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O'Toole L - - 1994
A conference on myocardial infarction (MI) was held at the Royal College of Physicians on 6 June 1994, organised by Dr K S Channer. The management of myocardial infarction has changed dramatically in the last few years with the introduction of effective measures to reduce early mortality and improve longterm ...
Flapan A D - - 1994
In the past 20 years there has been a steady improvement in the short term prognosis of patients with myocardial infarction, following the introduction of beta blockers, thrombolysis, and aspirin. Patients treated with thrombolytic drugs have a lower overall mortality after myocardial infarction but remain at risk of non-fatal reinfarction ...
Ni X S - - 1994
The changes in middle cerebral artery (MCA) blood flow velocity were serially evaluated in 31 patients with acute ischemic strokes in the MCA territory using transcranial Doppler ultrasound. In patients with a poor clinical prognosis, MCA mean velocity on the infarcted side (MV1) was significantly decreased within 48 hours after ...
Francis G S - - 1994
Heart failure is now the single most common inpatient diagnosis for patients 65 years of age and older and is growing. As decisions regarding heart transplantation are contemplated in an era of fixed resources, determination of prognosis becomes a critically important process. No single factor can be used to predict ...
Vaughan D E - - 1994
Segmental alterations in left ventricular function are generally present in patients who suffer an acute myocardial infarction. Regional wall motion abnormalities in left ventricular systolic function can be identified in the hyperacute period and generally persist in patients who complete a myocardial infarction. Through the process of infarct expansion, the ...
Higgins S S - - 1994
There are an estimated 400,000 adults with postoperative congenital heart disease (CHD) in the United States. The majority of these patients require long-term follow-up for management of persistent problems. These problems are related to electrophysiologic sequelae, myocardial changes, ventricular failure, prosthetic materials, and infective endocarditis. The goal for adults with ...
Deedwania P C - - 1994
Heart failure is a frequently encountered clinical condition with an extremely guarded short- and long-term prognosis. Although recently a great deal of effort has been directed toward early recognition and aggressive treatment of patients with heart failure, considerable work lies ahead if we are to alter the overall prevalence of ...
Vaughan D E - - 1994
Regional alterations in left ventricular function are generally present in patients who sustain an acute myocardial infarction. Segmental wall motion abnormalities in left ventricular systolic function can be identified in the hyperacute period and generally persist in patients with myocardial infarction. Through the process of infarct expansion, the infarcted territory ...
Yüksel H - - 1994
Long-term prognosis of a first myocardial infarction and factors associated with late cardiac mortality and reinfarction were studied in 718 survivors. Patients have been followed up for 1-10 years (mean 57.6 +/- 39.6 months). None of the patients underwent coronary bypass surgery in the follow-up period. Cumulative mortality rates were ...
Sumii K - - 1993
The short- and long-term prognosis for acute myocardial infarction after reperfusion was examined in 175 patients with successful emergency angioplasty and in 29 failed cases. During hospitalization, more cardiac events occurred in the failed group than in the successful group (58.6% versus 12.6%; p < 0.001), especially cardiac death and ...
Nishiyama S - - 1993
We performed a retrospective analysis of the fate of 990 medically treated Japanese patients with coronary artery disease. Patients were enrolled in this study between September 1973 and February 1984. They were confirmed to have significant coronary artery disease by coronary angiography. There were 924 males and 66 females with ...
Gupta R - - 1993
To define the long term prognosis in patients with coronary heart disease (CHD) we have used criteria of radiographic cardiomegaly supplemented by M-mode echocardiography. 74 patients (Group A) with CHD and cardiomegaly were seen from 1980 to 1983 and have been compared to 121 patients (Group B) with normal cardiac ...
