abstract：:Quality of life is discussed with focus on the importance of individual patient perspectives. Eight studies including at least one aspect of quality of life in patients with atrial fibrillation are reviewed with three approaches evident in assessing quality of life: patient interview, self-reported symptoms, and multi...

journal_title：Cardiology clinics

authors： Jenkins LS,Bubien RS

更新日期：1996-11-01 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：:Anger is the affective state most commonly associated with myocardial ischemia and life-threatening arrhythmias. The scope of the problem is sizeable-at least 36,000 (2.4% of 1.5 million) heart attacks are precipitated annually in the United States by anger. The lethal cardiovascular consequences in ischemic heart dis...

journal_title：Cardiology clinics

authors： Verrier RL,Mittleman MA

更新日期：1996-05-01 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：: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：:During the past decade, ambulatory monitoring of the blood pressure has become an important tool for evaluating the pharmacodynamics and clinical efficacy of antihypertensive drugs during development. Furthermore, this methodology aids physicians in practice in the assessment of blood pressure control in many subsets ...

journal_title：Cardiology clinics

authors： White WB

更新日期：1995-11-01 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：: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：:Although direct angioplasty may have been undervalued in the past, its utility in the treatment of acute coronary occlusion is now firmly established, and it unquestionably will remain an integral component of myocardial reperfusion therapy. As refinements in angioplasty equipment, cardiovascular support techniques, a...

journal_title：Cardiology clinics

authors： Horrigan MC,Topol EJ

更新日期：1995-08-01 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：: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：: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：: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：: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：: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：:The medical management of patients with CHF and ventricular arrhythmias is one of the most challenging clinical situations frequently encountered by physicians on a daily basis. Reviewed and examined in this article are available data regarding the clinical relevance and prevalence of ventricular arrhythmias, their pr...

journal_title：Cardiology clinics

authors： Deedwania PC

更新日期：1994-02-01 00:00:00

abstract：:Addressing the psychosocial concerns of the growing population of adults with congenital heart disease presents a unique challenge to health care providers. These patients frequently need information about their disease with emphasis on how it may affect their sexuality, childbearing, and risk of having children with ...

journal_title：Cardiology clinics

authors： Hart EM,Garson A Jr

更新日期：1993-11-01 00:00:00

abstract：:Many of the transcatheter devices described in this article remain investigational in the United States. Currently, we consider the applications of these techniques as either (1) procedures of choice (for closures of patent ductus arteriosus, balloon dilation or stent implantation for peripheral pulmonary stenoses, ba...

journal_title：Cardiology clinics

authors： Landzberg MJ,Lock JE

更新日期：1993-11-01 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：:This article discusses exercise testing in valvular heart disease, hypertension, and the evaluation of patients for surgery. It also provides information on the effects of drugs on the exercise test and the clinical significance of block patterns and arrhythmias encountered during exercise. ...

journal_title：Cardiology clinics

authors： Ellestad MH

更新日期：1993-05-01 00:00:00

abstract：:Over the past several decades there has been enormous progress in the understanding of many electrophysiologic characteristics of the AVNRT circuit. Although a great number of questions have been resolved, several pertinent issues require further investigation. Medical treatment remains the most widely used therapeuti...

journal_title：Cardiology clinics

authors： Jazayeri MR,Sra JS,Akhtar M

更新日期：1993-02-01 00:00:00

abstract：:Many types of artificial sensors for adaptive-rate pacing have appeared but as yet there is no single sensor that properly reflects metabolic demand under all circumstances. Several other types of sensors are currently evaluated. Combinations of different sensors in a single unit are very promising. At present, howeve...

journal_title：Cardiology clinics

authors： Katritsis D,Camm AJ

更新日期：1992-11-01 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：:There are several methods available for the evaluation of patients with ventricular arrhythmia. The most effective approaches, however, involve the use of techniques that provide objective data. These include ambulatory monitoring and exercise testing (a noninvasive approach), and electrophysiologic testing (invasive)...

journal_title：Cardiology clinics

authors： Podrid PJ,Bumio F,Fogel RI

更新日期：1992-08-01 00:00:00

abstract：:The physiology and hemodynamic functions of the right ventricle in normal and disease states differ considerably from those of the left ventricle. To illuminate these differences, the right ventricle's essential functions in the normal circulation are reviewed, its functional anatomy and blood supply are described, pr...

journal_title：Cardiology clinics

authors： Lee FA

更新日期：1992-02-01 00:00:00

abstract：:Syncope is a common but complex medical disorder with a multitude of etiologies, some of which are still not well understood. In a general population, the greatest diagnostic yield is from the history and physical examination. Numerous other diagnostic modalities include Holter monitoring, signal-averaged ECG, cardiac...

journal_title：Cardiology clinics

authors： Chang-Sing P,Peter CT

更新日期：1991-11-01 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：: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：:Percutaneous transluminal coronary angioplasty remains the standard interventional catheterization approach for the treatment of coronary artery disease. Three broad groups of new therapeutic devices, including atherectomy or devices for mechanical debridement, lasers, and endoprostheses, and diagnostic devices such a...

journal_title：Cardiology clinics

authors： Holmes DR Jr,Bresnahan JF

更新日期：1991-02-01 00:00:00

abstract：:The differentiation of restrictive cardiomyopathy from pericardial constriction remains a difficult clinical problem. Although the historical, noninvasive, and hemodynamic and angiographic features discussed here provide poor discriminating value when considered individually, a combination of clues may suggest one dia...

journal_title：Cardiology clinics

authors： Schoenfeld MH

更新日期：1990-11-01 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：:Cardiac transplantation is now an accepted therapeutic procedure in the management of patients suffering from end-stage congestive heart failure. The advances in myocardial preservation, long-distance procurement, immunosuppression, improvement in the treatment of infectious diseases, and utilization of endomyocardial...

journal_title：Cardiology clinics

authors： Pifarre R,Sullivan HJ,Montoya A,Bakhos M,Grieco J,Foy B,Blakeman B,Costanzo-Nordin MR

更新日期：1989-02-01 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：: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：:Percutaneous transluminal coronary angioplasty was first performed in a human coronary artery in 1977. In this article, we review the possible mechanisms of angioplasty, current indications for angioplasty, and complications of angioplasty including acute closure and restenosis. ...

journal_title：Cardiology clinics

authors： Cabin HS,Cleman MW

更新日期：1988-08-01 00:00:00

abstract：:This article reviews the definition, locations, and pathogenesis of acute myocardial infarction and provides a review of the pathology of acute reperfusion therapy. Various complications and sequelae of acute myocardial infarction are also surveyed. ...

journal_title：Cardiology clinics

authors： Waller BF

更新日期：1988-02-01 00:00:00

abstract：:This is an extensive review of thrombolysis in myocardial infarction with discussions of the pathophysiology of occlusion, clinical occlusion and rationale for thrombolysis, thrombolytic agents, results of thrombolysis (incidence of reperfusion, left ventricular function, and mortality), complications of thrombolytic ...

journal_title：Cardiology clinics

authors： Chesebro JH,Holmes DR,Mock MB,Gersh BG,Fuster V

更新日期：1988-02-01 00:00:00

abstract：:Parenterally administered narcotic analgesics are a critically important part of therapy for the patient with acute myocardial ischemic syndromes. These agents are very effective and, when used with appropriate caution and monitoring, are also generally safe. They not only relieve the sensation of severe pain but also...

journal_title：Cardiology clinics

authors： Remetz MS,Cabin HS

更新日期：1988-02-01 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：: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