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Cardiovascular Medicine
Volume 8
Issue 7
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).

Cardiovasc. Med., Volume 8, Issue 7 (08 2005) – 6 articles

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2 pages, 156 KB  
Interesting Images
Fifteen-Year-Old Patient with “Pulseless Disease”
by Michel J. Romanens, André R. Miserez and Thierry P. Carrel
Cardiovasc. Med. 2005, 8(7), 297; https://doi.org/10.4414/cvm.2005.01116 - 31 Aug 2005
Viewed by 34
Abstract
Case Report. We report on a 15-year-old and apparently healthy boy, who was in search of work [...] Full article
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2 pages, 173 KB  
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Wie Lokalisieren Sie Das Akzessorische Bündel Beim WPW-Syndrom?
by B. Schaer and S. Osswald
Cardiovasc. Med. 2005, 8(7), 295; https://doi.org/10.4414/cvm.2005.01115 - 31 Aug 2005
Viewed by 32
Abstract
Fallbeschreibung. Ein 24jähriger Patient mit symptomatischen Tachykardien und seit längerem bekannter Delta-Welle im Oberflächen-EKG (Abb. 1) meldet sich in Ihrer Sprechstunde. Die Indikation für eine Radiofrequenz-Ablation ist aufgrund der Symptomatik eindeutig gegeben. Der Patient möchte von Ihnen aber noch wissen, ob bei ihm [...] Read more.
Fallbeschreibung. Ein 24jähriger Patient mit symptomatischen Tachykardien und seit längerem bekannter Delta-Welle im Oberflächen-EKG (Abb. 1) meldet sich in Ihrer Sprechstunde. Die Indikation für eine Radiofrequenz-Ablation ist aufgrund der Symptomatik eindeutig gegeben. Der Patient möchte von Ihnen aber noch wissen, ob bei ihm eine arterielle Punktion nötig sein wird oder nicht. Können Sie ihm diese Frage aufgrund des EKG schon vor der Intervention beantworten [...] Full article
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4 pages, 227 KB  
Case Report
Intrakoronare Thrombusaspiration Bei Komplexen Perkutanen Rekanalisationen
by P. Wagdi
Cardiovasc. Med. 2005, 8(7), 290; https://doi.org/10.4414/cvm.2005.01113 - 31 Aug 2005
Viewed by 32
Abstract
The role of a distal protection device in percutaneous coronary interventions is still controversial, although the concept of reducing thrombus load, distal embolisation with consecutive “no-flow” and ultimately negative remodelling due to myocardial scarring is attractive. The lack of widespread popularity of some [...] Read more.
The role of a distal protection device in percutaneous coronary interventions is still controversial, although the concept of reducing thrombus load, distal embolisation with consecutive “no-flow” and ultimately negative remodelling due to myocardial scarring is attractive. The lack of widespread popularity of some of the devices in this setting, where “time is muscle”, has been attributed to their somewhat cumbersome handling. In this report we discuss two cases in which thrombus aspiration, using an intuitive and “easy to handle device”, has been pivotal to successful recanalisation of very complex lesions. In one case the culprit lesion had been recanalised 1999 and stented with bare metal stents. Two years later a total chronic-reocclusion recanalised for the second time, restented and brachytherapy applied. Again 2 years later, anginal symptoms recurred. Reestablishment of flow after recanalisation could only be established after repeated thrombus aspiration. The second patient with subacute, severely symptomatic occlusion of a 14-year-old bypass-graft underwent PCI. Due to the heavy thrombus burden, recanalisation and reestablishment of adequate flow was only successful after repeated thrombus aspiration and consecutive stenting. Full article
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8 pages, 191 KB  
Editorial
Medikamentöse Massnahmen bei der Betreuung Zerebrovaskulärer Patienten
by Liliane Kappeler, Borbala Keserue, Urs Fischer and Heinrich P. Mattle
Cardiovasc. Med. 2005, 8(7), 279; https://doi.org/10.4414/cvm.2005.01118 - 31 Aug 2005
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Abstract
Drugs to prevent ischaemic stroke. Stroke is the third leading cause of death, the second most common cause of dementia and the leading reason for long-term disability in most industrialised populations. A healthy lifestyle (no smoking, regular physical activity, diet for normal [...] Read more.
Drugs to prevent ischaemic stroke. Stroke is the third leading cause of death, the second most common cause of dementia and the leading reason for long-term disability in most industrialised populations. A healthy lifestyle (no smoking, regular physical activity, diet for normal body weight) and treatment of vascular risk factors can prevent a substantial number of strokes. Some groups of the population are at especially high risk to suffer a first or recurrent stroke. Stroke victims or persons after a TIA represent such a high risk population (20 to 40% recurrent stroke risk during the first 5 years) and need special attention: in patients with noncardioembolic stroke antiplatelet agents such as aspirin, aspirin plus dipyridamole or clopidogrel are recommended. In case of recurrent stroke, aspirin intolerance or multiple vascular risk factors we prefer clopidogrel. In patients with cardioembolic stroke (e.g. atrial fibrillation, cardiac clot formation), extracranial carotid or vertebral artery dissection, cerebral sinus venous thrombosis or hypercoagulability, anticoagulation is indicated. Treatment of arterial hypertension significantly reduces the risk of both first and recurrent cerebrovascular events. Antihypertensive agents are of paramount importance in both primary and secondary stroke prevention. The role of statins is also fairly well established after stroke. They reduce recurrent stroke and other types of vascular events overall. In diabetic patients strict treatment of elevated blood pressure (>130/80 mm Hg) and dyslipidaemia should be attempted in order to minimise stroke risk. Control of hyperglycaemia is important to avoid microangiopathy. Full article
9 pages, 266 KB  
Editorial
Abklärung von Karotisstenose und -Verschluss
by Ralf W. Baumgartner
Cardiovasc. Med. 2005, 8(7), 270; https://doi.org/10.4414/cvm.2005.01117 - 31 Aug 2005
Viewed by 39
Abstract
Diagnostic work-up of patients with suspicion of a symptomatic obstruction of the extracranial carotid artery should be performed on an emergency basis. The applied diagnostic method should be (1.) non-invasive and cause no harm to the patient, and (2.) allow the reliable diagnosis [...] Read more.
Diagnostic work-up of patients with suspicion of a symptomatic obstruction of the extracranial carotid artery should be performed on an emergency basis. The applied diagnostic method should be (1.) non-invasive and cause no harm to the patient, and (2.) allow the reliable diagnosis of ≥50% and ≥70% carotid stenosis and occlusion, and ideally of subtotal carotid stenosis with distal narrow lumen, and enable the detection of intracranial stenoses. The most commonly used diagnostic tool, combined extra- and transcranial color duplex ultrasound, and other diagnostic methods including MR, CT and catheter angiography, are discussed. Full article
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2 pages, 139 KB  
Editorial
«My Brain Is My Second Favourite Organ»
by Thomas F. Lüscher
Cardiovasc. Med. 2005, 8(7), 267; https://doi.org/10.4414/cvm.2005.01114 - 31 Aug 2005
Viewed by 38
Abstract
Woody Allens’Weisheit – wohl nicht ganz so gemeint wie hier verwendet – trifft das Thema dieses Bandes [...] Full article
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