CABG in advanced left ventricular dysfunction.

abstract：:Addressing the psychosocial concerns of the growing population of adults with congenital heart disease presents a unique challenge to health care providers. These patients frequently need information about their disease with emphasis on how it may affect their sexuality, childbearing, and risk of having children with ...

journal_title：Cardiology clinics

authors： Hart EM,Garson A Jr

更新日期：1993-11-01 00:00:00

abstract：:The Fontan operation is a unique approach to create a circulation in series without 2 distinct pumping chambers. Although the approach has enabled many patients to live well into adulthood, the unique physiology results in many complications, cardiac and extracardiac. This review focuses on the pathophysiology of the ...

journal_title：Cardiology clinics

authors： John AS

更新日期：2015-11-01 00:00:00

abstract：:Besides the anatomoclinical correlates of disturbances in impulse formation and conduction, this article also considers the three mechanisms now known to underlie tachyarrhythmias: focally enhanced automaticity, triggered activity, and, in particular, reentry. ...

journal_title：Cardiology clinics

authors： Rossi L

更新日期：1983-02-01 00:00:00

abstract：:The goal of anticoagulant therapy in unstable angina is to prevent progression of a subocclusive coronary thrombus to complete occlusion of the coronary artery, thereby preventing myocardial infarction and death. Although these have been many advances in therapy with anticoagulants, considerable morbidity and mortalit...

journal_title：Cardiology clinics

authors： Choy JB,Armstrong PW

更新日期：1999-05-01 00:00:00

abstract：:Transesophageal echocardiography (TEE) provides excellent delineation of ventricular function in the ambulatory and critical settings. Major indications include the acutely ill patient with suboptimal images with other techniques and the intraoperative assessment of patients undergoing cardiac surgery and of cardiac p...

journal_title：Cardiology clinics

authors： Skiles JA,Griffin BP

更新日期：2000-11-01 00:00:00

abstract：:Hypertensive heart disease (HHD), a result of long-standing hypertension, is characterized by changes in the myocardial structure and function in the absence of other primary cardiovascular abnormalities. Although increased blood pressure is the initiating stimulus, neurohormonal factors, particularly the renin-angiot...

journal_title：Cardiology clinics

authors： Georgiopoulou VV,Kalogeropoulos AP,Raggi P,Butler J

更新日期：2010-11-01 00:00:00

abstract：:Hypertensive crises, which include hypertensive emergencies and urgencies, are frequently encountered in the emergency department, and require immediate attention as they can lead to irreversible end-organ damage. Normal blood pressure (BP) regulation is altered during acute rises in BP, leading to end-organ damage. M...

journal_title：Cardiology clinics

authors： Johnson W,Nguyen ML,Patel R

更新日期：2012-11-01 00:00:00

abstract：:Although the growing use of continuous-flow left ventricular assist devices (LVADs) has improved the survival and quality of life of patients with stage D heart failure, ischemic and hemorrhagic cerebrovascular accidents remain one of the most-feared complications of this therapy and a significant source of disability...

journal_title：Cardiology clinics

authors： Kadakkal A,Najjar SS

更新日期：2018-11-01 00:00:00

abstract：:In cases of suspected acute coronary syndrome (ACS), rapid and accurate diagnosis is essential to establish effective evidence-based medical treatment. Patients' history, clinical examination, 12-lead electrocardiogram, and cardiac biomarkers are cornerstones in initial management. Since high-sensitivity cardiac tropo...

journal_title：Cardiology clinics

authors： Geyer M,Wild J,Münzel T,Gori T,Wenzel P

更新日期：2020-11-01 00:00:00

abstract：:Subaortic stenosis can be a complex disease of multiple anatomic etiologies. At the core is either an elongated and narrow outflow tract as compared to normal or a fully muscle-rimmed VSD used as an intraventricular routing pathway. An array of treatment modalities is needed for an effective management strategy. ...

