Predicting the presence of coronary artery disease by transesophageal echocardiography.

Abstract:

BACKGROUND:The accuracy of ultrasound signs as predictors for the presence of coronary artery disease (CAD) has been evaluated extensively in the 1990s and 2000s. Imaging quality has improved tremendously over the last decades. HYPOTHESIS:High-end ultrasound systems allow for accurate prediction of the presence or absence of CAD. METHODS:All patients who underwent a transesophageal echocardiography examination (TEE) between 2007 and 2016 and who had coronary angiography within 24 months before or after the TEE were retrospectively evaluated. RESULTS:A total of 242 patients fulfilled the inclusion criteria, 60% were male. Mean age was 70 years (SD ± 13 years). In multivariate regression analysis, plaque in the ascending aorta (odds ratio [OR] 2.51, 95% confidence interval [CI] 1.18-5.32, p = 0.017), plaque in at least one of the thoracic aortic segments (OR 2.07, 95% CI 1.02-4.22, p = 0.045), and the presence of mitral annular calcification (MAC, OR 1.84, 95% CI 1.01-3.36, p = 0.046) were predictors of significant CAD. The isolated finding of aortic stenosis (AS) (OR 2.53, 95%CI 1.23-5.21, p = 0.012) was a significant predictor for the absence of normal coronary arteries. CONCLUSION:With an negative predictive value (NPV) of 80%, the absence of MAC, AS, and aortic plaque makes the presence of significant CAD unlikely. If at least mild AS is present, normal coronary arteries are improbable.

journal_name

Wien Klin Wochenschr

authors

Schneider M,Heidari H,Ran H,Roth C,Hengstenberg C,Binder T,Goliasch G

doi

10.1007/s00508-020-01686-x

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

708-715

issue

23-24

eissn

0043-5325

issn

1613-7671

pii

10.1007/s00508-020-01686-x

journal_volume

132

pub_type

杂志文章
  • [Ambulatory hysteroscopy in evaluation of postmenopausal bleeding].

    abstract:INTRODUCTION:Diagnostic hysteroscopy is the most precise procedure to evaluate diseases involving the uterine cavity. There is, however, only limited data concerning the use of hysteroscopy carried out as an outpatient procedure in patients with postmenopausal bleeding. MATERIALS AND METHODS:In this study we report on...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Wieser F,Albrecht A,Kurz C,Wenzl R,Nagele F

    更新日期:1999-04-09 00:00:00

  • [Poisoning with elementary mercury: attempted suicide by inhalation of vapors from the heated metal].

    abstract::This paper reports on a case of attempted suicide by the rare means of prolonged inhalation of fumes from heated mercury. The patient developed symptoms of acute intoxication over a period of 4 to 24 hours after the suicide attempt. This phase consisted of pulmonary, intestinal, psychopathological and neurological sig...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Fölkl H,König P

    更新日期:1983-08-26 00:00:00

  • [21 years "Austrian Program for Early Detection of Congenital Metabolic Abnormalities." Did the screening programs also contribute scientific knowledge?].

    abstract::Before the introduction of the programme for the early detection of inborn errors of metabolism the discovery of the biochemical abnormality was merely the proof of a diagnoses based on characteristic features. Neonatal screening inverted the process and the biochemical anomaly became primary marker and symptoms were ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Thalhammer O

    更新日期:1988-10-07 00:00:00

  • [The usefulness of echocardiography in clinical cardiology (author's transl)].

    abstract::The principle of the ultrasound examination of the heart is explained and the possible applications of this method are discussed. Three case histories are presented to exemplify the usefulness of echocardiography in clinical cardiology. ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Kronik G,Mösslacher H,Slany J

    更新日期:1977-06-24 00:00:00

  • The seroprevalence of both hepatitis B and hepatitis C at the first-step health organizations and the difference between the urban and rural areas.

    abstract:BACKGROUND:Hepatitis B virus (HBV) and hepatitis C virus (HCV) are very important infectious agents for public health. The aim of this retrospective study was to assess the seroprevalence of hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (anti-HBs) and anti-HCV test results of patients who admitted t...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-015-0745-3

    authors: Kalem F,Yüksekkaya Ş,Başaranoğlu M

    更新日期:2016-10-01 00:00:00

  • [Is prevention really better than healing? A discussion contribution to prevention of spinal diseases].

