Non-ST-Segment Acute Coronary Syndromes.

Abstract:

:Acute coronary syndrome (ACS) represents an umbrella of ischemic myocardial disease and diagnoses encompassing unstable angina (UA), non-ST-elevation myocardial infarction (NSTEMI), and ST-elevation myocardial infarction (STEMI). UA and NSTEMI for all intents and purposes, share similar pathophysiology, but at increasing severity. This article focuses on the diagnosis, risk stratification, management, and strategies that impact outcomes in NSTEMI.

journal_name

Cardiol Clin

journal_title

Cardiology clinics

authors

Hedayati T,Yadav N,Khanagavi J

doi

10.1016/j.ccl.2017.08.003

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

37-52

issue

1

eissn

0733-8651

issn

1558-2264

pii

S0733-8651(17)30084-X

journal_volume

36

pub_type

杂志文章,评审
  • Risk profiles and cardiovascular preparticipation screening of competitive athletes.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8651(05)70353-2

    authors: Maron BJ

    更新日期:1997-08-01 00:00:00

  • Anatomy and physiology of the right ventricle.

    abstract::Under normal baseline conditions the unique anatomy, myocardial ultrastructure, and coronary physiology of the right ventricle (RV) reflect a high-volume low-pressure pump. Early work described the RV as a passive conduit with minimal pumping capability. It is now appreciated that through a mechanism of ventricular in...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2012.03.009

    authors: Dell'Italia LJ

    更新日期:2012-05-01 00:00:00

  • Prevention, diagnosis, and treatment of hypertensive heart disease.

    abstract::Hypertensive heart disease (HHD), a result of long-standing hypertension, is characterized by changes in the myocardial structure and function in the absence of other primary cardiovascular abnormalities. Although increased blood pressure is the initiating stimulus, neurohormonal factors, particularly the renin-angiot...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2010.07.005

    authors: Georgiopoulou VV,Kalogeropoulos AP,Raggi P,Butler J

    更新日期:2010-11-01 00:00:00

  • Procedures and Outcomes of Surgical Aortic Valve Replacement in Adults.

    abstract::The ideal aortic valve substitute remains elusive. Bioprosthetic valves are the replacement option of choice in elderly patients undergoing aortic valve replacement (AVR). When implanted in young and middle-aged adults, both bioprosthetic and mechanical valves are associated with excess mortality compared with the age...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2019.09.012

    authors: Mazine A,El-Hamamsy I

    更新日期:2020-02-01 00:00:00

  • Prognostic value of radionuclide exercise testing after myocardial infarction.

    abstract::Abnormal systolic ventricular function and persistent ischemia are sensitive indicators of poor prognosis following myocardial infarction. The use of exercise improves the utility of both radionuclide ventriculography and myocardial perfusion scintigraphy in the identification of postinfarction patients at high risk o...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Schocken DD

    更新日期:1984-08-01 00:00:00

  • Pathophysiology of cardiovascular disease and renal failure.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2005.03.002

    authors: Dikow R,Zeier M,Ritz E

    更新日期:2005-08-01 00:00:00

  • Excimer laser coronary angioplasty.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Ahmed WH,Bittl JA

    更新日期:1994-11-01 00:00:00

  • Tricuspid valve disease. Clinical evaluation, physiopathology, and management.

    abstract::The tricuspid and mitral valves are homologous whose function depends on coordination among components. Isolated tricuspid valve abnormalities are relatively uncommon. Rheumatic disease, chemicals, immunologic and degenerative disorders alter leaflet anatomy and may result in either stenosis, insufficiency or a combin...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8651(05)70031-x

    authors: Blaustein AS,Ramanathan A

    更新日期:1998-08-01 00:00:00

  • Thrombolysis in acute myocardial infarction.

    abstract::This is an extensive review of thrombolysis in myocardial infarction with discussions of the pathophysiology of occlusion, clinical occlusion and rationale for thrombolysis, thrombolytic agents, results of thrombolysis (incidence of reperfusion, left ventricular function, and mortality), complications of thrombolytic ...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Chesebro JH,Holmes DR,Mock MB,Gersh BG,Fuster V

    更新日期:1988-02-01 00:00:00

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

    abstract::Catheter ablation for atrial fibrillation in patients with heart failure with reduced ejection fraction is associated with improvement in patient-centered outcomes, such as mortality, heart failure readmission, and atrial fibrillation recurrence, compared with standard medical therapy with or without device therapy. T...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2019.01.004

    authors: Agasthi P,Tseng A,Lee JZ,Mulpuru SK

    更新日期:2019-05-01 00:00:00

  • The role of exercise training in the therapy of hyperlipoproteinemia.

    abstract::Exercise therapy is a valid therapeutic modality in patients with hyperlipoproteinemia (HLP). In combination with appropriate dietary modification, it can be a powerful therapeutic tool and may allow a reduction in hyperlipidemic medication doses. Improved triglyceride values and lipoprotein profiles can be obtained. ...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Superko HR,Haskell WH

    更新日期:1987-05-01 00:00:00

  • Programming of sensor driven pacemakers.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8651(05)70132-6

    authors: Strobel JS,Kay GN

    更新日期:2000-02-01 00:00:00

  • Evaluation of Chest Pain and Acute Coronary Syndromes.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2017.08.001

    authors: Chang AM,Fischman DL,Hollander JE

    更新日期:2018-02-01 00:00:00

  • Neurologic Events in Continuous-Flow Left Ventricular Assist Devices.

