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Schramm SH, Tenhagen I, Jokisch M, Gronewold J, Moebus S, Caspers S, Katsarava Z, Erbel R, Stang A, Schmidt B. Migraine or any headaches and white matter hyperintensities and their progression in women and men. J Headache Pain 2024; 25:78. [PMID: 38745272 PMCID: PMC11094904 DOI: 10.1186/s10194-024-01782-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 04/30/2024] [Indexed: 05/16/2024] Open
Abstract
BACKGROUND Cross-sectional and longitudinal studies have been conducted to investigate the association between migraine and any headache and white matter hyperintensities (WMH). However, studies are inconsistent regarding the strength of the association and its clinical significance. The aim of our study was to investigate the association between headache and its subtypes (migraine with aura (MigA+), migraine without aura (MigA-), non-migraine headache (nonMigHA)) and WMH and its course in the population-based 1000BRAINS study using state-of-the-art imaging techniques and migraine classification according to modified international classification of headache disorders. METHODS Data from 1062 participants (45% women, 60.9 ± 13.0 years) with ever or never headache (neverHA) and complete quantitative (WMH volume) and qualitative (Fazekas classification) WMH data at first imaging and after 3.7 ± 0.7 years (393 participants) were analyzed. The sex-specific association between headache and its subtypes and WMH volume and its change was evaluated by linear regression, between headache and its subtypes and Fazekas score high vs. low (2-3 vs. 0-1) by log-binomial regression, adjusted for confounders. RESULTS The lifetime prevalence of headache was 77.5% (10.5% MigA+, 26.9% MigA-, 40.1% nonMigHA). The median WMH volume was 4005 (IQR: 2454-6880) mm3 in women and 4812 (2842-8445) mm3 in men. Women with any headaches (all headache types combined) had a 1.23 [1.04; 1.45]-fold higher WMH volume than women who reported never having had a headache. There was no indication of higher Fazekas grading or more WMH progression in women with migraine or any headaches. Men with migraine or any headaches did not have more WMH or WMH progression compared to men without migraine or men who never had headache. CONCLUSIONS Our study demonstrated no increased occurrence or progression of WMH in participants with mgiraine. But, our results provide some evidence of greater WMH volume in women with headache of any type including migraine. The underlying pathomechanisms and the reasons why this was not shown in men are unclear and require further research.
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Affiliation(s)
- Sara Helena Schramm
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Hufelandstr. 55, D-45122, Essen, Germany.
| | - I Tenhagen
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Hufelandstr. 55, D-45122, Essen, Germany
| | - M Jokisch
- Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany
| | - J Gronewold
- Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany
| | - S Moebus
- Institute for Urban Public Health, University Hospital Essen, University Duisburg-Essen, Essen, Germany
| | - S Caspers
- Institute for Anatomy I, Medical Faculty & University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
- Institute of Neuroscience and Medicine (INM-1), Research Centre Jülich, Jülich, Germany
| | - Z Katsarava
- Department of Neurology, Christian Hospital Unna, Holbeinstr. 10, 59423, Unna, Germany
- EVEX Medical Corporation, 40 Vazha-Pshavela Avenue, Tbilisi, 0177, Georgia
| | - R Erbel
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Hufelandstr. 55, D-45122, Essen, Germany
| | - A Stang
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Hufelandstr. 55, D-45122, Essen, Germany
- Department of Epidemiology, School of Public Health, Boston University, Boston, USA
| | - B Schmidt
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Hufelandstr. 55, D-45122, Essen, Germany
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Schulz CA, Mavarani L, Reinsch N, Albayrak-Rena S, Potthoff A, Brockmeyer N, Hower M, Erbel R, Jöckel KH, Schmidt B, Esser S. Prediction of future cardiovascular events by Framingham, SCORE and asCVD risk scores is less accurate in HIV-positive individuals from the HIV-HEART Study compared with the general population. HIV Med 2021; 22:732-741. [PMID: 34028959 DOI: 10.1111/hiv.13124] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 03/18/2021] [Accepted: 04/12/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Cardiovascular diseases (CVDs) occur more often in people living with HIV (PLWH) than in the general population. It has been reported that CVD risk scores developed for the general population underestimate the CVD risk in PLWH. Performances of the Framingham Risk Score (FRS), the Systematic Coronary Risk Evaluation (SCORE) and the atherosclerotic cardiovascular disease (asCVD) risk score in PLWH were compared with the general population to quantify score-specific differences in risk prediction. METHODS HIV-positive outpatients from the HIV-HEART (HIVH) study (n = 567) were compared with participants from the population-based Heinz Nixdorf Recall (HNR) study (n ~ 4440) both recruited from the German Ruhr area. During a follow-up time of around 5 years, the associations between the FRS and incident CVD and peripheral artery disease (CVD_pAD), SCORE and coronary heart disease (CHD), and asCVD and incident CVD were examined using logistic regression. Score performances were assessed by comparing the areas under the curve (AUCs). RESULTS The mean ages were 52.9 ± 6.7 and 59.1 ± 7.7 years in the HIVH and HNR studies, respectively. There were fewer incident CVD events in the HNR study than in the HIVH study (CVD_pAD: 3.9% vs. 12.1%; CHD: 2.1% vs. 7.8%; CVD: 3.5% vs. 9.9%). Age- and sex-adjusted CVD risk was greater with increasing FRS, SCORE and asCVD in both cohorts, but the scores performed more accurately in the HNR than in HIVH study (AUCs FRS: 0.71 vs. 0.65; SCORE: 0.70 vs. 0.62; asCVD: 0.74 vs. 0.62). CONCLUSIONS Associations between risk scores and future CVD were observed in both cohorts, but the score performances were less reliable in PLWH than in the general population.