    abstract::Primary, secondary and tertiary prevention are usually differentiated. All preventive measures have to prevail against criteria of effectiveness and efficiency. In the case of primary prevention, the search for risk factors is particularly important. The present limits of prevention of back pain are discussed in some ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Ernst E

    更新日期:1993-01-01 00:00:00

  • [Resection of cervical glands in pelviscopic hysterectomy].

    abstract::A case of pelviscopic hysterectomy with uterine hyperflexion and cervical elongation is presented. In this case we were forced to extirpate the cervical fascia because of uterine hemorrhage by laparotomy after the cervical tissue punch had been performed. The histological findings were supravaginal cervical glands. Co...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Wierrani F,Huber M,Grin W,Grünberger W

    更新日期:1994-01-01 00:00:00

  • Travellers' diarrhoea - pros and cons of different prophylactic measures.

    abstract::Travellers' diarrhoea is the most likely cause for disturbing travel arrangements. At an average, 30-40% of tourists are concerned, depending on the travel destination. Due to the high impact on the travellers' health this topic is still of utmost importance in travel medicine. A wide spectrum of enteropathogens can b...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:10.1007/s00508-009-1228-1

    authors: Wagner A,Wiedermann U

    更新日期:2009-10-01 00:00:00

  • Carbohydrate epitopes as a cause of cross-reactivity in patients allergic to Hymenoptera venom.

    abstract:BACKGROUND:Among patients with allergy to insect stings, double positivity in tests for IgE antibodies specific to honey bee and wasp venoms is a frequent diagnostic problem. True double sensitization and possible cross-reactivity of venom hyaluronidases and with carbohydrate determinants must be considered in such pat...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-009-1171-1

    authors: Erzen R,Korosec P,Silar M,Music E,Kosnik M

    更新日期:2009-01-01 00:00:00

  • Correction to: Prevalence of wheezing and atopic diseases in Austrian schoolchildren in conjunction with urban, rural or farm residence.

    abstract::Correction: Wien Klin Wochenschr 2014 https://doi.org/10.1007/s00508-014-0571-z The disclosure needs to additionally mention the following:Erika von Mutius is listed as inventor on the following patents: Publication number EP 1411977: Composition containing bacterial antigens used for the prophylaxis …. ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s00508-019-01546-3

    authors: Horak E,Morass B,Ulmer H,Genuneit J,Braun-Fahrländer C,von Mutius E,GABRIEL Study Group.

    更新日期:2019-09-01 00:00:00

  • Association between fulfilling the recommendations for health-enhancing physical activity with (instrumental) activities of daily living in older Austrians.

    abstract:AIM:The aim of the study was to describe the association between fulfilling the recommendation for health-enhancing physical activity (PA), and deficits in activities of daily living (ADL) and instrumental activities of daily living (IADL) in 3308 subjects aged 65+ years from the Austrian Health Interview Survey 2014. ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-019-1511-8

    authors: Crevenna R,Dorner TE

    更新日期:2019-06-01 00:00:00

  • [Studies on the immune status of patients with operated and irradiated cervical and breast cancer. III. Comparative investigation of the immune status of patients with breast cancer treated by operation and irradiation and of patients with cervical cancer

    abstract::The immunological reactivity of 19 operated cases of breast cancer (14 T1 2, 5T3) was investigated before and at 3-weekly intervals up to 12 weeks after radiotherapy by means of a large panel of techniques. The results were compared with two groups of identically-investigated patients, one consisting of 11 cases of ce...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Palencia C,Wicke L,Kärcher KH,Gitsch E,Hernuss P,Steffen C

    更新日期:1976-08-13 00:00:00

  • Antioxidant treatment of therapy-resistant idiopathic membranous nephropathy with probucol: a pilot study.

    abstract:BACKGROUND:Proteinuria in Heymann's nephritis, an experimental rat model disease corresponding to membranous nephropathy, has been shown to be due to lipid peroxidation. Since the pathophysiology might be similar to idiopathic membranous nephropathy in humans, we performed a prospective multicenter trial to investigate...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Haas M,Mayer G,Wirnsberger G,Holzer H,Ratschek M,Neyer U,Neuweiler J,Kramar R,Schneider B,Breiteneder-Geleff S,Regele HM,Hörl WH,Kerjaschki D

    更新日期:2002-02-28 00:00:00

  • [Status of oral contraceptives as a risk factor in cerebrovascular diseases].

