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AHA-2014-NSTEACS指南原文(英文) | 心血管笔记
http://www.cardionote.net/aha-nsteacs-2014
2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Initial Evaluation and Management: Recommendations. Patients with suspected ACS should be risk stratified based on the likelihood of ACS and adverse outcome(s) to decide on the need for hospitalization and assist in the selection of treatment options. Serial cardiac troponin I o...
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心脏上的钢铁长城 | 心血管笔记
http://www.cardionote.net/a-heart-with-67-stents
这是发表在JACC上的一篇病例报道,题目叫做 A Heart With 67 Stents ,作者是来自美国纽约的一家医院。 Since 2001 I developed heart problems. From that time to today I have over 35 stents and two time open heart surgery. I am now 54 year old and leaving happily. Rami N. Khouzam, et al. A heart with 67 stents. JACC 2010;56(19):1605-1605. A href= title= abbr title= acronym title= b blockquote cite= cite code del datetime= em i q cite= strike strong. Circulation Public Ahead Print. American Journal of Cardiovascular Drugs.
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ESC-2012-房颤指南中文版 | 心血管笔记
http://www.cardionote.net/esc-af-2012-cn
Recommendations for diagnosis and initial management. Recommendations for prevention of thromboembolism – general. 对于机械性心脏瓣膜病的房颤患者,使用维生素K拮抗剂 VKA 的口服抗栓治疗 OAC 目标强度应基于机械瓣的类型和位置,二尖瓣置换的建议INR至少为3.0,主动脉瓣至少为2.5. 对于CHA2DS2-VASc评分=0 例如 年龄 65岁的孤立性房颤 的没有危险因素的低风险患者,不建议使用抗栓治疗. 对于CHA2DS2-VASc评分 2的患者,如果没有禁忌证,推荐的口服抗凝 OAC 治疗如下. 调整剂量的维生素K拮抗剂 VKA 使得INR控制于2-3之间 或. 直接凝血酶原抑制剂 例如 达比加群 或. 调整维生素K拮抗剂 VKA 剂量至INR控制于2-3 或者. Recommendations for prevention of thromboembolism NOACs. 中度肾功能受损 CrCl 30-49 ml/min. 在使用维生素K拮抗剂 VKA 进行常规强度的抗凝治疗 ...
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ESC-2012-房颤指南原文(英文版) | 心血管笔记
http://www.cardionote.net/esc-af-2012
ESC Guidelines for Management of Patients with Atrial Fibrillation. Recommendations for diagnosis and initial management. The diagnosis of AF requires documentation by ECG. In patients with suspected AF, an attempt to record an ECG should be made when symptoms suggestive of AF occur. A simple symptom score (EHRA score) is recommended to quantify AF-related symptoms. All patients with AF should undergo a thorough physical examination and a cardiac and arrhythmia-related history should be taken. In young a...
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指南 | 心血管笔记
http://www.cardionote.net/guideline
Pingback [2014.09.18]指南更新-新增ESC房颤指南 心血管笔记. A href= title= abbr title= acronym title= b blockquote cite= cite code del datetime= em i q cite= strike strong. Circulation Public Ahead Print. American Journal of Cardiovascular Drugs. Annals of Cardiothoracic Surgery. British Journal of Cardiology. The British Journal of Diabetes and Vascular Disease. European Journal of Heart Failure. Expert Review of Cardiovascular Therapy. Journal of Cardiovascular Electrophysiology. The Journal of Invasive Cardiology.
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Jacc | 心血管笔记
http://www.cardionote.net/category/jacc
这是发表在JACC上的一篇病例报道,题目叫做 A Heart With 67 Stents ,作者是来自美国纽约的一家医院。 Since 2001 I developed heart problems. From that time to today I have over 35 stents and two time open heart surgery. I am now 54 year old and leaving happily. Rami N. Khouzam, et al. A heart with 67 stents. JACC 2010;56(19):1605-1605. Circulation Public Ahead Print. American Journal of Cardiovascular Drugs. Annals of Cardiothoracic Surgery. British Journal of Cardiology. The British Journal of Diabetes and Vascular Disease.
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心得 | 心血管笔记
http://www.cardionote.net/category/experience
总的来说,急性心肌梗死后心包并发症可分为三类,1、心梗早期心包炎 PIP 2、伴或不伴心脏压塞的心包积液 3、心肌梗死后综合征 Dressler综合征。 不伴心脏压塞的心包积液通常不合并临床症状,多表现为少-中量的心包积液,然而,心包积液的吸收速度却非常之慢,有少部分的患者甚至能持续超过一年 而且,多项研究表明,急性心肌梗死患者合并心包积液,特别是中-大量心包积液 大于10mm ,会增加住院期间及心梗30天内的死亡率。 Pericardial complications of myocardial infarction fromUptodate.com (Literature review current through: Jul2015. This topic last updated: May 14, 2014.). 研究共入选加利福尼亚州6家医学中心共1437位心衰患者 平均年龄73岁 ,将其随机分至远程监测组 715例 与对照组 722例 ,前者在常规院外管理的基础上增加了电话辅导与对日常血压、心率、体重及症状等信息的远程监测。 但是,远程监控组的患者在180天时的生活质量较对照组有轻度改善,使...
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ESC-2012-STEMI指南原文(英文) | 心血管笔记
http://www.cardionote.net/esc-stemi-2012
Table 4: Recommendations for initial diagnosis. A 12-lead ECG must be obtained as soon as possible at the point of FMC, with a target delay of. ECG monitoring must be initiated as soon as possible in all patients with suspected STEMI. Blood sampling for serum markers is recommended routinely in the acute phase but one should not wait for the results before initiating reperfusion treatment. Echocardiography may assist in making the diagnosis in uncertain cases but should not delay transfer for angiography.
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评分计算器 | 心血管笔记
http://www.cardionote.net/calculators
A href= title= abbr title= acronym title= b blockquote cite= cite code del datetime= em i q cite= strike strong. Circulation Public Ahead Print. American Journal of Cardiovascular Drugs. Annals of Cardiothoracic Surgery. British Journal of Cardiology. The British Journal of Diabetes and Vascular Disease. European Journal of Heart Failure. Expert Review of Cardiovascular Therapy. Journal of Cardiovascular Electrophysiology. The Journal of Invasive Cardiology. Journal of the American College of Cardiology.
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