Cardiovascular Medicine

2 pages, 805 KB

Open AccessEditorial

Postgraduate Course in Heart Failure
A Project of the ESC Academy, the ESC Heart Failure Association, the Zurich Heart House and the University of Zurich

by Ruth Amstein, Kirsten Schlaudraff, Volkmar Falk, Frank T. Ruschitzka and Thomas F. Lüscher

Cardiovasc. Med. 2014, 17(3), 97; https://doi.org/10.4414/cvm.2014.00226 - 19 Mar 2014

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Abstract

Heart failure has become a real cardiovascular epidemic with falling incidence rates of coronary artery disease, decreasing mortality of acute myocardial infarction and with an aging population with long-standing hypertension and/or diabetes [...] Full article

2 pages, 801 KB

Open AccessInteresting Images

Partial Aortic Graft Disconnection Due to Endocarditis: A Rare Cause of Dynamic Coronary Artery Compression

by Annina A. Studer Bruengger, David J. Kurz, Michele Genoni and Alain M. Bernheim

Cardiovasc. Med. 2014, 17(3), 95; https://doi.org/10.4414/cvm.2014.00221 - 19 Mar 2014

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Abstract

This 55-year-old male patient was referred to our institution because of mild exertional dyspnoea [...] Full article

4 pages, 642 KB

Open AccessCase Report

Kardiale Resynchronisationstherapie mit «Multisite Linksventrikulärer Stimulation»

by Ardan M. Saguner, Firat Duru and Jan Steffel

Cardiovasc. Med. 2014, 17(3), 91; https://doi.org/10.4414/cvm.2014.00225 (registering DOI) - 19 Mar 2014

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Abstract

Cardiac resynchronisation therapy with multisite left ventricular stimulation. Up to 30% of patients do not respond to conventional cardiac resynchronisation therapy (CRT). The recently introduced multisite pacing was developed to reduce this number. In multisite pacing, ventricular stimulation is delivered from more [...] Read more.

Cardiac resynchronisation therapy with multisite left ventricular stimulation. Up to 30% of patients do not respond to conventional cardiac resynchronisation therapy (CRT). The recently introduced multisite pacing was developed to reduce this number. In multisite pacing, ventricular stimulation is delivered from more than one left ventricular site. This technology instantly improves cardiac haemodynamics, and improves systolic left ventricular function within three months. We here report the first implantation of a multisite pacing CRT device in Switzerland. Future large-scale studies are needed to prove the superiority of this new technology to conventional CRT, also in terms of morbidity and mortality. Full article

3 pages, 1284 KB

Open AccessCase Report

The Forgotten Lead: Distinguishing VT from SVT with Aberrancy Using aVR

by Jorge A. Brenes-Salazar

Cardiovasc. Med. 2014, 17(3), 88; https://doi.org/10.4414/cvm.2014.00220 - 19 Mar 2014

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Abstract

Distinction between ventricular tachycardia (VT) and supraventricular tachycardia (SVT) with aberrant conduction has major therapeutic and prognostic implications. Exclusive assessment of lead aVR, using a fourstep algorithm can rapidly make such distinction with a high degree of diagnostic accuracy. To illustrate the concept, [...] Read more.

Distinction between ventricular tachycardia (VT) and supraventricular tachycardia (SVT) with aberrant conduction has major therapeutic and prognostic implications. Exclusive assessment of lead aVR, using a fourstep algorithm can rapidly make such distinction with a high degree of diagnostic accuracy. To illustrate the concept, we present the case of a 70-year-old female with a prior history of supraventricular dysrrhythmias, who presented with a wide-complex tachycardia. Full article

3 pages, 454 KB

Open AccessEditorial

Blutdruckmessung und—Abklärung Beim Kind

by Giacomo D. Simonetti and Barbara S. Bucher

Cardiovasc. Med. 2014, 17(3), 85; https://doi.org/10.4414/cvm.2014.00209 - 19 Mar 2014

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Abstract

Blood pressure measurement and assessment in children. The prevalence of high blood pressure in the paediatric population is lower than in adults; nevertheless, it is important to recognise promptly hypertensive children. B lood pressure increases with age during childhood. “High normal” blood [...] Read more.