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Affiliation(s)
- C-A Schulz
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany
| | - L Mavarani
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany
| | - N Reinsch
- Department of Cardiology, Alfried-Krupp Hospital, Essen, Germany.,Department of Cardiology, University Witten/Herdecke, Witten, Germany
| | - S Albayrak-Rena
- HPSTD Outpatient-Clinic, Department of Dermatology and Venereology, Institute for Translational HIV Research, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
| | - A Potthoff
- WIR-Walk In Ruhr, Center for Sexual Health and Medicine, Bochum, Germany.,Interdisciplinary Immunological Outpatient Clinic, Center for Sexual Health and Medicine, Department of Dermatology, Venereology and Allergology, Ruhr Universität Bochum, Bochum, Germany
| | - N Brockmeyer
- WIR-Walk In Ruhr, Center for Sexual Health and Medicine, Bochum, Germany.,Interdisciplinary Immunological Outpatient Clinic, Center for Sexual Health and Medicine, Department of Dermatology, Venereology and Allergology, Ruhr Universität Bochum, Bochum, Germany
| | - M Hower
- Department of Pneumology, Infectious Diseases and Internal Medicine, Klinikum Dortmund, Dortmund, Germany
| | - R Erbel
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany
| | - K-H Jöckel
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany
| | - B Schmidt
- Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany
| | - S Esser
- HPSTD Outpatient-Clinic, Department of Dermatology and Venereology, Institute for Translational HIV Research, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
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Weber T, Wassertheurer S, Hametner B, Mayer C, Moebus S, Schramm S, Roggenbuck U, Lehmann N, Joeckel K, Erbel R. Additive prognostic value of vascular aging and coronary artery calcium for all-cause mortality in the Heinz Nixdorf Recall Study. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Vascular aging, defined by aortic pulse wave velocity (aoPWV), as well as coronary artery calcium (CaC), are emerging risk predictors.
Purpose
To investigate the prognostic role of functional (vascular aging) and structural (CaC) arterial parameters in individuals without established cardiovascular disease.
Methods
We utilized our recently established population-based reference values for healthy (HVA), normal (NVA) and early (EVA) vascular aging in the poipulation-based Heinz Nixdorf Recall (HNR) study. HVA was the lowest, and EVA the highest age- and sex-specific decile of estimated aoPWV, derived from radial waveforms with a validated regression formula. CaC was measured with electron beam computed tomography (Agatston-score). The additive prognostic value of both parameters for all-cause mortality was tested, using Kaplan Meier curves and Cox Regression models. The latter included age, sex, diastolic blood pressure, cholesterol, and diabetes as covariates.
Results
We included 1805 participants (976 women), mean age was 68.2 years (range 55–85), mean blood pressure 129/76 mm Hg. 64.7% were hypertensives, 17.0% diabetics. The percentage of participants with CaC = 0 was 44.8, 40.6, amd 33.5 in HVA, NVA, and EVA, respectively. During a mean follow up of 4.7 years, 67 participants died. Mortality was 0% / 2.2%, 1.8% / 4.8%, 3.5% / 7.1% in participants with HVA: CaC 0 / >0, NVA: CaC 0 / >0, EVA: CAC 0 / >0, respectively (p=0.003, log rank test) – Figure. In Cox regression analysis, vascular aging (HR for HVA: 0.18, CI 0.04–0.73, and HR for NVA: 0.48, CI 0.27–0.88; both compared to EVA), CaC, as well as age (directly related) and diastolic blood pressure (inversely related) were independently associated with all-cause mortality.
Conclusion
Aortic stiffness, expressed as vascular aging, as well as coronary artery calcium, provide additive and independent prognostic information regarding all-cause mortality in a middle-aged and elderly primary -prevention population.
Figure 1
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): Heinz Nixdorf Foundation, German Ministry of Education and Science (BMBF)
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Affiliation(s)
- T Weber
- Klinikum Wels-Grieskirchen, Wels, Austria
| | | | - B Hametner
- AIT-Austrian Institute of Technology, Vienna, Austria
| | - C.C Mayer
- AIT-Austrian Institute of Technology, Vienna, Austria
| | - S Moebus
- University Clinic Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen, Germany
| | - S Schramm
- University Clinic Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen, Germany
| | - U Roggenbuck
- University Clinic Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen, Germany
| | - N Lehmann
- University Clinic Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen, Germany
| | - K.H Joeckel
- University Clinic Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen, Germany
| | - R Erbel
- University Clinic Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen, Germany
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Sondermann W, Djeudeu Deudjui DA, Körber A, Slomiany U, Brinker TJ, Erbel R, Moebus S. Psoriasis, cardiovascular risk factors and metabolic disorders: sex-specific findings of a population-based study. J Eur Acad Dermatol Venereol 2019; 34:779-786. [PMID: 31797464 DOI: 10.1111/jdv.16029] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2019] [Accepted: 10/01/2019] [Indexed: 02/06/2023]
Abstract
BACKGROUND Scientific evidence suggests an association between psoriasis and cardiovascular and metabolic diseases. However, there are hardly any sex-specific results from population-based studies reporting the prevalence of cardiovascular risk factors in patients with psoriasis and point estimates of the association between psoriasis and cardiovascular and metabolic disorders. OBJECTIVE Aims are to evaluate the sex-specific prevalence of psoriasis and cardiovascular risk factors, and to estimate sex-specific associations between psoriasis and diabetes type 2 (DM) and metabolic syndrome (MetS). METHODS We used data of 3723 participants (45-75 years, 54.1% women) without coronary heart disease and missing data (psoriasis, DM, MetS) from the Heinz Nixdorf Recall study. Standardized information on health outcomes and risk factors was assessed. We performed descriptive statistics and multiple regression analyses to calculate prevalence rate ratios (PR) and 95% confidence intervals (95% CI). RESULTS The prevalence of psoriasis was 3.8% (n = 143), with no differences between sex. We observed more often metabolic and cardiovascular risk factors in women with psoriasis compared to women without psoriasis. Interestingly, in men, this pattern was partly reversed. Multiple regression analyses revealed distinctly elevated PRs for DM for both women and men with psoriasis (fully adjusted PR: 2.43; 95% CI: 1.17-5.07, resp. 2.09; 1.16-3.76). Regarding the MetS, the results were inconsistent, showing a positive association between psoriasis and MetS in women (1.84; 1.14-2.98), but a negative association in men, even though with a wide 95% CI (0.69; 0.42-1.12). CONCLUSION The results of our cross-sectional, population-based analysis show a distinct association between psoriasis and DM, whereas for the MetS the results contrasted between men and women, translating in women with MetS showing a higher and in men a lower chance to be psoriatic. Our results emphasize the urgent need for sex-specific research, studying the effects of psoriasis on metabolic disorders as well as effective sex tailored prevention measures.
