解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Stress echocardiography has come a long way in the past ten to twelve years since it first began. There have been many procedural and technical advances. The results being obtained by those laboratories with active programs are very gratifying. Stress echocardiography is proving to be particularly valuable in women an...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1991-10-01 00:00:00
abstract::The clinical syndrome of congestive heart failure can result from inadequate myocardial contraction (systolic myocardial failure), from pseudo-heart failure due to circulatory overload, or from failure of the ventricles to fill at low pressure (diastolic myocardial failure). The presence of systolic or diastolic heart...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1991-09-01 00:00:00
abstract::The post-cardiac transplantation patient is frequently debilitated as a result of "end-stage" heart disease and typically demonstrates muscle wasting, with a reduced work capacity, maximum heart rate and peak oxygen uptake. At submaximal effort perceived exertion and ventilation are higher, and the absolute ventilator...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1991-08-01 00:00:00
abstract::This review summarizes the present knowledge concerning the hemodynamic and myocardial effects of various pacing modalities with special reference to the importance of heart rate variability and atrioventricular synchronization. An adequate increase in heart rate, irrespective of atrioventricular synchronization, seem...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1991-06-01 00:00:00
abstract::Diastolic function in coronary artery disease is modified to a variable extent. There are distinct abnormalities produced during acute ischemia, and following myocardial infarction. The pathophysiology of diastolic abnormalities in these two syndromes is reviewed. During acute ischemia filling pressures of the left ve...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1991-02-01 00:00:00
abstract::In order to understand the mechanics of left ventricular (LV) diastolic filling it has become important to understand the role of the pericardium. This is because it has been demonstrated that the LV pressure-volume relationship can be shifted by previously unrecognized changes in pericardial "pressure" and, therefore...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1990-12-01 00:00:00
abstract::There is only a limited number of studies available comparing the effectiveness of various combinations of anti-ischemic and antianginal substances in the same patients with coronary artery disease and stable angina pectoris and even these are restricted to either only a few drugs or a single point in time for testing...
journal_title:Herz
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1990-12-01 00:00:00
abstract::In congestive heart failure (CHF), even today, pharmacotherapy renders primarily only symptomatic improvement. The success of the treatment is basically dependent on the degree of functional myocardial impairment, that is, the condition of the inadequately treatable underlying disease. Treatment should be differential...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1990-06-01 00:00:00
abstract:UNLABELLED:Due to the increasing number of elderly as well as chronically-ill patients, venous thrombosis assumes an increasing role as a typical complication of many courses of disease. Postoperatively, in patients without anticoagulation, fibrinogen tests show venous thrombosis in the lower extremities in up to 50% b...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1989-12-01 00:00:00
abstract::The diagnosis of varicose veins is based on historical details pertaining to risk factors such as familial preponderance, advanced age, overweight, multiple births, professional activities carried out mainly in the standing or sitting position, use of oral contraceptives, diuretics or drugs which lower venous tone. Sw...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1989-10-01 00:00:00
abstract::In addition to currently available, low risk procedures for reestablishment of patency in arteriosclerotic vascular segments with bougier techniques as described by Dotter and the balloon dilatation modification according to Grüntzig, as necessary together with local thrombolysis, important new developments based on m...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract::Adequate skin perfusion is one of the most important prerequisites for healing of trophic lesions and amputation wounds in patients with peripheral arterial disease. The discrepancies possible between macro- and microcirculations stress the necessity of new methods for assessment of terminal vascular beds. With laser-...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1988-12-01 00:00:00
abstract::Incorporating prognostically related auscultatory, M-mode, 2DE and recent Doppler echocardiographic features, the following strict criteria for establishing the diagnosis of mitral valve prolapse (MVP) have been advanced: 1. auscultatory; mid-to-late systolic clicks and a late systolic murmur at the apex or mid-to-lat...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1988-10-01 00:00:00
abstract::The majority of sustained ventricular tachycardias are caused by a reentry mechanism. Conditions prerequisite to a reentry circuit are electrophysiological changes, namely conduction delay and block which are incurred by virtue of changes in the myocardial tissue due to scarring, ischemia or fatty infiltration and res...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1988-06-01 00:00:00
