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Adding an Electrocardiogram to the Pre-participation Examination in Competitive Athletes: A Systematic ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: No matter how rare, the death of young athletes is a tragedy. Can it be prevented? The European experience suggests that adding the electrocardiogram (ECG) to the standard medical and family history and physical examination can decrease cardiac deaths by 90%. However, there has not been a randomized trial to demonstrate such a reduction. While there are obvious differences between the European and American experiences with athletes including very differing causes of athletic deaths, some would highlight the European emphasis on public welfare vs the protection of personal rights in the USA. Even the authors of th...
Source: Current Problems in Cardiology - November 3, 2009 Category: Cardiology Authors: Marco Perez, Holly Fonda, Vy-Van Le, Teferi Mitiku, Jeremiah Ray, James V. Freeman, Euan Ashley, Victor F. Froelicher Source Type: journals

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There is general agreement that sudden death occurs in young competitive athletes. More than half of these deaths are due to cardiovascular disease. In Italy, including a 12-lead electrocardiogram in the screening has had spectacular success and reduced sudden death by about 90%. In the USA, for a variety of reasons, including electrocardiogram in the screening process has been debated and is controversial. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - November 3, 2009 Category: Cardiology Authors: Shahbudin H. Rahimtoola Source Type: journals

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Source: Current Problems in Cardiology - November 3, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - November 3, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - November 3, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - November 3, 2009 Category: Cardiology Source Type: journals

How to Identify the Asymptomatic High-Risk Patient?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Worldwide, cardiovascular diseases are among the leading causes of mortality and morbidity with ever-increasing prevalence. Early targeted initiation of preventive measures would be of great benefit and can provide a major opportunity in reducing mortality and morbidity. To this end, accurate identification of individuals who are still asymptomatic but at elevated risk is essential. However, traditional risk assessment fails to recognize a substantial proportion of patients at high risk while a large proportion of individuals are classified as having intermediate risk, leaving management uncertain. Additional str...
Source: Current Problems in Cardiology - October 5, 2009 Category: Cardiology Authors: Joanne D. Schuijf, Stephan Achenbach, William A. Zoghbi, Eric Boersma, Paolo Raggi, Michael Weber, Eike Nagel, Jagat Narula, Frans J. Th. Wackers, Don Poldermans, Jeroen J. Bax Source Type: journals

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Modern pharmacologic and revascularization therapies have been remarkably successful in markedly improving patient outcomes. Nevertheless, major untoward events, including myocardial infarction and death, continue to occur in “apparently” healthy people, which frequently are euphemisms of the asymptomatic state. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - October 5, 2009 Category: Cardiology Authors: Shahbudin H. Rahimtoola Source Type: journals

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Source: Current Problems in Cardiology - October 5, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - October 5, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - October 5, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - October 5, 2009 Category: Cardiology Source Type: journals

Patent Foramen Ovale, Systemic Embolization, and ClosureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Patent foramen ovale has become the subject of increasing interest in modern cardiovascular disease. This has been the result of several factors including, among others, description of paradoxical embolism, documentation of patent foramen ovale with right to left shunt, the rather ubiquitous use of echocardiography, the issue of stroke prevention, and more recently, the relationship between patent foramen ovale and migraine. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - September 7, 2009 Category: Cardiology Authors: David R. Holmes, Howard A. Cohen, Carlos Ruiz Source Type: journals

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With the widespread availability and use of echocardiography, the presence of patent foramen ovale (PFO) is being increasingly diagnosed. In step with the diagnosis of the PFO, several associated clinical problems (eg, cryptogenic stroke, migraine) have been recognized. Also, the techniques of percutaneous closure of PFO and of closure devices have been developed. The field has progressed rapidly; as a result, these have become an important part of interventional therapeutic cardiology. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - September 7, 2009 Category: Cardiology Authors: Shahbudin H. Rahimtoola Source Type: journals

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Source: Current Problems in Cardiology - September 7, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - September 7, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - September 7, 2009 Category: Cardiology Source Type: journals

