Cardiac problems in patients with neurologic disease.


:The cardiologist and internist can make a major contribution to the care of patients with neurologic disease, both in terms of treating patients with symptomatic cardiac involvement and reducing mortality. This article highlights the need to recognize ECG abnormalities that may represent purely neurologic disease as well as indicate cardiac pathology that may be part of the neurophysiologic disease process. The role of cardiac emboli in stroke and the essential role of anticoagulation in stroke prevention have been discussed. Additionally, the importance of emboli in relation to endocarditis and the essential role of anticoagulation for stroke prevention in patients with prosthetic valves have been emphasized. Finally, the cardiac manifestations of several neuromyopathic diseases have been indicated, and the importance of cardiac issues in patient management decisions has been shown. The interplay of cardiac and neurologic concerns demonstrates how a collaboration of neurologists and cardiologists can yield rewarding results in resolving some of the more difficult problems in clinical medicine.


Cardiol Clin


Cardiology clinics


Kantor HL,Krishnan SC


Has Abstract


1995-05-01 00:00:00












  • Syncope and Idiopathic (Paroxysmal) AV Block.

    abstract::Syncope due to idiopathic AV block is characterized by: 1) ECG documentation (usually by means of prolonged ECG monitoring) of paroxysmal complete AV block with one or multiple consecutive pauses, without P-P cycle lengthening or PR interval prolongation, not triggered by atrial or ventricular premature beats nor by r...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Brignole M,Deharo JC,Guieu R

    更新日期:2015-08-01 00:00:00

  • The role of cardiac catheterization in adult congenital heart disease.

    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

    pub_type: 杂志文章


    authors: McLaughlin P,Benson L,Horlick E

    更新日期:2006-11-01 00:00:00

  • High-Density Lipoprotein Infusions.

    abstract::High-density lipoproteins (HDLs) have presented an attractive target for development of new therapies for cardiovascular prevention on the basis of epidemiology and preclinical studies demonstrating their protective properties. Development of HDL mimetics provides an opportunity to administer functional HDL. However, ...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Takata K,Di Bartolo BA,Nicholls SJ

    更新日期:2018-05-01 00:00:00

  • Transesophageal echocardiographic (TEE) evaluation of ventricular function.

    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

    pub_type: 杂志文章,评审


    authors: Skiles JA,Griffin BP

    更新日期:2000-11-01 00:00:00

  • Cardiovascular drugs in pregnancy.

    abstract::Cardiovascular drugs are often used in pregnancy for the treatment of maternal and fetal conditions. The complex physiologic changes occurring during pregnancy may significantly affect the pharmacokinetics of many drugs and, consequently, the toxicity and therapeutic response. Of special concern are the effects of mat...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Widerhorn J,Rubin JN,Frishman WH,Elkayam U

    更新日期:1987-11-01 00:00:00

  • Surgical Myectomy: Subaortic, Midventricular, and Apical.

    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

    pub_type: 杂志文章,评审


    authors: Nguyen A,Schaff HV

    更新日期:2019-02-01 00:00:00

  • Atrial Fibrillation and Stroke: Making Sense of Recent Observations on Anticoagulation.

    abstract::Atrial fibrillation (AF) is the most prevalent heart rhythm disorder. AF accounts for a great proportion of deaths because it independently increases all-cause mortality and cardiovascular mortality risks. Ischemic stroke is the most common cardiovascular adverse event in AF patients. Oral anticoagulation (OAC) therap...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Proietti M,Lip GY

    更新日期:2016-05-01 00:00:00

  • Cost-effectiveness of stress-echocardiography.

