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Deformation of cardiovascular stents due to manipulation in the adjacent anatomy 由于邻近解剖操作导致的心血管支架变形
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-10 DOI: 10.1007/s00398-023-00607-0
Lucía Pol Riestra, Nikolaus A Haas, André Jakob, Marcus Fischer, Simone Dold, Guido Mandilaras, Joseph Pattathu
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引用次数: 0
Cardiac xenotransplantation in Germany 德国的异种心脏移植
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-02 DOI: 10.1007/s00398-023-00608-z
Christine-Elena Kamla, Matthias Längin, Bruno Reichart, Eckhard Wolf, Joachim Denner, Jan-Michael Abicht, Georg Marckmann, Paolo Brenner, Stefan Blesse, Sebastian Michel, Christian Hagl
Zusammenfassung Eines der größten Probleme der deutschen Transplantationsmedizin ist der eklatante Organmangel. Insbesondere Spenderherzen sind Mangelware, und zahlreiche schwer kranke Patienten versterben auf der Warteliste für ein neues Herz. Zu den alternativen Therapiemöglichkeiten der terminalen Herzinsuffizienz gehört neben der allogenen Transplantation die Implantation eines ventrikulären Unterstützungssystems, dessen Langzeitanwendung jedoch mit schwerwiegenden Komplikationen vergesellschaftet ist und das auch nicht für jeden Patienten infrage kommt. Daher rückt insbesondere in diesem Bereich die Transplantation xenogener Organe, in diesem Fall von genmodifizierten Schweinen, immer mehr in den Fokus der Wissenschaft. Im März 2023 fand ein Treffen zum Thema „kardiale Xenotransplantation“ statt, an dem Vertreter zahlreicher Transplantationszentren Deutschlands teilnahmen. Dieser Beitrag stellt eine Übersicht aller angesprochenen Themen dar, u. a. der notwendigen präklinischen Vorbereitungen, der Indikationen, der Limitationen und der geltenden Regularien.
德国移植医学的一大问题是器官严重短缺。捐赠者的心脏特别缺乏,许多重病病人都在等候移植。除了选择末期衰竭Therapiemöglichkeiten属allogenen器官的移植腦Unterstützungssystems Langzeitanwendung但却有着严重的并发症vergesellschaftet这也不是为每个病人来质疑.因此,特别是在这个领域,被异种器官移植——也就是换种基因后的猪——越来越成为了科学的关注焦点。2023年3月,许多德国移植中心出席了一个名为“红心异种移植”的会议。本文概述了所提出的所有主题,包括必要的前预备工作、过去的管理、界限和现行的规范。
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引用次数: 0
German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) recommendations on structure and equipment of intensive care units 德国重症监护和急诊医学跨学科协会(DIVI)关于重症监护病房结构和设备的建议
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-09-26 DOI: 10.1007/s00398-023-00601-6
Andreas Markewitz, Christian Waydhas, Reimer Riessen, Florian Hoffmann, Thomas van den Hooven
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引用次数: 0
Primary cardiac tumors 原发性心脏肿瘤
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-09-21 DOI: 10.1007/s00398-023-00606-1
Simon Schopka, Bernhard Flörchinger, Christof Schmid
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引用次数: 0
Diagnostik und Therapie des Pneumothorax 气胸的诊断和治疗
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-08-02 DOI: 10.1007/s00398-023-00602-5
Georg Schlachtenberger, Thorsten Wahlers, Khosro Hekmat, Matthias B. Heldwein
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引用次数: 0
[Reorientation of the hospital planning in NRW-Importance for cardiovascular medicine and thoracic surgery]. [北威州医院规划的重新定位-对心血管医学和胸外科的重要性]。
IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-02-27 DOI: 10.1007/s00398-023-00566-6
Norbert Roeder, Wolfgang Fiori

The year 2022 will mark the beginning of a new era for hospitals in North Rhine-Westphalia. With the reorganization of hospital planning in NRW to an allocation of treatment assignments via specialized medical service groups with personnel and infrastructural structural quality requirements specific for this purpose instead of via specialized departments and beds, a new form of hospital planning and structuring is implemented. This method is now proposed by the "government commission for a modern and needs-based hospital treatment" implemented by the Minister of Health Lauterbach as a structurization option for the whole of Germany in combination with hospital treatment levels. Therefore, it would be advisable to become acquainted with the possible effects on cardiovascular medicine in a timely manner, in order to anticipate possible alterations in the treatment assignments of one's own hospital as well as other hospitals with repercussions for cooperations with cardiac surgery.

