A 54-year-old man was evaluated for a 6-month history of intermittent palpitations with associated shortness of breath, fatigue, and lightheadedness. The episodes would last several hours and were triggered by exertion, although he never experienced syncope. He had no prior medical problems, and he had no family history of heart disease or unexplained sudden death. He was normotensive and had n...

Atrial fibrillation (AF), the most common cardiac arrhythmia, confers a 5-fold risk of stroke that increases to 17-fold when associated with mitral stenosis. At this time, the most effective long-term solution to protect patients from stroke and thromboembolism is oral anticoagulation, either with vitamin K antagonists (VKAs) or a novel oral anticoagulant (NOAC). Despite the significant benefit...

54-YEAR-OLD WHITE MAN WAS ADA mitted to the hospital because of Morgagni-Adams-Stokes attacks of ten months duration. As a child, the patient had frequent episodes of epistaxis and pharyngitis. At age 34, he was rejected for military service because of a "heart murmur." The Morgagni-Adams-Stokes episodes increased in frequency and severity, and one week prior to admission, several episodes of s...

We are in the midst of a digital revolution in health care, although the application of new and useful technology in routine clinical practice is variable. The Characterizing Atrial fibrillation by Translating its Causes into Health Modifiers in the Elderly (CATCH ME) Consortium, in collaboration with the European Society of Cardiology (ESC), has funded the creation of two applications (apps) i...

To read an article with unexplained acronyms is time-consuming and aggravating.1 To read an article with non-English acronyms explained in the English language is equally frustrating and befuddling. Three articles2–4 in a recent issue of The American Journal of Cardiology (November 1, 1999) are such examples. The article on drug conversion of atrial fibrillation2 did not bother to explain the a...

In 1980, Mirowski et al1 implanted the first implantable cardioverter-defibrillator (ICD) in a young female with recurrent ventricular fibrillation and provided an innovative approach to aborted sudden cardiac death (SCD). Although the ICD was considered a treatment of last resort during that incipient stage, subsequent years have witnessed prolific expansion of indications for ICD implantation...

renal dysfunction is a risk marker in patients who candidate for coronary artery bypass graft (cabg). renal disorder is associated with prolonged stays in intensive care unit and hospital, morbidity and mortality. aim of this study is specific evaluation of association between preoperative creatinine (cr) with atrial fibrillation (af) after elective off-pump cabg in non-diabetic male patients w...

hyrcanian forests are the most valuable forests in the north of iran and industrial harvesting occurs only in this area. it is a productive region near the southern coast of caspian sea. in these forests mixed beech stands mostly shown uneven-aged structure that is managed under selection system. in order to determine the priority of uneven aged method not only from an ecological view, but also...