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Article
Huge coronary collateral connection
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Article
Pullback-Atherektomie: Ein alternatives Verfahren zur Behandlung von Koronarstenosen und in-Stent-Restenosen
Optimized directional coronary atherectomy (DCA) has shown significantly superior acute and long-term results compared to conventional balloon angioplasty (BA). Nevertheless DCA has remained a niche applicati...
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Chapter
Simpson-Atherektomie
Die von J. Simpson entwickelte direktionale koronare Atherektomie [47] wurde nach einer vorklinischen Erprobungsphase im Jahre 1989/90 für die interventionelle Therapie arteriosklerotischer Koronarstenosen zugela...
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Chapter
Koronarfluß
Bisher existiert keine Methode, die eine Messung des absoluten Blutflusses in beliebigen einzelnen Koronararterien beim wachen Menschen erlaubt. Klinisch anwendbare Verfahren messen entweder die Blutflußgeschw...
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Chapter
Angiokardiographie
Die Angiokardiographie ist zentraler Bestandteil der diagnostischen wie auch therapeutischen Herzkatheterisierung. Hatten noch bei der Entwicklung der klinischen Kathetertechnik in den 40er und 50er Jahren hae...
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Article
Endomyokardbiopsie – Hilfreich in der Differentialdiagnostik zwischen Myokarditis und dilativer Kardiomyopathie
In der Differentialdiagnose zwischen Myokarditis und dilativer Kardiomyopathie ist die Endomyokardbiopsie ein wesentlicher Untersuchungsbestandteil geworden. Anhand wichtiger immunhistologischer Befunde geli...
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Chapter
Marfan syndrome and pregnancy complicated by an acute dissecting aortic aneurysm DeBakey type I — A case report
We report the case of a 26-year-old woman who was in the 38th week of pregnancy (prima gravida); anamnestic intervention revealed that her mother had died at the age of 42 years because of a ruptured abdominal...
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Article
Comparison of three different principles in the assessment of coronary flow reserve from digital angiograms
In 70 patients without coronary disease we have compared three different principles to assess coronary flow reserve during diagnostic heart catheterization. Digital angiograms with ECG-triggered bolus injectio...
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Article
Effects of intravenous verapamil on left ventricular systolic function and diastolic filling dynamics in patients with coronary artery disease: Analysis of intramyocardial markers
Left ventricular (LV) intramyocardial markers (MM) were used to study the effects of intravenous verapamil on LV pump function and diastolic filling dynamics. Verapamil (0.1 mg/kg bolus followed by 0.005 mg/kg...
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Chapter
Assessment of Left Ventricular Pressure—Volume Relationships Using an Automatic Computerized Videodensitometric Approach
A detailed analysis of ventricular pump function in systole and diastole requires the reconstruction of the pressure—volume relationship. Computerized on-line processing of ventricular pressure data is a routi...
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Chapter and Conference Paper
Effect of Nisoldipine and Nitroglycerin on Myocardial Ischemia and Dysfunction During Coronary Angioplasty
The degree to which anti-ischemic agents influence myocardial ischemia and ventricular dysfunction during coronary angioplasty (PTCA) is unclear. Therefore, the effects of 0.05 mg intracoronary (i.c.) nisoldip...
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Chapter
Effect of prolonged balloon inflations on hemodynamics and coronary flow with respect to balloon position in patients undergoing coronary angioplasty
It is well-known from numerous animal studies that the abrupt closure of a major coronary artery can cause a rapid drop in regional blood flow to near O-values and a subsequent marked deterioration of myocardi...
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Chapter and Conference Paper
Assessment of Regional Coronary Blood Velocity and Flow Using Roentgen Densitometry: Clinical Experience
Conventional analysis of coronary angiograms provides information regarding the morphology and anatomical abnormalities of the coronary arteries. Application of roentgen densitometric techniques may in additio...
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Chapter and Conference Paper
Analysis of Left Ventricular Function Using Midwall Myocardial Markers
Contrast ventriculography is used routinely to quantify left ventricular global and regional function. However, this method is not suitable for frequently repeated or continuous measurements of dimensions and ...
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Chapter
The influence of Ca2+-entry blockers on hemodynamics and coronary blood flow, and its importance for the treatment of angina pectoris
The way calcium-entry blocking agents, especially nifedipine, act in angina pectoris, is a complex one and is still not completely understood. Nifedipine, through its profound relaxing effect on vascular smoot...
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Chapter and Conference Paper
Direkte und indirekte Nitroglycerin-Wirkungen auf die systolische und diastolische linksventrikuläre Funktion
Die grundlegende pharmakologische Eigenschaft der Nitrate ist ihre Fähigkeit, die glatte Muskulatur zu erschlaffen, und die bekannten hämodynamischen Effekte dieser Stoffgruppe wurden generell als Folgeerschei...
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Chapter and Conference Paper
Changes of Coronary Obstructions in the Months Following Transluminal Coronary Angioplasty
This report concerns a special aspect of coronary angioplasty and contains the combined Frankfurt and Hannover experience in follow-up coronary angiography performed on average 3 months after PTCA. It is based...
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Chapter and Conference Paper
Wirkungen von Nitroglycerin auf Strömungsgeschwindigkeit und Blutfluß in Koronararterien und Bypass-Grafts beim Menschen
Trotz zahlreicher Studien über die Wirkungen von Nitraten auf die myokardiale Kapillardurchblutung und den koronarvenösen Fluß gibt es nur sehr wenige Daten über die Nitratwirkungen auf die Hämodynamik im arte...
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Chapter and Conference Paper
Transluminale Katheterdilatation von Koronarstenosen. Erfahrungen in Hannover
Bis zum März 1981 wurde an der Medizinischen Hochschule Hannover bei insgesamt 36 Patienten im Alter von 42 bis 71 Jahren (4 Frauen, 32 Männer) die transluminale Dilatation einer Koronararterienstenose versuch...
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Chapter and Conference Paper
Direct and Indirect Effects of Nitroglycerin on Systolic and Diastolic Left Ventricular Function
The basic pharmacological property of nitrites is to relax smooth muscle, and the well-documented hemodynamic effects of these drugs have generally been thought to be secondary to their actions on vascular smo...