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Cardiovascular clinics最新文献

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Cardiovascular effects of alcohol, cocaine, and acquired immune deficiency. 酒精、可卡因和获得性免疫缺陷对心血管的影响。
Cardiovascular clinics Pub Date : 1991-01-01
J Brown, A King, C K Francis
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引用次数: 0
Long-term clinical results after coronary artery bypass surgery. 冠状动脉搭桥术后的长期临床结果。
Cardiovascular clinics Pub Date : 1991-01-01
M G Bourassa
{"title":"Long-term clinical results after coronary artery bypass surgery.","authors":"M G Bourassa","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 2","pages":"101-21"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200776","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 risk factors and the postbypass patient. 冠状动脉危险因素和搭桥后患者。
Cardiovascular clinics Pub Date : 1991-01-01
L Campeau
{"title":"Coronary risk factors and the postbypass patient.","authors":"L Campeau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Atherosclerosis frequently develops in SVGs during the first 10 years. This process appears related to coronary risk factors. Several studies have found an association between hyperlipidemia and atherosclerosis documented at pathology. Late changes attributed to atherosclerosis that were observed at angiography were also significantly related to elevated serum levels of total cholesterol and triglycerides. They also were found in association with diabetes, systemic hypertension, and smoking in some studies. Several clinical studies have documented an association of one or several coronary risk factors with postoperative clinical events, including recurrence of angina, myocardial infarction, heart failure, reoperation because of clinical deterioration, and survival. These factors have been shown to act alone or in combination. The most important is an abnormal lipid profile and diabetes. Smoking and hypertension were seldom found to be significant predictors when considered separately, but appear to play an important role in association with the others. Control of coronary risk factors, particularly hyperlipidemia and smoking, seems mandatory in order to prevent SVG atherosclerosis and progression of the disease in the native coronary arteries.</p>","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 2","pages":"123-33"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200777","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
Platelets and thrombosis in vein graft occlusion: role and prevention. 血小板和血栓在静脉移植闭塞中的作用及预防。
Cardiovascular clinics Pub Date : 1991-01-01
J Y Lam, B C Solymoss, L Campeau
{"title":"Platelets and thrombosis in vein graft occlusion: role and prevention.","authors":"J Y Lam,&nbsp;B C Solymoss,&nbsp;L Campeau","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 2","pages":"67-81"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200788","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
Hypertension in blacks: clinical overview. 黑人高血压：临床概述。
Cardiovascular clinics Pub Date : 1991-01-01
C Hildreth, E Saunders
{"title":"Hypertension in blacks: clinical overview.","authors":"C Hildreth, E Saunders","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although the decline in stroke and other cardiovascular morbid and mortal events has been occurring since the 1940s, the steeper decline since 1968 has been attributed to improved hypertension awareness, treatment, and control. However, in spite of this encouraging trend from the population in general, surveys from the 1970s and our more recent survey from the Maryland Hypertension Program indicate that hypertension control among blacks remains unacceptably poor, particularly in view of the high prevalence. Of special concern are black men, who have the highest prevalence of any group and the poorest control rate (see Tables 6-1 through 6-4). According to Gillum and Gillum, \"High rates of non-compliance with follow-up and drug therapy seriously compromised the efforts of community-wide programs. Indeed, non-compliance with therapeutic or preventive health advice is now the major barrier to effective hypertension control in the United States.\" Impediments to ideal hypertension control in black communities can be divided into three categories 1. Severity of hypertension in blacks. 2. Barriers related to the medical care system, including inadequate financial resources (see also Chapter 5), inconveniently located health care facilities, long waiting times, and inaccessibility to health education, specifically as it relates to hypertension. 3. Barriers related to the social, psychosocial, and sociopolitical environment, which include problems of underemployment, unemployment, racism, and strained racial relationships. In summary, one could say that, in spite of generally improved hypertension control in the United States, the group that has the worse problems (blacks, especially males) is not benefiting as much as the general population. The strategy for treating black patients with hypertension is little different from that applied to all other patients. However, consideration must be given to the patients' lifestyle. The cultural differences in diet especially must be taken into account. Finally, economic considerations must always be an important component in managing black hypertensive patients. For a detailed discussion of treatment alternatives, see Chapter 11.</p>","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 3","pages":"85-96"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13199955","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