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Affiliation(s)
- W Sondermann
- Department of Dermatology, Venereology and Allergology, University Hospital Essen, University Duisburg-Essen, Essen, Germany
| | - D A Djeudeu Deudjui
- Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany
| | - A Körber
- Hautärzte RÜ 143, Essen, Germany
| | - U Slomiany
- Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany
| | - T J Brinker
- National Center for Tumor Diseases (NCT), German Cancer Research Center (DKFZ), Heidelberg, Germany.,Department of Dermatology, University Hospital of Heidelberg, Heidelberg, Germany
| | - R Erbel
- Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany
| | - S Moebus
- Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany
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Weber T, Wassertheurer S, Hametner B, Moebus S, Pundt N, Mahabadi A, Roggenbuck U, Lehmann N, Joeckel K, Erbel R. WHICH HEMODYNAMIC MEASUREMENT SHOULD BE USED TO IDENTIFY HEALTHY AND EARLY VASCULAR AGEING? J Hypertens 2019. [DOI: 10.1097/01.hjh.0000570856.49947.98] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Kowall B, Lehmann N, Mahabadi AA, Moebus S, Erbel R, Jöckel KH, Stang A. Associations of metabolically healthy obesity with prevalence and progression of coronary artery calcification: Results from the Heinz Nixdorf Recall Cohort Study. Nutr Metab Cardiovasc Dis 2019; 29:228-235. [PMID: 30648599 DOI: 10.1016/j.numecd.2018.11.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 11/02/2018] [Accepted: 11/07/2018] [Indexed: 10/27/2022]
Abstract
BACKGROUND AND AIMS There is controversy on the potentially benign nature of metabolically healthy obesity (MHO), i.e., obese persons with few or no metabolic abnormalities. So far, associations between MHO and coronary artery calcification (CAC), a measure of subclinical atherosclerosis, have mainly been studied cross-sectionally in Asian populations. We assessed cross-sectional and longitudinal MHO CAC associations in a Caucasian population. METHODS AND RESULTS In the Heinz Nixdorf Recall Study, a population-based cohort study in Germany, CAC was assessed by electron-beam tomography at baseline and at 5-year follow-up. For cross-sectional and longitudinal analyses, we included 1585 participants free of coronary heart disease at baseline, with CAC measurements at baseline and at follow-up, and with either normal weight (BMI 18.5-24.9 kg/m2) or obesity (BMI ≥30.0 kg/m2) at baseline. We used four definitions of MHO. In our main analysis, we defined obese persons as metabolically healthy if they met ≤1 of the NCEP ATP III criteria for the definition of the metabolic syndrome - waist circumference was not taken into account because of collinearity with BMI. Persons with MHO had a higher prevalence of CAC than metabolically healthy normal weight (MHNW) persons (prevalence ratio = 1.59 (95% confidence interval 1.38-1.84) for the main analysis). Persons with MHO had slightly larger odds of CAC progression than persons with MHNW (odds ratios ranged from 1.17 (0.69-1.99) to 1.48 (1.02-2.13) depending on MHO definition and statistical approach). CONCLUSION Our analyses on MHO CAC associations add to the evidence that MHO is not a purely benign health condition.
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Affiliation(s)
- B Kowall
- Center of Clinical Epidemiology, Institute of Medical Informatics, Biometry and Epidemiology, Medical Faculty, University Duisburg-Essen, Essen, Germany.
| | - N Lehmann
- Institute for Medical Informatics, Biometry and Epidemiology, University Clinic Essen, University Duisburg-Essen, Essen, Germany
| | - A A Mahabadi
- West-German Heart and Vascular Center Essen, Department of Cardiology, University Clinic Essen, Essen, Germany
| | - S Moebus
- Center for Urban Epidemiology, Institute for Medical Informatics, Biometry and Epidemiology, University Clinic Essen, Essen, Germany
| | - R Erbel
- Institute for Medical Informatics, Biometry and Epidemiology, University Clinic Essen, University Duisburg-Essen, Essen, Germany
| | - K H Jöckel
- Institute for Medical Informatics, Biometry and Epidemiology, University Clinic Essen, University Duisburg-Essen, Essen, Germany
| | - A Stang
- Center of Clinical Epidemiology, Institute of Medical Informatics, Biometry and Epidemiology, Medical Faculty, University Duisburg-Essen, Essen, Germany; School of Public Health, Department of Epidemiology, Boston University, 715 Albany, Street, Talbot Building, Boston, MA 02118, USA
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7
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Rupprecht HJ, Erbel R, Dörr R. Wie alles begann. Herz 2019; 44:1-3. [DOI: 10.1007/s00059-018-4771-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Erbel R, Buerke M, Mohr-Kahaly S, Oelert H, Uebis R. [Therapy of cardiogenic shock : A success story of German cardiology]. Herz 2019; 44:22-28. [PMID: 30627739 DOI: 10.1007/s00059-018-4773-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
In contrast to the situation in the 1960s and 1970s, the mortality risk for patients with myocardial infarction has been clearly reduced, particularly for those with myocardial infarction with cardiogenic shock (MICS). Approximately 5‑10 % of patients with a myocardial infarction are affected by a MICS and the mortality risk is between 30 % and 50 %. The primary percutaneous coronary intervention with stent implantation should be carried out as quickly as possible in order to reduce the mortality to around 20 %. This article gives an overview of the currently available options for conservative and fibrinolytic treatment of MICS, of the interventional treatment of cardiogenic shock in the era of intravenous and intracoronary infarct treatment as well as without thrombolysis. In addition, the currently available mechanical support systems and the possibilities for surveillance and monitoring of patients are presented.
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Affiliation(s)
- R Erbel
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Deutschland.