Tzivoni D - - 1993
Transient myocardial ischaemia is associated with a rapid reduction in ATP concentration, depletion of glycogen storage, and transient from aerobic to anaerobic metabolism. Repeated ischaemic episodes are associated with structural changes, some of which are transient, while others are permanent. These changes affect myocardial cells, collagen matrix and lead to ...
von Scheidt W - - 1993
With an increasing number of heart transplantations and an improved survival rate a characterization of the long-term hemodynamic profile of the transplanted heart is necessary. 222 cardiac catheterizations were performed in 71 heart recipients under cyclosporine A immunosuppression during a 7-year follow-up after transplantation. Hemodynamic evaluation revealed a non-progressive arterial ...
Deguchi F - - 1993
We found that on pulmonary auscultation, fine crackles could be induced by changing the posture from sitting to supine and/or from supine to supine with passive leg elevation in patients without obvious congestive heart failure. We named these crackles "posturally induced crackles (PIC)." To investigate the relationship between PIC and ...
Chikamori T - - 1993
Previous studies have demonstrated that the long-term prognosis after acute myocardial infarction in patients whose infarct-related artery remains occluded is worse than that in those with anterograde flow. To determine how to identify patients with occluded infarct-related arteries noninvasively, 143 consecutive patients after a first myocardial infarction underwent exercise testing ...
Brezins M - - 1993
OBJECTIVES: To evaluate the relationship between left ventricular function and prognosis in patients treated with mechanical ventilation for severe, persistent pulmonary edema as a consequence of acute myocardial infarction. DESIGN: A prospective study. SETTING: A nine-bed coronary care unit in a 900-bed teaching hospital. PATIENTS: Sixty-nine successive patients. INTERVENTIONS: All ...
Sleight P - - 1993
Patients who survive a myocardial infarction are at high risk of future recurrent infarction, sudden death and other vascular events. While it is possible to predict many risks, it is not possible to predict reinfarction. Since reinfarction carries a poor prognosis we should attempt to reduce this risk in all ...
Wirtz J J - - 1993
Recombinant human erythropoietin therapy (ReHuEpo) at short term leads to an increase in systemic vascular resistance and to a decrease in cardiac index and skin microcirculatory flow. Long-term adaptive changes might occur. We studied the effects of ReHuEpo therapy on macrocirculation and skin microcirculation in 8 normotensive and normovolemic hemodialysis ...
Marantz P R - - 1992
BACKGROUND--While the resting left ventricular ejection fraction (LVEF) predicts prognosis in ischemic heart disease, clinical evaluation is also useful. METHODS--To compare the prognostic value of LVEF by resting radionuclide ventriculography with that of clinical signs and symptoms of congestive heart failure (CHF), 170 patients with suspected ischemic heart disease were ...
Herlitz J - - 1992
OBJECTIVES: A previous history of hypertension is overrepresented among patients with ischaemic heart disease. The present study aims at describing the influence of a previous history of hypertension upon the prognosis among patients hospitalized due to acute myocardial infarction. DESIGN: Patients were followed for 1 year. Mortality and morbidity are ...
Brembilla-Perrot B - - 1992
A marked derangement of heart rate modulation in patients with severe cardiac heart failure (CHF) has been reported. The purpose of the study was to correlate the variations of sinus cycle length (SCL) during infusion of 4 micrograms/min of isoproterenol with the prognosis of 83 patients with CHF (mean left ...
Itoh A - - 1992
We investigated the prognosis of patients with congestive heart failure (CHF) and the factors which influence the prognosis of Japanese patients with this condition. From among the patients admitted to our hospital from January 1, 1978 to December 31, 1985, the 298 patients who were diagnosed having CHF were investigated. ...
Jimenez-Velazquez I Z - - 1992
We reviewed the clinical characteristics and outcome of cases of acute myocardial infarction occurring from January 1, 1985, through December 31, 1987, in the population of a long-term care institution for the elderly. The total number of patients in the series was 43. Comparisons were made between those patients transferred ...
Chachques J C - - 1992
The principle of cardiomyoplasty is long-term electrostimulation of a latissimus dorsi muscle (LDM) wrapped around the failing heart. Technically, this procedure consists of placing the left LDM flap around the heart via a window created by partial resection of the 2nd or 3rd rib, and subsequent muscle electrostimulation in synchrony ...
