Vom Belastungs-EKG zur Koronarangiographie

Kaltenbach, M.; Roskamm, H.; Kober, G.; Bussmann, W.‐D.; Samek, L.; Stürzenhofecker, P.; Becker, Hans‐Jürgen; Petersen, Jens

doi:10.1007/978-3-642-67546-1

Cited by 44 publications

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“…A cw-Doppler investigation (frequency of the cw-transducer: 4 or 8 MHz) of all four extra-cranial arteries supplying the brain [17] a sonogram of the abdominal aorta [18] with a 3·5 MHz transducer, a stress oscillogram of the legs [19] , and a stress electrocardiogram [20,21] , were made. In all controls, at least 80% of the age-adjusted maximal heart rate (MHR, calculated as 220-age in years) was reached.…”

Section: Clinical Investigationsmentioning

confidence: 99%

C-reactive protein and the severity of atherosclerosis in myocardial infarction patients with stable angina pectoris

Tataru

Heinrich²,

Junker³

et al. 2000

European Heart Journal

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Background Recent findings provide evidence for the importance of inflammatory processes in the pathogenesis of atherosclerosis. C-reactive protein was elevated in patients with peripheral artery disease, coronary heart disease and myocardial infarction compared to normal subjects. MethodsIn 1112 male and 299 female survivors of myocardial infarction (mean age SD, men, 50·4 9·5, women, 56·1 9·3), we investigated whether plasma C-reactive protein concentration is associated with the severity of coronary heart disease and generalized pre-clinical or clinically manifest arteriopathy. The control group consisted of 326 male and 138 female individuals matched for age without clinical symptoms of coronary disease. The severity of arteriosclerotic changes was determined for the extra-cranial brain-supplying arteries, abdominal aorta, pelvis and leg arteries. In myocardial infarction patients coronary angiography was performed. Laboratory analyses included determination of C-reactive protein, fibrinogen, D-dimer, HDL-cholesterol, LDL-cholesterol and triglycerides. ResultsThe following ranking of C-reactive protein concentrations was found: controlscpatients after myocardial infarction without atherosclerosiscpatients with myocardial infarction and pre-clinical atherosclerosiscpatients with myocardial infarction and clinically manifest atherosclerosis. Additionally, our data showed a significant association between C-reactive protein concentrations and the angiographically detected degree of coronary heart disease.Conclusions As C-reactive protein is a marker of inflammatory processes, our results in patients with clinically manifest and early pre-clinical atherosclerosis support the hypothesis that inflammatory processes in the vessel wall participate in atherogenesis. Moreover, they support the hypothesis of a causal relationship between an acute phase reaction and the pathogenesis of atherosclerosis in coronary arteries and other parts of the arterial vessel system.

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Section: Clinical Investigationsmentioning

confidence: 99%

C-reactive protein and the severity of atherosclerosis in myocardial infarction patients with stable angina pectoris

Tataru

Heinrich²,

Junker³

et al. 2000

European Heart Journal

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“…c, d In constrictive pericarditis the diastolic filling pressure is elevated due to a restriction of diastolic ventricular expansion; the diastolic pressure equalizes in all cardiac chambers. 6 Aortic disorders 6…”