| | - M Buerke
- Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, Marien Kliniken, Kampenstr. 5, 57072, Siegen, Deutschland
| | - S Mohr-Kahaly
- Praxis für Innere Medizin, Kardiologie und Klinische Pharmakologie, Alwinenstr. 16, 65189, Wiesbaden, Deutschland
| | - H Oelert
- , Silvaner Str. 5a, 55129, Mainz, Deutschland
| | - R Uebis
- Praxis für Innere Medizin und Kardiologie, Maximilianstr. 5a, 63739, Aschaffenburg, Deutschland
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9
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Riedel N, Köckler H, van Kamp I, Scheiner J, Erbel R, Loerbroks A, Claßen T, Bolte G. Perceived noise control and its value in the association of road traffic noise with noise annoyance. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky212.317] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- N Riedel
- University of Bremen, Bremen, Germany
| | - H Köckler
- University of Applied Health Science, Bochum, Germany
| | - I van Kamp
- National Institute for Public Health and the Environment, Bilthoven, Netherlands
| | - J Scheiner
- TU Dortmund University, Dortmund, Germany
| | - R Erbel
- Essen University Hospital, Essen, Germany
| | - A Loerbroks
- University of Düsseldorf, Düsseldorf, Germany
| | - T Claßen
- Centre for Health NRW, Bochum, Germany
| | - G Bolte
- University of Bremen, Bremen, Germany
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Engel M, Pundt N, Stang A, Erbel R, Moebus S. Intra-individual fluctuation patterns of depressive symptoms assessed over 12 years. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- M Engel
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Essen, Deutschland
| | - N Pundt
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Essen, Deutschland
| | - A Stang
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Essen, Deutschland
- Zentrum für Klinische Epidemiologie, Essen, Deutschland
| | - R Erbel
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Essen, Deutschland
| | - S Moebus
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Essen, Deutschland
- Zentrum für Urbane Epidemiologie, Essen, Deutschland
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Morbach C, Stoerk S, Buck T, Peter S, Rost C, Prettin C, Holzendorf V, Erbel R, Ertl G, Angermann CE. P3753Portable echocardiography in patients with suspected heart failure in primary care. Prevalence and prognostic significance of abnormal findings. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- C Morbach
- University Hospital Wuerzburg, Comprehensive Heart Failure Center and Department of Medicine I, Wuerzburg, Germany
| | - S Stoerk
- University Hospital Wuerzburg, Comprehensive Heart Failure Center and Department of Medicine I, Wuerzburg, Germany
| | - T Buck
- University Clinic Essen and Heart Center Westfalen, Klinikum Westfalen, Department of Cardiology, Dortmund, Germany
| | - S Peter
- University Hospital Würzburg and Kitzinger Land Hospital, Kitzingen, Germany
| | - C Rost
- University Hospital Würzburg and Cardiological Practice, Würzburg, Germany
| | - C Prettin
- Clinical Trial Center, Leipzig, Germany
| | | | - R Erbel
- University Clinic Essen, Institute of Medical Informatics, Biometry and Epidemiology, Essen, Germany
| | - G Ertl
- University Hospital Wuerzburg, Comprehensive Heart Failure Center and Department of Medicine I, Wuerzburg, Germany
| | - C E Angermann
- University Hospital Wuerzburg, Comprehensive Heart Failure Center and Department of Medicine I, Wuerzburg, Germany
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Abstract
Aortic diseases include not only the thoracic but also the abdominal part of the aorta. In the etiology cardiovascular risk factors, such as hypertension, smoking and hyperlipoproteinemia play a major role, but more and more genetic diseases with familiar predisposition are being identified. Even large aneurysms remain asymptomatic as long as other organs in the neighborhood are not damaged and no acute aortic event occurs including aortic dissection, intramural hematoma, penetrating aortic ulcer, and traumatic aortic injury. Standardized algorithms allow precise and rapid diagnosis for initiating medicinal therapy or operative and/or endovascular interventions (thoracic/endovascular aortic repair, TEVAR/EVAR) in this emergency situation. Specialized aortic centers are recommended to form localized regional networks.
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Affiliation(s)
- R Erbel
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Deutschland.
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13
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Frölich S, Lehmann N, Weyers S, Wahl S, Dragano N, Budde T, Kälsch H, Mahabadi AA, Erbel R, Moebus S, Jöckel KH, Schmidt B. Association of dietary patterns with five-year degree and progression of coronary artery calcification in the Heinz Nixdorf Recall study. Nutr Metab Cardiovasc Dis 2017; 27:999-1007. [PMID: 29074383 DOI: 10.1016/j.numecd.2017.09.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Revised: 08/10/2017] [Accepted: 09/05/2017] [Indexed: 01/17/2023]
Abstract
BACKGROUND AND AIMS As a modifiable lifestyle factor, diet is hypothesized to play an important role in the progression of atherosclerosis. The aim of this study was to explore associations of comprehensive dietary patterns derived by cluster analysis with degree and progression of coronary artery calcification (CAC) over five years of follow-up. METHODS AND RESULTS In the population-based Heinz Nixdorf Recall study, 3718 participants (45-75 years; 47.6% men) without coronary heart disease completed a food frequency questionnaire at baseline. Five distinct dietary patterns were identified using cluster analysis: "Health-conscious", "Traditional German/Less alcohol", "Mediterranean-like", "Western" and "Animal fat/Alcohol" (used as reference). CAC was measured using electron-beam computed tomography at baseline and five years later. CAC after five years was predicted based on sex- and age-specific baseline percentiles. After comparing observed and predicted CAC Scores, CAC progression was classified as slow, expected, or rapid. Compared to "Animal fat/Alcohol" diet, a "Mediterranean-like" diet was associated with a relative risk (RR) for a rapid CAC progression in both sexes (men: 0.61; 95%-confidence interval [95%-CI]: 0.41; 0.90; women: 0.59; 95%-CI: 0.45; 0.78). Furthermore, reduced RRs were observed in women with a "Health-conscious" and a "Traditional German/Less alcohol" diet (0.63; 95%-CI: 0.47; 0.84, respectively 0.69; 95%-CI: 0.52; 0.90). No association was observed for a "Western" diet for both sexes. Similar results were revealed for degree of CAC. CONCLUSION The study results support the hypothesis that a "Mediterranean-like" diet is associated with a lower CAC-progression and lower degree of CAC in men and women.
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Affiliation(s)
- S Frölich
- Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, University of Duisburg-Essen, Germany; Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine-University Düsseldorf, Germany.
