Zeitschrift fur Kardiologie最新文献_第8页

[Facioscapulohumeral muscle dystrophy and heart disease]. [面肩肱肌营养不良与心脏病]。

Zeitschrift fur Kardiologie Pub Date : 2005-05-01 DOI: 10.1007/s00392-005-0223-4

P Emmrich, V Ogunlade, T Gradistanac, S Daneschnejad, M C Koch, R Schober

引用次数: 5

Digitalis in heart failure! Still applicable? 洋地黄在心力衰竭!还适用吗?

Zeitschrift fur Kardiologie Pub Date : 2005-05-01 DOI: 10.1007/s00392-005-0219-0

U C Hoppe, E Erdmann

引用次数: 35

[Cardiac manifestations of muscular dystrophies]. [肌肉萎缩症的心脏表现]。

Zeitschrift fur Kardiologie Pub Date : 2005-05-01 DOI: 10.1007/s00392-005-0232-3

A Perrot, S Spuler, C Geier, R Dietz, K J Osterziel

{"title":"[Cardiac manifestations of muscular dystrophies].","authors":"A Perrot, S Spuler, C Geier, R Dietz, K J Osterziel","doi":"10.1007/s00392-005-0232-3","DOIUrl":"https://doi.org/10.1007/s00392-005-0232-3","url":null,"abstract":"Muscular dystrophies (MD) are a clinically and genetically heterogeneous disease group. In the last few years, remarkable progress has been made in understanding the close und various relations between skeletal muscle disease and heart muscle disease. Cardiac involvement has been documented in a number of primary MDs and is even the dominant feature in some of them. The myocardium can be affected in the form of a dilated cardiomyopathy while the conduction system can be affected resulting in arrhythmias and conduction defects. Many patients with MD die because of cardiac complications like sudden cardiac death or congestive heart failure. Detailed clinical data about cardiac involvement are available for Duchenne/Becker MD, Emery-Dreifuss MD, myotonic dystrophy, and the different limb girdle MDs. Cardiac manifestations were also found in congenital MD, central core disease, proximal myotonic myopathy, and nemaline myopathy. No data about cardiac abnormalities are available in oculopharyngeal MD and rippling muscle disease. The heart of patients with primary MD should be carefully investigated because of the life-threatening events caused by cardiac complications. There is a strong need for a close collaboration between neurologists and cardiologists in order to provide optimal disease management for the affected patients.","PeriodicalId":23757,"journal":{"name":"Zeitschrift fur Kardiologie","volume":"94 5","pages":"312-20"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00392-005-0232-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25089003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

[Cardiovascular medicine in the German diagnosis-related group--(G-DRG) system 2005]. [心血管医学在德国诊断相关组-(G-DRG)系统2005]。

Zeitschrift fur Kardiologie Pub Date : 2005-05-01 DOI: 10.1007/s00392-005-0234-1

T Fürstenberg, H Bunzemeier, N Roeder, H Reinecke

{"title":"[Cardiovascular medicine in the German diagnosis-related group--(G-DRG) system 2005].","authors":"T Fürstenberg, H Bunzemeier, N Roeder, H Reinecke","doi":"10.1007/s00392-005-0234-1","DOIUrl":"https://doi.org/10.1007/s00392-005-0234-1","url":null,"abstract":"The German diagnosis-related Group (G-DRG) System has recently been published in its third version. From 2005 on, this system will be the definite measure for the budgets of nearly all german hospitals. The preliminary phase with no budget reduction or redistribution being made and in which an inappropriate classification system had no negative impact on reimbursement has, thus, come to an end. At present, many hospitals are struggling in an economic competition about the independence or maintenance of the hospital or several sub-departments. The changes in the classification system with regard to a marked increase in the number of G DRGs, a modified grouping-logic, more properly determined reductions and extra charges for low and high outlier as well as the introduction of further additional charges contribute thereby to a better covering of services and treatments of cardiovascular patients. However, while many of the known problems have been eliminated, there are still weaknesses in the G-DRG System even concerning cardiovascular medicine. The G-DRG System has to be adapted continuously with consultation of the clinical expertise of the respective medical societies. The most important new aspects and changes in the G-DRG System 2005 and the accompanied execution regulations are explained with special view on cardiology.","PeriodicalId":23757,"journal":{"name":"Zeitschrift fur Kardiologie","volume":"94 5","pages":"360-70"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00392-005-0234-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25090144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Elevated serum markers for collagen synthesis in patients with hypertrophic cardiomyopathy and diastolic dysfunction. 肥厚性心肌病和舒张功能障碍患者血清胶原合成标志物升高。

