract:BACKGROUND:Recently, several treadmill scores have been proposed as means for improving the diagnostic accuracy of the exercise treadmill test (ETT). Questions remain regarding the diagnostic accuracy of treadmill scores when applied to a different patient population than that from which they were derived; furthermore,...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960250307

    authors: Fearon WF,Gauri AJ,Myers J,Raxwal VK,Atwood JE,Froelicher VF

    更新日期:2002-03-01 00:00:00

  • Early presentation of dilated cardiomyopathy as a part of seroconversion illness in human immunodeficiency virus infection.

    abstract::It has been debated whether dilated cardiomyopathy seen in patients with acquired immune deficiency syndrome is caused by the virus itself or by the combination of other factors such as presence of opportunistic pathogens and/or severe immunosuppression. This paper describes the first reported case of a patient with h...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960200815

    authors: Fath-Ordoubadi F,van der Watt MJ,Noble MI

    更新日期:1997-08-01 00:00:00

  • Complete absence of pulmonary veins.

    abstract::Various types of pulmonary venous return abnormalities have been described in the literature. This report presents a case in which a 4-h-old neonate presented with cyanotic heart disease and respiratory distress. This neonate was subsequently shown to have complete absence of the pulmonary veins (CAPV), a previously u...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960110415

    authors: Ralston MA,Teske DW

    更新日期:1988-04-01 00:00:00

  • Lower admission hemoglobin levels are associated with longer symptom duration in acute ST-elevation myocardial infarction.

    abstract:BACKGROUND:An acute-phase response in patients with acute myocardial infarction could contribute to the development of anemia. HYPOTHESIS:An association may exist between symptom duration, hemoglobin (Hb) concentration and serum C-reactive protein (CRP) values in patients presenting to an emergency department (ED) wit...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22215

    authors: Shacham Y,Leshem-Rubinow E,Ben-Assa E,Roth A,Steinvil A

    更新日期:2014-02-01 00:00:00

  • Aortic dissection in childhood and adolescence: an analysis of occurrences over a 10-year interval in New York State.

    abstract:BACKGROUND:Rarely occurring in the pediatric and adolescent population, aortic dissection is a condition with many predisposing factors. Previous studies have suggested that congenital cardiovascular disorders are the most common predisposing conditions. Trauma-associated aortic dissection is considered a rare occurren...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20383

    authors: Fikar CR,Fikar R

    更新日期:2009-06-01 00:00:00

  • Significance of aortic valve calcification in patients with low-gradient low-flow aortic stenosis.

    abstract:BACKGROUND:Assessment of patients with aortic stenosis (AS) and impaired left ventricular function remains challenging. Aortic valve calcium (AVC) scoring with computed tomography (CT) and fluoroscopy has been proposed as means of diagnosing and predicting outcomes in patients with severe AS. HYPOTHESIS:Severity of ao...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22212

    authors: Aksoy O,Cam A,Agarwal S,Ige M,Yousefzai R,Singh D,Griffin BP,Schoenhagen P,Kapadia SR,Tuzcu ME

    更新日期:2014-01-01 00:00:00

  • Combined use of warfarin and oral P2Y12 inhibitors in patients with atrial fibrillation and acute coronary syndrome.

    abstract:BACKGROUND:Although atrial fibrillation (AF) occurs frequently in patients hospitalized with acute coronary syndrome (ACS), strategies for prevention of thromboembolic complications are poorly characterized. HYPOTHESIS:We sought to examine exposure to warfarin and P2Y12 inhibitors and clinical outcomes among patients ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22231

    authors: Jones WS,Mi X,Patel MR,Mills R,Hernandez AF,Curtis LH

    更新日期:2014-03-01 00:00:00

  • Black scorpion envenomation: two cases and review of the literature.

    abstract::Scorpion envenomation is quite common in India, southeast Asia, the U.S. southwest, and Israel (in the Negev and around Jerusalem). Yellow scorpion is considered the most dangerous scorpion that causes cardiac toxicity. Two patients are described, who lived in a nonendemic area of yellow scorpions and were envenomated...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960150514

    authors: Blum A,Lubezki A,Sclarovsky S

    更新日期:1992-05-01 00:00:00

  • Effects of theophylline on exercise indices in a patient with chronotropic incompetence.

    abstract::Several investigators have documented the successful use of oral sustained-release theophylline in treating symptomatic bradycardia and sick sinus syndrome. This paper reports a case of chronotropic incompetence in which specific exercise indices, including the chronotropic response index, were used to measure the the...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,评审

    doi:10.1002/clc.4960231019

    authors: Dixon WC 4th,Bauch TD

    更新日期:2000-10-01 00:00:00

  • Determinants and prognostic implications of reperfusion injury during primary percutaneous coronary intervention in Chinese patients with acute myocardial infarction.

    abstract:BACKGROUND:The poor clinical outcome in acute myocardial infarction (AMI) patients undergoing primary percutaneous coronary intervention (PCI) has been attributed to myocardial ischemia-reperfusion injury (MIRI). OBJECTIVE:This study aimed to identify the predictive factors of MIRI during PCI in Chinese AMI patients w...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20294

    authors: Luo Y,Li GL,Pan YZ,Zhou SF

    更新日期:2009-03-01 00:00:00

  • Magnetic resonance imaging (MRI) in different stages of myocardial infarction using the contrast agent gadolinium-DTPA.

    abstract::We investigated 26 patients admitted to our catheterization laboratory with a diagnosis of acute myocardial infarction. In each case acute revascularization was unsuccessful, but the diagnosis was confirmed by angiography. In 11 patients with an uncomplicated course of acute myocardial infarction magnetic resonance im...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960091102

    authors: Eichstaedt HW,Felix R,Dougherty FC,Langer M,Rutsch W,Schmutzler H

    更新日期:1986-11-01 00:00:00

  • Risk factors of cardiac troponin T elevation in patients with stable coronary artery disease after elective coronary drug-eluting stent implantation.

    abstract:BACKGROUND:Cardiac troponin T elevation after coronary intervention has been demonstrated to be associated with the prognosis of coronary artery disease (CAD). However, there were few studies about comprehensive risk factors analysis of troponin T elevation after elective drug-eluting stent (DES) implantation. HYPOTHE...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20973

    authors: Chen ZW,Qian JY,Ma JY,Ge L,Ge JB

    更新日期:2011-12-01 00:00:00

  • Isolated tricuspid stenosis: report of a case submitted to valvular commissurotomy.

    abstract::In this report, a rare case of tricuspid stenosis uncomplicated by other valve lesions is presented, with clinical, hemodynamic, echocardiographic, and angiographic studies. The patient was markedly incapacitated, mostly as a result of a restricted cardiac output. Tricuspid commissurotomy was performed, with a stenoti...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960060406

    authors: Schlesinger P,Benchimol CB,Lopes AS,Barbosa J,Jasbik W,Benchimol AB

    更新日期:1983-04-01 00:00:00

  • Functional significance of coronary collateral perfusion in preserving myocardial integrity.

    abstract::Coronary collateral perfusion to the completely obstructed coronary artery was evaluated by coronary cineangiography in 32 patients. In 13 patients, there was neither history of severe chest pain of longer than 30-min duration nor electrocardiographic evidence of a transmural myocardial infarction (Group I). Among pat...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960100705

    authors: Fujita M,Sasayama S,Ohno A,Yamanishi K,Hirai T

    更新日期:1987-07-01 00:00:00