Van Lierde J - - 1991
The purpose of this study was to determine the long-term prognosis of patients with an isolated total occlusion of the left anterior descending artery (LAD). A total of 173 male patients with a chronic LAD occlusion and less than 50% narrowing of the other coronary arteries (group I) was compared ...
Fletcher S E - - 1991
We report a case of myocardial necrosis in a newborn after treatment of the mother with long-term subcutaneous terbutaline. No such serious side effects in the fetus have previously been reported. We speculate that this myocardial damage was due to beta-sympathomimetic therapy.
- - 1991
A total of 5778 patients with suspected acute myocardial infarction were randomized to early intravenous metoprolol followed by oral treatment for 15 d, or to placebo. Thereafter, the two groups were treated similarly. During a 1-year follow-up period the mortality in patients who were randomized to early metoprolol was 10.6% ...
Harpster N K - - 1991
Antiarrhythmic therapy for Boxer cardiomyopathy both enhances the quality of life and improves life expectancy. The natural course of the disease for most dogs is a progression from mild arrhythmias to serious, potentially life-threatening arrhythmias and eventually to CHF. This process may evolve over a period of months or even ...
de Vreede J J - - 1991
Much effort has been spent to improve survival after acute myocardial infarction. To investigate how effective this effort has been, a meta-analysis was performed of studies published between 1960 and 1987 concerning mortality after acute myocardial infarction. Thirty-six studies were analyzed. They were classified with respect to deaths in the ...
Ogawa S - - 1991
The long-term prognosis of athletes with long ventricular pauses has been unknown. In this study, thirty highly-trained cross-country skiers and 24 age-matched controls underwent 24 h Holter monitoring to detect the duration of the longest ventricular pause (LVP), and we followed the athletes for more than 3 years to evaluate ...
Mulkerrin E C - - 1991
Myocardial infarction is a major cause of morbidity and mortality particularly in the elderly. Coronary Care Unit monitoring has resulted in the improvement in prognosis in all age groups. In this study, the clinical course and outcome of 204 consecutive patients with acute myocardial infarction aged over 65 years is ...
Shiraishi I - - 1991
Eight patients with Kawasaki disease who had sustained asymptomatic myocardial infarction 8-15 years ago (mean, 13.1 years) were reexamined by various noninvasive cardiac function tests to assess long-term prognosis. At present, electrocardiograms (ECGs) are normal in six patients. However, all eight patients had a prolonged preejection period (PEP) to left ...
Haywood L J - - 1991
Coronary vasospasm may result in recurrent angina pectoris and cause acute myocardial infarction. The extent to which the "sudden death syndrome" occurs is unknown. The case described herein is unique in that the clinical features, including hypotension, AV block, and ventricular arrhythmias, were similar to those seen in myocardial infarction ...
Moss A J - - 1991
The major determinants of outcome after surviving the acute phase of myocardial infarction include the extent of cumulative myocardial damage, infarct type and location, ventricular electrical instability, the extent of residual jeopardized ischemic myocardium, rheologic conditions, and neurohumoral factors. These several factors are intimately related to each other, yet each ...
Kotler T S - - 1990
OBJECTIVE: To determine the discriminant accuracy of exercise thallium-201 myocardial perfusion scintigraphy for the diagnosis and prognosis of patients with known or suspected coronary artery disease. DATA IDENTIFICATION: A survey of the National Library of Medicine MEDLINE database. STUDY SELECTION: The key medical subject headings used were coronary disease, myocardial ...
Sawle G V - - 1990
Seventy one patients with non-arteritic anterior ischaemic optic neuropathy were studied retrospectively. Sixty three (89%) were followed to the end of the study or death, mean follow up time was 5.3 years. Whilst twenty (28%) had diabetes or hypertension, in thirty nine (55%) no predisposing condition was identified. In those ...
