Evaluation of cardiac valves using multidetector CT.

abstract：:To whatever extent the improvement in symptoms and survival rendered by treatment with ACE inhibitors is attributable to their effects on the circulation and the kidneys, this benefit can be rescinded by concomitant administration of aspirin. Although some useful prostaglandin-independent actions may persist, shutting...

journal_title：Cardiology clinics

authors： Hall D

更新日期：2001-11-01 00:00:00

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

authors： Superko HR,Haskell WH

更新日期：1987-05-01 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：: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：: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

authors： Mazine A,El-Hamamsy I

更新日期：2020-02-01 00:00:00

abstract：:Besides the anatomoclinical correlates of disturbances in impulse formation and conduction, this article also considers the three mechanisms now known to underlie tachyarrhythmias: focally enhanced automaticity, triggered activity, and, in particular, reentry. ...

journal_title：Cardiology clinics

authors： Rossi L

更新日期：1983-02-01 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：: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：: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：: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：: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：: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：:Surgical septal myectomy is the preferred method of septal reduction for most patients with obstructive hypertrophic cardiomyopathy whose symptoms do not respond to medical management. Transaortic extended septal myectomy has low operative mortality and provides durable relief of symptoms. Surgical treatment is possib...

journal_title：Cardiology clinics

authors： Nguyen A,Schaff HV

更新日期：2019-02-01 00:00:00

abstract：:Mechanical circulatory support using left ventricular assist devices (LVAD) has become an accepted mode of therapy for both bridging patients with end-stage heart failure to transplant and as a destination therapy. Right ventricular (RV) dysfunction is common after LVAD insertion and is a significant source of morbidi...

journal_title：Cardiology clinics

authors： Kaczorowski DJ,Woo YJ

更新日期：2011-11-01 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：:Targeted ultrasound imaging uses acoustically active contrast agents bearing a ligand on the surface that binds to a function-specific molecule. These ultrasound contrast agents are typically gas-filled microbubbles, nongaseous liposomes, or lipid-encapsulated perfluorocarbon emulsions. Binding of the contrast agent t...

journal_title：Cardiology clinics

authors： Villanueva FS,Wagner WR,Vannan MA,Narula J

更新日期：2004-05-01 00:00:00

abstract：:In the 1960s, when LVADs and TAHs were introduced into clinical use, researchers estimated that, with this technology, the problem of heart failure could be solved within 20 years. Unfortunately, the evolution of these devices has taken much longer than anticipated. Nevertheless, significant advances have been achieve...

journal_title：Cardiology clinics

authors： Frazier OH

更新日期：2003-02-01 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：:Apoptosis consists of a complex set of biochemical events initiated by an array of different stimuli and enzymatic pathways. There is a set of common morphologic and biochemical features of apoptosis that could be exploited as hot or cold targets to image cardiovascular apoptosis. First, the authors review the potenti...

journal_title：Cardiology clinics

authors： Blankenberg FG,Strauss HW

更新日期：2001-02-01 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：: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 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：: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

authors： Weber KT,Janicki JS

更新日期：1989-02-01 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：:The electrocardiographic diagnosis of myocardial infarction (MI) in the presence of left bundle branch block (LBBB) has long been considered problematic or even almost impossible. Many proposed ECG markers in the old literature have now been discarded. However, the advent of reperfusion therapy has generated greater i...

journal_title：Cardiology clinics

authors： Barold SS,Herweg B

更新日期：2006-08-01 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：:Over the last 2 decades human immunodeficiency virus (HIV) infection has become a chronic disease requiring long-term management. Aging, antiretroviral therapy, chronic inflammation, and several other factors contribute to the increased risk of cardiovascular disease in patients infected with HIV. In low-income and mi...

journal_title：Cardiology clinics

authors： Bloomfield GS,Leung C

更新日期：2017-02-01 00:00:00

abstract：:Treatment of coronary bifurcation lesions represents a challenging area in interventional cardiology, but recent advances in percutaneous coronary interventions have led to a dramatic increase in the number of patients successfully treated percutaneously. When compared with nonbifurcation interventions, bifurcation in...

journal_title：Cardiology clinics

authors： Sharma SK,Kini AS

更新日期：2006-05-01 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：: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