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Acute lymphocytic myocarditis 被引量:2
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作者 Maedeh Ganji Jose Ruiz-Morales Saif Ibrahim 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2018年第7期527-528,共2页
Myocarditis is an inflammatory disease of the myocardium. The clinical presentation of myocarditis may range from subclinical to sudden death. The incidence of fatal myocarditis, which often presents with sudden or ra... Myocarditis is an inflammatory disease of the myocardium. The clinical presentation of myocarditis may range from subclinical to sudden death. The incidence of fatal myocarditis, which often presents with sudden or rapid death, has been estimated at 0.15/100.000 in the general population and is highest in infants and young adults (but may affect any age group). However, diffuse myocarditis in autopsies of sudden death is 〈 2% in adult. 展开更多
关键词 CARDIOMYOPATHY Myoearditis Heart attack STEMI Sudden cardiac death
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Prolonged high-pressure balloon angioplasty of femoropopliteal lesions:Impact on stent implantation rate and mid-term outcome 被引量:2
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作者 Gianluca Rigatelli Mariano Palena +4 位作者 Paolo Cardaioli Fabio dell'Avvocata Massimo Giordan Dobrin Vassilev Marco Manzi 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2014年第2期126-130,共5页
Objectives To assess the impact on stent implantation rate and mid-term outcomes of prolonged high pressure angioplasty of femoropopliteal lesions. Methods We retrospectively enrolled 620 consecutive patients from Jan... Objectives To assess the impact on stent implantation rate and mid-term outcomes of prolonged high pressure angioplasty of femoropopliteal lesions. Methods We retrospectively enrolled 620 consecutive patients from January 2011 to December 2011 (75.6 ±12.3 years, 355 males, 76.5%in Rutherford class 5-6), referred for critical limb ischemia and submitted to prolonged high-pressure angioplasty of femoropopliteal lesions. The definition of prolonged high-pressure angioplasty includes dilation to at least 18 atm for at least 120 s. Proce-dural data, and clinical and instrumental follow-up were analyzed to assess stent implantation rate and mid-term outcomes. Results The preferred approach was ipsilateral femoral antegrade in 433/620 patients (69.7%) and contralateral cross-over in 164/620 (26.4%) and pop-liteal retrograde+femoral antegrade in 23/620 (3.7%). Techniques included subintimal angioplasty in 427/620 patients (68.8%) and endolu-minal angioplasty in 193/620 patients (31.2%). The prolonged high pressure balloon angioplasty procedure was successful in 86.2%(minor intra-procedural complications rate 15.7%), stent implantation was performed in 74 patients (11.9%), with a significant improvement of ankle-brachial index (0.29 ±0.6 vs. 0.88 ±0.3, P〈0.01) and Rutherford class (5.3 ±0.8 vs. 0.7 ±1.9, P〈0.01), a primary patency rate of 86.7%, restenosis of 18.6%on Doppler ultrasound and a target lesion revascularization of 14.8%at a mean follow-up of 18.1 ±6.4 months (range 1-24 months). Secondary patency rate was 87.7%. Conclusions Prolonged high pressure angioplasty of femoropopliteal lesions appears to be safe and effective allowing for an acceptable patency and restenosis rates on mid-term. 展开更多
关键词 Peripheral artery disease ANGIOPLASTY BALLOON STENT
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Primary reperfusion in acute right ventricular infarction: An observational study 被引量:1
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作者 Eulo Lupi-Herrera Héctor González-Pacheco +6 位作者 úrsulo Juárez-Herrera Nilda Espinola-Zavaleta Eduardo Chuquiure-Valenzuela Ramón Villavicencio-Fernández Marco Antonio Pea-Duque Ernesto Ban-Hayashi Sergio Férez-Santander 《World Journal of Cardiology》 CAS 2014年第1期14-22,共9页
