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An example of the clinical selectivity of regadenoson for the A2a adenosine receptor. 再腺苷子对A2a腺苷受体的临床选择性的一个例子。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.2.118
Michael I Miyamoto, Kyle A Clarke, Gregory S Thomas, Luiz Belardinelli
{"title":"An example of the clinical selectivity of regadenoson for the A2a adenosine receptor.","authors":"Michael I Miyamoto, Kyle A Clarke, Gregory S Thomas, Luiz Belardinelli","doi":"10.15420/ahhj.2009.7.2.118","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.2.118","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 2","pages":"E118-21"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28890764","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
Electrocardiographic criteria in tako-tsubo cardiomyopathy-is there added certainty in a diagnosis per exclusionem? 心肌病的心电图诊断标准——排除症状的诊断是否增加了确定性?
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.2.130
Sheneef Sunderji, Vignendra Ariyarajah, Viktor Solodum, Nasir Shaikh, James W Tam
{"title":"Electrocardiographic criteria in tako-tsubo cardiomyopathy-is there added certainty in a diagnosis per exclusionem?","authors":"Sheneef Sunderji,&nbsp;Vignendra Ariyarajah,&nbsp;Viktor Solodum,&nbsp;Nasir Shaikh,&nbsp;James W Tam","doi":"10.15420/ahhj.2009.7.2.130","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.2.130","url":null,"abstract":"<p><p>Tako-Tsubo cardiomypathy (TTC), also known as transient left ventricular apical ballooning syndrome, is a stress-induced cardiomyopathy that predominantly affects post-menopausal, elderly women during emotional or physical stress. Apical left ventricular dysfunction in the absence of significant coronary artery disease is the hallmark of this condition. Because the electrocardiogram (ECG) classically depicts precordial ST-segment elevations and cardiac biomarkers can often be raised, it can be a challenge to differentiate TTC from an acute myocardial infarction (AMI). Indeed, several recent studies have proposed ECG criteria to differentiate TTC from an AMI. We present a case series of consecutive patients in whom we had employed such ECG criteria but were unable to conclusively differentiate TTC from an AMI. In each case, TTC remained a diagnosis per exclusionem, where coronary angiography was necessary to rule out myocardial infarction. We review and discuss the commonly used ECG criteria and highlight the evolutionary ECG changes commonly noted with TTC to help better prepare clinicians when dealing with patients with similar clinical scenarios.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 2","pages":"E130-5"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28890768","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
Primary cardiac lymphoma presenting with cardiac tamponade. 原发性心脏淋巴瘤表现为心脏填塞。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.2.125
Lee Fong Ling, Ping Chai, Adrian C L Kee, Kian Keong Poh, Diana G S Lim, Abdul Razakjr Bin Omar
{"title":"Primary cardiac lymphoma presenting with cardiac tamponade.","authors":"Lee Fong Ling,&nbsp;Ping Chai,&nbsp;Adrian C L Kee,&nbsp;Kian Keong Poh,&nbsp;Diana G S Lim,&nbsp;Abdul Razakjr Bin Omar","doi":"10.15420/ahhj.2009.7.2.125","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.2.125","url":null,"abstract":"<p><p>Primary cardiac lymphoma (PCL) is rare and occurs more commonly in immunocompromised patients. It can present in various ways, and diagnosis is particularly challenging, especially for the unsuspecting physician. We report a case of PCL in an immunocompetent 55-year-old man who initially presented with pyrexia of unknown origin, chest pain, dyspnea, and few early clinical signs, but who was later found to have cardiac tamponade and a large cardiac mass on echocardiography and cardiovascular magnetic resonance. A high index of suspicion is needed to diagnose PCL, and echocardiogram remains an important diagnostic tool.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 2","pages":"E125-7"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28890766","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
Just say 'No' to soylent green medicine-you'll be glad you did. 只要对soylent green medicine说“不”，你就会很高兴你这么做了。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.2.106
Michael D Moran
{"title":"Just say 'No' to soylent green medicine-you'll be glad you did.","authors":"Michael D Moran","doi":"10.15420/ahhj.2009.7.2.106","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.2.106","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 2","pages":"E106-8"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28892827","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
Reforming healthcare delivery-accountable cardiovascular care in a new era. 改革医疗服务——新时代负责任的心血管护理。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.2.89
Jack Lewin
