Cardiovascular Medicine

3 pages, 107 KB

Open AccessCommunication

Qualitätssicherung in der Behandlung von Patienten Mit Akutem Koronarem Syndrom und Herzinfarkt

by O. Bertel, P. Erne, S. Dehler and D. Radovanovic

Cardiovasc. Med. 2004, 7(3), 141; https://doi.org/10.4414/cvm.2004.01018 - 31 Mar 2004

Cited by 1 | Viewed by 44

Abstract

In der Schweiz werden.... Full article

1 pages, 95 KB

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Migration of Fractured Sternal Wires After CABG in a Smoker

by Pia K. Schuler, Christian M. Matter, Andreas Künzli and Thomas F. Lüscher

Cardiovasc. Med. 2004, 7(3), 140; https://doi.org/10.4414/cvm.2004.01019 - 31 Mar 2004

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A 74-year-old white male smoker.... Full article

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3 pages, 155 KB

Open AccessCase Report

Interventionelle Behandlung der Massiven Lungenembolien

by G. B. Pedrazzini, D. Sürder, F. Bomio and T. Moccetti

Cardiovasc. Med. 2004, 7(3), 136; https://doi.org/10.4414/cvm.2004.01016 - 31 Mar 2004

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Abstract

Massive pulmonary embolism (PE) is a potentially life threatening disease. Besides systemic thrombolysis, which is indicated in massive or submassive PE, mechanical thrombectomy using surgical or endoluminal techniques could be an alternative therapeutic option. A multitude of different devices (Pigtail rotational catheter, Clot-Buster, etc.) are available to treat severe cases of massive PE. Several case reports and small studies reported optimistic results and qualified some devices as safe and effective in patients with contraindications to thrombolytic therapy. We report on a 60-years-old man with increasing dyspnea for several weeks and signs of cardiogenic shock at the arrival in the emergency room. ECG and echocardiography with massive dilatation of the right ventricle lead to the diagnosis of massive pulmonary embolism. A systemic thrombolytic therapy failed to improve the clinical or haemodynamical situation. An attempt to remove/fragment the thrombotic material by an endoluminal catheter (Pig Tail) resulted only in a partial angiographic improvement. The patient died after prolonged reanimation in electromechanical dissociation. Full article

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8 pages, 211 KB

Open AccessEditorial

La Réadaptation Cardiaque: Une Expérience de 30 ans

by Antoine Bloch, B. Lasserre and M. Bettoni

Cardiovasc. Med. 2004, 7(3), 126; https://doi.org/10.4414/cvm.2004.01017 - 31 Mar 2004

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Abstract

Cardiac rehabilitation. Many studies have shown that regular physical activity is an important predictor of good health for normal individuals, coronary patients and patients with heart failure. Benefits of early mobilization after myocardial infarction or following coronary artery surgery are now well documented. It is thus important to make use of facilities that are dedicated to both physical training and correction of vascular risk factors. Rehabilitation programs can be organised either on a stationary or an ambulatory basis. Both are widely available in Switzerland, allowing physicians to make a choice based on indications, contra-indications and the patients wishes. Heart failure used to be considered a contra- indication to physical activity. However, it has more recently been shown that rehabilitation is associated with an improved physical aptitude, decreased symptoms and improved quality of life. Rehabilitation, in this case, should be performed in a hospital setting under strict medical supervision. Regular long-term physical activity is essential after a coronary event. It can be done either individually or within a maintenance group. Patients should be encouraged to stay indefinitely in such groups, and we believe that the presence of a physician has several advantages. Our study, performed in an outpatient cardiology office, shows that only a small percentage of coronary patients is included in a maintenance program. In addition, only a minority of patients partakes in regular significant physical activity. Amajor effort to improve matters in this field remains to be done. Full article

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6 pages, 172 KB

Open AccessArticle

Körperliche Aktivität in der Primärprävention der Koronaren Herzkrankheit

by Christine Graf, H. G. Predel and B. Bjarnason-Wehrens

Cardiovasc. Med. 2004, 7(3), 119; https://doi.org/10.4414/cvm.2004.01014 - 31 Mar 2004

Cited by 3 | Viewed by 54

Abstract

Physical activity in primary prevention of coronary heart disease. Cardiovascular diseases are responsible for nearly half of cause of deaths in the industrial countries. The prevalence of physical inactivity, one of the cardiac risk factors, is dramatically increasing. On the other hand, the benefit of activity is well documented in several studies, but the form, intensity and frequency are controversially discussed. Obviously, the status of physical fitness plays an important role as a predictor of cardiovascular diseases. To improve fitness, training has to be relatively intensive. On the other hand moderate physical activities, incl. daily activities seem to be beneficial especially for beginners. Physical activity can trigger cardiovascular events, but active persons are less concerned than inactive. Full article

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7 pages, 185 KB

Open AccessArticle

Appropriateness of Cholesterol Management in Swiss Clinical Practice

by Amoos Miozzari, Jean Perdrix, Vincent Mooser and Roger Darioli

Cardiovasc. Med. 2004, 7(3), 110; https://doi.org/10.4414/cvm.2004.01015 - 31 Mar 2004

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Abstract

The aim of this prospective study was to evaluate the appropriateness of cholesterol management in Swiss clinical practice according to the recommendations of Swiss Society of Cardiology. 99 office-based physicians participated in this survey in order to provide questionnaire reporting demographic and clinical data for every adult consulting each physician during five consecutive days. Questionnaires were obtained for 8791 patients (55% of women) with mean age of 56 ± 18 years. Among them, 63% were screened for total cholesterol, 49% for triglycerides, 39% for HDL-cholesterol and only 21% for LDL-cholesterol. Cardiac (CHD) risk category and age over 50 years were good predictors of lipid screening. Among eligible patients, only 34% of women and 55% of men received lipid-lowering agents in the high risk group, whereas this proportion was much more lower in moderate and low risk groups. Furthermore, among treated patients, the mean level of cholesterol was higher than ideal (<5.0 mmol/L), even in the high risk group (7.2 ± 1.0 and 6.9 ± 1.4 mmol/L), respectively for women and men. According to Evidence- Based Medicine, these results clearly indicate a missed opportunity for detection and treatment of patients with increased cardiovascular risk. Such data require to promote the quality of cholesterol management in clinical practice. Full article

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Cardiovasc. Med., Volume 7, Issue 3 (03 2004) – 6 articles

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