AIM: To investigate the impact of primary reperfusion therapy(RT) on early and late mortality in acute right ventricular infarction(RVI). METHODS: RVI patients(n = 679) were prospectivelyclassified as without right ve... AIM: To investigate the impact of primary reperfusion therapy(RT) on early and late mortality in acute right ventricular infarction(RVI). METHODS: RVI patients(n = 679) were prospectivelyclassified as without right ventricular failure(RVF)(class A, n = 425, 64%), with RVF(class B, n = 158, 24%) or with cardiogenic shock(CS)(class C, n = 96, 12%). Of the 679 patients, 148(21.7%) were considered to be eligible for thrombolytic therapy(TT) and 351(51.6%) for primary percutaneous coronary intervention(PPCI). TIMI 3-flow by TT was achieved for A, B and C RVI class in 65%, 64% and 0%, respectively and with PPCI in 93%, 91% and 87%, respectively. RESULTS: For class A without RT, the mortality rate was 7.9%, with TT was reduced to 4.4%(P < 0.01) and with PPCI to 3.2%(P < 0.01). Considering TT vs PPCI, PPCI was superior(P < 0.05). For class B without RT the mortality was 27%, decreased to 13% with TT(P < 0.01) and to 8.3% with PPCI(P < 0.01). In a TT and PPCI comparison, PPCI was superior(P < 0.01). For class C without RT the in-hospital mortality was 80%, with TT was 100% and with PPCI, the rate decreased to 44%(P < 0.01). At 8 years, the mortality rate without RT for class A was 32%, for class B was 48% and for class C was 85%. When PPCI was successful, the longterm mortality was lower than previously reported for the 3 RVI classes(A: 21%, B: 38%, C: 70%; P < 0.001). CONCLUSION: PPCI is superior to TT and reduces short/long-term mortality for all RVI categories. RVI CS patients should be encouraged to undergo PPCI at a specialized center. 展开更多
关键词 Right VENTRICULAR INFARCTION REPERFUSION therapy VENTRICULAR failure CARDIOGENIC shock MORBIDITY MORTALITY
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Pacemaker mimicking a tunnel digger
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作者 Matthaios V.Didagelos Dimitrios Afendoulis +1 位作者 Petros Voutas Athanasios N.Kartalis 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2020年第8期528-529,共2页
An 81-year-old woman was admitted to our cardiology clinic with episodes of atypical chest pain.She had a personal history of hypertension and had undergone implantation of a VVIR pacemaker(in a subcutaneous pocket at... An 81-year-old woman was admitted to our cardiology clinic with episodes of atypical chest pain.She had a personal history of hypertension and had undergone implantation of a VVIR pacemaker(in a subcutaneous pocket at the right upper side of her thorax)fifteen years before at another institution,because of atrioventricular conduction disturbances(Figure 1DI). 展开更多
关键词 ARRHYTHMIAS COMPLICATIONS EROSION Infection PACEMAKER
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Artificial intelligence:Neural network model as the multidisciplinary team member in clinical decision support to avoid medical mistakes 被引量:9
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作者 Igor Vyacheslavovich Buzaev Vladimir Vyacheslavovich Plechev +1 位作者 Irina Evgenievna Nikolaeva Rezida Maratovna Galimova 《Chronic Diseases and Translational Medicine》 2016年第3期-,共7页
Objective: The continuous uninterrupted feedback system is the essential part of any well-organized system. We propose aLYNX concept that is a possibility to use an artificial intelligence algorithm or a neural networ... Objective: The continuous uninterrupted feedback system is the essential part of any well-organized system. We propose aLYNX concept that is a possibility to use an artificial intelligence algorithm or a neural network model in decision-making system so as to avoid possible mistakes and to remind the doctors to review tactics once more in selected cases. Method: aLYNX system includes:registry with significant factors, decisions and results;machine learning process based on this registry data;the use of the machine learning results as the adviser. We show a possibility to build a computer adviser with a neural network model for making a choice between coronary aortic bypass surgery (CABG) and percutaneous coronary intervention (PCI) in order to achieve a higher 5-year survival rate in patients with angina based on the experience of 5107 patients. Results: The neural network was trained by 4679 patients who achieved 5-year survival. Among them, 2390 patients underwent PCI and 2289 CABG. After training, the correlation coefficient (r) of the network was 0.74 for training, 0.67 for validation, 0.71 for test and 0.73 for total. Simulation of the neural network function has been performed after training in the two groups of patients with known 5-year outcome. The disagreement rate was significantly higher in the dead patient group than that in the survivor group between neural network model and heart team (16.8%(787/4679) vs. 20.3%(87/428), P ? 0.065)) Conclusion: The study shows the possibility to build a computer adviser with a neural network model for making a choice between CABG and PCI in order to achieve a higher 5-year survival rate in patients with angina. 展开更多
关键词 Coronary artery bypass grafting Percutaneous coronary intervention Artificial intelligence Decision making
