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Article
Extent of ST-segment deviation in the single ECG lead of maximum deviation present 90 or 180 minutes after start of thrombolytic therapy best predicts outcome in acute myocardial infarction
Bei sich ausbildendem Myokardinfarkt reflektiert das Ausmaß von ST-Segment-Abweichungen die bestehende ischämische myokardiale Schädigung und liefert damit sehr nützliche frühe prognostische Informationen. In...
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Article
Percutaneous transluminal coronary angioplasty of left main stenosis – results of the German PTCA registry
Die Behandlung hochgradiger symptomatischer Hauptstammstenosen der linken Koronararterie ist die operative Revaskularisation. Bei geschütztem Hauptstamm durch vorangegangene Bypass-Operation oder als Notfall-E...
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Article
Thrombolysis and percutaneous transluminal coronary angioplasty in patients with acute myocardial infarction
Der akute Herzinfarkt stellt weiterhin eine der führenden Todesursachen in der westlichen Welt dar. Ein akuter thrombotischer Verschluß eines Herzkranzgefäßes ist die Ursache des Herzinfarkts in der weit über...
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Article
Acute Haemodynamic Effects of a New Formulation of Isosorbide Dinitrate Spray in Patients with Heart Failure
In a randomised double-blind placebo-controlled parallel-group comparison, the haemodynamic effects of a new formulation of isosorbide dinitrate (ISDN) buccal spray in 2 doses (1.25mg and 2.5mg) on pulmonary c...
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Article
Left main coronary stenosis by a mediastinal lymphoma
A 50-year-old patient presented with a 3-month history of chest pain, a pathological result on electrocardiogram stress test, and signs of coronary heart disease on myocardial scintigraphy. Coronary angiograph...
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Article
Acute myocardial infarction
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Chapter
Surgical aspects of balloon valvuloplasty (BVP)
Serious complications (except valvular injuries) which have to be treated operatively as an emergency rarely occur during balloon valvuloplasty (BVP). For this reason a surgical stand-by during the procedure i...
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Chapter and Conference Paper
Plasma concentrations of atrial natriuretic peptide (α- h-ANP 1–28) during exercise and relationship to hemodynamic parameters in man
To elucidate the diagnostic value of Atrial Natriuretic Peptide (ANP), ANP plasma concentrations were determined by radioimmunoassay in 15 patients with coronary or valvular heart diseases who were to undergo ...
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Article
Acute haemodynamic effects of urapidil in patients with chronic left ventricular failure
Urapidil, a new alpha1-adrenoceptor blocking drug, has been shown to be effective in the treatment of hypertension. Ten normotensive patients with severe congestive heart failure were given Urapidil 25 mg i.v. tw...
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Chapter and Conference Paper
Recombinant Tissue-Type Plasminogen Activator in the Treatment of Myocardial Infarction
Recent studies have reported recombinant tissue-type plasminogen activator (rt-PA) to be more effective in early recanalization of infarct-related coronary artery occlusion than the conventional non-fibrin-spe...
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Chapter
Balloon angioplasty in congenital heart disease
Successful transluminal recanalisation of arteriosclerotic obstructions using large dilating catheters was reported in 1964 by Dotter and Judkins [1]. The method was extended by Grüntzig to transluminal dilati...
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Article
Fibrinolytic activity in renal venous blood in man
In 50 patients without renal insufficiency, fibrinolytic activity, as reflected by euglobulin lysis time, was determined in blood obtained from the renal veins, the renal artery and a peripheral vein. Fibrinol...
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Chapter and Conference Paper
Percutaneous Balloon Aortic Valvuloplasty in Infancy and Childhood
Percutaneous balloon valvuloplasty of valvular pulmonary and aortic stenosis was successfully performed in children and adolescents without major complications, and it has provided a significant relief of the ...
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Chapter and Conference Paper
Videodensitometric Measurement of Coronary Flow
The first attempts to measure coronary artery flow velocities using densitometry were done nearly 15 years ago (Rutishauser et al. 1967, 1970a, 1970b; Smith et al. 1971). Methodological improvements have been ...
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Chapter and Conference Paper
Influence of Nitroglycerin on Aortic Compliance, Capacity of the Windkessel, and Peripheral Resistance
In recent years it has been established that the effect of nitroglycerin (NTG) is mainly related to its extracardial factors. Most of the investigators found a reduction only in preload [2, 9, 12], while other...
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Chapter and Conference Paper
Effects of Nitroglycerin on Left Ventricular and Myocardial Function in Aortic Stenosis
The beneficial effects of nitroglycerin (NTG) in ischemic heart disease are due mainly to a reduction in preload [1, 2] and, consequently, in myocardial oxygen demands [5, 8]. However, both a secondary effect ...
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Article
Measurement of flow velocity in the model circulation by videodensitometry. Methodological investigations
The relation between videodensitometrically measured front velocity and electromagnetically assessed flow was examined in a circulatory model with continuous as well as pulsatile flow (89 experiments). The dia...
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Chapter and Conference Paper
Functional Analysis of the Left Ventricle with Postinfarction Aneurysm
During the past 20 years, thousands of postinfarction aneurysms have been resected. Nevertheless, indication for surgery and the effects of aneurysmectomy still remain a matter of controversy [3,4,5]. A proble...
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Chapter and Conference Paper
Pulmonary Artery Pressure During Exercise and LV Diastolic Compliance Before and After Coronary Artery Surgery
The elevation in pulmonary artery pressure and in left ventricular enddiastolic pressure in ischemic heart disease is partially caused by an increased ventricular stiffness [1,3,5]. Nitroglycerin does not only...
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Chapter and Conference Paper
Clinical Results and Return to Work After Coronary Heart Surgery
Knowing that the return-to-work process after coronary heart surgery is influenced by many factors of medical, psychological and sociologie origin, we wanted to elucidate the influence of medical factors.