Zeitschrift fur Kardiologie Pub Date : 2005-05-01 DOI: 10.1007/s00392-005-0214-5

M Fassbach, B Schwartzkopff

{"title":"Elevated serum markers for collagen synthesis in patients with hypertrophic cardiomyopathy and diastolic dysfunction.","authors":"M Fassbach, B Schwartzkopff","doi":"10.1007/s00392-005-0214-5","DOIUrl":"https://doi.org/10.1007/s00392-005-0214-5","url":null,"abstract":"Objectives: The hypothesis of impaired collagenolysis in patients with hypertrophic cardiomyopathy (HCM) was tested by measuring serum markers of type-I collagen metabolism. These markers were correlated with echocardiographic parameters of diastolic function.Background: HCM is a common disease in the adult population with a wide range of clinical manifestations. Left ventricular hypertrophy and increased intramyocardial collagen content are known to cause diastolic dysfunction in patients with HCM.Methods: In 26 patients with HCM and 38 control subjects (aged: 57+/-3 and 54+/-2 years, p=n.s.) serum levels of collagenolytic matrixmetalloproteinase-1 (MMP-1) and its inhibitor TIMP-1, the markers for collagen type-I synthesis (PICP) and degradation (ICTP) were determined by ELISA and RIA. Diastolic function were determined by Doppler echocardiography.Results: Free TIMP-1 was elevated in HCM compared to controls (216,78+/-9,89 vs 183.77+/-7.57 ng/ml ; p=0.006) as well as PICP (165.92+/-10.26 vs 114.57+/-6.38 mug/l; p<0.001). Free MMP-1 was significantly lower in HCM (1.13+/-0.20 vs 2.33+/-0.34; p=0.01). ICTP did not differ. The MMP-1/TIMP-1 ratio was significantly lower in HCM (0.006+/-0.001 vs 0.012+/-0.001, p=0.003). PICP correlated positively with diastolic E/A ratio (r=0.389; p=0.05) and septal thickness (r=0.484; p=0.01).Conclusions: Serum marker of collagen synthesis (PICP) is increased in patients with HCM. Increased marker for inhibition of collagenolysis (TIMP-1) and a disturbed balance of collagen synthesis and degradation (ratio) with a predominance of inhibition of collagenolysis indicates collagen accumulation (fibrosis), which explains passive diastolic dysfunction in patients with HCM.","PeriodicalId":23757,"journal":{"name":"Zeitschrift fur Kardiologie","volume":"94 5","pages":"328-35"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00392-005-0214-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25090139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 37

[Non-atherosclerotic aneurysm of the left main coronary artery]. [左冠状动脉主干非动脉粥样硬化性动脉瘤]。

Zeitschrift fur Kardiologie Pub Date : 2005-05-01 DOI: 10.1007/s00392-005-0221-6

A Maleszka, G Kleikamp, H-J Trappe

引用次数: 0

[Position paper on "automated external defibrillation" ]. [关于“自动体外除颤”的立场文件]。

Zeitschrift fur Kardiologie Pub Date : 2005-04-01 DOI: 10.1007/s00392-005-0252-z

H-J Trappe, D Andresen, H-R Arntz, H-J Becker, K Werdan

引用次数: 34

Catheter ablation of junctional ectopic tachycardia in children, with preservation of atrioventricular conduction. 保留房室传导的儿童结性异位心动过速的导管消融。