journal_title：Cardiology clinics

authors： Van Arsdell G,Tsoi K

更新日期：2002-08-01 00:00:00

abstract：:Given the rapid evolution of cardiovascular medicine, clinicians must sift through an enormous array of information about new therapies in order to determine how best to treat patients with ischemic heart disease. They should first consider the evidence from randomized clinical trials, because these trials eliminate b...

journal_title：Cardiology clinics

authors： Califf RM

更新日期：1995-08-01 00:00:00

abstract：:The success of the implantable cardioverter defibrillator (ICD) led to the concept of a device that would terminate atrial fibrillation (AF) using an implantable device. Implantable devices for AF are undergoing rapid evolution. Currently used devices combine pacing and cardioversion therapies to prevent and to treat ...

journal_title：Cardiology clinics

authors： Tse HF,Lau CP

更新日期：2004-02-01 00:00:00

abstract：:Surgical septal myectomy is the preferred method of septal reduction for most patients with obstructive hypertrophic cardiomyopathy whose symptoms do not respond to medical management. Transaortic extended septal myectomy has low operative mortality and provides durable relief of symptoms. Surgical treatment is possib...

journal_title：Cardiology clinics

authors： Nguyen A,Schaff HV

更新日期：2019-02-01 00:00:00

abstract：:The AbioCor is a revolutionary device. It is the only device of its kind in the clinical world. The role of the AbioCor is to provide permanent replacement of the failing heart for patients who are not transplant candidates. The clinical trial has been successful in the majority (four of seven) of patients implanted t...

journal_title：Cardiology clinics

authors： Samuels LE,Dowling R

更新日期：2003-02-01 00:00:00

abstract：:Peripheral atherosclerotic aneurysms occur primarily in elderly men. Major complications are arterial thromboembolism with ischemia of the limb and, rarely, rupture of the aneurysm. Vascular reconstruction is associated with a low mortality, and operation is recommended. These aneurysms are often associated with arter...

journal_title：Cardiology clinics

authors： Breslin DJ,Jewell ER

更新日期：1991-08-01 00:00:00

abstract：:The pericardium consists of a visceral mesothelial monolayer (epicardium) that reflects over the great vessels and joins an outer, relatively inelastic fibrous parietal layer of organized collagen and elastin fibers, between which is a potential space that normally contains up to 50 mL of plasma filtrate. Although not...

journal_title：Cardiology clinics

authors： Hoit BD

更新日期：2017-11-01 00:00:00

abstract：:Treatment of coronary bifurcation lesions represents a challenging area in interventional cardiology, but recent advances in percutaneous coronary interventions have led to a dramatic increase in the number of patients successfully treated percutaneously. When compared with nonbifurcation interventions, bifurcation in...

journal_title：Cardiology clinics

authors： Sharma SK,Kini AS

更新日期：2006-05-01 00:00:00

abstract：:Many of the transcatheter devices described in this article remain investigational in the United States. Currently, we consider the applications of these techniques as either (1) procedures of choice (for closures of patent ductus arteriosus, balloon dilation or stent implantation for peripheral pulmonary stenoses, ba...

journal_title：Cardiology clinics

authors： Landzberg MJ,Lock JE

更新日期：1993-11-01 00:00:00

abstract：:Dilated cardiomyopathy is a heterogeneous disease, both clinically and genetically. Two genes responsible for X-linked DCM have been identified. Five genetic loci responsible for X-linked DCM have been identified. Five genetic loci responsible for autosomal dominant DCM have also been mapped but no genes identified so...

journal_title：Cardiology clinics

authors： Bachinski LL,Roberts R

更新日期：1998-11-01 00:00:00

abstract：:This is an extensive review of thrombolysis in myocardial infarction with discussions of the pathophysiology of occlusion, clinical occlusion and rationale for thrombolysis, thrombolytic agents, results of thrombolysis (incidence of reperfusion, left ventricular function, and mortality), complications of thrombolytic ...