{"title":"Reforming healthcare delivery-accountable cardiovascular care in a new era.","authors":"Jack Lewin","doi":"10.15420/ahhj.2009.7.2.89","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.2.89","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 2","pages":"E89-93"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28890227","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
Doing death better. 死得更好。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.2.104
Bruce Wilson
{"title":"Doing death better.","authors":"Bruce Wilson","doi":"10.15420/ahhj.2009.7.2.104","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.2.104","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 2","pages":"E104-5"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28890760","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
Ventricular fibrillation as the presenting manifestation of adrenocortical carcinoma. 心室颤动是肾上腺皮质癌的主要表现。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.1.65
Avi Shimony, Sergiy Bereza, Aryeh Shalev, Harel Gilutz, Reuben Ilia, Doron Zahger
{"title":"Ventricular fibrillation as the presenting manifestation of adrenocortical carcinoma.","authors":"Avi Shimony,&nbsp;Sergiy Bereza,&nbsp;Aryeh Shalev,&nbsp;Harel Gilutz,&nbsp;Reuben Ilia,&nbsp;Doron Zahger","doi":"10.15420/ahhj.2009.7.1.65","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.1.65","url":null,"abstract":"<p><p>We describe a case of a young adult in whom sudden cardiac death due to ventricular fibrillation was the presenting manifestation of an adrenocortical carcinoma. The arrhythmia was precipitated by severe hypokalemia induced by the aldosterone-secreting tumor. Sudden death has not been previously described as a manifestation of this adrenal neoplasm. Unexplained persistent hypokalemia after resuscitated sudden death (especially when combined with hypertension( should prompt investigation for an underlying secondary hypertension, particularly adrenal pathology. Adrenocortical carcinoma should be considered in the differential diagnosis of unexplained sudden death associated with unexplained hypokalemia.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 1","pages":"65-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28391047","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
Wide QRS complex supraventricular tachycardia with negative precordial concordance. 宽QRS复合室上性心动过速伴负心前一致性。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.1.67
Loukas K Pappas, Michalis Efremidis, Konstantinos P Letsas, Gerasimos D Gavrielatos, Ioannis P Alexanian, Antonios Sideris, Fotios Kardaras
{"title":"Wide QRS complex supraventricular tachycardia with negative precordial concordance.","authors":"Loukas K Pappas,&nbsp;Michalis Efremidis,&nbsp;Konstantinos P Letsas,&nbsp;Gerasimos D Gavrielatos,&nbsp;Ioannis P Alexanian,&nbsp;Antonios Sideris,&nbsp;Fotios Kardaras","doi":"10.15420/ahhj.2009.7.1.67","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.1.67","url":null,"abstract":"<p><p>The authors describe the case of a 49-year-old man who experienced an episode of palpitations and dizziness. The results of 24-hour Holter monitoring demonstrated an episode of wide QRS complex regular tachycardia. During the electrophysiological study, a wide QRS complex tachycardia with negative precordial concordance was induced. A diagnosis of orthodromic atrioventricular re-entrant tachycardia involving a left lateral accessory pathway with left bundle branch aberration was made. This case represents a rare exception to the rule that negative precordial QRS concordance is diagnostic of ventricular tachycardia.</p>","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 1","pages":"67-8"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28391048","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
Look at the valve- A case of aortic stenosis that isn't. 看看瓣膜，主动脉狭窄的病例不是。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.2.113
Karen K Stout
{"title":"Look at the valve- A case of aortic stenosis that isn't.","authors":"Karen K Stout","doi":"10.15420/ahhj.2009.7.2.113","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.2.113","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 2","pages":"E113-7"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28890763","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
Where's the beef? A case of left ventricular hypertrophy that isn't. 牛肉在哪里?一个左心室肥厚的病例不是。
The American heart hospital journal Pub Date : 2009-01-01 DOI: 10.15420/ahhj.2009.7.1.58
Karen K Stout, Alan S Pearlman
{"title":"Where's the beef? A case of left ventricular hypertrophy that isn't.","authors":"Karen K Stout,&nbsp;Alan S Pearlman","doi":"10.15420/ahhj.2009.7.1.58","DOIUrl":"https://doi.org/10.15420/ahhj.2009.7.1.58","url":null,"abstract":"","PeriodicalId":87149,"journal":{"name":"The American heart hospital journal","volume":"7 1","pages":"58-61"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28391044","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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