The role of cardiac catheterization in adult congenital heart disease.

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：:Although the long-term durability of stent grafts is still a concern, stent-graft treatment is already the best option in a large number of patients with descending thoracic aortic diseases who are poor candidates for surgical repair, or in an acute setting. With improved capability to recognize proper anatomy and sel...

journal_title：Cardiology clinics

authors： Fattori R

更新日期：2010-05-01 00:00:00

abstract：:Evaluation of mitral regurgitation (MR) severity remains complex and challenging. An integrative approach to grading MR is recommended. The use of multiple Doppler methods should be used to help discriminate between grades of severity. Importantly, MR severity should always be considered in the context of clinical dat...

journal_title：Cardiology clinics

authors： Solis J,Piro V,Loughlin G,Vazquez de Prada JA

更新日期：2013-05-01 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：:A syncope evaluation should start by identifying potentially life-threatening causes, including valvular heart disease, cardiomyopathies, and arrhythmias. Most patients who present with syncope, however, have the more benign vasovagal (reflex) syncope. A busy syncope practice often also sees patients with neurogenic o...

journal_title：Cardiology clinics

authors： Nwazue VC,Raj SR

更新日期：2013-02-01 00:00:00

abstract：:In conclusion, the findings of most recent studies show that moderate-intensity aerobic exercise training can lower BP in patients with stage 1 and 2 essential hypertension. The average reduction in BP is 10.5 mm Hg for systolic and 7.6 mm Hg for diastolic BP. The reductions do not appear to be gender- or age-specific...

journal_title：Cardiology clinics

authors： Kokkinos PF,Narayan P,Papademetriou V

更新日期：2001-08-01 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：:Valvular heart disease (VHD) is generally well tolerated during pregnancy; however, the dramatic changes in hemodynamics that occur during pregnancy can lead to clinical decompensation in high-risk women. Women with VHD considering pregnancy should undergo preconception counseling with a high-risk obstetrician and car...

journal_title：Cardiology clinics

authors： Lewey J,Andrade L,Levine LD

更新日期：2021-02-01 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：:This article briefly reviews the background and rationale for the development of polymer paving. The process of endoluminal paving is described both in its generic form as well as in three experimental embodiments. Several experimental studies with two forms of paving, solid paving and gel paving, are reviewed. Finall...

journal_title：Cardiology clinics

authors： Slepian MJ

更新日期：1994-11-01 00:00:00

abstract：:Following the development of the first automated methods in the 1980s, quantitative coronary angiography (QCA) has undergone substantial evolution from simplistic computer-assisted methods of visual interpretation of coronary angiograms to recently introduced three-dimensional reconstruction and quantitative analysis ...

journal_title：Cardiology clinics

authors： Pantos I,Efstathopoulos EP,Katritsis DG

更新日期：2009-08-01 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：: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：:A number of therapeutic agents, foods, chemicals, and poisons have been associated with the development or exacerbation of hypertension. This review discusses those identified in recent years. ...

journal_title：Cardiology clinics

authors： Oren S,Grossman E,Messerli FH,Frohlich ED

更新日期：1988-11-01 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：:With recent technical and clinical advances, adenosine stress perfusion MRI has evolved from a promising research tool to an everyday clinical test. This article reviews the current state of stress perfusion MRI. Specifically, it addresses the following topics: validation of stress perfusion MRI in preclinical studies...

journal_title：Cardiology clinics

authors： Kim HW,Klem I,Kim RJ

更新日期：2007-02-01 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：:Assessment of HRV through time domain variables is a simple and practical method of assessing autonomic function. In this capacity its utility has been demonstrated in normal subjects and in diverse cardiac and noncardiac pathologic states. It can be used to assess the effects of drugs and other interventions, includi...

journal_title：Cardiology clinics

authors： Kleiger RE,Stein PK,Bosner MS,Rottman JN

更新日期：1992-08-01 00:00:00

abstract：:Although it is convenient to think of hypertension in its renal, epidemiologic, and vascular eras, a new perspective is rapidly coming to the forefront. As we become more critical in evaluating the performance of our health care systems, it is obvious that the major problems in hypertension do not lie entirely with un...

journal_title：Cardiology clinics

authors： Weber MA

更新日期：1995-11-01 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：: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 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：: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

authors： Skiles JA,Griffin BP

更新日期：2000-11-01 00:00:00

abstract：:Given the rapid evolution of cardiovascular medicine, clinicians must sift through an enormous array of information about new therapies in order to determine how best to treat patients with ischemic heart disease. They should first consider the evidence from randomized clinical trials, because these trials eliminate b...

journal_title：Cardiology clinics

authors： Califf RM

更新日期：1995-08-01 00:00:00

abstract：:Cardiovascular drugs are often used in pregnancy for the treatment of maternal and fetal conditions. The complex physiologic changes occurring during pregnancy may significantly affect the pharmacokinetics of many drugs and, consequently, the toxicity and therapeutic response. Of special concern are the effects of mat...

journal_title：Cardiology clinics

authors： Widerhorn J,Rubin JN,Frishman WH,Elkayam U

更新日期：1987-11-01 00:00:00

abstract：:Optimum arrhythmia management has evolved to couple ICD therapy with catheter ablative and drug therapy to attempt to eliminate or reduce arrhythmia risk. No longer should the clinician approach such therapy as a choice among single alternative strategies only. Optimum patient management includes not only recognition ...

journal_title：Cardiology clinics

authors： Marchlinski FE,Zado ES,Callans DJ,Patel VV,Ashar MS,Hsia HH,Russo AM

更新日期：2000-05-01 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

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：: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：: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