Pfeffer M A - - 1990
An acute myocardial infarction, particularly one that is large and transmural, can produce alterations in the topography of both the infarcted and noninfarcted regions of the ventricle. This remodeling can importantly affect the function of the ventricle and the prognosis for survival. In the early period, infarct expansion has been ...
Bolooki H - - 1990
Complications of acute myocardial infarction that develop within the first 2 weeks after its onset have been associated with a poor prognosis and dismal surgical outcome. In recent years, aggressive use of hemodynamic monitoring and interventions that improve myocardial oxygen supply and demand have noticeably altered the prognosis. Urgent relief ...
Karlson B W - - 1990
This review of the literature concerns the prognosis of patients suspected of having myocardial infarction subsequent to its exclusion as the diagnosis. Several investigations show a surprisingly bad prognosis for patients in this category, almost comparable to that of patients with a confirmed infarction. When the results of the different ...
Matoba M - - 1990
Factors determining prognosis in 100 patients with recent onset of congestive heart failure (CHF) were evaluated. The 1 year, 3 year, 5 year, and 10 year survival rates in the entire CHF group were 78.5%, 59.8%, 50.4% and 14.7%, respectively. No correlations between age, sex, heart rate and cardiothoracic ratio, ...
Barbaro G - - 1990
One hundred and twenty-two patients suffering from slight or moderate essential arterial hypertension with a previous history of myocardial infarction were selected for inclusion in this study. Patients were divided into two groups of 61 according to the type of anti-hypertensive therapy received. Patients in Group 1 received nifedipine (30 ...
Floten H S - - 1989
A study of 832 patients operated on within 30 days of infarction from 1974 to 1987 has resulted in 2,388 patient-years (maximum, 14 years) of prospectively acquired follow-up. This study excludes 74 patients in whom cardiogenic shock was the indication for operation. Five-year survival (+/- standard error) was 84% +/- ...
Gersony W M - - 1989
The long-term follow-up status of patients operated upon for the more common forms of congenital heart disease is reviewed. Among patients with large left-to-right shunts the long-term prognosis for those with ASD and VSD is generally excellent. With rare exceptions, these patients can look forward to a normal adulthood. Residual ...
Desruennes M - - 1989
Among the 480 patients who underwent heart transplantation in our institution (since 1968), 40 patients received an allograft in the heterotopic position. The recipients were evaluated by using hemodynamics and Doppler echocardiography before and after surgery. Ten to 30 days after surgery, preoperative pulmonary artery pressure, pulmonary artery wedge pressure, ...
Bates E R - - 1989
The prognosis of patients with acute myocardial infarction has improved dramatically over the past several decades. New treatment strategies, however, have incrementally increased the expense of treating these patients. Early hospital discharge is one potential way of offsetting some of this expense. Cardiac catheterization can greatly facilitate patient selection for ...
Yano K - - 1989
The incidence of clinically unrecognized myocardial infarctions among 7331 Japanese-American men in Hawaii, aged 45 to 68 years and free of coronary heart disease at entry, was studied on the basis of electrocardiographic changes between successive examinations during 6 years of follow-up. The proportion of asymptomatic myocardial infarction accounted for ...
Chan N S - - 1989
The aim of this study is to determine the long-term prognosis of patients successfully resuscitated from primary ventricular fibrillation in the acute phase of transmural myocardial infarction and to identify predictors of mortality. Details of 75 consecutive patients between October 1971 and May 1981 were reviewed in October 1985. The ...
Grootboom M J MJ Department of Orthopaedic Surgery, University of Natal, - - 1989
Two cases of an unusual association between bone infarction and sarcomatous change are reported. The exact incidence of sarcomatous change in bone infarction is unknown. It seems that the risk is greatest in large medullary infarcts of bones. Also, once sarcoma has developed the prognosis is poor. Patients should therefore ...
Del Core M G - - 1989
Although interventional techniques have changed the management of acute phases of myocardial infarction, they have not altered the need for evaluating long-term risk factors. As many as 60% of patients with multiple risk factors die within one year after discharge from the hospital, and these patients often need coronary angiography ...
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