    abstract::A critical review of the relevant literature revealed that the incidence of subarachnoid haemorrhage is increased in women taking oral contraceptives and the mortality rate is higher. The data concerning correlation between the use of oral contraceptives and other cerebrovascular disorders are less conclusive. Taking ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Auff E,Zeiler K,Holzner F,Wimmer S,Deecke L

    更新日期:1986-05-16 00:00:00

  • [Diagnosis of lung function in intensive care of newborn infants].

    abstract::We report our initial experience with pulmonary function testing in neonates during intensive care, using an automated, computerized system (PEDS), which allows non-invasive and rapid determination of pulmonary mechanics and energetics such as compliance, resistance and respiratory drive, and measurement of lung volum...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Reiterer F,Kuttnig-Haim M,Müller W

    更新日期:1994-01-01 00:00:00

  • Assessing serum albumin concentration, lymphocyte count and prognostic nutritional index might improve prognostication in patients with myelofibrosis.

    abstract:BACKGROUND:Primary and secondary myelofibrosis (PMF and SMF) are malignant diseases of hematopoietic stem cell characterized by the neoplastic myeloproliferation and a strong inflammatory milieu. The prognostic nutritional index (PNI) integrates information on albumin and absolute lymphocyte count (ALC) and reflects th...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-018-1318-z

    authors: Lucijanic M,Veletic I,Rahelic D,Pejsa V,Cicic D,Skelin M,Livun A,Tupek KM,Stoos-Veic T,Lucijanic T,Maglicic A,Kusec R

    更新日期:2018-02-01 00:00:00

  • [Correlation of skinfold thickness with bone density and estradiol, FSH and prolactin level in a sample of 231 women].

    abstract::Skin thickness was measured by means of ultrasound and correlated with the results of bone densitometry and hormonal parameters. Skin thickness and bone density were significantly correlated (p < 0.0001). These results indicated that not only bone, but also skin is a hormone-dependent organ, which responds to the meno...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Gruber D,Sator M,Frigo P,Knogler W,Huber JC

    更新日期:1995-01-01 00:00:00

  • [Moducrin--a new combined preparation in the treatment of hypertension (author's transl)].

    abstract::A product combining 25 mg hydrochlorothiazide, 2.5 mg amiloride hydrochloride and 10.0 mg timolol maleate (Moducrin) was tested in 20 previously untreated hypertensive persons. The systolic blood pressure before treatment was 199.1 +/- 24.8 mmg Hg and after treatment 149.1 +/- 19.1 mm Hg. Diastolic blood pressure show...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Prachar H,Nobis H,Pollak H,Enenkel W

    更新日期:1981-08-07 00:00:00

  • [The effect of calf blood dialysate on the excretion of estriol in placental insufficiency].

    abstract::The efficacy of a dialysate of calf blood in the treatment of chronic placental insufficiency is assessed using the urinary oestriol elimination as parameter. Compared with a control group, those cases receiving 2 times 250 ml protein-free dialysate of calf blood (Solcoseryl) in saline solution over 9 days showed a si...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 临床试验,杂志文章

    doi:

    authors: Bernaschek G,Spernol R,Schaller A

    更新日期:1984-04-13 00:00:00

  • [Infrarenal aortic aneurysm: results of surgical treatment].

    abstract::Between 1976 and 1987 93 patients with an infrarenal aortic aneurysm underwent surgical correction. In 62 patients the procedure was performed electively, whilst 13 displayed an unstable aneurysm and in 18 cases a ruptured aneurysm was present at operation. During the past 5 years the mortality was lowered to 2% in el...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Deutsch M,Holzinger C,Krisch B,Magometschnigg H,Fasol R,Zilla P,Schwarz C,Staudacher M

    更新日期:1989-01-20 00:00:00

  • [Meconium peritonitis: intrauterine follow-up--postnatal outcome].

    abstract::In nine patients with meconium peritonitis prenatal ultrasonographic findings were correlated with the clinical course and outcome. Ultrasound findings included polyhydramnion (n = 4), ascites (n = 4), disseminated (n = 3) and solitary echogenic areas (n = 1), echopoor cystic areas (n = 3) and echogenic-echopoor solit...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Möslinger D,Chalubinski K,Radner M,Weninger M,Rokitansky A,Bernaschek G,Pollak A

    更新日期:1995-01-01 00:00:00

  • [Systemic candidiasis in the severely burned patient (author's transl)].