    abstract::Although the growing use of continuous-flow left ventricular assist devices (LVADs) has improved the survival and quality of life of patients with stage D heart failure, ischemic and hemorrhagic cerebrovascular accidents remain one of the most-feared complications of this therapy and a significant source of disability...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2018.06.007

    authors: Kadakkal A,Najjar SS

    更新日期:2018-11-01 00:00:00

  • Implantable hemodynamic monitors.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2011.03.002

    authors: Tallaj JA,Singla I,Bourge RC

    更新日期:2011-05-01 00:00:00

  • Lipid management in human immunodeficiency virus.

    abstract::The development and use of antiretroviral medications to treat patients infected with human immunodeficiency virus (HIV) has dramatically changed the course of this disease from one that was fatal to a chronic and more manageable condition. Recommendations and guidelines for the general population are presented in thi...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2015.01.003

    authors: Myerson M

    更新日期:2015-05-01 00:00:00

  • Mitral stenosis. Evaluation and guidance of valvuloplasty by transesophageal echocardiography.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Goldstein SA,Campbell AN

    更新日期:1993-08-01 00:00:00

  • Transesophageal echocardiographic (TEE) evaluation of ventricular function.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8651(05)70174-0

    authors: Skiles JA,Griffin BP

    更新日期:2000-11-01 00:00:00

  • Ventricular arrhythmias in heart failure: to treat or not to treat?

    abstract::The medical management of patients with CHF and ventricular arrhythmias is one of the most challenging clinical situations frequently encountered by physicians on a daily basis. Reviewed and examined in this article are available data regarding the clinical relevance and prevalence of ventricular arrhythmias, their pr...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Deedwania PC

    更新日期:1994-02-01 00:00:00

  • Chronic infection and coronary artery disease.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8651(03)00054-7

    authors: Muhlestein JB,Anderson JL

    更新日期:2003-08-01 00:00:00

  • Lipids and Lipoproteins in Risk Prediction.

    abstract::Ischemic heart disease remains the leading cause of death worldwide. Low-density lipoprotein cholesterol (LDL-C) has proved to have a causal relationship with atherosclerotic cardiovascular disease. Lowering LDL-C improves outcomes, although some patients continue to have residual risk of cardiovascular disease. Cardi...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2017.12.002

    authors: Hadjiphilippou S,Ray KK

    更新日期:2018-05-01 00:00:00

  • Update on percutaneous transluminal coronary angioplasty.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Cabin HS,Cleman MW

    更新日期:1988-08-01 00:00:00

  • Ebstein Anomaly in the Adult Patient.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2020.04.004

    authors: Fuchs MM,Connolly HM

    更新日期:2020-08-01 00:00:00

  • Factors contributing to the emergence of coronary thrombolysis.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Tiefenbrunn AJ,Sobel BE

    更新日期:1987-02-01 00:00:00

  • Perspectives on optimizing trial design and endpoints in peripheral arterial disease: a case for imaging-based surrogates as endpoints of functional efficacy.

    abstract::Surrogate endpoints are important for validation of mechanism, early proof of concept, and the rational design of clinical trials for regulatory approval of drugs. The recent failure of several drugs in peripheral arterial disease (PAD) and in atherosclerosis highlights the importance of understanding drug effect and ...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccl.2011.04.002

    authors: Rajagopalan S,Mihai G

    更新日期:2011-08-01 00:00:00

  • Normal and abnormal rhythms associated with dual-chamber pacemakers.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Levine PA

    更新日期:1985-11-01 00:00:00

  • Management of intermittent claudication.

    abstract::Medical management of PAD is a considerable challenge. Although patients typically present with IC, there is a substantial pool of subclinical PAD patients. PAD, whether symptomatic or not, confers a marked cardiovascular risk; with affected patients dying of heart attack or stroke, identification of index patients an...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8651(02)00089-9

    authors: Brook RD,Weder AB,Grossman PM,Rajagopalan S

    更新日期:2002-11-01 00:00:00

  • Clinical approach to infective endocarditis.

    abstract::The epidemiology of IE has evolved over the past 50 years. Mitral valve prolapse and degenerative valvular disease have replaced rheumatic heart disease as the most common predisposing conditions. The average age of patients with IE has increased, and nosocomially acquired cases are becoming more common. Although viri...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8651(05)70289-7

    authors: Saccente M,Cobbs CG

    更新日期:1996-08-01 00:00:00

  • Pathogenesis of heart failure.

    abstract::The myocardium consists of three compartments: cardiac muscle cells; a nutritive microcirculation; and an extracellular matrix composed largely of fibrillar collagen. The hypertrophic remodeling of the myocardium, which involves each of these compartments, can be adaptive or pathologic. This article reviews the remode...

    journal_title:Cardiology clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Weber KT,Janicki JS

    更新日期:1989-02-01 00:00:00

  • Evaluation of plaque morphology by coronary CT angiography.

    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

    pub_type: 杂志文章

    doi:10.1016/j.ccl.2011.10.002

    authors: Fujimoto S,Kondo T,Narula J

    更新日期:2012-02-01 00:00:00