Endovascular Treatment of Peripheral Vascular DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Peripheral arterial disease (PAD) affects about 27 million people in North America and Europe, accounting for up to 413,000 hospitalizations per year with 88,000 hospitalizations involving the lower extremities and 28,000 involving embolectomy or thrombectomy of lower limb arteries. Many patients are asymptomatic and, among symptomatic patients, atypical symptoms are more common than classic claudication. Peripheral arterial disease also correlates strongly with risk of major cardiovascular events, and patients with PAD have a high prevalence of coexistent coronary and cerebrovascular disease. Because the prevale...
Source: Current Problems in Cardiology - August 7, 2009 Category: Cardiology Authors: Suhail Allaqaband, Romas Kirvaitis, Fuad Jan, Tanvir Bajwa Source Type: journals

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Peripheral arterial disease (PAD) affects a very large number of people in the USA and poses a great risk for poor outcomes. There is a strong relationship between PAD and coronary artery disease and between PAD and cerebrovascular disease. The commonly recognized risk factors for coronary artery disease also apply to PAD but smoking and diabetes are particularly high risk factors for PAD. Treatment of all of these risk factors is important. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - August 7, 2009 Category: Cardiology Authors: Shahbudin H. Rahimtoola Source Type: journals

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Source: Current Problems in Cardiology - August 7, 2009 Category: Cardiology Source Type: journals

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Management of Cardiogenic Shock: Focus on Tissue PerfusionEmail this article to a colleague. Save this article to My Clippings. discuss this article 1 CommentDiscuss or comment on this article.
Abstract: Cardiogenic shock (CS) may result from ischemic heart disease, cardiomyopathy, valvular heart disease, inflammation, myocardial contusion, and cardiac surgery. CS is the leading cause of in-hospital death in patients with acute myocardial infarction. Although early revascularization strategies have resulted in a better prognosis, in-hospital mortality from CS remains exceptionally high. Notably, long-term annual mortality is similar in survivors of CS relative to patients with myocardial infarction without shock. This underlines the importance of aggressive support of the failing heart in the acute phase of CS. B...
Source: Current Problems in Cardiology - July 10, 2009 Category: Cardiology Authors: Corstiaan A. den Uil, Wim K. Lagrand, Suzanne D.A. Valk, Peter E. Spronk, Maarten L. Simoons Source Type: journals

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There has been a remarkable reduction in the incidence of cardiogenic shock due to acute myocardial infarction in patients admitted to the hospital. Up until the early 1970s we would see up to 2 to 3 such cases each week. Then, we progressively saw fewer cases of cardiogenic shock. This coincided with widespread performance of coronary artery bypass graft surgery and, over the subsequent 30 years, cardiogenic shock has become decidedly uncommon. This also coincided with performance of percutaneous coronary interventions and also the availability of modern pharmacologic therapy. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - July 10, 2009 Category: Cardiology Authors: Shahbudin H. Rahimtoola Source Type: journals

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Source: Current Problems in Cardiology - July 10, 2009 Category: Cardiology Source Type: journals

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Classic Images in Cardiac Magnetic Resonance Imaging: A Case-based Atlas Highlighting Current Applications of Cardiac Magnetic Resonance ImagingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article, while not intended to be a comprehensive collection, aims to serve as an introduction to the current applications of cardiac MRI. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - June 7, 2009 Category: Cardiology Authors: Sanjeev A. Francis, Otavio R. Coelho-Filho, Patrick T. O'Gara, Raymond Y. Kwong Source Type: journals

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Medicine, and especially cardiovascular medicine, has been blessed with the emergence of many new diagnostic modalities that are becoming an integral part of management strategies to take care of our patients. As a result, it has become vital and essential for clinicians taking care of such patients to be very knowledgeable of these images. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - June 7, 2009 Category: Cardiology Authors: Shahbudin H. Rahimtoola Source Type: journals

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Source: Current Problems in Cardiology - June 7, 2009 Category: Cardiology Source Type: journals

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Classic Images: Cardiac Computed TomographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews general indications for cardiac CT imaging. Common variants and pathologies of the cardiovascular system are illustrated by clinical examples. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - May 10, 2009 Category: Cardiology Authors: Joanne D. Schuijf, Lucia J. Kroft, Albert de Roos, Jeroen J. Bax Source Type: journals