    abstract::As a result of progress in the modern treatment of burns, systemic candidosis (CA), in the sense of "surviving mycoses", has become increasingly frequent. The site of entry is not usually the wound, but the intestinal tract, which becomes overgrown by the yeasts as a consequence of the requisite therapy with antibacte...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Male O,Diem E

    更新日期:1976-11-12 00:00:00

  • [Rationale for bone marrow examination in patients with inflammatory rheumatic diseases].

    abstract:OBJECTIVE:Inflammatory rheumatic diseases and the applied immunosuppressive treatments can lead to bone marrow depressions and promote hematologic malignancies. Our objective was to explore indications for and results of bone marrow examinations in a large cohort. METHODS:Between 1990 and 2004 146 bone marrow examinat...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-009-1264-x

    authors: Richter JG,Gossen P,Germing U,Blum S,Hildebrandt B,Braunstein S,Huscher D,Schneider M

    更新日期:2009-01-01 00:00:00

  • [Experimental investigations on the effect of various doses of streptokinase on blood viscosity (author's transl)].

    abstract::The decrease in blood viscosity induced by streptokinase (SK) in the present investigation in proportional to the streptokinase concentration up to a concentration of 2000 IE/ml blood. A maximum decrease in viscosity is attained with a dosage of between 200 and 300 IE/ml blood. The decrease in viscosity is already cle...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Ambrosch F,Benda L,Redtenbacher L

    更新日期:1977-05-13 00:00:00

  • Endovascular treatment of delayed hemorrhage developing after the pancreaticoduodenectomy procedure.

    abstract:AIM AND BACKGROUND:Delayed hemorrhage after pancreaticoduodenectomy (PD) is still one of the most common causes of mortality. However, the case series regarding interventional treatment of delayed hemorrhage after PD are limited. In this retrospective study, we aimed to evaluate functional outcomes of interventional tr...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-014-0557-x

    authors: Adam G,Tas S,Cinar C,Bozkaya H,Adam F,Uysal F,Resorlu M,Unalp OV,Parildar M,Koçak E,Ozdemir H

    更新日期:2014-07-01 00:00:00

  • Individual cognitive changes in subjective cognitive decline, mild cognitive impairment and Alzheimer's disease using the reliable change index methodology.

    abstract:OBJECTIVE:The development of Alzheimer's disease (AD) can be assessed using the neuropsychological test battery Vienna (NTBV). The objective of this study was to investigate whether the NTBV test scores of a diagnostic group have changed significantly over time and whether this change is due to disease progression. ME...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-020-01755-1

    authors: Rosas AG,Stögmann E,Lehrner J

    更新日期:2020-10-23 00:00:00

  • Imaging of atherosclerosis (Part I).

    abstract::Atherosclerosis is the leading cause of morbidity and mortality in the Western World. Standard imaging techniques such as angiography, ultrasonography and computed tomography are still not effective in detecting atheromatous plaques in their early stages of development, when the lesions are most metabolically active a...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Kritz H,Underwood SR,Sinzinger H

    更新日期:1996-01-01 00:00:00

  • New technologies for vaccines.

    abstract::The impact of vaccination on the health of the world's people has been considerable. With the possible exception of clean water, no other development has had such a major effect on mortality reduction and population growth. During the last 200 years vaccination has controlled nine major diseases and has led to the era...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Dorner F,Eibl J,Barrett PN

    更新日期:1999-03-12 00:00:00

  • [Influence of an iodine-drinking cure on the antioxidative status of diabetic patients].

    abstract::The influence of a 4 week course of balneotherapeutic treatment in Bad Hall on different blood parameters and on the activity of the antioxidative enzymes glutathione peroxidase (GSH-Px), catalase and superoxide dismutase (SOD) was examined in diabetics. The patients were divided into 2 groups. One group underwent an ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Moser M,Buchberger W,Mayer H,Winkler R

    更新日期:1991-01-01 00:00:00

  • [Nocturnal noninvasive ventilation of children and adolescents with neuromuscular diseases: effect on sleep and symptoms].

    abstract:AIM:Sleep disordered breathing (SDB) is an inevitable complication of progressive neuromuscular disorders (NMD). Aim of the study was to prospectively investigate the impact of three months of non-invasive ventilation (NIV) on sleep and SDB-associated symptoms in children and adolescents with advanced NMD. METHODS:Twe...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/BF03040405

    authors: Mellies U,Dohna-Schwake C,Ragette R,Teschler H,Voit T

    更新日期:2003-12-30 00:00:00