检索结果-南通市图书馆

Chinese Medical Journal 2020年第15期133卷 1889-1890页

作者： nicholas g.kounis Ioanna Koniari Panagiotis Plotas george D.Soufras grigorios Tsigkas Periklis Davlouros george Hahalis Department of Cardiology University of Patras Medical SchoolRionPatrasAchaiaGreece Electrophysiology and Device Department University Hospital of South Manchester NHS Foundation TrustManchesterUK Department of Cardiology "Saint Andrews"State General HospitalPatrasAchaiaGreece

To the Editor:In the very interesting report published in the Chinese Medical Journal,[1] a 42-year-old Chinese male patient who had not any previous history of cardiovascular disease,but only bee stings without any s... 详细信息

关键词： cardiovascular Medical cycling

Mesalamine hypersensitivity and kounis syndrome in a pediatric ulcerative colitis patient

在线全文

学校读者我要写书评

暂无评论

World Journal of gastroenterology 2008年第46期14卷 7141-7142页

作者： geoge N kounis Sophia A Kouni george Hahalis nicholas g.kounis Department of Medical Sciences Patras Highest Institute of Education and Technology

5-aminosalicylic acid （mesalamine） rarely induces hyper- sensitivity reactions. If chest pain associated with atypical electrocardiographic changes are seen during its administration, one should always bear in mind type I variant of kounis syndrome. This variant includes patients, of any age, with normal coronary arteries, without predisposing factors for coronary artery disease, in whom the acute release of inflammatory mediators from mast cells can induce either sudden coronary artery narrowing, without increase of cardiac enzymes and troponins, or coronary artery spasm that progresses to acute myocardial infarction, with elevated cardiac enzymes and troponins.

关键词： Drug hypersensitivity kounis syndrome Mesalamine Salicylates

After Administration of Intravenous Epinephrine for bee Sting-induced Anaphylaxis： kounis Syndrome or Epinephrine Effect？

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2016年第4期129卷 500-501页

作者： nicholas g.kounis george D Soufras Dimitrios Lianas nicholas Patsouras Department of Cardiology University of Patras Medical School Patras 26221 Achaia Greece

To the Editor： In the very important report published in Chinese Medical Journal,a 50-year-old male patient, stented with a bare metal stent followed by 3 overlapping drug-eluting stents, developed anaphylactic reaction following a bee sting that was treated with intravenous 0. I mg epinephrine at a 1 ： 100,000 together with intravenous methylprednisolone, chlorpheniramine maleate, and ranitidine. He developed, immediately after, an anterior wall myocardial infarction, and subsequent coronary arteriography revealed total occlusion in the proximal left anterior descending stent and 90% stenosis with tissue growth in the mid-stent. The authors concluded that the acute myocardial infarction occurred due to acute stent thrombosis caused by exogenous epinephrine administration. This report, however, raises important questions related to the cause and pathophysiology of these events.

关键词：

Endocarditis after transcatheter aortic valve implantation： a current assessment

在线全文

学校读者我要写书评

暂无评论

Journal of geriatric Cardiology 2018年第1期15卷 61-65页

作者： Emmanouil Chourdakis Ioanna Koniari george Hahalis nicholas g.kounis Karl Eugen Hauptmann Krankenhaus der Barmherzigen Briider Trier Germany Patras University Hospital: Rio Patras Greece

1 Introduction Transcatheter aortic valve implantation （TAVI） constitutes an established treatment in inoperable or high perioperative risk patients with severe aortic stenosis, demonstrating similar mortality rates （at 30 days and 1 year） with surgical aortic valve replacement （SAVR）. Various complications have been reported during TAVI, weeks or months post procedure. The most frequent causes of transcatheter heart valve （THV） failure are paravalvular regurgitation, infective endocarditis （IE）, thrombosis and late valve Migration.

