Document Detail


Cardiac failure in coronary heart disease.
MedLine Citation:
PMID:  2200254     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiac failure, which used to be rare in coronary heart disease, is now its most common complication. Coronary heart disease can cause or appear as cardiac failure through one or more of 12 mechanisms: acute myocardial infarction, acute reversible ischemia, right ventricular dysfunction, cardiogenic shock, acute mitral regurgitation, ventricular septal perforation, cardiac free wall rupture, ischemic cardiomyopathy, ventricular aneurysm, coexisting diseases, iatrogenesis, and pseudoheart failure. An understanding of the responsible mechanism or mechanisms is essential not only for appropriate treatment but also for prognostication. Various therapeutic modalities, both medical and surgical, should be able to improve not only symptoms but also survival. Current efforts in the management of patients with cardiac failure as a result of coronary heart disease should be aimed at prevention, both primary and secondary.
Authors:
T O Cheng
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American heart journal     Volume:  120     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-09-07     Completed Date:  1990-09-07     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  396-412     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC.
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MeSH Terms
Descriptor/Qualifier:
Biomechanics
Cardiac Output, Low / etiology*,  therapy
Coronary Disease / etiology*,  physiopathology
Female
Heart Aneurysm / complications
Heart Rupture, Post-Infarction / complications
Heart Septal Defects / complications
Humans
Male
Mitral Valve Insufficiency / complications
Myocardial Infarction / complications
Prognosis
Shock, Cardiogenic / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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