American Journal of Geriatric Cardiology最新文献

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Metabolic Derangements in the Insulin-Resistant Heart 胰岛素抵抗心脏的代谢紊乱
American Journal of Geriatric Cardiology Pub Date : 2008-06-28 DOI: 10.1111/j.1559-4564.2006.05683.x
Gurushankar Govindarajan MD, Melvin R. Hayden MD, Shawna A. Cooper MS, Said Daibes Figueroa MS, CMNT, Lixin Ma PhD, Timothy J. Hoffman PhD, Craig S. Stump MD, PhD, James R. Sowers MD
{"title":"Metabolic Derangements in the Insulin-Resistant Heart","authors":"Gurushankar Govindarajan MD,&nbsp;Melvin R. Hayden MD,&nbsp;Shawna A. Cooper MS,&nbsp;Said Daibes Figueroa MS, CMNT,&nbsp;Lixin Ma PhD,&nbsp;Timothy J. Hoffman PhD,&nbsp;Craig S. Stump MD, PhD,&nbsp;James R. Sowers MD","doi":"10.1111/j.1559-4564.2006.05683.x","DOIUrl":"10.1111/j.1559-4564.2006.05683.x","url":null,"abstract":"<p> <i>Myocardium is flexible when it comes to energy substrate utilization; it uses fatty acid, glucose, lactones, and ketones for its energy requirement. The myocardial energy substrate preference varies in a dynamic manner depending on myocardial perfusion, energy demand, substrate availability, and local/systemic hormonal changes. The authors discuss the metabolic perturbations seen in insulin-resistant myocardium and how they result in structural and other biochemical changes that ultimately result in left ventricular hypertrophy and diastolic and systolic dysfunction. The authors also discuss the utility of metabolic imaging to study metabolic derangement as seen in insulin-resistant rodents. The role of positron emission tomography and cine-magnetic resonance imaging coregistration in quantifying myocardial glucose uptake is demonstrated in fasted, 13-week old Sprague-Dawley rats under insulin-/glucose-stimulated conditions. This study demonstrates the utility of in vivo, noninvasive positron emission tomography and cine-magnetic resonance imaging modalities to longitudinally follow insulin resistance models during disease progression and after specific interventions.</i> </p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"15 6","pages":"102-106"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1559-4564.2006.05683.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26872314","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: 22
Hypokalemia. 低钾血。
David H Spodick
{"title":"Hypokalemia.","authors":"David H Spodick","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"132"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309974","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: 0
Frailty, inflammation, and cardiovascular disease: evidence of a connection. 虚弱、炎症和心血管疾病:联系的证据。
Huy M Phan, Joseph S Alpert, Mindy Fain
{"title":"Frailty, inflammation, and cardiovascular disease: evidence of a connection.","authors":"Huy M Phan,&nbsp;Joseph S Alpert,&nbsp;Mindy Fain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Frailty is a progressive physiologic decline in multiple body systems marked by loss of function, loss of physiologic reserve, and increased vulnerability to disease and death. Until recently, frailty has been poorly defined in the medical literature. One currently accepted definition of frailty is having 3 of the following 5 attributes: unintentional weight loss, muscle weakness, slow walking speed, easy exhaustion, and low physical activity. The mechanisms that underline frailty remain unclear. Significantly higher levels of markers of inflammation and the clotting cascade have been found in frail persons compared with nonfrail persons. These markers are also risk factors for the development of coronary heart disease. Recent research has indicated that frailty is a clinical manifestation of cardiovascular disease, especially of heart failure. Thus, understanding the connection between frailty and cardiovascular disease may lead to development of new interventions that will prevent and reverse the associated morbidity and mortality.</p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"101-7"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309280","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: 0
Sinus venosus atrial septal defect diagnosed at age 82. 82岁时被诊断为静脉窦房间隔缺损。
Michael P Davis, Ali N Zaidi, David A Orsinelli
{"title":"Sinus venosus atrial septal defect diagnosed at age 82.","authors":"Michael P Davis,&nbsp;Ali N Zaidi,&nbsp;David A Orsinelli","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"114-6"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309283","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: 0
The geriatric paradox. 老年悖论。
Peter R Kowey, Nanette K Wenger, Michael A Weber, Carl J Lavie
{"title":"The geriatric paradox.","authors":"Peter R Kowey,&nbsp;Nanette K Wenger,&nbsp;Michael A Weber,&nbsp;Carl J Lavie","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"69-70"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309972","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: 0
Efficacy and safety of intensive statin therapy in the elderly. 老年人强化他汀类药物治疗的有效性和安全性。
Bijesh P Maroo, Carl J Lavie, Richard V Milani
{"title":"Efficacy and safety of intensive statin therapy in the elderly.","authors":"Bijesh P Maroo,&nbsp;Carl J Lavie,&nbsp;Richard V Milani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Numerous epidemiologic and intervention trials, including many studying elderly cohorts, have demonstrated the importance of lipids in primary and secondary preventions of cardiovascular diseases, including coronary heart disease (CHD) and stroke. More recent studies have demonstrated that more intensive statin therapy that reduces low-density lipoprotein cholesterol levels to <70 to 80 mg/dL have resulted in more marked cardiovascular event reduction than less intensive statin treatment. The authors review the efficacy and safety of intensive vs less intensive statin therapy. Specifically, 4 such studies with sufficient data in elderly patients, including 2 trials of patients with stable CHD and 2 with acute coronary syndrome, demonstrating the efficacy and safety of intensive statin therapy with high-dose (80 mg) atorvastatin are reviewed in detail. Although elderly patients may be more susceptible to drug interactions when receiving high doses of statins, the present evidence supports the use of intensive statin therapy in most high-risk elderly patients both with stable CHD and following acute coronary syndrome.</p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"92-100"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309977","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: 0
Systolic anterior motion of a retained anterior mitral valve leaflet following mitral valve replacement. 二尖瓣置换术后保留的前二尖瓣小叶的收缩前运动。
Edward L Rachofsky, Paul A Tunick, Itzhak Kronzon
{"title":"Systolic anterior motion of a retained anterior mitral valve leaflet following mitral valve replacement.","authors":"Edward L Rachofsky,&nbsp;Paul A Tunick,&nbsp;Itzhak Kronzon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"128-9"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309282","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: 0
Priorities in polyvascular disease. 多血管疾病优先。
Charles Stewart Roberts
{"title":"Priorities in polyvascular disease.","authors":"Charles Stewart Roberts","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"125-7"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309978","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: 0
Left atrial myxoma in the elderly. 老年人左心房黏液瘤。
Muhammad N Tahir, Peter Quigley
{"title":"Left atrial myxoma in the elderly.","authors":"Muhammad N Tahir,&nbsp;Peter Quigley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"117-9"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309980","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: 0
Surrogate decision making. 替代决策。
Hannah I Lipman
{"title":"Surrogate decision making.","authors":"Hannah I Lipman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"17 2","pages":"120-2"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27309976","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: 0
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