Fontan Repair of Single Ventricle Physiology: Consequences of a Unique Physiology and Possible Treatment Options.

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：: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 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：:To overcome the not negligible metallic drug-eluting stents adverse events rate, the polymeric or metallic bioresorbable scaffolds were designed to provide early drug delivery and mechanical support followed by complete resorption. However, the long-term evidence, focusing on the leading Absorb BVS technology, showed ...

journal_title：Cardiology clinics

authors： Masiero G,Rodinò G,Matsuda J,Tarantini G

更新日期：2020-11-01 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：: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：: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：:Significant advances have been made in understanding the pathogenesis and clinical physiology of primary hypertension. This article presents an overview of the physiology of normal blood pressure control and the pathophysiologic mechanisms that predispose individuals and populations to primary hypertension. The role o...

journal_title：Cardiology clinics

authors： Singh M,Mensah GA,Bakris G

更新日期：2010-11-01 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：: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：: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：: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：: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：: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：: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

authors： Schocken DD

更新日期：1984-08-01 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：: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：: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：:Several studies have indicated that women sustaining a myocardial infarction have a higher unadjusted short-term (i.e., in-hospital or 30-day) mortality than men. The advanced age of women at the time of presentation appears to be the major factor contributing to their worse prognosis relative to men. Controlling for ...

journal_title：Cardiology clinics

authors： Nohria A,Vaccarino V,Krumholz HM

更新日期：1998-02-01 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：: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：:Peripheral atherosclerotic aneurysms occur primarily in elderly men. Major complications are arterial thromboembolism with ischemia of the limb and, rarely, rupture of the aneurysm. Vascular reconstruction is associated with a low mortality, and operation is recommended. These aneurysms are often associated with arter...

journal_title：Cardiology clinics

authors： Breslin DJ,Jewell ER

更新日期：1991-08-01 00:00:00

abstract：:The field of defibrillation is one of the most rapidly advancing areas in resuscitation. Defibrillation is also one of the most promising interventions for achieving improved survival from cardiac arrest. The purpose of this article is to provide an overview of the science and clinical applications of defibrillation. ...

journal_title：Cardiology clinics

authors： Peberdy MA

更新日期：2002-02-01 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：: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：:Coronary artery bypass grafting (CAGB) is superior to percutaneous coronary intervention (PCI) in reducing mortality in certain patients and improving the composite end points of angina, recurrent myocardial infarction, and repeat revascularization procedures. However, CABG is associated with a higher perioperative st...

journal_title：Cardiology clinics

authors： Kappetein AP,van Mieghem NM,Head SJ

更新日期：2014-08-01 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：:Myocardial systolic contractile dysfunction can occur despite preservation of myocardial viability, conditions referred to as myocardial 'stunning' or 'hibernation.' Because simple assessment of wall motion does not adequately distinguish nonviable from viable but noncontracting myocardial regions, clinicians require ...

journal_title：Cardiology clinics

authors： Gimple LW,Beller GA

更新日期：1994-05-01 00:00:00

abstract：:Magnetic resonance imaging is unique in its variety of applications for imaging the cardiovascular system. A thorough assessment of myocardial structure, function, and perfusion; assessment of coronary artery anatomy and flow; and spectroscopic evaluation of cardiac energetics can be readily performed by magnetic reso...

journal_title：Cardiology clinics

authors： Kramer CM

更新日期：1998-05-01 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