Zeitschrift fur Kardiologie Pub Date : 2005-04-01 DOI: 10.1007/s00392-005-0215-4

M Emmel, N Sreeram, K Brockmeier

{"title":"Catheter ablation of junctional ectopic tachycardia in children, with preservation of atrioventricular conduction.","authors":"M Emmel, N Sreeram, K Brockmeier","doi":"10.1007/s00392-005-0215-4","DOIUrl":"https://doi.org/10.1007/s00392-005-0215-4","url":null,"abstract":"Background: Idiopathic junctional ectopic tachycardia is a rare arrhythmia in children. Several studies have demonstrated that drug therapy is often ineffective and sometimes the only achieved effect is rate control. Early presentation and frequent recurrence are associated with adverse outcome.Patients and methods: Three consecutive children, aged 9, 7 and 12 years respectively, underwent radiofrequency catheter ablation for junctional ectopic tachycardia, after having failed antiarrhythmic drug therapy. The entire His bundle was plotted out and marked, using the Localisa navigation system. The arrhythmia was readily and repeatedly inducible using intravenous isoprenaline infusion and the site of earliest retrograde conduction during tachycardia could be assessed. Ablations were performed in sinus rhythm, empirically targeting the site of earliest retrograde conduction during tachycardia.Results: This approach was successful in abolishing tachyarrhythmia in the first two patients, in whom the successful ablation site was located superoparaseptally. In the third patient, junctional ectopic tachycardia was inducible, despite abolishing retrograde atrial activation, in a septal location on the tricuspid valve annulus. Further ablations in the superoparaseptal region, closer to the His bundle, were successful in rendering tachyarrhythmia noninducible. Over a median follow-up of 10 months, none of the patients has had recurrence of arrhythmia, despite discontinuing all antiarrhythmic medications.Conclusions: Radio frequency catheter ablation of junctional ectopic tachycardia is feasible with preservation of atrioventricular conduction.","PeriodicalId":23757,"journal":{"name":"Zeitschrift fur Kardiologie","volume":"94 4","pages":"280-6"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00392-005-0215-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25205631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

[Acute coronary syndrome after diclofenac induced coronary spasm]. [双氯芬酸诱发冠状动脉痉挛后急性冠状动脉综合征]。

Zeitschrift fur Kardiologie Pub Date : 2005-04-01 DOI: 10.1007/s00392-005-0211-8

A Wieckhorst, A Tiroke, M Lins, A Reinecke, G Herrmann, D Krüger, R Simon

{"title":"[Acute coronary syndrome after diclofenac induced coronary spasm].","authors":"A Wieckhorst, A Tiroke, M Lins, A Reinecke, G Herrmann, D Krüger, R Simon","doi":"10.1007/s00392-005-0211-8","DOIUrl":"https://doi.org/10.1007/s00392-005-0211-8","url":null,"abstract":"We report about a 67-year old man, who was submitted to our clinic with acute coronary syndrome. The cardiac catheterization showed a proximal thrombus in the left anterior descending (LAD). The other coronary arteries did not have significant lesions. After percutaneous transluminal coronary angioplasty with stent-implantation into the proximal LAD the patient remained clinically stable. Cardiac enzymes confirmed no myocardial necrosis. Three days after the acute coronary syndrome the patient developed a podagra, which was treated with colchicinum, diclofenac and local cooling. Five hours after initial therapy the patient developed severe symptoms of angina pectoris and electrocardiographical signs of an acute posterior and anterior myocardial infarction. Immediate coronary angiography demonstrated extended vasospasm of the right coronary artery. Intracoronary application of verapamil and nitroglycerin resolved the coronary spasm. The patient reported about a self-indicated application of diclofenac six hours before hospital admission. This case demonstrates that oral application of diclofenac can provoke coronary vasospasm.","PeriodicalId":23757,"journal":{"name":"Zeitschrift fur Kardiologie","volume":"94 4","pages":"274-9"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00392-005-0211-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25206302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Peak oxygen uptake. Myth and truth about an internationally accepted reference value. 峰值摄氧量。关于神话与真理具有国际公认的参考价值。

Zeitschrift fur Kardiologie Pub Date : 2005-04-01 DOI: 10.1007/s00392-005-0207-4

T Meyer, J Scharhag, W Kindermann

引用次数: 32