abstract::To provide an overview of our experience with percutaneous balloon valvuloplasty in aortic stenosis, the results obtained in 218 patients have been analyzed. During the two years of its use, the technique of the procedure has been subsequently modified with increasing balloon diameters, initially 15 mm, 18 mm and then...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1988-04-01 00:00:00
abstract::The experimental and early clinical experience with percutaneous valvuloplasty using trefoil and bifoil balloon catheters (Schneider Shiley) and a long introducer sheath with a new back-up wire are reported. The trefoil balloon consists of three and the bifoil balloon of two angioplasty balloons mounted in parallel on...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1988-02-01 00:00:00
abstract::In eleven patients with aortic dissection or perforated endocarditic aortic wall abscess cavity, the diagnostic usefulness of Color Doppler Echocardiography (CDE) for the identification of true and false lumen as well as the perforation jet was assessed by comparison with the findings of angiography, digital subtracti...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1987-06-01 00:00:00
abstract::Blood pressure, the central parameter in the diagnosis of arterial hypertension, is subject to a high degree of variability. The dilemma for the evaluating physician is that he has no true value for the resting blood pressure that is both comparable and reproducible. Reproducibility, however, is an essential requireme...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract::In ten patients with angiographically-documented coronary artery disease, stable angina pectoris and reproducible exercise-induced ST-segment depression, the extent and duration of antiischemic and antianginal effects of transdermal nitroglycerin patches delivering 10 mg/24 hours were investigated according to a doubl...
journal_title:Herz
pub_type: 临床试验,杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::Positron emission tomography, advanced through technical developments, has now evolved into a routinely applicable method for clinical investigation. The rubidium-82 generator, without the need for a cyclotron, provides a source of positron radionuclide which enables delineation of cardiac structures. Three characteri...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::The haemodynamic dose-response effects of a new long-acting slow-calcium channel blocking agent, amlodipine were evaluated in 20 patients with angiographically confirmed coronary heart disease. At rest, following a control saline period, four i.v. doses of the drug (cumulative dosage 1.25, 2.5, 5 and 10 mg) were admin...
journal_title:Herz
pub_type: 临床试验,杂志文章
doi:
更新日期:1986-12-01 00:00:00
abstract::Doppler echocardiography enables noninvasive determination of blood velocity and flow area through which quantitation of blood flow in vessels and across valvular orifices can be achieved. The stroke volume is rendered as the product of the flow area and the area beneath the velocity curve; on taking the heart rate in...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1986-10-01 00:00:00
abstract::Left ventricular function was assessed in 38 patients two to six days after acute myocardial infarction using nuclear angiocardiography and the following parameters were measured: Left ventricular end-diastolic (LVEDV) and end-systolic volumes (LVESV), ejection fraction (LVEF), indices of left ventricular filling and ...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
abstract::In a prospective double-blind study of 40 male patients requiring aorto-coronary bypass surgery, a dose of 8 ng/kg/min of PGI2 was infused throughout extracorporeal circulation (ECC) (control group: glycine buffer). Between the two treatment groups there was no difference in preoperative hemodynamic parameters, number...
journal_title:Herz
pub_type: 临床试验,杂志文章
doi:
更新日期:1985-12-01 00:00:00
abstract::Recent developments in technology have stimulated interest in the use of catheter-directed laser energy for removal of atherosclerotic plaques. Over the past three years, intensive research efforts by a number of investigators have defined the potential therapeutic benefit of laser angioplasty, as well as its limitati...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1985-12-01 00:00:00
abstract::Morphologic observations following balloon angioplasty are summarized from adult patients undergoing coronary or saphenous vein bypass graft angioplasty and from infants undergoing aortic valve stenosis angioplasty. Possible mechanisms of dilation injury and complications of angioplasty balloon bursting are reviewed. ...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1985-10-01 00:00:00
abstract::Since the first comprehensive computerized videometric systems for quantitative assessment of the dynamic morphology and function of the heart have been developed, angiocardiographic image generation and computer aided evaluation have improved considerably. As a second method for morphological imaging echocardiography...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1985-08-01 00:00:00
abstract::The natural history of hypertrophic obstructive cardiomyopathy is characterized, in particular, in younger patients by sudden cardiac death, in the majority of patients by progressive congestive heart failure [14, 26, 27, 33-36]. With the aid of beta-adrenergic receptor blockers, calcium channel blockers and antiarrhy...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract::Studies of the efficacy of molsidomine, previously performed on our service, demonstrated that a clear antianginal effect in the longterm treatment of angina pectoris could only be achieved with a regimen of the standard 2 mg dose when given six times daily. Consequently, since a mode of administration with a longer d...