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Imaging modality-independent anatomy of the left heart:implications for left-sided transcatheter interventions
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作者 Pascal Thériault-Lauzier Nicolò Piazza 《华西医学》 CAS 2018年第2期145-149,共5页
Interventional cardiologists have traditionally relied upon fluoroscopic imaging for percutaneous coronary interventions. Transcatheter structural heart interventions, however, require additional imaging modalities su... Interventional cardiologists have traditionally relied upon fluoroscopic imaging for percutaneous coronary interventions. Transcatheter structural heart interventions, however, require additional imaging modalities such as echocardiography and multislice computed tomography(MSCT) for pre-, intra-and post-procedural assistance.During transcatheter structural heart interventions, interventional cardiologists and non-invasive cardiovascular imagers may use different terminologies to describe a certain structure, thus causing misunderstandings within the team. Herein,we present a modality-independent terminology for understanding volumetric images in the context of transcatheter heart valve therapies. The goal of this system is to allow physicians to readily interpret the orientation of fluoroscopic,MSCT, echocardiographic and MRI images, thus generalising their understanding of cardiac anatomy to all imaging modalities. 展开更多
关键词 心脏病 冠心病 治疗方法 保健知识
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Tolerance and acceptance of hepatic venous pressure gradient measurement in cirrhosis(CHESS1904):An international multicenter study 被引量:2
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作者 Jun‐Hui Sun He Zhao +63 位作者 Haijun Zhang Lei Li NecatiÖrmeci Zi‐Niu Yu Xun Li Shuangxi Li Xujun Yang Huaping Wei Xiaoliang Zhu Zhengcong Zhang Yajin Wang Zhongwei Zhao Jianting Mao Qiaohong Wu Xiaole Sun Huiling Xiang Kefeng Jia Chao Yang Wei Wu Xiuqing Lin Haixin Yao Changzeng Zuo Jitao Wang Bo Zhang Chunqing Zhang Xiaoling Wu Guangchuan Wang Shengjuan Yao Ruihang Wang Li Zhou Hui Huan Qingli Tu Xue Pu Feng Zhang Qin Yin Linpeng Zhang Ying Guo Jian Wang Kohei Kotani Sawako Uchida‐Kobayashi Norifumi Kawada He Zhu Li Li Wei Wang Guo Zhang Lei Yu Xudong Cui Qingliang Zhu Hailong Zhang Xiaoli Hu Rafael OXimenes Adriano Gonçalves de Araújo Giulliano Gardenghi Yubao Zheng Zebin Wu Mingsheng Huang Xiaoyong Chen Jun Wu Feng Xie Yang Bo Shengjuan Hu Linke Ma Xiao Li Xiaolong Qi 《Portal Hypertension & Cirrhosis》 2022年第1期7-14,共8页
Aim:To determine the tolerance and acceptance of hepatic venous pressure gradient(HVPG)measurements in patients with liver cirrhosis.Methods:This prospective international multicenter study included 271 patients with ... Aim:To determine the tolerance and acceptance of hepatic venous pressure gradient(HVPG)measurements in patients with liver cirrhosis.Methods:This prospective international multicenter study included 271 patients with cirrhosis who were scheduled to undergo HVPG measurement between October 2019 and June 2020.Data related to the tolerance and acceptance of HVPG measurements were collected using descriptive questionnaires.Results:HVPG measurements were technically successful in all 271 patients,with 141(52.0%)undergoing HVPG measurement alone.The complication rate was 0.4%.Postoperative pain was significantly lower than preoperative expected pain(p<0.001)and intraoperative pain(p<0.001),and intraoperative pain was also significantly lower than preoperative expected pain(p=0.036).No,mild,moderate,severe,and intolerable discomfort scores were reported by 36.9%,44.6%,11.1%,6.3%,and 0.4%of these patients,respectively,during HVPG measurement and by 54.6%32.5%,11.4%,1.5%,and 0%,respectively,after HVPG measurement.Of these patients,39.5%had little understanding and 10%had no understanding of the value of HVPG measurement,with 35.1%and 4.1%regarding HVPG measurements as being of little or no help,respectively.Most patients reported that they would definitely(15.5%),probably(46.9%),or possibly(29.9%)choose to undergo additional HVPG measurements again,and 62.7%regarded the cost of the procedure as acceptable.Conclusion:HVPG measurement was safe and well‐tolerated in patients with cirrhosis,but patient education and communication are warranted to improve the acceptance of this procedure. 展开更多
关键词 design HYPERTENSION multicenter study PORTAL pressure prospective study QUESTIONNAIRE WEDGE
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