    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

    pub_type: 杂志文章,评审


    authors: Marine JE,Freedberg KA,Davidoff R

    更新日期:1999-08-01 00:00:00

  • Pulmonary vascularity on the plain chest radiograph.

    abstract::The most important factor in the interpretation of any heart lesion is the radiographic appearance of the pulmonary vessels (vascularity) and lung parenchyma. The author discusses several abnormalities; he focuses particularly on pulmonary venous hypertension. ...

    journal_title:Cardiology clinics

    pub_type: 杂志文章


    authors: Elliott LP

    更新日期:1983-11-01 00:00:00

  • Epidemiologic aspects of circadian patterns of cardiovascular disease and triggers of acute cardiac events.

    abstract::An appreciation of the existence of circadian variation in association with the onset of acute coronary disease and of the public health and clinical implications of this temporal nonrandom disease occurrence with possible precipitating factors has been gained only over the past decade. Data providing support for the ...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Goldberg RJ

    更新日期:1996-05-01 00:00:00

  • Historical aspects of electrocardiography.

    abstract::One hundred years ago, Augustus Desiré Waller recorded the human electrocardiogram for the first time, using a capillary electrometer. Electrocardiography only became clinically relevant in 1901 when Willem Einthoven devised his string galvanometer for this purpose. Sir Thomas Lewis was the key figure in showing the v...

    journal_title:Cardiology clinics

    pub_type: 传,历史文章,杂志文章


    authors: Krikler DM

    更新日期:1987-08-01 00:00:00

  • The pathologic basis of cardiac arrhythmias.

    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

    pub_type: 杂志文章,评审


    authors: Rossi L

    更新日期:1983-02-01 00:00:00

  • Future prospects for implantable devices for atrial defibrillation.

    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

    pub_type: 杂志文章,评审


    authors: Tse HF,Lau CP

    更新日期:2004-02-01 00:00:00

  • The pulmonary artery catheter: a critical reappraisal.

    abstract::Balloon floatation pulmonary artery catheters (PACs) have been used for hemodynamic monitoring in cardiac, medical, and surgical intensive care units since the 1970s. With the availability of newer noninvasive diagnostic modalities, particularly echocardiography, the frequency of diagnostic pulmonary artery catheteriz...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Gidwani UK,Mohanty B,Chatterjee K

    更新日期:2013-11-01 00:00:00

  • Left ventricular assist device driveline infections.

    abstract::This article reviews some important aspects of driveline infection in patients under left ventricular assist device (LVAD) support, including epidemiology, causes, diagnosis, and treatment options, both medical and surgical. Focus is placed on prevention along every aspect of the process of LVAD therapy, as the author...

    journal_title:Cardiology clinics

    pub_type: 杂志文章


    authors: Pereda D,Conte JV

    更新日期:2011-11-01 00:00:00

  • Percutaneous mechanical support for the failing right heart.

    abstract::Right ventricular (RV) failure is an increasingly common clinical problem that may require mechanical support. In contrast to severe left ventricular failure, RV failure is typically more reversible. Therefore, application of shorter-term percutaneous support devices is potentially attractive. Current innovations prom...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Goldstein JA,Kern MJ

    更新日期:2012-05-01 00:00:00

  • Polymeric endoluminal paving. A family of evolving methods for extending endoluminal therapeutics beyond stenting.

    abstract::This article briefly reviews the background and rationale for the development of polymer paving. The process of endoluminal paving is described both in its generic form as well as in three experimental embodiments. Several experimental studies with two forms of paving, solid paving and gel paving, are reviewed. Finall...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Slepian MJ

    更新日期:1994-11-01 00:00:00

  • Electrocardiographic monitoring in ambulatory patients with cardiac arrhythmias.

    abstract::The merits of Holter monitor recording, intermittent event recording, and transtelephonic recording are stated, the equipment used for each method is described, and the type of data obtained is analyzed. ...

    journal_title:Cardiology clinics

    pub_type: 杂志文章


    authors: Smith MS,Pritchett EL

    更新日期:1983-05-01 00:00:00

  • Subaortic stenosis: at risk substrates and treatment strategies.

