• While cardiac troponin measurements have significantly improved the early diagnosis of myocardial infarction, the timely biomarker-based diagnosis of unstable angina pectoris (UAP) remains a major unmet clinical challenge. (nih.gov)
  • Unstable angina pectoris. (nih.gov)
  • The standard of care for unstable angina (the intermediate state between stable angina and having a heart attack) starts with prompt treatment using aspirin, beta-blockers, and statins. (thecamreport.com)
  • 90 patients with unstable angina were randomly divided into 2 groups. (thecamreport.com)
  • The authors concluded that adding QYXB to aspirin therapy results in "significantly attenuated angina attacks and improved traditional Chinese medicine symptoms and signs in patients with unstable angina pectoris. (thecamreport.com)
  • The low- molecular-weight heparins with their unique pharmacology offer a new option in the therapy of patients with unstable CAD. (elsevierpure.com)
  • There is now extensive experience in the use of several of the low-molecular-weight heparins, particularly dalteparin and enoxaparin, in the management of patients with unstable angina. (elsevierpure.com)
  • Although differences in study design preclude direct comparison between the available low-molecular-weight heparins, in these trials low-molecular-weight heparins have been shown to be effective alternatives to conventional heparin for the management of patients with unstable angina and non-Q-wave infarction. (elsevierpure.com)
  • With their proven efficacy, predictability of action, and convenience of administration and dosing, there are very good reasons for selecting them as first-line therapies for patients presenting with unstable angina and non-Q-wave myocardial infarction. (elsevierpure.com)
  • Treatment with Bivalirudin (Hirulog) as Compared with Heparin During Coronary Angioplasty for Unstable or Postinfarction Angina. (hopkinsmedicine.org)
  • Beyond heparin and aspirin: new treatments for unstable angina and non-Q-wave myocardial infarction. (studentnow.com)
  • Unstable angina: current concepts of pathogenesis and treatment. (studentnow.com)
  • Management of unstable angina based on considerations of aetiology. (studentnow.com)
  • The patient's problem list includes recurrent headache and nausea, and unstable angina pectoris. (cdc.gov)
  • Bare-metal coronary artery stents are used in percutaneous coronary intervention (PCI) for a variety of indications, including stable and unstable angina, acute myocardial infarction (MI), and multiple-vessel disease. (medscape.com)
  • Major Surgery: Avoid initiation of high-dose extended-release metoprolol in patients undergoing non-cardiac surgery. (nih.gov)
  • This will also depend on unique patient factors, such as age, and risk of major cardiac complications. (wikipedia.org)
  • Compared to patients with HFpEF, those with HFmrEF were more likely to have comorbid acute myocardial infarction, infection and coronary artery disease, had higher level of N-terminal pro B-type natriuretic peptide (NT-proBNP), cardiac troponin, blood urea nitrogen (BUN), white blood cell (WBC). (researchsquare.com)
  • The team specifically examined patients who were hospitalized due to heart failure, cardiac arrhythmias, myocardial infarction, angina pectoris, or aortic diseases requiring surgery. (jpost.com)
  • Patients who require additional surgery (cardiological or extra-cardiac) for 1 year. (who.int)
  • This article derives from the Master's Degree thesis entitled "Effectiveness of e a l t h i educational interventions for cardiac rehabilitation in patients with ischemic heart disease: An integrative review", presented to the Master's Degree Program program o s t e r H in Nursing of Universidad de Cartagena, Colombia. (bvsalud.org)
  • Rojas-Caballero JA, Romero E, Cogollo-Milanés Z. Impact of educational interventions to foster health in patients undergoing cardiac rehabilitation: A systematic review. (bvsalud.org)
  • The present manuscript documents the impact of educational interventions during cardiac rehabilitation as a health-strengthening strategy, which represents a fundamental resource for the discipline since, as part of interdisci- plinary teams in patient care for cardiac rehabilitation, nursing pro- fessionals are an important link during the design and application of educational strategies that allow mitigating morbidity and mortality. (bvsalud.org)
  • Both groups showed improvement in the severity of angina pectoris and traditional Chinese medicine symptoms and signs. (thecamreport.com)
  • Patients should be asked about the frequency of angina, severity of pain, and number of nitroglycerin pills used during episodes. (medscape.com)
  • The Canadian Cardiovascular Society grading of angina pectoris (sometimes referred to as the CCS Angina Grading Scale or the CCS Functional Classification of Angina) is a classification system used to grade the severity of exertional angina. (wikipedia.org)
