American Journal of Geriatric Cardiology最新文献

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Atherosclerosis Monitoring in the Elderly Using Magnetic Resonance Imaging: Is the Extra Step Needed? 磁共振成像监测老年人动脉粥样硬化:是否需要额外的步骤?
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.07638.x
Ilan Gottlieb MD, Sérgio Salles Xavier MD, PhD, João A.C. Lima MD
{"title":"Atherosclerosis Monitoring in the Elderly Using Magnetic Resonance Imaging: Is the Extra Step Needed?","authors":"Ilan Gottlieb MD,&nbsp;Sérgio Salles Xavier MD, PhD,&nbsp;João A.C. Lima MD","doi":"10.1111/j.1076-7460.2007.07638.x","DOIUrl":"10.1111/j.1076-7460.2007.07638.x","url":null,"abstract":"<p> <b>\u0000 <i>Atherosclerotic disease represents an enormous burden in the elderly population, yet elderly patients are underrepresented in clinical trials and receive lower standard-of-care treatment compared with similar-risk younger individuals. Magnetic resonance imaging (MRI) is a powerful noninvasive imaging technique that can target atherosclerotic lesions and help better understand the pathophysiologic process of this disease in the elderly. Cholesterol-targeted interventions have improved the outcomes in patients with atherosclerotic disease, but clearly additional efforts are needed. Whether medical therapy can be effectively adjusted based on atherosclerosis progression revealed by MRI is still to be proven, but the technique certainly looks promising.</i>\u0000 </b> </p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"363-368"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.07638.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009117","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: 3
High Blood Pressure in Older Adults: A Conversation With Dr David Calhoun 老年人高血压:与David Calhoun博士的对话
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.06605.x
Ali Ahmed MD, MPH, David Calhoun MD
{"title":"High Blood Pressure in Older Adults: A Conversation With Dr David Calhoun","authors":"Ali Ahmed MD, MPH,&nbsp;David Calhoun MD","doi":"10.1111/j.1076-7460.2007.06605.x","DOIUrl":"10.1111/j.1076-7460.2007.06605.x","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"391-392"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.06605.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009758","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: 1
Histiocytic Sarcoma Presenting as Left Ventricular Mass Demonstrated by Two-Dimensional Echocardiography 二维超声心动图显示为左心室肿块的组织细胞肉瘤
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.05207.x
Emil Thattassery MD, Sri Sundaram MD
{"title":"Histiocytic Sarcoma Presenting as Left Ventricular Mass Demonstrated by Two-Dimensional Echocardiography","authors":"Emil Thattassery MD,&nbsp;Sri Sundaram MD","doi":"10.1111/j.1076-7460.2007.05207.x","DOIUrl":"10.1111/j.1076-7460.2007.05207.x","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"388-389"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.05207.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009122","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: 4
Newer Diagnostic Strategies, Application of Evidence-Based Therapies: Improving Cardiovascular Outcomes in an Expanding Elderly Population 更新的诊断策略,循证治疗的应用:改善老年人群心血管预后
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.06230.x
Nanette K. Wenger MD, Michael A. Weber MD
{"title":"Newer Diagnostic Strategies, Application of Evidence-Based Therapies: Improving Cardiovascular Outcomes in an Expanding Elderly Population","authors":"Nanette K. Wenger MD,&nbsp;Michael A. Weber MD","doi":"10.1111/j.1076-7460.2007.06230.x","DOIUrl":"10.1111/j.1076-7460.2007.06230.x","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"337-338"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.06230.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009120","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
Coronary Calcium Scanning in Geriatric Cardiology 老年心脏病学冠状动脉钙化扫描
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.07636.x
Ambarish Gopal MD, Matthew J. Budoff MD
{"title":"Coronary Calcium Scanning in Geriatric Cardiology","authors":"Ambarish Gopal MD,&nbsp;Matthew J. Budoff MD","doi":"10.1111/j.1076-7460.2007.07636.x","DOIUrl":"10.1111/j.1076-7460.2007.07636.x","url":null,"abstract":"<p> <b>\u0000 <i>Coronary artery disease (CAD) is prevalent in the elderly, often leads to disability, and is the number one cause of death in this population. Older adults represent an increasingly important and challenging subset of the population with CAD. They are more likely to have comorbid conditions, atypical presentations, and unfavorable outcomes than their younger counterparts. The available data suggest that standard pharmacologic, thrombolytic, and definitive revascularization techniques have important roles in the treatment of geriatric patients but have been underutilized. Consequently, strategies for optimizing the prevention and treatment of CAD in the elderly are important from both the individual and societal perspectives. Coronary artery calcium has been shown to be highly specific for atherosclerosis, occurring only in the intima of the coronary arteries. There is evidence to show that elevated coronary calcium scores are predictive of future cardiovascular events, both independently of and incrementally to conventional cardiovascular risk factors. This article will review such a screening method, namely coronary calcium scanning, in the field of geriatric cardiology.</i>\u0000 </b> </p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"369-375"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.07636.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009116","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
Impact of Newer Echocardiographic Modalities in the Elderly 新型超声心动图对老年人的影响
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.07639.x
Sunil Mankad MD, Navin C. Nanda MD