| | - N Lehmann
- Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, University of Duisburg-Essen, Germany
| | - S Weyers
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine-University Düsseldorf, Germany
| | - S Wahl
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine-University Düsseldorf, Germany
| | - N Dragano
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine-University Düsseldorf, Germany
| | - T Budde
- Clinic of Cardiology, Alfried Krupp Hospital, Essen, Germany
| | - H Kälsch
- Clinic of Cardiology, Alfried Krupp Hospital, Essen, Germany
| | - A A Mahabadi
- West-German Heart and Vascular Center Essen, Department of Cardiology and Vascular Medicine, University Hospital of Essen, University of Duisburg-Essen, Germany
| | - R Erbel
- Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, University of Duisburg-Essen, Germany
| | - S Moebus
- Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, University of Duisburg-Essen, Germany
| | - K H Jöckel
- Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, University of Duisburg-Essen, Germany
| | - B Schmidt
- Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, University of Duisburg-Essen, Germany
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Heilmann-Heimbach S, Pechlivanis S, Hochfeld L, Mahabadi A, Erbel R, Jöckel K, Nöthen M, Moebus S. 268 Male-pattern baldness and its association with coronary heart disease. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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15
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Edel C, Erbel R, Budde T. [Hemodynamic interplay between tricuspid valve and right ventricle]. Herz 2017; 42:622-628. [PMID: 28921000 DOI: 10.1007/s00059-017-4614-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The tricuspid valve and the right ventricle are hemodynamically closely related. Pathological changes of the valve or of the ventricle itself and also various diseases beyond that can result in a downward spiral of mutual interference, which is of prognostic importance for the patient. The development of a functional tricuspid regurgitation is of great importance. Especially with the help of 3D-echocardiography, more and more changes and mechanisms have been identified that are crucial in this process. This article provides a review of the relationship between the tricuspid valve and the right ventricle emphasizing the current knowledge of the causes, the pathophysiological concepts, the underlying structural changes and the therapeutic approaches based on this.
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Affiliation(s)
- C Edel
- Klinik für Kardiologie, Elektrophysiologie, Gastroenterologie und Intensivmedizin, Alfried-Krupp-Krankenhaus Rüttenscheid, Alfried-Krupp-Straße 21, 45131, Essen, Deutschland.
| | - R Erbel
- Klinik für Kardiologie, Elektrophysiologie, Gastroenterologie und Intensivmedizin, Alfried-Krupp-Krankenhaus Rüttenscheid, Alfried-Krupp-Straße 21, 45131, Essen, Deutschland
| | - T Budde
- Klinik für Kardiologie, Elektrophysiologie, Gastroenterologie und Intensivmedizin, Alfried-Krupp-Krankenhaus Rüttenscheid, Alfried-Krupp-Straße 21, 45131, Essen, Deutschland
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Abstract
Infective endocarditis is an endovascular infection usually caused by bacteria. Mortality rate is still approximately 20 %. To improve patients' prognosis by implementation of current diagnostic and therapeutic evidence, the European Society of Cardiology published an updated version of the guidelines for management of infective endocarditis in 2015. It strengthens the role of imaging modalities like PET/CT for detection of infectious foci when echocardiography remains negative and highlights the use of modern tests for identification of possible pathogens. New diagnostic criteria were introduced to integrate these methods for improved diagnostic sensitivity. Complicated cases should be treated in reference centers with on-site cardiac surgery. The antibiotic and early surgical management should be discussed in a multidisciplinary endocarditis team. A few years ago, the indication for endocarditis prophylaxis was limited to high-risk patients. These recommendations were confirmed in current guidelines.
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Affiliation(s)
- B Plicht
- Klinik für Kardiologie, Klinikum Westfalen, Am Knappschaftskrankenhaus 1, 44309, Dortmund, Deutschland.
| | - A Lind
- Medizinische Universitätsklinik II, Kardiologie und Angiologie, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Deutschland
| | - R Erbel
- Klinik für Kardiologie, Universitätsklinikum Essen, Essen, Deutschland
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Gerards D, Winkler A, Tebrügge S, Erbel R, Moebus S, Weimar C. Subjektive kognitive Beeinträchtigung als prädiktiver Wert der MCI Diagnose fünf Jahre später: Ergebnisse der Heinz Nixdorf Recall Studie. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- D Gerards
- Universitätsklinikum Essen, Klinik für Neurologie, Essen
| | - A Winkler
- Universitätsklinikum Essen, Klinik für Neurologie, Essen
| | - S Tebrügge
- Universitätsklinikum Essen, Klinik für Neurologie, Essen
| | - R Erbel
- Universitätsklinikum Essen, Institut für Medizinische Informatik, Biometrie und Epidemiologie, Essen
| | - S Moebus
- Universitätsklinikum Essen, Institut für Medizinische Informatik, Biometrie und Epidemiologie, Essen
| | - C Weimar
- Universitätsklinikum Essen, Klinik für Neurologie, Essen
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Kowall B, Lehmann N, Moebus S, Erbel R, Jöckel KH, Stang A. Schlafmerkmale und die Progression des koronararteriellen Verkalkung: Ergebnisse der Heinz Nixdorf Recall Studie. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- B Kowall
- IMIBE, Zentrum für Klinische Epidemiologie, Essen
| | - N Lehmann
- IMIBE, Zentrum für Klinische Epidemiologie, Essen
| | - S Moebus
- IMIBE, Zentrum für Klinische Epidemiologie, Essen
| | - R Erbel
- IMIBE, Zentrum für Klinische Epidemiologie, Essen
| | - KH Jöckel
- IMIBE, Zentrum für Klinische Epidemiologie, Essen
| | - A Stang
- IMIBE, Zentrum für Klinische Epidemiologie, Essen
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Pechlivanis S, Lehmann N, Erbel R, Jöckel KH, Nöthen M, Moebus S. Role of Polygenic Risk Score for Coronary Artery Disease and its Traditional Risk Factors with Progression of Coronary Artery Calcification. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- S Pechlivanis
- University Hospital of Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen
| | - N Lehmann
- University Hospital of Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen
| | - R Erbel
- University Hospital of Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen
| | - KH Jöckel
- University Hospital of Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen
| | - M Nöthen
- University of Bonn, Department of Genomics, Life & Brain Center, Bonn
| | - S Moebus
- University Hospital of Essen, Institute for Medical Informatics, Biometry and Epidemiology, Essen
