Thrombolysis in acute myocardial infarction.

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：:Patients who have chest pain following the use of cocaine have become more common in emergency departments throughout the United States,with approximately 6% of these patients sustaining an acute MI. The authors have described the rationale for recommending aspirin, benzodiaze-pines, and nitroglycerin as first-line tr...

journal_title：Cardiology clinics

authors： Hollander JE,Henry TD

更新日期：2006-02-01 00:00:00

abstract：:Until recently, catheter-based radiofrequency ablation for atrial fibrillation was limited to palliative approaches of either atrioventricular node ablation or modification. It is now recognized that at least a proportion of patients with paroxysmal atrial fibrillation may be suitable for curative ablation of an under...

journal_title：Cardiology clinics

authors： Kalman JM,Scheinman MM

更新日期：1997-11-01 00:00:00

abstract：:There has been heightened interest in the design and role of preparticipation screening for high school and college athletes. An American Heart Association consensus panel, composed of cardiovascular specialists and other physician experts having extensive clinical experience with athletes of all ages as well as a leg...

journal_title：Cardiology clinics

authors： Maron BJ

更新日期：1997-08-01 00:00:00

abstract：:Chest pain is a common complaint in the emergency department, and it is the job of clinicians to rule out life-threatening diagnoses such as acute coronary syndrome. The history, physical examination, cardiac risk factors, electrocardiogram findings, and clinician judgment are often not enough to distinguish between c...

journal_title：Cardiology clinics

authors： Chang AM,Fischman DL,Hollander JE

更新日期：2018-02-01 00:00:00

abstract：:The overall management and prognosis of patients with acute myocardial infarction must take into account not only infarct size but also the site and locus of involvement as determined by electrocardiography. Transmural versus nontransmural infarction is discussed in relation to therapy and prognosis. ...

journal_title：Cardiology clinics

authors： Roberts R,Pratt CM

更新日期：1984-02-01 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：: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：:Because of constraints on the costs of providing medical care, cardiologists in the future will find themselves challenged to provide care for their patients in the most cost-effective manner possible. Although stress-echocardiography has been shown to compare favorably with other tests in diagnostic accuracy, data on...

journal_title：Cardiology clinics

authors： Marine JE,Freedberg KA,Davidoff R

更新日期：1999-08-01 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：: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：: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：:In cases of suspected acute coronary syndrome (ACS), rapid and accurate diagnosis is essential to establish effective evidence-based medical treatment. Patients' history, clinical examination, 12-lead electrocardiogram, and cardiac biomarkers are cornerstones in initial management. Since high-sensitivity cardiac tropo...

journal_title：Cardiology clinics

authors： Geyer M,Wild J,Münzel T,Gori T,Wenzel P

更新日期：2020-11-01 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：:Dilated cardiomyopathy is a heterogeneous disease, both clinically and genetically. Two genes responsible for X-linked DCM have been identified. Five genetic loci responsible for X-linked DCM have been identified. Five genetic loci responsible for autosomal dominant DCM have also been mapped but no genes identified so...

journal_title：Cardiology clinics

authors： Bachinski LL,Roberts R

更新日期：1998-11-01 00:00:00

abstract：:In conclusion, the findings of most recent studies show that moderate-intensity aerobic exercise training can lower BP in patients with stage 1 and 2 essential hypertension. The average reduction in BP is 10.5 mm Hg for systolic and 7.6 mm Hg for diastolic BP. The reductions do not appear to be gender- or age-specific...

journal_title：Cardiology clinics

authors： Kokkinos PF,Narayan P,Papademetriou V

更新日期：2001-08-01 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：: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：: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：:Percutaneous transluminal coronary angioplasty was first performed in a human coronary artery in 1977. In this article, we review the possible mechanisms of angioplasty, current indications for angioplasty, and complications of angioplasty including acute closure and restenosis. ...

journal_title：Cardiology clinics

authors： Cabin HS,Cleman MW

更新日期：1988-08-01 00:00:00

abstract：:Once considered dangerous and potentially life threatening, cardiac catheterization of the patient with pulmonary hypertension can be performed safely and provides essential information in the diagnosis and management of pulmonary hypertension. This article summarizes the modern techniques used for right-heart cathete...

journal_title：Cardiology clinics

authors： Guillinta P,Peterson KL,Ben-Yehuda O

更新日期：2004-08-01 00:00:00

abstract：:The AbioCor is a revolutionary device. It is the only device of its kind in the clinical world. The role of the AbioCor is to provide permanent replacement of the failing heart for patients who are not transplant candidates. The clinical trial has been successful in the majority (four of seven) of patients implanted t...

journal_title：Cardiology clinics

authors： Samuels LE,Dowling R

更新日期：2003-02-01 00:00:00

abstract：:The goal of anticoagulant therapy in unstable angina is to prevent progression of a subocclusive coronary thrombus to complete occlusion of the coronary artery, thereby preventing myocardial infarction and death. Although these have been many advances in therapy with anticoagulants, considerable morbidity and mortalit...

journal_title：Cardiology clinics

authors： Choy JB,Armstrong PW

更新日期：1999-05-01 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：:Following the development of the first automated methods in the 1980s, quantitative coronary angiography (QCA) has undergone substantial evolution from simplistic computer-assisted methods of visual interpretation of coronary angiograms to recently introduced three-dimensional reconstruction and quantitative analysis ...

journal_title：Cardiology clinics

authors： Pantos I,Efstathopoulos EP,Katritsis DG

更新日期：2009-08-01 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

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 role of heart catheterization continues to evolve as the sophistication of cardiac MRI and CT improves and the breadth of interventional catheter techniques widens. This analysis is approached from four perspectives: (1) planning of the procedure, including information required, potential pitfalls, and equipment; ...

journal_title：Cardiology clinics

authors： McLaughlin P,Benson L,Horlick E

更新日期：2006-11-01 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：: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