The pathology of acute myocardial infarction: definition, location, pathogenesis, effects of reperfusion, complications, and sequelae.

abstract：:Diabetes and the metabolic syndrome, including insulin resistance, that underlies it are hyper-coagulable states. Increased platelet reactivity,augmented activity of the coagulation system,and impaired fibrinolysis are characteristic and understood to a remarkable extent. In aggregate,these derangements contribute to ...

journal_title：Cardiology clinics

authors： Sobel BE,Schneider DJ

更新日期：2004-11-01 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：: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：:Over the past several decades there has been enormous progress in the understanding of many electrophysiologic characteristics of the AVNRT circuit. Although a great number of questions have been resolved, several pertinent issues require further investigation. Medical treatment remains the most widely used therapeuti...

journal_title：Cardiology clinics

authors： Jazayeri MR,Sra JS,Akhtar M

更新日期：1993-02-01 00:00:00

abstract：:Evaluation of mitral regurgitation (MR) severity remains complex and challenging. An integrative approach to grading MR is recommended. The use of multiple Doppler methods should be used to help discriminate between grades of severity. Importantly, MR severity should always be considered in the context of clinical dat...

journal_title：Cardiology clinics

authors： Solis J,Piro V,Loughlin G,Vazquez de Prada JA

更新日期：2013-05-01 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：:Elevated blood pressure can be lowered safely in the vast majority of patients by selecting the single drug most likely to be efficacious in that patient. Skillful management with full knowledge of drug pharmacology should provide the patient with the maximum opportunity to benefit from normalization of blood pressure...

journal_title：Cardiology clinics

authors： Materson BJ

更新日期：1986-02-01 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：:When considering all the major series comparing the early and late results of mitral valve repair versus prosthetic or bioprosthetic mitral valve replacement, the operative mortality rate is slightly lower for patients undergoing valve reconstruction. Late survival is also superior after valve repair. Although these m...

journal_title：Cardiology clinics

authors： Yun KL,Miller DC

更新日期：1991-05-01 00:00:00

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

authors： Takata K,Di Bartolo BA,Nicholls SJ

更新日期：2018-05-01 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：:Exercise training can have a profound effect on cardiac structure. Recent evidence suggests that the greatest determinants of exercise-induced cardiac remodeling are the intensity, duration, and frequency of training. This also has overlap with athlete fitness. There are many additional factors that are important in d...

journal_title：Cardiology clinics

authors： Beaudry R,Haykowsky MJ,Baggish A,La Gerche A

更新日期：2016-11-01 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 have been significant advances in the diagnosis and treatment of the patient with mitral stenosis over the past two decades. Two-dimensional and Doppler echocardiography have supplanted the cardiac catheterization laboratory in the diagnosis and determination of the hemodynamic severity of the stenotic mitral va...

journal_title：Cardiology clinics

authors： Bruce CJ,Nishimura RA

更新日期：1998-08-01 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：: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：:The evaluation and management of volume status in patients with heart failure is a challenge for most clinicians. In addition, such an evaluation is possible only during a personal clinician-patient interface. The ability to acquire hemodynamic data continuously with the help of implanted devices with remote monitorin...

journal_title：Cardiology clinics

authors： Tallaj JA,Singla I,Bourge RC

更新日期：2011-05-01 00:00:00

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

authors： Proietti M,Lip GY

更新日期：2016-05-01 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：: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：: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：: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

authors： Elliott LP

更新日期：1983-11-01 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：: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：:Percutaneous transvenous balloon mitral valvuloplasty is a well-established alternative to surgical commissurotomy for selected symptomatic patients with rheumatic mitral stenosis. This procedure normally is performed with fluoroscopic guidance; however, even the experienced operator can be misled by radiographic land...

journal_title：Cardiology clinics

authors： Goldstein SA,Campbell AN

更新日期：1993-08-01 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：:The number of supporters of complete arch replacement in the surgery of acute type A aortic dissection has been steadily increasing as a result of cerebral perfusion techniques that enable the extension of safe circulatory arrest time. However, there is no agreement in the surgical community on an optimal surgical app...

journal_title：Cardiology clinics

authors： Urbanski PP,Lenos A,Schmitt R,Diegeler A

更新日期：2010-05-01 00:00:00

abstract：:Incident heart failure and the burden of hospitalization may be demonstrating a decline. However, as the population ages, the prevalence of heart failure continues to increase. Mortality among heart failure patients is increasingly due to non-cardiovascular causes. Current evidence-based therapy for heart failure has ...

journal_title：Cardiology clinics

authors： Mitter SS,Yancy CW

更新日期：2017-05-01 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：: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