- University Hospital Essen, Centre for Urban Epidemiology, Essen
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Knittel JR, Sutcliffe R, Djeudeu Deudjui DA, Erbel R, Jöckel KH, Dragano N, Moebus S. Assoziationen zwischen räumlicher Entfernung zum Hausarzt und individuellen gesundheitlichen und sozialen Faktoren in der älteren Bevölkerung im Ruhrgebiet – Ergebnisse der Heinz Nixdorf Recall Studie. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Fuks K, Hennig F, Sugiri D, Kuhlbusch T, Moebus S, Erbel R, Jöckel KH, Hoffmann B. Elemental composition of fine particulate matter and arterial blood pressure in a population-based German cohort. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Weber T, Wassertheurer S, Hametner B, Parragh S, Moebus S, Pundt N, Mahabadi A, Roggenbuck U, Lehmann N, Stang A, Jöckel K, Erbel R. [OP.5B.03] POPULATION-BASED REFERENCE VALUES FOR PULSATILE HEMODYNAMICS IN MIDDLE-AGED AND ELDERLY INDIVIDUALS – RESULTS OF THE HEINZ NIXDORF RECALL STUDY. J Hypertens 2016. [DOI: 10.1097/01.hjh.0000491484.36380.82] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Kämereit L, Lux S, Kirlangic M, Sproß C, Caspers S, Eickhoff S, Moebus S, Pundt N, Jöckel KH, Erbel R, Zilles K, Amunts K, Minnerop M. EP 117. 1000BRAINS study: Motor performance in the elderly – Not all parameters decline with age. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2016.05.160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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25
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Erbel R, Gitt AK. Moderne Lipid-Therapie heute und morgen: Anti-PCSK9. Herz 2016; 41:271-2. [DOI: 10.1007/s00059-016-4442-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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26
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Erbel R. [Is the introduction of innovative methods in cardiovascular diagnostics and therapy to quick?]. Herz 2016; 41:125-30. [PMID: 26873914 DOI: 10.1007/s00059-016-4408-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Andreas Grüntzig can be regarded as the pioneer of modern cardiology. Based on the previous experiences of Charles Dotter in Portland, Oregon, and after many years of preparation as a young 38-year-old physician and consultant he carried out the first percutaneous transluminal coronary angioplasty (PTCA) in a 38-year-old patient in Zurich in 1977, supported by the cardiac surgeons A. Senning and M. Turina. Despite high ranking publications and early preparedness to share his experiences the development of PTCA stagnated and was met with great scepticism. The technique was new, technically difficult and aimed at aortocoronary bypass surgery, which was itself still in its infancy 10 years after the introduction in Cleveland in 1968. Even after several years only two patients per week were admitted for treatment in Zurich. In a similar way the young cardiac surgeon H.R. Andersen was a pioneer in Denmark whose ideas and own experiments with a balloon catheter-assisted aortic valve implantation were not initially taken up by the leading companies of the time and publication of the data suffered lengthy delays. It took 10 years before Prof. A. Cribier in Rouen followed up his ideas and carried out the first valve implantation again in pioneer work after many years of preparation in 2002. Again, the new method for treatment of very old and high risk patients needed many years before it was accepted. The breakthrough only became possible when this new technique began to be used in cardiac surgery after the introduction of hybrid cardiac catheter operating rooms. Despite evidence-based studies innovative methods are not subject to the same criteria throughout Europe with respect to the timely introduction of innovative and validated procedures also in consideration of reimbursement and this has become an important initiative of the European Society of Cardiology (ESC).
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Affiliation(s)
- R Erbel
- Institut für Medizinische Informatik, Biometrie, Epidemiologie, Universitätsklinikum Essen (AöR), Hufelandstr 55, 45147, Essen, Deutschland.
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Muñoz C, Beyersdorf F, Carrel T, Schönhoff F, Schlensak C, Krüger T, Eckstein HH, Reutersberg B, Erbel R, Janosi A, Siepe M, Rylski B. How Does the Aortic Geometry Change When the Descending Aorta Dissects? Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Fang F, Santoro C, Hristova K, Yoon HJ, Abid L, Poller A, Erdei T, Ahmed T, Geraeli B, Gascuena R, Li YJ, Yang J, Bartel T, Erbel R, Ya Y, Yu CM, Schiano Lomoriello V, Esposito R, Casaretti L, Ilardi F, Fazio V, De Simone G, Trimarco B, Galderisi M, Hristova K, Marinov R, Marinov R, Katova TZ, Katova TZ, Kostova V, Kostova V, Simova I, Kim KH, Cho JY, Park JC, Ben Kahla S, Bech-Hanssen O, Sunderji I, Sanchez-Martinez S, Edwards J, Braim D, Price C, Bijnens B, Fraser AG, Mohmed LA, Abd-Elhady B, Abdellaha M, Mazen A, Sattarzadeh Badkoubeh R, Hassanbeigy HR, Tavoosi A, Larti F, Saberi K, Rubio L, Terol B, Rico C. Moderated Posters session: diastolic function in clinical perspectiveP1260Coronary flow reserve in patients with chest pain but without significant coronary stenosis: the role of hypertensionP1261Diastolic bicycle exercise: normal reference values and determinantsP1262Prediction of left ventricular diastolic dysfunction in breast cancer patients after chemotherapyP1263Impaired diastolic recovery is associated with adverse events in the patients with hypertensive heart failureP1264Diastolic strain parameters in hypertensive heart disease: Insights from a speckle tracking imagingP1265Standard echocardiographic parameters to assess right ventricular diastolic function does not detect increased end diastolic right ventricular pressure in pulmonary vascular diseaseP1266In heart failure with preserved ejection fraction carotid arterial stiffness is increased and may contribute to reduced functional reserveP1267Study of left atrial function by speckle tracking in young Egyptian females with unexplained dyspnea; pilot reportP1268stress effect on diastolic functionP1269Diastolic function and adjusted diastolic index in apparently healthy obese patients. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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29
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Schramm S, Sutcliffe R, McDonald K, Jöckel KH, Erbel R, Führer-Sakel D, Moebus S. Assoziation zwischen 25-Hydroxyvitamin D und Stadtgrün – Ergebnisse der Heinz Nixdorf Recall Studie. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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30
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Erbel R. [Progression of coronary atherosclerosis]. Herz 2015; 40:835-6. [PMID: 26296304 DOI: 10.1007/s00059-015-4348-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- R Erbel
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstr 55, 45147, Essen, Deutschland.