{"title":"Impact of Newer Echocardiographic Modalities in the Elderly","authors":"Sunil Mankad MD,&nbsp;Navin C. Nanda MD","doi":"10.1111/j.1076-7460.2007.07639.x","DOIUrl":"10.1111/j.1076-7460.2007.07639.x","url":null,"abstract":"<p> <b>\u0000 <i>The emerging role novel echocardiographic techniques play in the practice of cardiology and how they can specifically impact care of the elderly patient are reviewed. Newer echocardiographic modalities including Doppler tissue and strain/strain rate imaging, contrast echocardiography, 3-dimensional echocardiography, and velocity vector imaging are described. Examples illustrating how these newer echocardiography modalities enhance our ability to make a variety of cardiovascular diagnoses are shown. The way in which these novel echocardiographic techniques allow for improved noninvasive estimation of left ventricular filling pressure, better diagnosis of cardiomyopathy and complications of acute myocardial infarction, better quantification of valvular heart disease, and enhance our understanding of myocardial contractile processes are reviewed. These newer echocardiographic modalities will continue to play an increasing role in the future as applications identifying ways in which they enhance cardiovascular diagnosis are discovered.</i>\u0000 </b> </p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"349-354"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.07639.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009757","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: 1
Case Presentations of Potential Applications of Computed Tomographic Angiography in the Geriatric Population 计算机断层血管造影在老年人群中的潜在应用案例介绍
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.07642.x
Samuel Wann MD, Michael Krystowiak BA
{"title":"Case Presentations of Potential Applications of Computed Tomographic Angiography in the Geriatric Population","authors":"Samuel Wann MD,&nbsp;Michael Krystowiak BA","doi":"10.1111/j.1076-7460.2007.07642.x","DOIUrl":"10.1111/j.1076-7460.2007.07642.x","url":null,"abstract":"<p> <b>\u0000 <i>Recent technical advances have enabled the use of computed tomography (CT) to visualize the beating heart, including the coronary arteries. This ability to perform noninvasive coronary angiography and to precisely evaluate other cardiovascular structures using CT may be especially valuable in the geriatric population. CT angiography can be used not only to investigate chest pain syndromes in the elderly but also for preoperative evaluation before cardiac and noncardiac surgery to detect intracardiac thrombi and tumors and to evaluate valves, the myocardium, and other cardiovascular structures, including the aorta. The authors present examples of the application of CT angiography in various older adult patients with cardiovascular disease to highlight potential applications.</i>\u0000 </b> </p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"376-380"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.07642.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009119","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: 1
Pulmonary Emphysema 肺气肿
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.06217.x
David H. Spodick MD, DSc
{"title":"Pulmonary Emphysema","authors":"David H. Spodick MD, DSc","doi":"10.1111/j.1076-7460.2007.06217.x","DOIUrl":"10.1111/j.1076-7460.2007.06217.x","url":null,"abstract":"","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"390"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.06217.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009121","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: 1
Nuclear Cardiac Imaging for the Assessment of Coronary Artery Disease in the Elderly 老年冠状动脉疾病的核磁共振评价
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.07640.x
Todd D. Miller MD, Marcelo F. DiCarli MD
{"title":"Nuclear Cardiac Imaging for the Assessment of Coronary Artery Disease in the Elderly","authors":"Todd D. Miller MD,&nbsp;Marcelo F. DiCarli MD","doi":"10.1111/j.1076-7460.2007.07640.x","DOIUrl":"10.1111/j.1076-7460.2007.07640.x","url":null,"abstract":"<p> <b>\u0000 <i>Stress single photon emission computed tomography (SPECT) and positron emission tomography (PET), the standard clinical methods for measuring myocardial perfusion, have been extensively validated for diagnostic and prognostic purposes in general populations. Published data in the elderly are limited. The available data suggest that in elderly patients, SPECT is as accurate for diagnostic purposes as in younger patients and that stress SPECT is considerably more accurate for prognostic purposes when compared with standard treadmill testing. Pharmacologic stress testing can be performed in conjunction with SPECT and PET, representing another advantage of these techniques because many elderly patients cannot exercise to a high enough workload to provoke ischemia during testing.</i>\u0000 </b> </p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"355-362"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.07640.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009124","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: 3
Diagnostic Testing in the Elderly: Imaging Is Great, But It's Not the Whole Story 老年人的诊断测试:成像很好,但不是全部
American Journal of Geriatric Cardiology Pub Date : 2007-12-19 DOI: 10.1111/j.1076-7460.2007.07637.x
Daniel E. Forman MD
{"title":"Diagnostic Testing in the Elderly: Imaging Is Great, But It's Not the Whole Story","authors":"Daniel E. Forman MD","doi":"10.1111/j.1076-7460.2007.07637.x","DOIUrl":"10.1111/j.1076-7460.2007.07637.x","url":null,"abstract":"<p> <b>\u0000 <i>Management of coronary artery disease (CAD) is a large and growing challenge for today's burgeoning population of older adults, especially because age is a key risk factor for CAD and because morbidity/mortality from CAD increases with age. Whereas many people look to cardiovascular imaging to enhance CAD management, it often remains difficult to interpret the clinical implications of positive imaging studies. Functional assessment, heart rate and rhythm dynamics, and prognostic scoring tools all provide insights that complement the data provided by high-tech imaging options.</i>\u0000 </b> </p>","PeriodicalId":55533,"journal":{"name":"American Journal of Geriatric Cardiology","volume":"16 6","pages":"340-342"},"PeriodicalIF":0.0,"publicationDate":"2007-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1076-7460.2007.07637.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41009125","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: 4
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