关键词： Infective endocarditis Prosthetic valve endocarditis Transcatheter aortic valve implantation

Atrial fibrillation in patients with systolic heart failure:pathophysiology mechanisms and management

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of geriatric Cardiology 2021年第5期18卷 376-397页

作者： Ioanna Koniari Eleni Artopoulou Dimitrios Velissaris nicholas kounis grigorios Tsigkas Manchester Heart Institute Manchester University Foundation TrustManchesterUnited Kingdom Department of Internal Medicine University Hospital of PatrasPatrasGreece Department of Cardiology University Hospital of PatrasPatrasGreece

Heart failure(HF)and atrial fibrillation(AF)demonstrate a constantly increasing prevalence during the 21st century worldwide,as a result of the aging population and the successful interventions of the clinical practice in the deterioration of adverse cardiovascular *** and AF share common risk factors and pathophysiological mechanisms,creating the base of a constant *** impairs systolic and diastolic function,resulting in the increasing incidence of HF,whereas the structural and neurohormonal changes in HF with preserved or reduced ejection fraction increase the possibility of the AF *** temporal relationship of the development of either condition affects the diagnostic algorithms,the prognosis and the ideal therapeutic strategy that leads to euvolaemia,management of noncardiovascular comorbidities,control of heart rate or restoration of sinus rate,ventricular synchronization,prevention of sudden death,stroke,embolism,or major bleeding and maintenance of a sustainable quality of *** indicated treatment for the concomitant HF and AF includes rate or/and rhythm control as well as thromboembolism prophylaxis,while the progress in the understanding of their pathophysiological interdependence and the introduction of the genetic profiling,create new paths in the diagnosis,the prognosis and the prevention of these diseases.

关键词： prevention diagnosis management

Restrictive perimembranous ventricular septal defect with left to right Shunt post urgent aortic balloon valvuloplasty and transcatheter aortic valve replacement

在线全文

学校读者我要写书评

暂无评论

Journal of geriatric Cardiology 2018年第1期15卷 113-116页

作者： Emmanouil Chourdakis Ioanna Konlari nicholas g.kounis Dimitrios Velissaris george Hahalis Karl Eugen Hauptmann Cardiology Department Hospital of the Brothers of Mercy Trier Germany Cardiology Department Queen Elizabeth University Hospital Birmingham UK Cardiology Department Patras University Hospital Rio Patras Greece

An 86-year-old male patient was admitted in our cardiology ward with signs of congestive biventricular heart failure. The patient presented with deteriorating dyspnea on mild exertion and at rest the last days, compatible with class NYHA Ⅲ-Ⅳ heart failure, bilateral peripheral oedema, increased NT-proBNP （9198 pg/mL）, mildly elevated Troponin （TnT 64 pg/mL）, interstitial pulmonary oedema and bilateral pleural effusions in chest X ray.

关键词： Aortic stenosis Aortic rupture Shunt Transcatheter aortic valve replacement Valvuloplasty Ventricular septal defect

Acute Myocardial Infarction Induced by Anaphylaxis in China： The kounis Syndrome

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2018年第19期131卷 2392-2393页

作者： nicholas g.kounis Ioanna Koniari Emmanouil Chourdakis george D Soufras grigorios Tsigkas Periklis Davlouros george Hahalis Department of Cardiology Patras University General Hospital Rion Patras Achaia 26504 Greece Department of Electrophysiology Queen Elizabeth Hospital Birmingham B15 2TH UK Department of Cardiology Krankenhaus der Barmherzigen Bruder Trier Nordallee 154292 Trier Germany Department of Cardiology "Saint Andrews" State General Hospital Patras 26226 Greece

In the very interesting report published in Chinese Medical Journal concerning a 65-year-old hypertensive and hyperlipidemic male patient, with stent implantation 5 years previously, the patient developed anaphylactic shock accompanied by chest discomfort, palpitation, itchiness, nausea, vomiting, dyspnea, wheezing, abdominal pain, sweating, pale complexion, dizziness, and syncope following bread and milk consumption. The clinical symptomatology was associated with electrocardiographic and laboratory evidence of acute inferolateral myocardial infarction, and the patient recovered with epinephrine, antiallergic, and myocardial infarction protocol therapy including ticagrelor and Clexane. Coronary arteriography demonstrated lesions in the left trunk and the three coronary branches, but the stented areas were unobstructed. The allergen test revealed a grade 2 （2.11 kUA/L） for wheat and grade 0 for milk.