    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

    pub_type: 杂志文章,评审


    authors: Van Arsdell G,Tsoi K

    更新日期:2002-08-01 00:00:00

  • Evaluation of Chest Pain and Acute Coronary Syndromes.

    abstract::Chest pain is a common complaint in the emergency department, and it is the job of clinicians to rule out life-threatening diagnoses such as acute coronary syndrome. The history, physical examination, cardiac risk factors, electrocardiogram findings, and clinician judgment are often not enough to distinguish between c...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Chang AM,Fischman DL,Hollander JE

    更新日期:2018-02-01 00:00:00

  • New theories. Causes of dilated cardiomyopathy.

    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

    pub_type: 杂志文章,评审


    authors: Bachinski LL,Roberts R

    更新日期:1998-11-01 00:00:00

  • Coronary bifurcation lesions.

    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

    pub_type: 杂志文章,评审


    authors: Sharma SK,Kini AS

    更新日期:2006-05-01 00:00:00

  • State of the Art-High-Sensitivity Troponins in Acute Coronary Syndromes.

    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

    pub_type: 杂志文章,评审


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

    更新日期:2020-11-01 00:00:00

  • Invasive hemodynamic monitoring the aftermath of the ESCAPE trial.

    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

    pub_type: 历史文章,杂志文章,评审


    authors: Leier CV

    更新日期:2007-11-01 00:00:00

  • Chronic antithrombotic therapy in post-myocardial infarction patients.

    abstract::Because 1.1 million myocardial infarctions occur in the United States alone each year, and 450,000 of them are recurrent infarctions, which carry an inherently greater risk of death and disability than first events, the importance of secondary prevention strategies that can be implemented widely is unparalleled in hea...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Nagarakanti R,Sodhi S,Lee R,Ezekowitz M

    更新日期:2008-05-01 00:00:00

  • Proarrhythmic responses during electrophysiologic testing.

    abstract::Proarrhythmia is a potentially lethal adverse effect of antiarrhythmic drugs. Underlying mechanisms and the approaches to identification are discussed. The applicability of electrophysiologic testing is considered, with particular reference to the validity of the different responses to programmed stimulation considere...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Rae AP

    更新日期:1986-08-01 00:00:00

  • Clinical approach to infective endocarditis.

    abstract::The epidemiology of IE has evolved over the past 50 years. Mitral valve prolapse and degenerative valvular disease have replaced rheumatic heart disease as the most common predisposing conditions. The average age of patients with IE has increased, and nosocomially acquired cases are becoming more common. Although viri...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Saccente M,Cobbs CG

    更新日期:1996-08-01 00:00:00

  • Transesophageal echocardiographic (TEE) evaluation of intracardiac and pericardial masses.

    abstract::Transesophageal echocardiography has assisted the detection of intracardiac masses and, in certain cases, aided our ability to define the specific type of mass. This technique, when coupled with three-dimensional imaging, may help to define infiltration of the wall. TEE aids in the intraoperative management of cardiac...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Goldman JH,Foster E

    更新日期:2000-11-01 00:00:00

  • Radiofrequency catheter ablation for atrial fibrillation.

    abstract::Until recently, catheter-based radiofrequency ablation for atrial fibrillation was limited to palliative approaches of either atrioventricular node ablation or modification. It is now recognized that at least a proportion of patients with paroxysmal atrial fibrillation may be suitable for curative ablation of an under...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Kalman JM,Scheinman MM

    更新日期:1997-11-01 00:00:00

  • Confounders of vasovagal syncope: orthostatic hypotension.

    abstract::A syncope evaluation should start by identifying potentially life-threatening causes, including valvular heart disease, cardiomyopathies, and arrhythmias. Most patients who present with syncope, however, have the more benign vasovagal (reflex) syncope. A busy syncope practice often also sees patients with neurogenic o...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审


    authors: Nwazue VC,Raj SR

    更新日期:2013-02-01 00:00:00