  • The CCS grading system for angina is a clinical tool used by doctors to assess the degree of severity of a patient's angina. (wikipedia.org)
  • Whilst there are no defined therapy guidelines specific for each class, once the severity of the angina has been assessed, clinicians can use the framework to aid them in the development of an individual treatment plan. (wikipedia.org)
  • So far, a widely accepted angina pectoris severity grading system included CCS (Canadian Cardiovascular Society) classification, Califf score, and Goldman scale. (iasp-pain.org)
  • However, there is a lack of analysis on the clinical characteristics of different types of elderly HF patients in geriatrics of Northeastern China.We conducted this single-center, retrospective study to evaluate the clinical characteristics of HF patients with mid-range(HFmrEF), preserved (HFpEF) and reduced ejection fraction (HFrEF) in a Chinese cohort. (researchsquare.com)
  • Heart failure (HF) is a complex clinical syndrome caused by any structural or functional impairment of ventricular filling orejection of blood[1].It has been considered as one of the major public health concerns with high mortality and economic burden of the patients all over the world. (researchsquare.com)
  • Patients with DM presenting with ALLI differ in clinical characteristics, presentation, and aetiology compared to patients with DM, and have a higher rate of major amputation and lower amputation-free survival rate after intra-arterial thrombolysis. (springer.com)
  • Angina pectoris is a clinical syndrome of precordial discomfort or pressure due to transient myocardial ischemia without infarction. (msdmanuals.com)
  • Clinical presentations include silent ischemia, angina pectoris, acute. (msdmanuals.com)
  • There is some evidence to suggest that coenzyme Q 10 supplementation may be a useful adjunct to conventional medical therapy for congestive heart failure and in patients undergoing coronary artery bypass graft surgery. (oregonstate.edu)
  • In congestive heart failure, Amiloride Hydrochloride may be effective alone, but its principal indication is for concomitant use in patients receiving thiazides or more potent diuretic agents. (janusinfo.se)
  • Background: A group of patients has been described who have chest pain resembling angina and positive exercise tests, but normal coronary angiograms and no coronary-artery spasm. (elsevierpure.com)
  • Angina pectoris is the result of myocardial ischemia caused by an imbalance between myocardial blood supply and oxygen demand. (medscape.com)
  • Angina pectoris is caused by myocardial ischemia in the main expression of pain in the chest or adjoining area, which is usually a result of exertion and related to myocardial function disorder. (iasp-pain.org)
  • Methods: We infused the endothelium-dependent vasodilator acetylcholine and the endothelium-independent vasodilators papaverine and isosorbide dinitrate into the left coronary artery of 9 patients and 10 control subjects. (elsevierpure.com)
  • Methods 1376 consecutive patients (age: 58±12 years) were reviewed in a dedicated chest pain clinic. (bmj.com)
  • The Olmsted County Chest Pain Study is a community-based cohort of 2,271 consecutive patients presenting to 3 Olmsted County emergency departments with angina from 1985 through 1992. (elsevierpure.com)
  • This paper reports three cases of severe scombroid poisoning in previously healthy patients, which presented diffuse macular erythema, hypotension, palpitations, and abnormal electrocardiogram (ECG). (degruyter.com)
  • Patients with ST-segment elevated myocardial infarction (STEMI) may have different symptoms and signs of both severe angina pectoris and various complications. (iasp-pain.org)
  • A decreased oxygen supply, as in severe anemia or hypoxia, can precipitate or aggravate angina. (msdmanuals.com)
  • PATIENTS CONCERNS: This case series explores the possibility of severe infection induced electrocardiographic changes resembling spiked-helmet sign. (bvsalud.org)
  • Thyrotoxicosis: Abrupt withdrawal in patients with thyrotoxicosis might precipitate a thyroid storm. (nih.gov)
  • In 2005, members of this group of researchers reported that in 80 patients with atherosclerosis, QYXB added to a high-frequency ultrasound technique was also associated with delayed progress and enhanced stability of atherosclerotic plaque. (thecamreport.com)
  • In such cases, angina can result whether atherosclerosis is present or not. (msdmanuals.com)
  • ii) replication of significant miRNAs in an independent patient cohort, (iii) validation of a multi-miRNAs panel in a third cohort. (nih.gov)
  • Therefore, we conducted this single-center, retrospective study on patients with these three types of HF in geriatrics departmentof a cohort in Northeastern China. (researchsquare.com)
