This content is machine translated Significance, diagnostics and treatment options for cardiology practice Coronary artery spasm and atherosclerosis Angina pectoris is traditionally regarded as the leading symptom of coronary sclerosis. Nevertheless, observations show that a relevant proportion of patients with typical angina symptoms have no hemodynamically significant stenoses...…
View Post 3 min This content is machine translated Angina pectoris Antianginal therapy shows no long-term benefit for prophylaxis Angina may persist or recur despite successful revascularization with percutaneous coronary intervention. In these cases, antianginal treatment is supplemented. To demonstrate the effectiveness of this approach, a clinical trial was…
View Post 7 min This content is machine translated Psychological dimension of a myocardial infarction The heart attack as psychotrauma Psychological disorders such as depression or ACS-induced PTSD may occur after myocardial infarction. Therefore, psychological support for heart attack patients is central. This is because the psyche influences both the…
View Post 9 min This content is machine translated Cardiac symptoms Clarification thorax pain Patients with chest pain require emergency evaluation for acute coronary syndrome (ACS). Diagnostic cornerstones of ACS are clinical presentation, 12-lead ECG, and cardiac troponins. The 0/1 h algorithms recommended as…
View Post 4 min This content is machine translated 26th European Meeting on Hypertension and Cardiovascular Protection In which patients is orthostatic hypotension to be expected? The ESH annual meeting also addressed orthostatic hypotension and how to become aware of the phenomenon in everyday practice. In an update to a study presented at last year’s Congress,…
View Post 15 min This content is machine translated Platelet aggregation inhibition in PCI. “The flow must go on” Inhibition of coagulation is an important cornerstone of therapy for acute coronary syndrome. For this purpose, platelet aggregation inhibitors targeting thromboxane synthesis, the ADP receptor, the glycoprotein receptor IIb/IIIa and…
View Post 7 min This content is machine translated When and for which patients? Spinal cord stimulation for pain therapy Spinal cord stimulation is a neurosurgical, evidence-based, minimally invasive, and safe electrical neuromodulatory method for the treatment of chronic pain. Interdisciplinary patient selection and indication after multimodal therapy trials are…
View Post 10 min This content is machine translated The treatment of stable angina pectoris Revascularization, nicotine cessation, exercise, and regular medication regimens. Stable angina is characterized by reversible ischemia or hypoxia of the myocardium. At rest, sufficient blood flow is ensured in patients with stable angina pectoris. However, during physical exertion or…
View Post 5 min This content is machine translated Chest pain Very common, but mostly harmless The causes of chest pain are extremely varied, can affect different organ systems in the chest and – depending on the cause – are absolutely harmless or acutely life-threatening. Fortunately,…