journal_title：Cardiology clinics

authors： Chesebro JH,Holmes DR,Mock MB,Gersh BG,Fuster V

更新日期：1988-02-01 00:00:00

abstract：:The role of heart catheterization continues to evolve as the sophistication of cardiac MRI and CT improves and the breadth of interventional catheter techniques widens. This analysis is approached from four perspectives: (1) planning of the procedure, including information required, potential pitfalls, and equipment; ...

journal_title：Cardiology clinics

authors： McLaughlin P,Benson L,Horlick E

更新日期：2006-11-01 00:00:00

abstract：:Because of constraints on the costs of providing medical care, cardiologists in the future will find themselves challenged to provide care for their patients in the most cost-effective manner possible. Although stress-echocardiography has been shown to compare favorably with other tests in diagnostic accuracy, data on...

journal_title：Cardiology clinics

authors： Marine JE,Freedberg KA,Davidoff R

更新日期：1999-08-01 00:00:00

abstract：:Syncope is a common but complex medical disorder with a multitude of etiologies, some of which are still not well understood. In a general population, the greatest diagnostic yield is from the history and physical examination. Numerous other diagnostic modalities include Holter monitoring, signal-averaged ECG, cardiac...

journal_title：Cardiology clinics

authors： Chang-Sing P,Peter CT

更新日期：1991-11-01 00:00:00

abstract：:In this era of interventional electrophysiology, the accuracy of the electrocardiogram in diagnosis of supraventricular tachycardia could be improved by detailed endocardial mapping and confirmed by results of radiofrequency catheter ablation. This article describes the electrocardiographic characteristics for differe...

journal_title：Cardiology clinics

authors： Chen SA,Tai CT,Chiang CE,Chang MS

更新日期：1997-11-01 00:00:00

abstract：:Several studies have indicated that women sustaining a myocardial infarction have a higher unadjusted short-term (i.e., in-hospital or 30-day) mortality than men. The advanced age of women at the time of presentation appears to be the major factor contributing to their worse prognosis relative to men. Controlling for ...

journal_title：Cardiology clinics

authors： Nohria A,Vaccarino V,Krumholz HM

更新日期：1998-02-01 00:00:00

abstract：:Initial pharmacologic therapy for hypertension is low-dose thiazide diuretics, beta-blockers, and ACE inhibitors. Increasing data have confirmed that ACE inhibitors have specific benefit in patients with diabetes, atherosclerosis, left ventricular dysfunction, and renal insufficiency. CCBs are alternative agents for I...

journal_title：Cardiology clinics

authors： Ferdinand KC

更新日期：2001-05-01 00:00:00

abstract：:Anger is the affective state most commonly associated with myocardial ischemia and life-threatening arrhythmias. The scope of the problem is sizeable-at least 36,000 (2.4% of 1.5 million) heart attacks are precipitated annually in the United States by anger. The lethal cardiovascular consequences in ischemic heart dis...

journal_title：Cardiology clinics

authors： Verrier RL,Mittleman MA

更新日期：1996-05-01 00:00:00

abstract：:The Swan-Ganz catheter was developed 35 to 40 years ago for intensive and cardiac care units to allow bedside placement and continuous monitoring and recording of right-sided heart, pulmonary artery, and wedge pressures and reasonably accurate determinations of cardiac output. Considerations for the clinical applicati...

journal_title：Cardiology clinics

authors： Leier CV

更新日期：2007-11-01 00:00:00

abstract：:There have been significant advances in the diagnosis and treatment of the patient with mitral stenosis over the past two decades. Two-dimensional and Doppler echocardiography have supplanted the cardiac catheterization laboratory in the diagnosis and determination of the hemodynamic severity of the stenotic mitral va...

journal_title：Cardiology clinics

authors： Bruce CJ,Nishimura RA

更新日期：1998-08-01 00:00:00

abstract：:Diseases of the thoracic aorta are serious conditions that require close observations. Impressive advances in imaging modalities such as magnetic resonance imaging, computed tomography sacs, and transesophageal echocardiography have aided diagnosis and provided insights into the pathogenesis and natural history of tho...

journal_title：Cardiology clinics

authors： Fuster V,Andrews P

更新日期：1999-11-01 00:00:00