  • The main aim of the present study was to evaluate the impact of DM on amputation-free survival in patients undergoing thrombolysis for ALLI in a propensity score adjusted analysis in a large cohort of patients. (springer.com)
  • I. To determine the proportion of patients with DNA-repair pathway-mutated genes in metastatic non-prostate GU cancer (patient cohort referred for screening). (bcan.org)
  • COHORT I: Patients that have cancer-associated DNA-repair gene mutations receive olaparib orally (PO) twice daily (BID) on days 1-28 of each cycle. (bcan.org)
  • COHORT II: Patients that do not have cancer-associated DNA-repair gene mutations undergo blood sample collection at baseline. (bcan.org)
  • Because myocardial oxygen demand is determined mainly by heart rate, systolic wall tension, and contractility, narrowing of a coronary artery typically results in angina that occurs during exertion and is relieved by rest. (msdmanuals.com)
  • It is a common presenting symptom (typically, chest pain) among patients with coronary artery disease (CAD). (medscape.com)
  • A group of patients who have angina-like chest pain, ischemic ST-segment depressions on their electrocardiograms during exercise testing, angiographically normal coronary arteries without coronary-artery spasm, and normal ventricular function has been described by many investigators 1 - 3 . (elsevierpure.com)
  • NITROSTAT is indicated for the acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease. (rxlist.com)
  • 2. The patient is suitable for both CABG and PCI, confirmed by an interventional cardiologist and surgeon (multivessel lesion with a Sintax score of 23-32 points with significant damage to the anterior descending artery and/or trunk of the left coronary artery). (who.int)
  • [ 5 ] Finally, in 1977 Andreas Grüntzig performed the first percutaneous coronary angioplasty in a patient with angina pectoris and a stenosis of the left anterior coronary artery. (medscape.com)
  • Social, mental, and physical aspects of QoL were determined by Nottingham Health Profile (NHP I), depression scale (CES-D), scoring of angina pectoris attacks and short-acting nitroglycerine intake, pain score on the Visual Analog Scale (VAS), perceived health percentage, Satisfaction With Life scale (SWLS), and one-aspect Linear Analog Self Assessment scale (LASA). (hanze.nl)
  • We aimed to assess the effectiveness of a nurse-led programme to ensure that follow-up care is provided in general practice after hospital diagnosis of myocardial infarction (MI) or angina pectoris. (ox.ac.uk)
  • The subjects were 422 adult patients with a MI and 175 patients with a new diagnosis of angina recruited during hospital admission or chest pain clinic attendance between April 1995 and September 1996. (ox.ac.uk)
  • What kinds of medical tests are used to establish the diagnosis of angina? (studentnow.com)
  • Typical angina pectoris would last for minutes with gradual exacerbation. (iasp-pain.org)
  • Four patients of the placebo group had a dissection requiring PCI and four were withdrawn during follow-up, two because of a chest pain admission, one for a COPD exacerbation with right sided heart failure, and one for bilateral leg pain, all four of whom would likely have had worse exercise performance than average. (medscape.com)
  • All the patients met the definition for HFrEF, HFmrEF and HFpEF according to 2016 European Society of Cardiology (ESC) guidelines.Targeted variables including demographics, vital signs, comorbidities and lab assessment results were compared among the three groups by Pearson's χ2 test, and multivariate logistic regression analyses were performed for risk factor exploration on the three types of HF. (researchsquare.com)
  • The populations to be compared were adult patients drawn from hospital based registers, with confirmed epilepsy (n = 397), angina pectoris (n = 785), rheumatoid arthritis (n = 1,030), asthma (n = 117) and chronic obstructive pulmonary disease (COPD) (n = 221). (nih.gov)
  • Although it is more invasive, in this group of patients, CABG has a higher long-term survival rate compared to PCI. (wikipedia.org)
  • Patients with rheumatoid arthritis (RA) and COPD scored lowest on the physical function scales, while rheumatoid arthritis patients reported most pain. (nih.gov)
  • To assess patient satisfaction with the arthritis care services provided by graduates of the Advanced Clinician Practitioner in Arthritis Care (ACPAC) program. (dovepress.com)
  • Patients were very satisfied with and amenable to arthritis care provided by graduates of the ACPAC program. (dovepress.com)
  • Angina decubitus (a variant of angina pectoris that occurs at night while the patient is recumbent) may occur. (medscape.com)
  • Some types of angina occur at rest, however, such as Prinzmetal's or variant angina. (studentnow.com)
