Renal considerations in cardiovascular drug therapy.

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：: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：: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

abstract：:Implantable cardioverter-defibrillators (ICDs) improve survival in patients who have left ventricular dysfunction; however, they are associated with numerous problems at implant and during follow-up. The diagnosis and management of these problems is usually straightforward, but more difficult problems may include the ...

journal_title：Cardiology clinics

authors： Kowalski M,Huizar JF,Kaszala K,Wood MA

更新日期：2008-08-01 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：: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：:The work of the pioneers in PFO closure finally may evolve into a front-line therapy for secondary prevention of stroke in selected patients who have PFO and embolic events. Current implants, although new to most of interventional cardiology and neurology, are the result of years of steady, progressive work. It seems ...

journal_title：Cardiology clinics

authors： Kapadia SR

更新日期：2005-02-01 00:00:00

abstract：:Congenital abnormalities of the pericardium are a rare group of disorders that include congenital absence of the pericardium, pericardial cysts, and diverticula. These congenital defects result from alterations in the embryologic formation and structure of the pericardium. Although many cases are incidentally found, t...

journal_title：Cardiology clinics

authors： Parmar YJ,Shah AB,Poon M,Kronzon I

更新日期：2017-11-01 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：: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：: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：: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：:Ebstein anomaly is a congenital malformation involving primarily the tricuspid valve, with failure of delamination from the underlying myocardium and right ventricular myopathy. Echocardiography is diagnostic in most patients and demonstrates apical displacement of the septal leaflet and variable tethering of leaflet ...

journal_title：Cardiology clinics

authors： Fuchs MM,Connolly HM

更新日期：2020-08-01 00:00:00

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

authors： Rae AP

更新日期：1986-08-01 00:00:00

abstract：:This article reviews the definition, locations, and pathogenesis of acute myocardial infarction and provides a review of the pathology of acute reperfusion therapy. Various complications and sequelae of acute myocardial infarction are also surveyed. ...

journal_title：Cardiology clinics

authors： Waller BF

更新日期：1988-02-01 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：:Assessment of HRV through time domain variables is a simple and practical method of assessing autonomic function. In this capacity its utility has been demonstrated in normal subjects and in diverse cardiac and noncardiac pathologic states. It can be used to assess the effects of drugs and other interventions, includi...

journal_title：Cardiology clinics

authors： Kleiger RE,Stein PK,Bosner MS,Rottman JN

更新日期：1992-08-01 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：:Significant advances have been made in understanding the pathogenesis and clinical physiology of primary hypertension. This article presents an overview of the physiology of normal blood pressure control and the pathophysiologic mechanisms that predispose individuals and populations to primary hypertension. The role o...

journal_title：Cardiology clinics

authors： Singh M,Mensah GA,Bakris G

更新日期：2010-11-01 00:00:00

abstract：:Although the long-term durability of stent grafts is still a concern, stent-graft treatment is already the best option in a large number of patients with descending thoracic aortic diseases who are poor candidates for surgical repair, or in an acute setting. With improved capability to recognize proper anatomy and sel...

journal_title：Cardiology clinics

authors： Fattori R

更新日期：2010-05-01 00:00:00

abstract：:Concurrent, independent clinical series at Yale University and the University of Virginia demonstrate an important role for CABG in patients with advanced ischemic cardiomyopathy. It is found that CABG can be performed safely in these patients, both angina and congestive heart failure states improve, ejection fraction...

journal_title：Cardiology clinics

authors： Elefteriades JA,Kron IL

更新日期：1995-02-01 00:00:00

abstract：:A number of therapeutic agents, foods, chemicals, and poisons have been associated with the development or exacerbation of hypertension. This review discusses those identified in recent years. ...

journal_title：Cardiology clinics

authors： Oren S,Grossman E,Messerli FH,Frohlich ED

更新日期：1988-11-01 00:00:00

abstract：:Mechanical circulatory support using left ventricular assist devices (LVAD) has become an accepted mode of therapy for both bridging patients with end-stage heart failure to transplant and as a destination therapy. Right ventricular (RV) dysfunction is common after LVAD insertion and is a significant source of morbidi...

journal_title：Cardiology clinics

authors： Kaczorowski DJ,Woo YJ

更新日期：2011-11-01 00:00:00

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

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

更新日期：1987-11-01 00:00:00

abstract：:Valvular heart disease (VHD) is generally well tolerated during pregnancy; however, the dramatic changes in hemodynamics that occur during pregnancy can lead to clinical decompensation in high-risk women. Women with VHD considering pregnancy should undergo preconception counseling with a high-risk obstetrician and car...

journal_title：Cardiology clinics

authors： Lewey J,Andrade L,Levine LD

更新日期：2021-02-01 00:00:00

abstract：:The major adaptations of the maternal cardiovascular system that progress throughout gestation may unmask previously unrecognized heart disease and result in significant morbidity and mortality. Most of these changes are almost fully reversed in the weeks and months after delivery. Hemodynamic changes during pregnancy...

journal_title：Cardiology clinics

authors： Ouzounian JG,Elkayam U

更新日期：2012-08-01 00:00:00

abstract：:As the incidence of valvular disease in the elderly is increasing, understanding of its pathogenesis and natural progression as well as surgical approaches and device technologies are improving. Future studies are needed to develop medical interventions that slow or halt the degenerative valvular processes associated ...

journal_title：Cardiology clinics

authors： Hinchman DA,Otto CM

更新日期：1999-02-01 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：:Except for the unique eccentricities of individual devices, most dual-chamber paced rhythms, both normal and abnormal, are readily understood and lend themselves to analysis if the programmed parameters are known. Although they may appear intimidating, this need not be the case if the physician is initially willing to...

journal_title：Cardiology clinics

authors： Levine PA

更新日期：1985-11-01 00:00:00

abstract：:Mechanical circulatory assistance is making the transition from an investigational technique to standard clinical practice, especially for post-cardiotomy shock. History, techniques, medications, complications, and results of mechanical assistance are reviewed. Promising trends for the future are presented. ...

journal_title：Cardiology clinics

authors： Elefteriades JA

更新日期：1988-08-01 00:00:00