Optimal management of antiplatelet therapy and proton pump inhibition following percutaneous coronary intervention [0.03%]
经皮冠状动脉介入治疗后的抗血小板治疗和质子泵抑制剂治疗的优化管理
Mark R Thomas,Robert F Storey
Mark R Thomas
Dual antiplatelet therapy (aspirin and a P2Y(12) antagonist) is required after the insertion of a coronary artery stent. If the stent has been inserted in the context of an acute coronary syndrome (ACS), then clopidogrel or a high-potency P...
Paban Saha,Jeffrey J Goldberger
Paban Saha
Sudden cardiac death (SCD) is a very prevalent cause of death in the United States. The majority of individuals who experience SCD do not survive the episode. Although there are ongoing efforts to improve resuscitation (ie, training in card...
Use of carotid intima-media thickness regression to guide therapy and management of cardiac risks [0.03%]
利用颈动脉内膜中层厚度逆转指导心脏风险的治疗和管理
P Costanzo,J G Cleland,S L Atkin et al.
P Costanzo et al.
Although carotid intima-media thickness (IMT) has been broadly used as a tool to evaluate cardiovascular risk, its role as a surrogate endpoint is still debated. The main issue is the fact that no study has ever been powered to show a relat...
Seung-Jung Park,Duk-Woo Park
Seung-Jung Park
Considering lesion priority and its clinical consequences, coronary artery bypass grafting (CABG) has been a treatment of choice for revascularization in patients with significant left main coronary artery (LMCA) disease, However, with rema...
Adenosine stress cardiovascular magnetic resonance-observation unit management of patients at intermediate risk for acute coronary syndrome: a possible strategy for reducing healthcare-related costs [0.03%]
腺苷负荷心血管磁共振技术-急性冠脉综合征中危患者的留观处理：一种可能的减少与医疗相关费用的策略
Michael E Hall,Chadwick D Miller,W Gregory Hundley
Michael E Hall
Although clear algorithms for diagnosis and treatment of patients with chest pain at low or high risk for an acute coronary syndrome (ACS) exist, they are less well delineated for patients presenting with chest pain with an intermediate ris...
Selecting the best noninvasive imaging test to guide treatment after an inconclusive exercise test [0.03%]
继不明确的运动试验之后选择最佳无创影像检查以指导治疗方案
Angela S Koh,Ron Blankstein
Angela S Koh
The first step towards approaching a patient with an inconclusive stress test is to identify the initial reason why a stress test was ordered and examine what factors led to inconclusive test results. Next, it is important to ask whether th...
Potential use of coronary artery calcium progression to guide the management of patients at risk for coronary artery disease events [0.03%]
冠状动脉钙化进展在冠心病事件高危患者管理中的潜在应用价值
John W McEvoy,Michael J Blaha,Khurram Nasir et al.
John W McEvoy et al.
Subclinical coronary artery disease (CAD) is widespread and under-diagnosed. Preventive efforts are required to reduce the burden of this disease and its complications. Imaging of coronary artery calcium (CAC) with cardiac computed tomograp...
Antithrombotic pharmacotherapy in the elderly: general issues and clinical conundrums [0.03%]
老年抗凝血药物治疗的普遍问题及临床困境
Davide Capodanno,Dominick J Angiolillo
Davide Capodanno
Antithrombotic pharmacotherapy is an essential component in the pharmacologic arsenal of physicians dealing with diseases at high thromboembolic potential, such as coronary artery disease and atrial fibrillation. Age has a non-negligible im...
Todd L Kiefer,Andrew Wang,G Chad Hughes et al.
Todd L Kiefer et al.
Our approach to the management of the patient with a bicuspid aortic valve (BAV) takes several factors into consideration. First, is the dysfunction of the valve due to aortic stenosis (AS), aortic regurgitation (AR), or a combination of st...
Dina M Sparano,R Parker Ward
Dina M Sparano
Prompt recognition of the signs and symptoms of pericardial disease is critical so that appropriate treatments can be initiated. Acute pericarditis has a classical presentation, including symptoms, physical examination findings, and electro...