  • Metabolic or Respiratory Acidosis: Potassium-conserving therapy should be initiated only with caution in severely ill patients in whom metabolic or respiratory acidosis may occur, e.g. patients with cardiopulmonary disease or decompensated diabetes. (janusinfo.se)
  • Long-term outcomes of unselected patients with angina pectoris and bundle branch block (BBB) on initial electrocardiogram are not well established. (elsevierpure.com)
  • After three to four weeks of treatment, if the patient is still symptomatic, if the initial dose is well tolerated and if resting heart rate remains above 60 bpm, the dose may be increased to the next higher dose in patients receiving 2.5 mg twice daily or 5 mg twice daily. (medicines.org.uk)
  • After the initial 6 weeks of escalating antianginal therapy pre-randomization, 24% (i.e. 48 out of 200) of the population were Canadian Angina Class 1 or 0 consistent with the overall pre-randomization exercise times of approximately 7 METS or completion of standard Bruce Stage 2. (medscape.com)
  • Diabetes has a huge effect on the lives of patients, because of constant constraints including dieting, exercising and regular monitoring of blood sugar levels, in addition to complications that affect HRQoL. (who.int)
  • Diabetes mellitus (DM) is a widespread disorder that ef- of constant constraints including dieting, exercising and fects patients from different age groups and sexes, and is regular monitoring of blood sugar levels, in addition to a complex disease that involves both genetic and environ- complications that affect HRQoL. (who.int)
  • Duh, E & Feinglos, M 1994, ' Hypoglycemia-induced angina pectoris in a patient with diabetes mellitus ', Annals of internal medicine , vol. 121, no. 12, pp. 945-946. (johnshopkins.edu)
  • In high-risk patients, such as those over the age of 65, with diabetes, or with multi-vessel disorder, CABG may be the preferred technique. (wikipedia.org)
  • To develop and validate a revised Arabic version of the DQoL questionnaire for patients in Jordan with type 2 diabetes. (who.int)
  • We recruited patients with type 2 diabetes from 3 public health clinics in Jordan. (who.int)
  • We validated an Arabic tool that can be used to evaluate QoL among Arabic-speaking patients with type 2 diabetes. (who.int)
  • Diabetes mellitus (DM) is a widespread disorder that effects patients from different age groups and sexes, and is a complex disease that involves both genetic and environmental factors. (who.int)
  • The aim of this study was to evaluate the outcome of local intra-arterial thrombolysis for ALLI in patients with diabetes mellitus (DM). (springer.com)
  • Diabetes Mellitus: To minimise the risk of hyperkalaemia in known or suspected diabetic patients, the status of renal function should be determined before initiating therapy. (janusinfo.se)
  • This phase I trial studies the side effects and the best dose of wild-type reovirus (viral therapy) when given with sargramostim in treating younger patients with high grade brain tumors that have come back or that have not responded to standard therapy. (mayo.edu)
  • or in combination with beta-blockers in patients inadequately controlled with an optimal beta-blocker dose. (medicines.org.uk)
  • The starting dose of ivabradine should not exceed 5 mg twice daily in patients aged below 75 years. (medicines.org.uk)
  • If, during treatment, heart rate decreases below 50 beats per minute (bpm) at rest or the patient experiences symptoms related to bradycardia such as dizziness, fatigue or hypotension, the dose must be titrated downward including the lowest dose of 2.5 mg twice daily. (medicines.org.uk)
  • If during treatment, heart rate decreases persistently below 50 beats per minute (bpm) at rest or the patient experiences symptoms related to bradycardia, the dose must be titrated downward to the next lower dose in patients receiving 7.5 mg twice daily or 5 mg twice daily. (medicines.org.uk)
  • Heart Failure, to reduce the risk of cardiovascular mortality and heart failure hospitalizations in patients with heart failure. (nih.gov)
  • Patients were followed for major adverse cardiovascular events (MACEs) including death, myocardial infarction, stroke, and revascularization at 30 days and over a median follow-up period of 7.3 years and for mortality only through a median of 16.6 years. (elsevierpure.com)
  • Participants completed the Patient-Doctor Interaction Scale, modified to capture patient-practitioner interactions. (dovepress.com)
  • Angina is defined as pain or pressure in the chest, beneath the breastbone, that occurs when the heart is not getting enough oxygen. (studentnow.com)
  • Patients undergoing intra-arterial thrombolysis between 2001 and 2010 have been reported previously with a follow up until January 17, 2012 [ 5 ]. (springer.com)
  • Thus, more people have angina in the morning, when arterial tone is relatively high. (msdmanuals.com)