Section: Myocarditis Pericarditismentioning

confidence: 99%

Concise Cardiology

Kaltenbach¹,

Vlietstra²

1991

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PrefaceThis book aims to provide an easily read general account of clinical cardiology. It is primarily designed to meet the needs of medical students, but should be helpful to advanced students in nursing and paramedical fields, as well as providing a review text for medical interns and residents. The book may help to practice modern medicine in a humane way. This means utilizing all possibilities available, but, at the same time, recognizing their limitations. Since progress in the field of cardiology advances rapidly the physician can only keep up with it by understanding diagnostic and therapeutic measures rather than by memorizing multiple facts.The need for a book such as this one has already been proven by the wide acceptance in Europe of the first two German editions (authored by M.K.). Indeed, this success prompted the collaborative effort represented here. Along with the translation into English, the authors have tried to maintain an international perspective, in tune with the greater global awareness and cooperation of the 1990s.The book is based on knowledge gained from practical experience and also from lecturing and post-graduate training in a variety of different countries. We wish to express our sincere thanks to our families, our students, and our colleagues in the departments of cardiology of the Johann-Wolfgang-Goethe University Hospital (Frankfurt), the Mayo Clinic (Rochester, Minnesota), and the Watson Clinic (Lakeland, Florida). This work is in no small measure the result of cooperation and teamwork of many years' standing with members of departments of internal medicine, cardiovascular and thoracic surgery, anesthesiology, radiology, pathology, physiology and nuclear cardiology, and we are grateful for these team efforts. We also wish to express our deep appreciation to the publishers for their constant support and guidance. v Foreword Despite recent encouraging trends, cardiovascular disease remains the most common cause of death, disability and hospitalization, and among the most frequent forms of serious illness in the industrialized world. The teaching of contemporary cardiology is a formidable challenge given the striking advances in so many disciplines, both basic and clinical, that have transformed the field in the last two decades. To aid in the education of the specialist a number of detailed, often encyclopedic texts of high quality are now available. In addition, numerous fine monographs on special aspects of cardiology have been published, again for the cardiologist. However, given the sheer magnitude of the problem of cardiovascular disease the vast preponderance of the care of patients with cardiovascular disease is now delivered, not by cardiologists, but rather by internists and family practitioners.The detailed and the specialized monographs of cardiology are not the appropriate vehicles for the education of medical students, residents, and general physicians in this very important -and by far the largest -subspecialty of internal medicine. Even the fine textbooks of intern...

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“…Ischan-ue-Score = Leistung (Watt) So steigt mit zunehmender ST-Senkung irn Belastungs-Ekg und Abnahme der Arbeitstoleranz, also ansteigendem Ischdmie-Score, signifikant die Anzahl der Patienten mit positivem Koronarbefund und insbesondere mit Mehrgefdl3befall [2,54]. anzeigt, als wirksarne Koronarstenosen mit reiativ hohen Werten (durchschnittiich 85-95%) angegeben wird [20]. Eine Ausnahme machen Frauen, die infoige vegetativer Einfltisse oft falsch positive Befunde im Belastungs.Ekg zeigen [59].…”

Section: Bestimmung Der Leisturigsgrenzeunclassified

“…Eine Ausnahme machen Frauen, die infoige vegetativer Einfltisse oft falsch positive Befunde im Belastungs.Ekg zeigen [59]. KALTENBACIT [20] [20]. Auch zeigen bei der rechnergestutzten Analyse des Belastungs-Ekg die Ergebnisse internationaler Arbeitsgruppen zwischen automatisierter und konventioneller Auswertung dureh den Arzt bereits in 75-95% lThereinstimmung [5,15,23,34].…”

Section: Bestimmung Der Leisturigsgrenzeunclassified

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Das Belastungs-Ekg bei Koronarkranken - Aussage und Wertigkeit für die kardiologische Rehabilitation¹

Reinhold¹

1983

Phys Rehab Kur Med

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Vom Belastungs-EKG zur Koronarangiographie

Cited by 44 publications

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C-reactive protein and the severity of atherosclerosis in myocardial infarction patients with stable angina pectoris

C-reactive protein and the severity of atherosclerosis in myocardial infarction patients with stable angina pectoris

Concise Cardiology

Das Belastungs-Ekg bei Koronarkranken - Aussage und Wertigkeit für die kardiologische Rehabilitation¹

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Vom Belastungs-EKG zur Koronarangiographie

Cited by 44 publications

References 0 publications

C-reactive protein and the severity of atherosclerosis in myocardial infarction patients with stable angina pectoris

C-reactive protein and the severity of atherosclerosis in myocardial infarction patients with stable angina pectoris

Concise Cardiology

Das Belastungs-Ekg bei Koronarkranken - Aussage und Wertigkeit für die kardiologische Rehabilitation1

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Das Belastungs-Ekg bei Koronarkranken - Aussage und Wertigkeit für die kardiologische Rehabilitation¹