RESUMEN
OBJECTIVES: This study sought to assess the ability of coronary computed tomography angiography (CTA) in identifying complex coronary stenosis morphology before invasive coronary angiography (ICA) and percutaneous coronary intervention (PCI). BACKGROUND: Complexity of stenosis morphology affects PCI success. Whether CTA can detect the entire spectrum of recognized complex stenosis morphologies has not been investigated. METHODS: All nonbypassed, nonstented, >or=2-mm-diameter native coronary arterial segments in 85 consecutive patients who underwent ICA
Asunto(s)
Angiografía Coronaria/métodos , Estenosis Coronaria/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Anciano , Angioplastia Coronaria con Balón , Medios de Contraste , Estenosis Coronaria/terapia , Reacciones Falso Positivas , Femenino , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Estudios Retrospectivos , Índice de Severidad de la Enfermedad , Factores de TiempoRESUMEN
Heart failure is a major public health problem and is increasing in incidence throughout the industrialized world. Despite recent advances in pharmacotherapy, the overall mortality remains high and largely unchanged. Ultrafiltration has received increased attention in the treatment of acute decompensated congestive heart failure, and recent clinical trials suggest its usefulness in removing volume while preserving renal function. This review will focus on the background of ultrafiltration in the treatment of acute decompensated heart failure as well as the current evidence regarding its efficacy and safety.
Asunto(s)
Insuficiencia Cardíaca/sangre , Insuficiencia Cardíaca/terapia , Ensayos Clínicos Controlados Aleatorios como Asunto , Ultrafiltración/métodos , Enfermedad Aguda , Animales , Manejo de la Enfermedad , Diuréticos/uso terapéutico , Insuficiencia Cardíaca/tratamiento farmacológico , Insuficiencia Cardíaca/fisiopatología , Hemofiltración/efectos adversos , Hemofiltración/métodos , Hemofiltración/tendencias , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto/métodos , Ensayos Clínicos Controlados Aleatorios como Asunto/tendencias , Ultrafiltración/efectos adversos , Ultrafiltración/tendenciasRESUMEN
Intracardiac masses can be characterized as thrombus, vegetation, or tumor. An 83-year-old man had mobile spheric masses in the right atrium and ventricle. The lesions resolved with prolonged anticoagulation, suggesting thrombi as the origin. Three-dimensional echocardiography was useful in further characterizing the morphology and extent of the lesions.