2022年将标志着北莱茵-威斯特伐利亚州医院新时代的开始。随着北威州医院规划的重组,通过专门的医疗服务小组分配治疗任务,这些小组有专门为此目的的人员和基础设施结构质量要求,而不是通过专门的部门和床位,实施了一种新的医院规划和结构形式。由劳特巴赫卫生部长执行的"现代和基于需求的医院治疗政府委员会"现在提出了这种方法,作为整个德国结合医院治疗水平的一种结构化选择。因此,明智的做法是及时了解对心血管医学可能产生的影响,以便预测自己所在医院和其他医院的治疗任务可能发生的变化,以及与心脏手术合作的影响。
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引用次数: 0
[Social media, are they necessary?] 社交媒体,它们是必要的吗?]
IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-01-01 DOI: 10.1007/s00398-023-00570-w
Florentine Kleemann

Many areas of medicine are already doing it, but cardiac surgery in Germany is still very reluctant. We are talking about social media. Digital platforms are increasingly becoming useful tools in everyday life, for example when it comes to patient education and continuing medical education. The visibility of your own paper can also be increased many times over in a very short time. In addition to the positive effects, there are also negative effects. To ensure that the benefits outweigh the negative aspects and that every doctor knows what he or she must adhere to, the German Medical Association has defined clear rules. Use it or lose it.

许多医学领域已经在这样做了,但德国的心脏外科手术仍然非常不情愿。我们谈论的是社交媒体。数字平台正日益成为日常生活中有用的工具,例如在患者教育和继续医学教育方面。你自己的论文的可见度也可以在很短的时间内增加很多倍。除了积极的影响,也有消极的影响。为了确保利大于弊,确保每个医生都知道他或她必须遵守什么,德国医学协会制定了明确的规则。使用它或失去它。
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引用次数: 0
[Back to the future?] 回到未来?]
IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-01-01 DOI: 10.1007/s00398-023-00572-8
Christian Heim
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引用次数: 0
[Operating during pregnancy]. [怀孕期间手术]。
IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-01-01 DOI: 10.1007/s00398-022-00550-6
Sabine Bleiziffer, Jasmin Hanke, Gloria Färber, Sabrina Martens, Rebecca Mohr, Andrea Keuder, Julie Cleuziou, Maya Niethard
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引用次数: 3
[Pulmonary embolism]. [肺栓塞]。
IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-01-01 Epub Date: 2023-05-05 DOI: 10.1007/s00398-023-00582-6
Lukas Hobohm, Karsten Keller, Stavros Konstantinides

Pulmonary embolism is a frequent cardiovascular disease which in recent years has shown a reduction in the mortality but an increase in the incidence. Due to the optimization of clinical probability scores and the interpretation of the D‑dimer test, unnecessary examinations using computed tomography with respect to the exclusion of an acute pulmonary embolism can be avoided, also in pregnant women. The evaluation of the right ventricle contributes to a risk-adapted treatment. Treatment consists of anticoagulation, alone or in combination with reperfusion treatment, such as systemic thrombolysis and also catheter-assisted or surgical treatment. In addition to acute treatment of pulmonary embolisms, an adequate aftercare is important, particularly for the early detection of long-term sequelae. This review article summarizes the current recommendations of international guidelines for patients with pulmonary embolism, accompanied by clinical case examples and a critical discussion.

肺栓塞是一种常见的心血管疾病,近年来死亡率有所下降,但发病率有所上升。由于临床概率评分的优化和D-二聚体测试的解释,可以避免使用计算机断层扫描进行不必要的检查,以排除急性肺栓塞,孕妇也是如此。对右心室的评估有助于风险适应治疗。治疗包括抗凝,单独或与再灌注治疗相结合,如全身溶栓,以及导管辅助或手术治疗。除了肺栓塞的急性治疗外,充分的善后护理也很重要,尤其是对于早期发现长期后遗症。这篇综述文章总结了目前国际肺栓塞患者指南的建议,并附有临床病例和批判性讨论。
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引用次数: 1
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Zeitschrift fur Herz Thorax und Gefasschirurgie
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