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Mahabadi AA, Lehmann N, Dykun I, Müller T, Kälsch H, Erbel R. Progression of coronary artery calcification by cardiac computed tomography. Herz 2015; 40:863-8. [DOI: 10.1007/s00059-015-4342-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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32
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Erbel R, Aboyans V, Boileau C, Bossone E, Di Bartolomeo R, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwoger M, Haverich A, Iung B, John Manolis A, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, von Allmen RS, Vrints CJM. Corrigendum to: 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. Eur Heart J 2015; 36:2779. [DOI: 10.1093/eurheartj/ehv178] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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33
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Erbel R, Thiele H. [Diagnostics in structural heart diseases]. Herz 2015; 40:567-8. [PMID: 25963036 DOI: 10.1007/s00059-015-4235-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- R Erbel
- Klinik für Kardiologie, Westdeutsches Herzzentrum Essen, Hufelandstr. 55, 45122, Essen, Deutschland,
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Tsagakis K, Jánosi R, Dohle D, Benedik J, Kahlert P, Wendt D, Erbel R, Jakob H. Distal Malperfusion in Acute Type I Aortic Dissection: The Value of Endovascular Aortic Repair. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Möhlenkamp S, Heusch G, Erbel R. Kardiovaskuläre Risiken körperlicher Extrembelastungen. Aktuel Kardiol 2014. [DOI: 10.1055/s-0034-1383310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- S. Möhlenkamp
- Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, Krankenhaus Bethanien, Moers, Deutschland
| | - G. Heusch
- Institut für Pathophysiologie, Universitätsklinikum Essen, Westdeutsches Herz- und Gefäßzentrum, Essen, Deutschland
| | - R. Erbel
- Klinik für Kardiologie, Universitätsklinikum Essen, Westdeutsches Herz- und Gefäßzentrum, Essen, Deutschland
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Eissmann M, Kahlert P, Erbel R, Janosi R, Soeholm H, Hassager C, Vejlstrup N, Arendrup H, Jensen M, Lund J, Ihlemann N, Neykova A, Molcard D, Moulla M, Valizadeh R, Alghandour M, Mahmoud M, Shimbo M, Watanabe H, Iino K, Ito H, Piriou N, Sassier J, Pallardy A, Valette F, Serfaty J, Trochu J, Cordovil A, Tude Rodrigues A, Piveta R, De Oliveira W, Ponchirolli A, Monaco C, De Lira Filho E, Vieira M, Fischer C, Morhy S. Case-based session: unusual and multitrouble cases: Saturday 6 December 2014, 08:30-10:0 * Location: Agora. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Wendt D, Al-Rashid F, Kahlert P, El-Chilali K, Demircioglu E, Erbel R, Jakob HG, Thielmann M. 052 * CONVENTIONAL AORTIC VALVE REPLACEMENT OR TRANSCATHETER AORTIC VALVE IMPLANTATION IN PATIENTS WITH PREVIOUS CARDIAC SURGERY. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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39
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Köhler C, Ahrens M, Behrens T, Eisenacher M, Braun K, Jöckel K, Erbel R, Tannapfel A, Brüning T, Käfferlein H. 437: Identification of a specific and sensitive urinary DNA hypermethylation signature for bladder cancer diagnosis. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)50391-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wendt D, Plicht B, Kahlert P, Hartmann K, Al-Rashid F, Price V, Konorza T, Erbel R, Jakob H, Thielmann M. A novel calcium scoring system accurately predicts likelihood and location of post-TAVI paravalvular leak. J Cardiovasc Surg (Torino) 2014; 55:423-433. [PMID: 24189518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
AIM Sclerosis distribution, topography and morphology in aortic stenosis may have an impact on the localisation of post-procedural paravalvular leakage (PVL) following transcatheter aortic valve implantation (TAVI). METHODS Between 05/2005 and 03/2011 a total of 208 patients underwent either transapical (TA) or transvascular (TV) TAVI using the Edwards-SAPIEN(TM), or CoreValve(TM) system. Aortic cusp and annular sclerosis distribution and aortic valve sclerosis symmetry were evaluated by preoperative transesophageal echocardiography (TOE). Mild, moderate and severe PVL after TAVI (group 1, N.=117) were analysed and compared to those patients with no signs of postprocedural PVL (group 2, N.=91). Commercial available image processing and analysing software were used to evaluate all relevant calcific sections (aortic sclerosis score 0-66; symmetry score 0-5) and were matched with the localization of the PVLs. RESULTS A total of 117 patients (83±6 years, mean logistic EuroSCORE 20.1±12.7%) were identified with a mild-moderate PVL (TV, N.=102; TA, N.=15). Mean aortic sclerosis score was 38.7±7.6 in group 1 compared to 33.7±8.3 in group 2 (P<0.001) showing highest calcification in the non-coronary part for both groups. The mean symmetry score was 1.9±1.0 group 1 compared to 1.7±1.0 in group 2 (P=0.12). Regression analysis showed a significant relation of preoperative cusp localisation to the corresponding paravalvular leakage (P<0.001). CONCLUSION The present study shows that a aortic sclerosis score constructed by TOE enables prediction of postoperative PVL and moreover, the localisation of PVL after TAVI correlates with the corresponding preoperative amount of sclerosis for each cusp.
