Search results for "Coronary Heart Disease"
showing 10 items of 116 documents
Child abuse/neglect risk assessment under field practice conditions: Tests of external and temporal validity and comparison with heart disease predic…
2015
AbstractObjectives (1) Identify validation design and accuracy assessment standards for medical prognostic models applicable to evaluation of child abuse/neglect (CA/N) risk assessment models. (2) Assess the accuracy of the California Family Risk Assessment (CFRA) in predicting CA/N using the foregoing standards. (3) Compare the prediction accuracy of the CFRA with the prediction accuracy of coronary heart disease (CHD) prediction models. Questions addressed (1) What validation design and accuracy assessment standards are used to evaluate medical prognostic models? (2) What is the evidence for the accuracy of the CFRA using those standards? (3) How does the accuracy of the CFRA in predictin…
Isolated non-compaction of the myocardium as a cause of coronary and cerebral embolic events in the same patient.
2009
A 44-year-old woman with a history of smoking and previous cerebral thrombo-embolism presented to the emergency department with prolonged chest pain and ECG changes showing an acute anterior myocardial infarction. She was referred to the cath-lab for primary angioplasty. Coronary angiography showed a thrombotic occlusion at the origin of first diagonal …
Heart rate control with oral ivabradine in computed tomography coronary angiography: a randomized comparison of 7.5 mg vs 5 mg regimen.
2013
Background: Heart rate (HR) reduction is essential to achieve optimal image quality and diagnostic accuracy with computed tomography coronary angiography (CTCA). Administration of oral ivabradine seems to be more effective than beta-blockade in reducing HR in patients referred for CTCA. Methods: Two-hundred-fifty-nine consecutive patients referred for CTCA were prospectively enrolled. Patients not receiving beta-blocker at baseline (group 1) and those with beta-blocker therapy (group 2) were enrolled in the study. Each group was randomized into 3 parallel arms with 1:1:1 allocation. Patients who did not receive beta-blocker at baseline: underwent CTCA without beta blocker (n=49), and receiv…
Intraluminal Doppler-Sonography: Analysis and “in Vitro Test” of a New Device
1992
In treating patients with coronary heart disease it’ s necessary first to determine what influence the stenose has on the coronary blood flow. This is a prerequisite for any invasive treatment method. Coronary angiography explosures are only partially useful in attaining a functional evaluation of the haemodynamic stenoses.
Spiral-CT zum Nachweis von Koronararterienverkalkungen und Vorhersage einer koronaren Herzerkrankung - Vergleich zur Durchleuchtung und Koronarangiog…
1997
PURPOSE Evaluation of clinical relevance of coronary calcifications detected by helical CT. Evaluation of congruence with fluoroscopy (FS) and coronary angiography. Comparison with studies reporting on application of ultrafast computed tomography. MATERIALS AND METHODS 40 patients underwent helical CT (2 mm slice thickness, table-feed 3 mm/s). Coronary angiography and FS were performed in usual technique. Stenosis and calcifications were evaluated semiquantitatively. RESULTS 28 of 28 stenoses > or = 75% were detected via helical CT by evaluation of calcification (FS: 19). One non-detected solitary stenosis was calculated as 40%. FS did not detect 4 cases with 2-vessel and 3-vessel disease e…
Cardiovascular diseases and apical periodontitis: association not always implies causality.
2020
Background: Several studies published in the last two decades have found an association between the prevalence of apical periodontitis (AP) or root canal treatment (RCT) and cardiovascular diseases (CVDs). However, the demonstration of association does not prove by itself the existence of a cause–effect relationship. Two diseases can appear as statistically related without any of them directly affecting the values of the other, resulting in a non-causal relationship. The aim of this narrative review is to summarize the current state of knowledge regarding the association between AP and CVDs, analysing it according to the Hill’s causality criteria. Materials and Methods: Epidemiological stud…
Direct quantification of cell-free, circulating DNA from unpurified plasma.
2014
Cell-free DNA (cfDNA) in body tissues or fluids is extensively investigated in clinical medicine and other research fields. In this article we provide a direct quantitative real-time PCR (qPCR) as a sensitive tool for the measurement of cfDNA from plasma without previous DNA extraction, which is known to be accompanied by a reduction of DNA yield. The primer sets were designed to amplify a 90 and 222 bp multi-locus L1PA2 sequence. In the first module, cfDNA concentrations in unpurified plasma were compared to cfDNA concentrations in the eluate and the flow-through of the QIAamp DNA Blood Mini Kit and in the eluate of a phenol-chloroform isoamyl (PCI) based DNA extraction, to elucidate the D…
Pro-Inflammatory Genetic Markers of Atherosclerosis
2013
Atherosclerosis (AS) is a chronic, progressive, multifactorial disease mostly affecting large and medium-sized elastic and muscular arteries. It has formerly been considered a bland lipid storage disease. Currently, multiple independent pathways of evidence suggest this pathological condition is a peculiar form of inflammation, triggered by cholesterol-rich lipoproteins and influenced both by environmental and genetic factors. The Human Genome Project opened up the opportunity to dissect complex human traits and to understand basic pathways of multifactorial diseases such as AS. Population-based association studies have emerged as powerful tools for examining genes with a role in common mul…
Einfluß von qualitativen Stenosecharakteristika auf die Meßqualität verschiedener QCA-Systeme (Impact of lesion characteristics on the quality of mea…
1997
Die neueren QCA-Systeme weisen bei In-vitro-Messungen eine vergleichbare Reproduzierbarkeit und Genauigkeit der Mesergebnisse auf. Wir untersuchten, welchen Einflus die Morphologie von Koronararterienstenosen und die Bildqualitat auf die Mesergebnisse von drei fuhrenden QCA-Systemen (AWOS, Cardio und CMS) hat. Hierzu wahlten wir 57 Stenosen aus, die eine klinisch reprasentative Verteilung bezuglich des Stenosegrades, verschiedener Lasionscharakteristika und der Bildqualitat aufwiesen. Prozedurale Fehlerquellen wurden, soweit moglich, eliminiert. Drei Untersucher fuhrten je Stenose funf Messungen mit jedem der drei Systeme durch. Bei drei Stenosen war eine Auswertung nicht moglich.
Periphere arterielle Verschlusskrankheit als Zusatzdiagnose bei koronarer Herzerkrankung – Einfluss auf Diagnostik, Therapie und Prognose
2014
Das Vorliegen einer PAVK verschlechtert die Prognose eines Patienten mit KHK und sollte daher bei Diagnostik und Therapieplanung berucksichtigt werden. Ist eine weiterfuhrende Diagnostik bei V. a. eine KHK geplant, sollte man an mogliche Limitationen durch das Vorliegen einer PAVK denken. Bei einer Ergometrie sind PAVK Patienten moglicherweise aufgrund einer Claudicatio weniger gut belastbar, bei einer invasiven Diagnostik konnen Probleme beim Gefaszugang auftreten. Die Einstellung der kardiovaskularen Risikofaktoren ist bei allen Manifestationen der Arteriosklerose wichtig. Herbei sind die Empfehlungen der Leitlinien bei PAVK und KHK vergleichbar. Ebenso sind Thrombozytenaggregationshemmer…