Blood pressure measurement and assessment in children. The prevalence of high blood pressure in the paediatric population is lower than in adults; nevertheless, it is important to recognise promptly hypertensive children. B lood pressure increases with age during childhood. “High normal” blood pressure is a blood pressure above the 90th percentile and established hypertension a blood pressure above the 95th percentile. The varying arm and thigh sizes of children and adolescents require blood pressure cuffs that are appropriately sized. The use of an oscillometric device is more convenient for infants. Although the prevalence of hypertension in paediatrics is lower than in adults, clinically identifiable causes of hypertension account for a much higher proportion of hypertension in children. The pharmacological treatment of hypertension in childhood is similar to the treatment of adults. Full article

3 pages, 442 KB

Open AccessEditorial

Erectile Dysfunction in Arterial Hypertension

by Thomas Dieterle

Cardiovasc. Med. 2014, 17(3), 82; https://doi.org/10.4414/cvm.2014.00224 - 19 Mar 2014

Cited by 1 | Viewed by 10

Abstract

Erectile dysfunction, the inability to attain, respectively maintain a penile erection sufficient for sexual intercourse, is a frequent finding in the general population. It is a multi-factorial syndrome that may arise from chronic disease such as arterial hypertension, but also from psychosocial problems, [...] Read more.

Erectile dysfunction, the inability to attain, respectively maintain a penile erection sufficient for sexual intercourse, is a frequent finding in the general population. It is a multi-factorial syndrome that may arise from chronic disease such as arterial hypertension, but also from psychosocial problems, as a side effect of certain medications, alcohol or drugs, or from impaired nerve function. Erectile dysfunction is associated with an increased risk of cardiovascular morbidity and mortality. The approach to the patient should include a thorough cardiovascular, endocrine, neurological, urological and psychological evaluation. In patients with arterial hypertension, diuretics and beta-blockers may impair erectile function while beneficial effects of angiotensin receptor blockers, ACE inhibitors, and nebivolol have been demonstrated. PDE-5-inhibitors may be considered in stable patients with controlled arterial hypertension but refractory erectile dysfunction. Full article

6 pages, 503 KB

Open AccessEditorial

Arterial Hypertension in Elderly Patients

by Andreas W. Schoenenberger, Renate Schoenenberger-Berzins and Paul Erne

Cardiovasc. Med. 2014, 17(3), 76; https://doi.org/10.4414/cvm.2014.00206 - 19 Mar 2014

Cited by 1 | Viewed by 11

Abstract

Why do we need a review specifically addressing arterial hypertension in elderly patients? First, a rterial hypertension prevalence increases with age and, therefore, a large proportion of hypertensive patients are elderly patients. Despite this fact, the specific issues of arterial hypertension in elderly [...] Read more.

Why do we need a review specifically addressing arterial hypertension in elderly patients? First, a rterial hypertension prevalence increases with age and, therefore, a large proportion of hypertensive patients are elderly patients. Despite this fact, the specific issues of arterial hypertension in elderly patients are only marginally debated in current guidelines. Second, there are physiological changes (e.g., i ncreasing arterial stiffness, reduced body water content, decreased function of several organ systems) and pathophysiological changes (e.g., increasing prevalence of comorbidities) with increasing age, making diagnosis and therapy of arterial hypertension in elderly patients more demanding. Third, f or some recommendations (e.g., a ppropriate target blood pressure) levels of evidence are lower than in younger hypertensive patients, leading to conflicting recommendations between guidelines. This review intends to discuss some of the specific issues in elderly patients with arterial hypertension. Full article

5 pages, 976 KB

Open AccessEditorial

Betablocker vor und nach Nicht-Kardialen Operationen: Sachliche Bemerkungen zu Einer Überhitzten Debatte

by Thomas F. Lüscher, Jan Steffel, Ulf Landmesser and Frank T. Ruschitzka

Cardiovasc. Med. 2014, 17(3), 71; https://doi.org/10.4414/cvm.2014.00227 - 19 Mar 2014

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Abstract

Statt Begeisterung für das Erreichte bietet die mediale Wahrnehmung umfassende Kritik auf dem Basso Continuo des Nörgelns—Erregung statt Wissen [...] Full article

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Cardiovasc. Med., Volume 17, Issue 3 (03 2014) – 8 articles

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