Atrial Fibrillation Ablation Should Be First-line Therapy in Patients with Heart Failure Reduced Ejection Fraction.

abstract：:The indications for clinical electrophysiologic study have continued to evolve since the introduction of this technique in the mid 1960s. They now include evaluation of sinus node dysfunction, AV conduction disturbances, syncope of unknown etiology, supraventricular arrhythmias with and without Wolff-Parkinson-White s...

journal_title：Cardiology clinics

authors： Horowitz LN

更新日期：1985-02-01 00:00:00

abstract：:Although direct angioplasty may have been undervalued in the past, its utility in the treatment of acute coronary occlusion is now firmly established, and it unquestionably will remain an integral component of myocardial reperfusion therapy. As refinements in angioplasty equipment, cardiovascular support techniques, a...

journal_title：Cardiology clinics

authors： Horrigan MC,Topol EJ

更新日期：1995-08-01 00:00:00

abstract：:Cardiac CT is an accurate and reasonable alternative modality for valvular imaging. It is used primarily for the evaluation of coronary artery disease; however, important information regarding valvular anatomy and function can be derived from CT. Calcification is a common CT finding in various valvular abnormalities a...

journal_title：Cardiology clinics

authors： Gaztanaga J,Pizarro G,Sanz J

更新日期：2009-11-01 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：: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

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：: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：: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：: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：: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：:Coronary computed tomographic angiography (CTA) is a promising noninvasive tool that allows the visualization of plaque morphology. Plaques characterized by positive remodeling, low attenuation, and napkin ring circular enhancement on contrast-enhanced coronary CTA have been regarded as rupture-prone vulnerable plaque...

journal_title：Cardiology clinics

authors： Fujimoto S,Kondo T,Narula J

更新日期：2012-02-01 00:00:00

abstract：:Chest pain units are now established centers for assessment of low-risk patients presenting to the emergency department with symptoms suggestive of acute coronary syndrome. Accelerated diagnostic protocols, of which treadmill testing is a key component, have been developed within these units for efficient evaluation o...

journal_title：Cardiology clinics

authors： Amsterdam EA,Kirk JD,Diercks DB,Lewis WR,Turnipseed SD

更新日期：2005-11-01 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：:ACC Stage C heart failure includes those patients with prior or current symptoms of heart failure in the context of an underlying structural heart problem who are primarily managed with medical therapy. Although there is guideline-based medical therapy for those with heart failure with reduced ejection fraction (HFrEF...

journal_title：Cardiology clinics

authors： Adigopula S,Vivo RP,DePasquale EC,Nsair A,Deng MC

更新日期：2014-02-01 00:00:00

abstract：: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 w...

journal_title：Cardiology clinics

authors： Kantor HL,Krishnan SC

更新日期：1995-05-01 00:00:00

abstract：:Acute decompensated heart failure (ADHF) is the most common cause of cardiovascular hospital admission; 1 in 4 patients with heart failure is readmitted within 30 days of being discharged, and ADHF consumes 1% to 2% of the total health care resources. The most effective approach for preventing heart failure hospitaliz...

journal_title：Cardiology clinics

authors： Brown JR,Gottlieb SS

更新日期：2012-11-01 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：:In this article, the author sought to review the two primary components of diastolic function that are most directly and accurately determined using invasive methodologies. For chamber relaxation this is optimally achieved using a micromanometer catheter, whereas for chamber compliance (or its inverse stiffness) this ...

journal_title：Cardiology clinics

authors： Kass DA

更新日期：2000-08-01 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：:Heart-kidney interactions have been increasingly recognized by clinicians and researchers who study and treat heart failure and kidney disease. A classification system has been developed to categorize the different manifestations of cardiac and renal dysfunction. Work has highlighted the significant negative prognosti...

journal_title：Cardiology clinics

authors： Udani SM,Koyner JL

更新日期：2010-08-01 00:00:00

abstract：:This article discusses exercise testing in valvular heart disease, hypertension, and the evaluation of patients for surgery. It also provides information on the effects of drugs on the exercise test and the clinical significance of block patterns and arrhythmias encountered during exercise. ...

journal_title：Cardiology clinics

authors： Ellestad MH

更新日期：1993-05-01 00:00:00

abstract：:The initial evaluation of patients with transient loss of consciousness (LOC) comprises a detailed medical history, physical examination, and 12-lead electrocardiogram. Because there are many causes of syncopal and nonsyncopal LOC, an adequate method of taking the clinical history, which is the cornerstone of diagnosi...

journal_title：Cardiology clinics

authors： Alboni P,Coppola P,Stucci N

更新日期：2015-08-01 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

abstract：:Hypertrophic cardiomyopathy is a genetic heart disease with heterogeneous clinical features, including progression to advanced heart failure. The development of these symptoms can be related to outflow obstruction but in some patients reflects an underlying process of fibrosis and progressive ventricular dysfunction. ...

journal_title：Cardiology clinics

authors： Levine A,Gupta CA,Gass A

更新日期：2019-02-01 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：: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：: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：:This article discusses the epidemiology of cardiovascular (CV) events in end-stage and early renal disease, summarizes the profile of classic and nonclassic CV risk factors in renal patients, highlights recent evidence documenting accelerated atherogenesis in renal disease, and provides information on the central arte...

journal_title：Cardiology clinics

authors： Dikow R,Zeier M,Ritz E

更新日期：2005-08-01 00:00:00

abstract：:The majority of individuals with diabetes die from cardiovascular disease (CVD) and related complications. The risk of CVD is 2 to 4 fold greater in diabetes and largely magnified by co-morbidities that aggregate along with it. Sufficient evidence-based data now exist to support multifactorial risk intervention with s...

journal_title：Cardiology clinics

authors： Srikanth S,Deedwania P

更新日期：2011-02-01 00:00:00

abstract：:The chronotropic response is the most important means by which cardiac output is increased and oxygen delivery is maintained in response to increased oxygen consumption during exercise or stress. When the chronotropic response is suboptimal or absent, exercise intolerance results. This condition, called chronotropic i...

journal_title：Cardiology clinics

authors： Strobel JS,Kay GN

更新日期：2000-02-01 00:00:00