Direct angioplasty in acute myocardial infarction. State of the art and current controversies.

abstract：:Despite tremendous progress made in the management of CHD, a significant number of fatal and nonfatal CHD events still occur, which leads researchers to target other modifiable risk factors for CHD including low HDL-c (high density lipoprotein cholesterol). Although the torcetrapib experience was a major blow to CETP ...

journal_title：Cardiology clinics

authors： Neeli H,Rader DJ

更新日期：2008-11-01 00:00:00

abstract：:Medical management of PAD is a considerable challenge. Although patients typically present with IC, there is a substantial pool of subclinical PAD patients. PAD, whether symptomatic or not, confers a marked cardiovascular risk; with affected patients dying of heart attack or stroke, identification of index patients an...

journal_title：Cardiology clinics

authors： Brook RD,Weder AB,Grossman PM,Rajagopalan S

更新日期：2002-11-01 00:00:00

abstract：:Atrial septal defects (ASDs) can be complicated by cardioembolic strokes, but the exact incidence is unknown. Patients with large and small shunts may present with a cardioembolic stroke. Patients with cryptogenic strokes should have cardiac ultrasound to see if an ASD is present. Cardioembolic strokes associated with...

journal_title：Cardiology clinics

authors： Leppert M,Poisson SN,Carroll JD

更新日期：2016-05-01 00:00:00

abstract：:In the 1960s, when LVADs and TAHs were introduced into clinical use, researchers estimated that, with this technology, the problem of heart failure could be solved within 20 years. Unfortunately, the evolution of these devices has taken much longer than anticipated. Nevertheless, significant advances have been achieve...

journal_title：Cardiology clinics

authors： Frazier OH

更新日期：2003-02-01 00:00:00

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

authors： Goldberg RJ

更新日期：1996-05-01 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：:Chronic total coronary occlusions (CTOs) are a frequent finding in patients with coronary disease and remain one of the most challenging target lesion subsets for intervention. CTOs have been reported in approximately one-third of patients undergoing diagnostic coronary angiography. By nature of their complexity, CTO ...

journal_title：Cardiology clinics

authors： Galla JM,Whitlow PL

更新日期：2010-02-01 00:00:00

abstract：:Systemic hypertension is a major public health problem and is perhaps the most common chronic disorder in most societies. Most patients with vascular disease report hypertension in their medical history. Irrespective of the specialty that one practices, every physician will likely encounter patients with systemic hype...

journal_title：Cardiology clinics

authors： Ram CV,Fenves A

更新日期：2002-05-01 00:00:00

abstract：:To overcome the not negligible metallic drug-eluting stents adverse events rate, the polymeric or metallic bioresorbable scaffolds were designed to provide early drug delivery and mechanical support followed by complete resorption. However, the long-term evidence, focusing on the leading Absorb BVS technology, showed ...

journal_title：Cardiology clinics

authors： Masiero G,Rodinò G,Matsuda J,Tarantini G

更新日期：2020-11-01 00:00:00

abstract：:Although it is convenient to think of hypertension in its renal, epidemiologic, and vascular eras, a new perspective is rapidly coming to the forefront. As we become more critical in evaluating the performance of our health care systems, it is obvious that the major problems in hypertension do not lie entirely with un...

journal_title：Cardiology clinics

authors： Weber MA

更新日期：1995-11-01 00:00:00

abstract：:On a variety of fronts, chronic infection has been found to be significantly associated with the development of atherosclerosis and the clinical complications of unstable angina, myocardial infarction, and stroke. For the most part, these relationships are still just associations. Failure to confirm initial reports of...

journal_title：Cardiology clinics

authors： Muhlestein JB,Anderson JL

更新日期：2003-08-01 00:00:00

abstract：:In recent years many guidelines on the treatment of specific medical conditions have been published with the goal of advising physicians, promoting good clinical care, and achieving a degree of equity and equality in the delivery of care. Differences exist between European and American guidelines for the management of...

journal_title：Cardiology clinics

authors： Poole-Wilson PA

更新日期：2008-02-01 00:00:00

abstract：:Coronary thrombosis is now recognized as the most common proximate cause of acute myocardial infarction, and thrombolysis is evolving as an accepted therapeutic approach to patients presenting in the early stages of myocardial infarction. The ascent of thrombolysis in treatment hierarchies reflects multiple factors, i...

journal_title：Cardiology clinics

authors： Tiefenbrunn AJ,Sobel BE

更新日期：1987-02-01 00:00:00

abstract：:There are 240 million 9-1-1 calls in the United States every year. The burden of managing these emergencies until first responders can arrive is on the dispatchers working in the 5806 public safety answering points, more commonly known as dispatch centers. They are the first link in the chain of survival between the p...