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Source: Current Problems in Cardiology - May 10, 2009 Category: Cardiology Source Type: journals

ForewordEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Medicine, and especially cardiovascular medicine, has been blessed with the emergence of many new diagnostic modalities that are becoming an integral part of management strategies to take care of our patients. As a result, it has become vital and essential for clinicians taking care of such patients to be very knowledgeable of these images. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - May 10, 2009 Category: Cardiology Authors: Shahbudin H. Rahimtoola Source Type: journals

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Source: Current Problems in Cardiology - May 10, 2009 Category: Cardiology Source Type: journals

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Source: Current Problems in Cardiology - May 10, 2009 Category: Cardiology Source Type: journals

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Catheter Ablation for Scar-related Ventricular TachycardiasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Patients with scar-related ventricular tachycardia (VT) are subject to frequent arrhythmia recurrences; antiarrhythmic drug therapy has been disappointing due to poor efficacy and side effects. Patients receiving multiple implantable cardioverter-defibrillator shocks because of VT have impaired quality of life. The role of catheter ablation in the treatment of ventricular arrhythmias has been increasing in the last 2 decades. As more knowledge is gained about the mechanisms of VT, the potential for doing ablation has increased. Now, multiple VTs and unstable VTs can be targeted by ablation strategies. Also, elect...
Source: Current Problems in Cardiology - April 21, 2009 Category: Cardiology Authors: Jean-Marc Raymond, Frederic Sacher, Robert Winslow, Usha Tedrow, William G. Stevenson Source Type: journals

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Scar-related ventricular tachycardia is most commonly associated with previous myocardial infarction. There are other causes, for example, arrhythmogenic right ventricular dysplasia. Such patients have frequent arrhythmias. Pharmacologic therapy has not been very efficacious and drug-related side effects are common. (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - April 21, 2009 Category: Cardiology Authors: Shahbudin H. Rahimtoola Source Type: journals

Current problems in cardiology. Foreword.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19269526 [PubMed - in process] (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - March 11, 2009 Category: Cardiology Authors: Rahimtoola SH Tags: Curr Probl Cardiol Source Type: journals

Coronary computed tomography and magnetic resonance imaging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cardiac computed tomography and magnetic resonance are relatively new imaging modalities that can exceed the ability of established imaging modalities to detect present pathology or predict patient outcomes. Coronary calcium scoring may be useful in asymptomatic patients at intermediate risk. Computed tomographic coronary angiography is a first-line indication to evaluate congenitally abnormal coronary arteries and, along with stress magnetic resonance myocardial perfusion imaging, is useful in symptomatic patients with nondiagnostic conventional stress tests. Cardiac magnetic resonance is indicated for visualizing car...
Source: Current Problems in Cardiology - March 11, 2009 Category: Cardiology Authors: Kantor B, Nagel E, Schoenhagen P, Barkhausen J, Gerber TC Tags: Curr Probl Cardiol Source Type: journals

The mitral valve is a complex structure. Foreword.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19232243 [PubMed - in process] (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - February 26, 2009 Category: Cardiology Authors: Rahimtoola SH Tags: Curr Probl Cardiol Source Type: journals

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PMID: 19232243 [PubMed - in process] (Source: Current Problems in Cardiology)
Source: Current Problems in Cardiology - February 25, 2009 Category: Cardiology Authors: Rahimtoola SH Tags: Curr Probl Cardiol Source Type: journals

Mitral regurgitation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Mitral regurgitation (MR) is increasingly prevalent and poses an important public health problem. There are several mechanisms through which MR can occur. Primary (organic) MR is due to intrinsic valvular disease, whereas secondary (functional) MR is due to disruption of an otherwise normal mitral apparatus because of abnormal ventricular geometry. Identification of the causative mechanism is important as this will dictate management strategy and may influence subsequent outcome. Careful assessment of MR severity is important with the use of quantitative measures. There is currently no effective medical treatment for c...
Source: Current Problems in Cardiology - February 25, 2009 Category: Cardiology Authors: Ahmed MI, McGiffin DC, O'Rourke RA, Dell'italia LJ Tags: Curr Probl Cardiol Source Type: journals