关键词： SECONDARY HYPERSENSITIVITY INgESTION STENT

Transcatheter Valve-in-Valve implantation after late migration of balloon expandable Sapien- XT prosthesis in a severe pure aortic regurgitation case

在线全文

学校读者我要写书评

暂无评论

Journal of geriatric Cardiology 2017年第12期14卷 763-765页

作者： Emmanouil Chourdakis Ioanna Koniari george Hahalis nicholas kounis Karl Eugen Hauptmann Krankenhaus der Barmherzigen Briider Trier Germany Department of InterventionalElectriphysiology Royal Brompton Hospital London United Kingdom Cardiology Department Patras University Hospital Rio Patras Greece

A 76-year old female, was admitted in our cardiac surgery clinic to perform surgical aortic valve replacement due to a severe aortic regurgitation with symptoms of congestive heart failure. Her past medical history in... 详细信息

关键词： Native aortic regurgitation Prosthetic valve migration Valve in Valve

Emergence, development, and future of cardio-oncology in China: cardiohypersensitivity, cardiotoxicity and the kounis syndrome

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Medical Journal 2019年第6期132卷 753-754页

作者： nicholas g. kounis Ioanna Koniari Panagiotis Plotas george D. Soufras grigorios Tsigkas Periklis Davlouros george Hahalis Department of Cardiology University of Patras Medical School Rion Patras Achaia Greece Department of Electrophysiology Queen Elizabeth Hospital Birmingham England United Kingdom Department of Public Health School of Medicine University of Patras Greece Department of Cardiology "Saint Andrews" State General Hospital Patras Achaia Greece

To the Editor:Cancer and cardiovascular disease constitute the two major causes of death worldwide. Whereas the incidence of cancer increases among adults up to 74 years of age, above this age the cardiovascular disease surpasses cancer as the primary cause of mortality.[1] Currently, chemotherapy, radiation therapy, and surgery are the main modalities for the treatment of cancer. However, chemotherapy can induce cardiovascular worsening, manifesting as acute and chronic symptomatology. Therefore, the verv interesting report published in Chinese Medical Journal[2] concerning a 60-year-old male patient suffering from coronary artery disease and squamous cell carcinoma of the left lung who developed an ST segment elevation myocardial infarction following treatment with afatinib (tyrosine kinase inhibitor) and gemcitabine (antimetabolite pyrimidine antagonist) and cisplatin (platinum based DNA replication inhibitor) and the subsequent discussion raise several important considerations on cardiac toxicity, cardiac hypersensitivity and the kounis-hypersensitivity acute coronary syndrome.

关键词： To the Editor Emergence development cardio-oncology

Effect of atrial fibrillation on cognitive function in heart failure patients

在线全文

学校读者我要写书评

暂无评论

Journal of geriatric Cardiology 2021年第7期18卷 585-590页

作者： Nikolaos Ktenopoulos Ioanna Koniari Virginia Mplani Eleni Artopoulou grigorios Tsigkas Andreas gerakaris nicholas kounis Dimitrios Velissaris Department of Internal Medicine University Hospital of PatrasPatrasGreece Department of Cardiology University Hospital of South ManchesterNHS Foundation TrustManchesterUnited Kingdom Department of Cardiology University Hospital of PatrasPatrasGreece

As the population ages,conditions like heart failure(HF),atrial fibrillation(AF)and cognitive impairment(CI)demonstrate higher *** is a very common clinical syndrome affecting many people *** is estimated that in the developed countries approximately 1%-2%of the adult population suffers from HF,whereas in adults>70 years old the incidence rises to≥10%.

关键词： atrial fibrillation clinical