journal_title：Cardiology clinics

authors： Kashani S,Sanko S,Eckstein M

更新日期：2018-08-01 00:00:00

abstract：:Carcinoid heart disease is the collective term for all cardiac manifestations that develop in patients with carcinoid. The cardiac manifestations of carcinoid tumors are attributed to the paraneoplastic effects of vasoactive substances released by the malignant cells. The clinical manifestations of carcinoid heart dis...

journal_title：Cardiology clinics

authors： Perry D,Hayek SS

更新日期：2019-11-01 00:00:00

abstract：:Bacterial infections of the heart in compromised patients are uncommon but may be increasing in relative frequency. They are associated with near-equal frequencies in patients who have pre-existing or simultaneous infections at other sites, patients with neoplasms (usually solid tumors), those who have undergone cardi...

journal_title：Cardiology clinics

authors： Atkinson JB,Robinowitz M,McAllister HA Jr,Forman MB,Virmani R

更新日期：1984-11-01 00:00:00

abstract：:Excimer laser angioplasty has evolved from a difficult experimental procedure to a more refined intervention with flexible catheters, well-defined indications, and consistent results for certain lesion types such as aortoostial stenosis, total occlusions, and certain saphenous vein graft lesions. This article reviews ...

journal_title：Cardiology clinics

authors： Ahmed WH,Bittl JA

更新日期：1994-11-01 00:00:00

abstract：:Magnetic resonance imaging is unique in its variety of applications for imaging the cardiovascular system. A thorough assessment of myocardial structure, function, and perfusion; assessment of coronary artery anatomy and flow; and spectroscopic evaluation of cardiac energetics can be readily performed by magnetic reso...

journal_title：Cardiology clinics

authors： Kramer CM

更新日期：1998-05-01 00:00:00

abstract：:The field of defibrillation is one of the most rapidly advancing areas in resuscitation. Defibrillation is also one of the most promising interventions for achieving improved survival from cardiac arrest. The purpose of this article is to provide an overview of the science and clinical applications of defibrillation. ...

journal_title：Cardiology clinics

authors： Peberdy MA

更新日期：2002-02-01 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：:Cardiac transplantation is now an accepted therapeutic procedure in the management of patients suffering from end-stage congestive heart failure. The advances in myocardial preservation, long-distance procurement, immunosuppression, improvement in the treatment of infectious diseases, and utilization of endomyocardial...

journal_title：Cardiology clinics

authors： Pifarre R,Sullivan HJ,Montoya A,Bakhos M,Grieco J,Foy B,Blakeman B,Costanzo-Nordin MR

更新日期：1989-02-01 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：: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

authors： Brignole M,Deharo JC,Guieu R

更新日期：2015-08-01 00:00:00

abstract：:Despite the decline in rheumatic heart disease worldwide and the use of antibiotic prophylaxis, there is no evidence that the incidence of infective endocarditis is decreasing. In fact, some data suggest it may be increasing. The classical fever of unknown origin presentation represents a minority of infective endocar...

journal_title：Cardiology clinics

authors： Crawford MH,Durack DT

更新日期：2003-05-01 00:00:00

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

authors： Pereda D,Conte JV

更新日期：2011-11-01 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：:Venous thromboembolism (VTE) is a potentially fatal condition and includes deep vein thrombosis and pulmonary embolism. The novel oral anticoagulants, which include the direct thrombin and factor Xa inhibitors, have been shown to be safe and effective for the treatment of VTE. Additional interventions include thrombol...

journal_title：Cardiology clinics

authors： Galanis T,Merli GJ

更新日期：2015-02-01 00:00:00

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

authors： Goldstein JA,Kern MJ

更新日期：2012-05-01 00:00:00

abstract：:Percutaneous left atrial appendage (LAA) closure is being increasingly used as a treatment strategy to prevent stroke in patients with atrial fibrillation (AF) who have contraindications to anticoagulants. Several approaches and devices have been developed in the last few years, each with their own unique set of advan...

journal_title：Cardiology clinics

authors： Syed FF,DeSimone CV,Friedman PA,Asirvatham SJ

更新日期：2014-11-01 00:00:00

abstract：:It has long been unclear how exercise training improves myocardial perfusion in patients with stable CAD. Regression of coronary atherosclerosis and collateral formation have been favorite theories; however, angiographic techniques have so far failed to document any significant increase in coronary collaterals at rest...

journal_title：Cardiology clinics

authors： Gielen S,Hambrecht R

更新日期：2001-08-01 00:00:00