•Journal•ISSN: 1811-8194
The Cardiology
Medwell Publications
About: The Cardiology is an academic journal published by Medwell Publications. The journal publishes majorly in the area(s): Myocardial infarction & Heart failure. It has an ISSN identifier of 1811-8194. It is also open access. Over the lifetime, 6408 publications have been published receiving 84326 citations.
Topics: Myocardial infarction, Heart failure, Coronary artery disease, Blood pressure, Heart disease
Papers published on a yearly basis
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TL;DR: In this paper, a 78-year-old woman with a history of hypertension is admitted to the hospital with congestive heart failure, and physical examination reveals a blood pressure of 180/90 mm Hg, increased jugular venous pressure, peripheral edema and pulmonary rales.
Abstract: A 78-year-old woman with a history of hypertension is admitted to the hospital with congestive heart failure. Physical examination reveals a blood pressure of 180/90 mm Hg, increased jugular venous pressure, peripheral edema, and pulmonary rales. A chest radiograph shows pulmonary edema and mild cardiomegaly. An echocardiogram shows a left ventricular ejection fraction of 70 percent. The left ventricular Doppler filling pattern is abnormal and consistent with an elevated pulmonary-capillary wedge pressure. How should this patient be treated?
608 citations
TL;DR: This report describes three members of one family demonstrating this ECG phenomenon, associated in the 17-year-old with several episodes of paroxysmal atrial fibrillation requiring electrical cardioversion, and considers the possible arrhythmogenic potential of the short QTI.
Abstract: In this first clinical report of an idiopathic familial persistently short QT interval (QTI), we describe three members of one family (a 17-year-old female, her 21-year-old brother, and their 51-year-old mother) demonstrating this ECG phenomenon, associated in the 17-year-old with several episodes of paroxysmal atrial fibrillation requiring electrical cardioversion. Similar ECG changes seen in an unrelated 37-year-old patient were associated with sudden cardiac death. Our report also describes other manifestations of abnormal shortening of the QTI and considers the possible arrhythmogenic potential of the short QTI.
586 citations
TL;DR: Stress echocardiography not only identifies high-risk features that indicate need for earlier surgery, it also provides useful information for the peri- and postoperative period, including long-term outcome, risk stratification to guide monitoring frequency, and offers guidance for eligibility in competitive sports participation.
Abstract: Stress echocardiography is a widely available, safe, low-cost, versatile imaging modality which is becoming increasingly recognized as a valuable tool in the assessment of patients with native and prosthetic left-sided valvular heart disease. It provides a quantitative assessment to help guide clinical decision-making when discordance exists between symptoms and severity of valve disease. Exercise (treadmill or bicycle) remains the preferred stress modality, but pharmacological augmentation with dobutamine can be used if needed. Low-dose dobutamine stress echocardiography is specifically valuable in patients with low-flow, low-gradient aortic stenosis when attempting to differentiate true severe aortic stenosis from pseudo-severe aortic stenosis. Stress echocardiography not only identifies high-risk features that indicate need for earlier surgery, it also provides useful information for the peri- and postoperative period, including long-term outcome, risk stratification to guide monitoring frequency, and offers guidance for eligibility in competitive sports participation. As research continues to expand the utility of stress echocardiography in the management of patients with valvular heart disease, future research should focus on the recognition of newer parameters identifying high-risk features including subsequent validation in a large population.
437 citations
TL;DR: Therapy of arrhythmias and CMP in all three disorders follows the established cardiological recommendations, and ACE inhibitors are recommended already at the early stages of the disease.
Abstract: Dystrophinopathies are due to mutations in the dystrophin gene on chromosome Xp21.1 and comprise the allelic entities Duchenne muscular dystrophy (DMD), Becker muscular dystrophy (BMD) and X-linked di
399 citations
TL;DR: A mathematical model relating carotid sinus pressure to systemic arterial pressure explains the relationship between CSP and SAP with an accuracy of 96 %.
Abstract: A mathematical model relating carotid sinus pressure (CSP) to systemic arterial pressure (SAP) explains the relationship between CSP and SAP with an accuracy of 96 %. The 4 parameters of the model are all physiologically meaningful. They include: the total range of control of SAP (identified as A(l), in mm Hg); the sensitivity of the reflex response (identified as A(2), in mm Hg-1); the carotid sinus pressure from which equal pressor and depressor responses may be elicited (identified as A(3), in mm Hg), and the lower limit to which SAP may be driven by maximal carotid sinus stimulation (identified as A(4), in mm Hg). Several other physiologically meaningful parameters can be calculated from the model, e.g. threshold, saturation, and set point for carotid sinus pressures. Experimental interventions are shown to effect changes in parameters, and these changes can be used to analyze alterations in the reflex response. For example, from the elevated gain, A(2), of the reflex response after vagotomy it can be deduced that the aortic baroreceptors have a damping effect on the carotid sinus reflex response.
384 citations