Syncope: evaluation and management. A review of current approaches to this multifaceted and complex clinical problem.

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：:Subaortic stenosis can be a complex disease of multiple anatomic etiologies. At the core is either an elongated and narrow outflow tract as compared to normal or a fully muscle-rimmed VSD used as an intraventricular routing pathway. An array of treatment modalities is needed for an effective management strategy. ...

journal_title：Cardiology clinics

authors： Van Arsdell G,Tsoi K

更新日期：2002-08-01 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：: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：: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：: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：:The most important factor in the interpretation of any heart lesion is the radiographic appearance of the pulmonary vessels (vascularity) and lung parenchyma. The author discusses several abnormalities; he focuses particularly on pulmonary venous hypertension. ...

journal_title：Cardiology clinics

authors： Elliott LP

更新日期：1983-11-01 00:00:00

abstract：:The majority of individuals with diabetes die from cardiovascular disease (CVD) and related complications. The risk of CVD is 2 to 4 fold greater in diabetes and largely magnified by co-morbidities that aggregate along with it. Sufficient evidence-based data now exist to support multifactorial risk intervention with s...

journal_title：Cardiology clinics

authors： Srikanth S,Deedwania P

更新日期：2011-02-01 00:00:00

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

authors： Muhlestein JB,Anderson JL

更新日期：2003-08-01 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：:In this era of interventional electrophysiology, the accuracy of the electrocardiogram in diagnosis of supraventricular tachycardia could be improved by detailed endocardial mapping and confirmed by results of radiofrequency catheter ablation. This article describes the electrocardiographic characteristics for differe...

journal_title：Cardiology clinics

authors： Chen SA,Tai CT,Chiang CE,Chang MS

更新日期：1997-11-01 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：:An appreciation of the existence of circadian variation in association with the onset of acute coronary disease and of the public health and clinical implications of this temporal nonrandom disease occurrence with possible precipitating factors has been gained only over the past decade. Data providing support for the ...

journal_title：Cardiology clinics

authors： Goldberg RJ

更新日期：1996-05-01 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：: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：:Despite tremendous progress made in the management of CHD, a significant number of fatal and nonfatal CHD events still occur, which leads researchers to target other modifiable risk factors for CHD including low HDL-c (high density lipoprotein cholesterol). Although the torcetrapib experience was a major blow to CETP ...

journal_title：Cardiology clinics

authors： Neeli H,Rader DJ

更新日期：2008-11-01 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：:Carcinoid heart disease is the collective term for all cardiac manifestations that develop in patients with carcinoid. The cardiac manifestations of carcinoid tumors are attributed to the paraneoplastic effects of vasoactive substances released by the malignant cells. The clinical manifestations of carcinoid heart dis...

journal_title：Cardiology clinics

authors： Perry D,Hayek SS

更新日期：2019-11-01 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：: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：: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

authors： Rajagopalan S,Mihai G

更新日期：2011-08-01 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 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：: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：:The merits of Holter monitor recording, intermittent event recording, and transtelephonic recording are stated, the equipment used for each method is described, and the type of data obtained is analyzed. ...

journal_title：Cardiology clinics

authors： Smith MS,Pritchett EL

更新日期：1983-05-01 00:00:00

abstract：:Exercise training can have a profound effect on cardiac structure. Recent evidence suggests that the greatest determinants of exercise-induced cardiac remodeling are the intensity, duration, and frequency of training. This also has overlap with athlete fitness. There are many additional factors that are important in d...

journal_title：Cardiology clinics

authors： Beaudry R,Haykowsky MJ,Baggish A,La Gerche A

更新日期：2016-11-01 00:00:00

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：: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：:In recent years many guidelines on the treatment of specific medical conditions have been published with the goal of advising physicians, promoting good clinical care, and achieving a degree of equity and equality in the delivery of care. Differences exist between European and American guidelines for the management of...

journal_title：Cardiology clinics

authors： Poole-Wilson PA

更新日期：2008-02-01 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