Cerebrovascular disease in hypertensive blacks. 高血压黑人的脑血管疾病。
Cardiovascular clinics Pub Date : 1991-01-01
E S Cooper, L R Caplan
{"title":"Cerebrovascular disease in hypertensive blacks.","authors":"E S Cooper, L R Caplan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is convincing evidence that all grades of persistent diastolic hypertension, especially in blacks, should be treated in order to prevent stroke and other cardiovascular complications. Studies are now in progress to gather additional information concerning isolated systolic hypertension, especially in the aged. Inasmuch as at least one half or more of stroke deaths in blacks develop as the result of hypertension, lowering blood pressure offers the perfect opportunity to reduce considerably the frequency of this devastating illness. The recent dramatic fall in U.S. stroke mortality, greatest in the black female, is a commendable achievement, but the flattening of the declining mortality curve over the past several years should be a cause for alarm and intensive investigation.</p>","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 3","pages":"145-55"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200791","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
Medical management of coronary heart disease in blacks. 黑人冠心病的医疗管理。
Cardiovascular clinics Pub Date : 1991-01-01
L J Haywood, K C Ferdinand
{"title":"Medical management of coronary heart disease in blacks.","authors":"L J Haywood,&nbsp;K C Ferdinand","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 3","pages":"241-7"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200674","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
Risk factors and the natural history of coronary heart disease in blacks. 黑人冠心病的危险因素和自然病史
Cardiovascular clinics Pub Date : 1991-01-01
C E Lewis, J M Raczynski, A Oberman, G R Cutter
{"title":"Risk factors and the natural history of coronary heart disease in blacks.","authors":"C E Lewis,&nbsp;J M Raczynski,&nbsp;A Oberman,&nbsp;G R Cutter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Contrary to early impressions of blacks' relative immunity to CHD, it is now clear that African Americans experience greater mortality from CHD than whites. The natural history of CHD differs between blacks and whites in three important respects: First, greater prevalence of established risk factors among blacks suggests that they may be at greater risk for heart disease than their white counterparts. Second, health care seeking differences are evident between blacks and whites, leading to lower rates of identification of early disease and slower seeking of services for acute events. However, risk factor differences and health care seeking behaviors do not appear to account for all of the differences in the natural history of heart disease between the ethnic groups, such as survival rate differences during treatment. Economic factors appear to account for only a portion of these differences in risk factors and health care seeking. Beyond differences in risk factors and health care seeking, other, as yet undetermined, factors seem to be involved. These unknown influences could include physiologic, behavioral, and/or psychologic differences.</p>","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 3","pages":"29-45"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200678","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
Management of arrhythmias in the postbypass patient. 心脏搭桥术后患者心律失常的处理。
Cardiovascular clinics Pub Date : 1991-01-01
M Talajic, R Lemery, D Roy, L C Pelletier
{"title":"Management of arrhythmias in the postbypass patient.","authors":"M Talajic,&nbsp;R Lemery,&nbsp;D Roy,&nbsp;L C Pelletier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 2","pages":"211-26"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200780","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
Pathologic changes in coronary artery saphenous vein grafts and related etiologic factors. 冠状动脉隐静脉移植物的病理改变及相关病因。
Cardiovascular clinics Pub Date : 1991-01-01
B C Solymoss, T K Leung, L C Pelletier, L Campeau
{"title":"Pathologic changes in coronary artery saphenous vein grafts and related etiologic factors.","authors":"B C Solymoss,&nbsp;T K Leung,&nbsp;L C Pelletier,&nbsp;L Campeau","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75674,"journal":{"name":"Cardiovascular clinics","volume":"21 2","pages":"45-65"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200787","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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