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Wir berichten über eine 24-jährige Frau, die mit Atemnot und Sinustachykardie in unserer Klinik aufgenommen wurde und bei fulminanter Lungenembolie unmittelbar nach Diagnosesicherung im CT unter Einschluss einer Hochdosisthrombolyse mit einem rekombinanten Gewebeplasminogenaktivator über 30 min reanimiert werden musste. Als Risikofaktor wurde neben dem Gebrauch eines lokalen hormonellen Kontrazeptivums...
Der akute Brustschmerz ist derzeit in Deutschland die häufigste Notfallsituation, die zur Einweisung in die Klinik führt. Wichtige Differentialdiagnosen sind dabei neben dem ST-Hebungsinfarkt (STEMI), der Nicht-ST-Hebungsinfarkt (NSTEMI), die Lungenembolie und die Aortendissektion. Während der ST-Hebungsinfarkt (STEMI) rasch im EKG erkannt werden kann, bedarf es für die Diagnosestellung der anderen,...
Background: Intracoronary ultrasound (IVUS) has the potential to assess the progression of intimal proliferation in transplant coronary artery disease (TxCAD). The functional significance of TxCAD can be determined invasively by measurement of coronary flow reserve (CFR). We sought to evaluate whether a progression of TxCAD is paralleled by an impairment of CFR by means of serial IVUS and Doppler...
Background: Coronary flow reserve (CFR) is an important parameter of graft function after heart transplantation (Htx). In most reports on patients after Htx, CFR measurements performed in one of the epicardial vessels were considered representative for global graft function. The purpose of this study was to assess potential differences in CRF values between different coronary arteries.Methods: We...
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