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Affiliation(s)
- D Wendt
- Department of Thoracic and Cardiovascular Surgery West-German Heart Center Essen, Essen, Germany -
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Kottenberg E, Dumont M, Frey UH, Heine T, Plicht B, Kahlert P, Erbel R, Peters J. The minimally invasive MitraClip™procedure for mitral regurgitation under general anaesthesia: immediate effects on the pulmonary circulation and right ventricular function. Anaesthesia 2014; 69:860-7. [DOI: 10.1111/anae.12712] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2014] [Indexed: 11/30/2022]
Affiliation(s)
- E. Kottenberg
- Department of Anaesthesia and Intensive Care Medicine Universität Duisburg‐Essen and Universitätsklinikum Essen Essen Germany
| | - M. Dumont
- Department of Cardiology Universität Duisburg‐Essen and Universitätsklinikum Essen Essen Germany
| | - U. H. Frey
- Department of Anaesthesia and Intensive Care Medicine Universität Duisburg‐Essen and Universitätsklinikum Essen Essen Germany
| | - T. Heine
- Department of Anaesthesia and Intensive Care Medicine Universität Duisburg‐Essen and Universitätsklinikum Essen Essen Germany
| | - B. Plicht
- Department of Cardiology Universität Duisburg‐Essen and Universitätsklinikum Essen Essen Germany
| | - P. Kahlert
- Department of Cardiology Universität Duisburg‐Essen and Universitätsklinikum Essen Essen Germany
| | - R. Erbel
- Department of Cardiology Universität Duisburg‐Essen and Universitätsklinikum Essen Essen Germany
| | - J. Peters
- Department of Anaesthesia and Intensive Care Medicine Universität Duisburg‐Essen and Universitätsklinikum Essen Essen Germany
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Naßenstein K, Schlosser T, Hunold P, Roggenbuck U, Lehmann N, Erbel R, Jöckel KH, Sievers B, Barkhausen J. Häufigkeit eines myokardialen Late Gadolinium Enhancements in Abhängigkeit vom Ausmaß der Koronarverkalkungen in einer asymptomatischen Screening-Population. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kara K, Gronewold J, Neumann T, Mahabadi AA, Weimar C, Lehmann N, Berger K, Kälsch HIM, Bauer M, Broecker-Preuss M, Möhlenkamp S, Moebus S, Jöckel KH, Erbel R, Hermann DM. B-type natriuretic peptide predicts stroke of presumable cardioembolic origin in addition to coronary artery calcification. Eur J Neurol 2014; 21:914-21. [DOI: 10.1111/ene.12411] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2013] [Accepted: 02/07/2014] [Indexed: 01/17/2023]
Affiliation(s)
- K. Kara
- Department of Cardiology; University Hospital Essen; Essen Germany
| | - J. Gronewold
- Department of Neurology; University Hospital Essen; Essen Germany
| | - T. Neumann
- Department of Cardiology; University Hospital Essen; Essen Germany
| | - A. A. Mahabadi
- Department of Cardiology; University Hospital Essen; Essen Germany
| | - C. Weimar
- Department of Neurology; University Hospital Essen; Essen Germany
| | - N. Lehmann
- Institute for Medical Informatics Biometry and Epidemiology; University Duisburg-Essen; Essen Germany
| | - K. Berger
- Institute of Epidemiology and Social Medicine; University of Münster; Essen Germany
| | - H. I. M. Kälsch
- Department of Cardiology; University Hospital Essen; Essen Germany
| | - M. Bauer
- Department of Cardiology; University Hospital Essen; Essen Germany
| | - M. Broecker-Preuss
- Department of Clinical Chemistry; University Hospital Essen; Essen Germany
| | - S. Möhlenkamp
- Department of Cardiology; Hospital Bethanien Moers; Moers Germany
| | - S. Moebus
- Institute for Medical Informatics Biometry and Epidemiology; University Duisburg-Essen; Essen Germany
| | - K.-H. Jöckel
- Institute for Medical Informatics Biometry and Epidemiology; University Duisburg-Essen; Essen Germany
| | - R. Erbel
- Department of Cardiology; University Hospital Essen; Essen Germany
| | - D. M. Hermann
- Department of Neurology; University Hospital Essen; Essen Germany
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Ge J, Baumgart D, Haude M, Görge G, von Birgelen C, Sack S, Erbel R. Retraction Note - Role of intravascular ultrasound imaging in identifying vulnerable plaques. Herz 2014; 39:110. [DOI: 10.1007/s00059-013-4016-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Erbel R, Görge G. [New insights in pathogenesis and etiology of coronary artery disease]. Dtsch Med Wochenschr 2014; 139 Suppl 1:S4-8. [PMID: 24446043 DOI: 10.1055/s-0033-1359960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
In clinical practice the non-invasive diagnosis of "coronary heart disease" is based on the clinical findings, the detection of ischemia at rest or during exercise, and elevations of cardiac enzymes. However, due to the compensatory enlargement of the vessel diameter at the beginning of plaque growth, the so-called Glagov effect, early stages of plaque development are missed by the angiography. By means of coronary angiography, changes of the coronary arteries become visible only in patients with angiographically recognizable lumen narrowing compared to the reference vessel segment. Thus, early or diffuse stages of atherosclerosis cannot be detected by ECG, stress-tests or coronary angiography. This limitation explains discrepancies, like positive troponin-test and even transmural ischemia, without angiographic visible coronary lumen narrowing. Diagnostic procedures such as intravascular ultrasound, optical coherence tomography, measurements of vasomotion and computed tomography can, in contrast, detect earlier stages of coronary artery disease and thus contribute to clarification in these patients. In addition, plaque rupture and plaque-erosion lead to acute or recurrent microembolism to distal myocardium with subsequent myocardial necrosis. In patients with formerly unexplained cardiovascular events, intravascular ultrasound, optical coherence tomography, and measurements of vasomotion help to understand the underlying pathophysiology. In the report after cardiac catheterization, the term "ruled out coronary heart disease" should be replaced by "No signs of obstructive coronary heart disease" and additional testing should be performed as necessary.
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Affiliation(s)
- R Erbel
- Klinik für Kardiologie, Westdeutsches Herzzentrum Essen, Universitätsklinikum Essen
| | - G Görge
- Innere Klinik II, Klinikum Saarbrücken
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Puri R, Libby P, Nissen SE, Wolski K, Ballantyne CM, Barter PJ, Chapman MJ, Erbel R, Raichlen JS, Uno K, Kataoka Y, Tuzcu EM, Nicholls SJ. Long-term effects of maximally intensive statin therapy on changes in coronary atheroma composition: insights from SATURN. Eur Heart J Cardiovasc Imaging 2014; 15:380-8. [DOI: 10.1093/ehjci/jet251] [Citation(s) in RCA: 124] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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Kalsch H, Hennig F, Moebus S, Mohlenkamp S, Dragano N, Jakobs H, Memmesheimer M, Erbel R, Jockel KH, Hoffmann B, Roggenbuck U, Slomiany U, Beck EM, Offner A, Munkel S, Schrader S, Peter R, Hirche H, Meinertz T, Bode C, deFeyter PJ, Guntert B, Halli T, Gutzwiller F, Heinen H, Hess O, Klein B, Lowel H, Reiser M, Schmidt G, Schwaiger M, Steinmuller C, Theorell T, Willich SN. Are air pollution and traffic noise independently associated with atherosclerosis: the Heinz Nixdorf Recall Study. Eur Heart J 2013; 35:853-60. [DOI: 10.1093/eurheartj/eht426] [Citation(s) in RCA: 100] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Wendt D, Kahlert P, El Chilali K, Al-Rashid F, Tsagakis K, Erbel R, Jakob HG, Thielmann M. 312 * EXPANDING THE LIMITS: TRANSAPICAL TRANSCATHETER AORTIC VALVE IMPLANTATION FOR SEVERE AORTIC REGURGITATION. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Wendt D, Kahlert P, Kastner S, Al-Rashid F, Patsalis P, Erbel R, Jakob HG, Thielmann M. 236 * COMPARISON BETWEEN DIFFERENT RISK SCORING ALGORITHMS IN ISOLATED CONVENTIONAL OR TRANSCATHETER AORTIC VALVE REPLACEMENT. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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