Cardiac transplantation.

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：:Despite the decline in rheumatic heart disease worldwide and the use of antibiotic prophylaxis, there is no evidence that the incidence of infective endocarditis is decreasing. In fact, some data suggest it may be increasing. The classical fever of unknown origin presentation represents a minority of infective endocar...

journal_title：Cardiology clinics

authors： Crawford MH,Durack DT

更新日期：2003-05-01 00:00:00

abstract：:Occlusion of the left atrial appendage (LAA) may reduce the risk of stroke in patients with atrial fibrillation (AF). Trials comparing LAA occlusion to warfarin anticoagulation in patients with nonvalvular AF showed a reduction in hemorrhagic stroke, although an increase in safety events due to procedural complication...

journal_title：Cardiology clinics

authors： Don CW,Fuller CJ,Reisman M

更新日期：2013-08-01 00:00:00

abstract：:Morphologic observations following transluminal balloon angioplasty are summarized from eight adult patients undergoing coronary or saphenous vein bypass graft angioplasty and from an infant with aortic valve stenosis angioplasty. Possible mechanisms of dilation injury and complications of balloon bursting are discuss...

journal_title：Cardiology clinics

authors： Waller BF,Gorfinkel HJ,Dillon JC,Girod DA,Rothbaum DA

更新日期：1984-11-01 00:00:00

abstract：:One hundred years ago, Augustus Desiré Waller recorded the human electrocardiogram for the first time, using a capillary electrometer. Electrocardiography only became clinically relevant in 1901 when Willem Einthoven devised his string galvanometer for this purpose. Sir Thomas Lewis was the key figure in showing the v...

journal_title：Cardiology clinics

authors： Krikler DM

更新日期：1987-08-01 00:00:00

abstract：:Stress-first approaches to myocardial perfusion imaging provide diagnostically and prognostically accurate perfusion data equivalent to a full rest-stress study, save time in the imaging laboratory, and reduce the radiation exposure to patients and laboratory staff. Converting a nuclear cardiology laboratory from a co...

journal_title：Cardiology clinics

authors： Hussain N,Parker MW,Henzlova MJ,Duvall WL

更新日期：2016-02-01 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：: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：:The increasing number of patients with both cardiac and renal disease makes it important for the clinician to bear in mind the effect of both renal failure and peritoneal or hemodialysis on the handling of drugs. Guidelines are available for specific medications; however, they must be used in the light of the patient'...

journal_title：Cardiology clinics

authors： Feinfeld DA,Frishman WH

更新日期：1987-11-01 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：:In the past, much attention in imaging research was focused on the macroscopic morphology and patency of arteries. Only recently, research and clinical interest have shifted to the microcirculation and its impact on the long-term prognosis in patients with vascular diseases. This focus and newly developed therapeutic ...

journal_title：Cardiology clinics

authors： Kantor B,Möhlenkamp S

更新日期：2003-11-01 00:00:00

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

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

更新日期：1988-02-01 00:00:00

abstract：:There are several methods available for the evaluation of patients with ventricular arrhythmia. The most effective approaches, however, involve the use of techniques that provide objective data. These include ambulatory monitoring and exercise testing (a noninvasive approach), and electrophysiologic testing (invasive)...

journal_title：Cardiology clinics

authors： Podrid PJ,Bumio F,Fogel RI

更新日期：1992-08-01 00:00:00

abstract：:This article describes the background and methodology of the published studies assessing the effects of cholesterol-lowering therapy and of treatment of multiple risk factors on the progression of coronary atherosclerosis. The results are then presented, followed by a discussion of the lessons that can be learned from...

journal_title：Cardiology clinics

authors： Waters D

更新日期：1996-02-01 00:00:00

abstract：:Chronic total coronary occlusions (CTOs) are a frequent finding in patients with coronary disease and remain one of the most challenging target lesion subsets for intervention. CTOs have been reported in approximately one-third of patients undergoing diagnostic coronary angiography. By nature of their complexity, CTO ...

journal_title：Cardiology clinics

authors： Galla JM,Whitlow PL

更新日期：2010-02-01 00:00:00

abstract：:Clinical trial results support the aggressive use of anticoagulant therapy to prevent systemic embolism in patients with acute myocardial infarction who are at high risk for embolism (e.g., anterior transmural infarction). Other patients at risk for systemic embolism include those with chronic left ventricular aneurys...

journal_title：Cardiology clinics

authors： Raskob GE,Comp PC

更新日期：1994-08-01 00:00:00

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

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

更新日期：2002-11-01 00:00:00

abstract：:Right ventricular (RV) failure is an increasingly common clinical problem that may require mechanical support. In contrast to severe left ventricular failure, RV failure is typically more reversible. Therefore, application of shorter-term percutaneous support devices is potentially attractive. Current innovations prom...

journal_title：Cardiology clinics

authors： Goldstein JA,Kern MJ

更新日期：2012-05-01 00:00:00

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：:Initially, transcatheter aortic valve replacement (TAVR) was only used in patients with severe symptomatic aortic stenosis and prohibitive risk for surgical aortic valve replacement. Subsequently, TAVR was extended to patients with high and intermediate surgical risk. Recently, the results of randomized trials in low-...

journal_title：Cardiology clinics

authors： Salaun E,Pibarot P,Rodés-Cabau J

更新日期：2020-02-01 00:00:00

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

authors： Hadjiphilippou S,Ray KK

更新日期：2018-05-01 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：: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：: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：: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

authors： Saccente M,Cobbs CG

更新日期：1996-08-01 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：: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

authors： Dell'Italia LJ

更新日期：2012-05-01 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：:The noninvasive assessment of patients who present with syncope is based on a thorough, complete history and physical examination. The history requires close attention to precipitating events and the description of the spell. Often, patients are poor historians with regard to symptoms leading up to and following the e...

journal_title：Cardiology clinics

authors： Hammill SC

更新日期：1997-05-01 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