  • Angina is a type of chest discomfort due to poor blood flow through the blood vessels of the heart muscle. (medlineplus.gov)
  • In conclusion, appearance of LBBB or RBBB in patients presenting with angina predicts adverse long-term cardiovascular outcomes compared to patients without BBB. (elsevierpure.com)
  • However, there is no evidence that this causes any adverse side effects in statin-treated patients. (oregonstate.edu)
  • Several factors have been associated with improved or adverse outcome in terms of amputation-free survival in ALLI patients undergoing thrombolysis. (springer.com)
  • The changes in coronary blood flow in response to 2 mg of isosorbide dinitrate (236 ±66 percent vs. 280 ±56 percent) and 10 mg of papaverine (366 ±168 percent vs. 411 ±92 percent) did not differ significantly between the patients and controls. (elsevierpure.com)
  • Compared to healthy subjects, the patients had significantly worse scores at baseline on NHP, SWLS, and LASA. (hanze.nl)
  • The overall prevalence of CAD in patients referred for suspected AP is significantly lower than expected by using either NICE or ESC endorsed historical model. (bmj.com)
  • Our results indicate that the HRQL of a representative sample of patients with epilepsy is good, when compared with other chronic disorders, although reduced in several dimensions compared with a general reference population. (nih.gov)
  • These results indicated that muscle deoxygenation and muscle O 2 extraction were potentially heightened by aerobic exercise training in AP patients, even though the exercise training volume was low. (elsevierpure.com)
  • Angina results when blood flow to the heart muscle is inadequate (causing a condition known as ischemia) due to a number of conditions. (studentnow.com)
  • The results of our study supported that patients with HFmrEF were closer to patients with HFrEF in respect to most of the demographics andclinical characteristics observed, while showing certain differences from patients with HFpEF. (researchsquare.com)
  • A propensity score adjusted analysis was performed to evaluate results in patients with (n = 83) versus without (n = 316) DM. (springer.com)
  • Odds Ratios adjusted (AOR) for age, duration of angina and previous MI using multiple logistic regression. (biomedcentral.com)
  • 137 women): odds ratio adjusted for age and duration of angina. (biomedcentral.com)
  • In this study, 26 consecutive patients (age 61.3 ± 7.0 years, 13 females, angina duration 12.7 ± 6.0 years) were recruited. (hanze.nl)
  • is clinically worsening angina (eg, angina at rest or with increasing frequency and/or intensity of episodes). (msdmanuals.com)
  • SEE NAMCS PATIENT DATASET NAMES FOR DSN ABSTRACT General Information This material provides documentation for users of the Micro-Data tapes of the National Ambulatory Medical Care Survey (NAMCS) conducted by the National Center for Health Statistics. (cdc.gov)
  • DSN: CC37.NAMCS90.PATIENTS ABSTRACT This material provides documentation for users of the Micro-Data tapes of the National Ambulatory Medical Care Survey (NAMCS) conducted by the National Center for Health Statistics. (cdc.gov)
  • Conclusions: These findings suggest that endothelium-dependent dilatation of the resistance coronary arteries is defective in patients with anginal chest pain and normal coronary arteries, which may contribute to the altered regulation of myocardial perfusion in these patients. (elsevierpure.com)
  • This is a prospective study to assess the actual CAD prevalence in patients referred to a chest pain clinic, as defined by either obstructive CAD or a positive functional test and the comparative performance of the two models in predicting CAD in these patients. (bmj.com)
  • When TENS is used analgesically, patients are instructed to try different frequencies and intensities to find those that provide them with the best pain control. (medscape.com)
  • Ivabradine is indicated in chronic heart failure NYHA II to IV class with systolic dysfunction, in patients in sinus rhythm and whose heart rate is ≥ 75 bpm, in combination with standard therapy including beta-blocker therapy or when beta-blocker therapy is contraindicated or not tolerated. (medicines.org.uk)
  • Potentiation of isosorbide dinitrate effects with N-acetylcysteine in patients with chronic heart failure. (naturalnews.com)
  • This constellation of features has sometimes been called syndrome X or microvascular angina. (elsevierpure.com)
  • We attempted to determine whether endothelium-dependent vasodilatation of the coronary vasculature was impaired in patients with this syndrome. (elsevierpure.com)
  • Some patients with this constellation of findings (sometimes called syndrome X) have attenuated coronary flow reserve in response to metabolic or pharmacologic vasodilator stimuli (i.e., microvascular angina) 2 , 3 . (elsevierpure.com)