200 research outputs found

    Letter Regarding Article by Pellikka et al, "Severe Asymptomatic Aortic Stenosis" * Response

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    Indicazioni a trattare la stenosi aortica asintomatic

    Cardiomiopatia dilatativa: cosa chiedere alla valutazione clinica e bioumorale

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    From the clinical standpoint a cardiomyopathy can be classified as primitive when other causes, i.e. ischemic, infiltrative, systemic diseases, can be ruled out. Initial symptoms usually include a progressive dyspnea and fatigue with tachycardia in a patient previously healthy. Congestive heart failure may be the initial manifestation. Angina is often present, not only because of coronary heart disease. Auscultatory findings usually include a gallop rhythm with a third heart sound, not rarely a four-sound gallop. Blood test to evaluate renal and liver function should be performed. The dosage of troponin I and/or troponin T, plasma renin activity, brain natriuretic peptide or endothelins has recently gained some reputation to indicate prognosis, but there is no reason to believe that these measures are superior to cardiopulmonary stress test

    Adding carvedilol to ACE inhibitors may reduce arrhythmia and ventricular tachycardia following acute myocardial infarction. Commentary.

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    Comment on Antiarrhythmic effect of carvedilol after acute myocardial infarction: results of the Carvedilol Post-Infarct Survival Control in Left Ventricular Dysfunction (CAPRICORN) tria

    Come stratificare e come ridurre il rischio chirurgico-anestesiologico in chirurgia vascolare.

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    Riduzione del rischio cardiovascolare in chirurgia non cardiac

    Quando \uc3\ua8 critica una stenosi valvolare?

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    The aim of the present paper was to determine why mitral stenosis is considered critical when the valve area is < or = 1 cm2, and an aortic stenosis when the valve area is < or = 0.8 cm2. An area-resistance curve was drawn for 490 patients with mitral stenosis, and for 525 with aortic stenosis. All points lie on the same curve, but mitral stenosis fell in the low resistance, while aortic stenosis fell in the high resistance section. Critical stenosis respectively begins and ends at the point of curve inflection, i.e. where the valve resistance increases or decreases sharply

    Disfunzione diastolica e scompenso cardiaco: una realt\ue0 clinica?

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    Il volume \ue8 suddiviso in quattro sezioni nelle quali vengono esposte le conoscenze attuali sullo sviluppo ed evoluzione della sindrome da scompenso cardiaco attraverso le differenti fasi cliniche, ponendo particolare attenzione allo studio dei dati epidemiologici che mostrano un allarmante aumento di incidenza tra le popolazioni geriatriche, considerate quelle a pi\uf9 alto rischio. L'obiettivo dell\u2019opera \ue8 quello di descrivere e commentare le moderne tecniche farmacologiche e di management, la cui sinergia risulta efficace nella gestione clinica dei pazienti e, soprattutto, nella sensibile riduzione del numero di ospedalizzazione e di decessi. Infatti, le recenti possibilit\ue0 farmacologiche offerte dalla biologia molecolare sono risultate valide nell\u2019interazionecon i sistemi recettoriali, cruciali nello scompenso cardiaco. L\u2019utilizzo di questo volume \ue8 da considerarsi opportuno per coloro che desiderano approfondire i risultati dei recenti trials clinici e degli studi osservazionali sull\u2019utilit\ue0 di questi farmaci, considerati ormai dei veri e propri \u201csalvavita\u201d
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