journal_title:Herz
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1984-12-01 00:00:00
abstract::47 patients with aortic valve disease were studied by left ventricular micromanometry and cineangiography before and 18 months after successful valve replacement. There were 27 patients (17 with aortic stenosis, ten with aortic insufficiency) with moderate hypertrophy (angiographic mass less than 180 g/m2) and 20 pati...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
abstract::M-mode, two-dimensional and Doppler echocardiography enable evaluation of morphologic changes in valvular structures, detection of secondary changes in cardiac chambers and left ventricular function and quantification of blood flow patterns. In mitral stenosis, with M-mode echocardiography the diagnosis can be establi...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1984-08-01 00:00:00
abstract::In a medical out-patient clinic, over a period of several years, atrial myxoma was diagnosed in four patients with ages ranging between 32 and 69 years. With the exception of one patient referred for assessment of ventricular premature beats, presentation was not primarily attributable to cardiac causes. In all patien...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1983-12-01 00:00:00
abstract::Many electrophysiological and histological investigations have demonstrated that post-operative dysrhythmias which occur in children with heart disorders requiring extensive surgical treatment in the area of the right atrium, are often caused by intraoperative lesions of the sinoatrial node. Accordingly, accurate dete...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1983-10-01 00:00:00
abstract::Hydralazine is a smooth muscle relaxant and a potent arteriolar dilator. The major hemodynamic effect of hydralazine in patients with heart failure are increased cardiac output and stroke volume, and decreased vascular resistance without any significant change in pulmonary and systemic venous pressure. Hydralazine als...
journal_title:Herz
pub_type: 杂志文章,评审
doi:
更新日期:1983-08-01 00:00:00
abstract::In congestive heart failure, acute administration of the converting enzyme inhibitor captopril leads to a decrease in arterial pressure, systemic vascular resistance, left ventricular filling pressure, and the end-diastolic volumes of both ventricles, as well as to an increase in cardiac index, stroke volume index, ri...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
abstract::The impaired cardiac performance in patients with congestive cardiac failure may be improved by the introduction of inotropic therapy. Dopamine and dobutamine are both potent cardiac stimulants although their haemodynamic profile is different. Dobutamine would appear to be the more appropriate choice in cardiac failur...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1983-02-01 00:00:00
abstract::Plasma catecholamines and hemodynamic were assessed in 32 patients with heart failure of varying degrees due to coronary artery disease as well as in twelve healthy control subjects. The studies employed the use of a (Swan-Ganz) semi-floating, balloon-tipped, thermodilution catheter during supine bicycle ergometry at ...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1982-06-01 00:00:00
abstract::In 190 patients, 208 "screw-in" type pacemaker leads were implanted; 147 in the right ventricle and 61 in the right atrium. There was no significant difference in the time required for atrial (54.7 +/- 19 min) or ventricular fixation (56.0 +/- 25 min). Similarly, fluoroscopy times for both atrial (6.3 +/- 4 min) and v...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1981-12-01 00:00:00
abstract::Over the past decade there has been a steady proliferation of indices which have been proposed for assessing ventricular function. Many of these indices are based on single measurements and often are insensitive and have limited clinical utility. The present article focuses on the role of wall stress in assessing vent...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1981-10-01 00:00:00
abstract::To assess the results of transluminal coronary angioplasty (TCA), 42 patients (mean age 50 years) with for coronary artery disease were investigated at rest and during exercise with the ECG (n = 40), thallium-201 myocardial scintigraphy (n = 23) and equilibrium-radionuclide ventriculography (n = 32). Each method of st...
journal_title:Herz
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00