Lege Artis Medicinae - 1994;4(01 KLSZ)

Lege Artis Medicinae

NOVEMBER 30, 1994

[The role of echocardiography in anticoagulant treatment]

TEMESVÁRI András

[Echocardiography is the method of choice to detect the cardiac source of embolism. Trans thoracic echocardiography is preferred for the diagnosis of left ventricular thrombus. Trans esophageal echocardiography is more sensitive than transthoracic echocardiography in the detection of possible sources of systemic emboli (41-65% versus 14–37%). Left atrial and appendage thrombus, spontaneous echocontrast, patent foramen ovale, atrial septum aneurysm, left atrial myxoma and prosthetic valve... tovább »

Lege Artis Medicinae

NOVEMBER 30, 1994

[Anticoagulant treatment in cerebrovascular diseases]

NAGY Zoltán

[The practice and indication of anticoagulation in the care of cerebrovascular patients is still controversial. It is hoped that improved diagnostic facilities, the extensive use of imaging techniques, more accurate assessment and monitoring of haemostasis, and the increasing number of multicentre studies will help us to better define the conditions for treatment. The use of anticoagulant therapy may be justified in stroke prevention, mainly to prevent cardioembolisation in cases where the... tovább »

Lege Artis Medicinae

NOVEMBER 30, 1994

[Coumarin therapy]

PÉTERFY Miklós

[Coumarin oral anticoagulants are highly effective antithrombotic agents with relatively low risks of serious bleeding. Clinical uses and applications have evolved over the years. Recent changes include a, lower doses are used to treat most patients with thromboses, b, laboratory monitoring has been standardised thus intensities of anticoagulation are equivalent around the world, C, new indications for treatment have emerged from prospoective controlled clinical trials, for example... tovább »

Lege Artis Medicinae

NOVEMBER 30, 1994

[Introduction]

FENYVESI Tamás

[This LAM supplement was prompted by a very topical issue. Antithrombotic therapy has come to the forefront of the treatment of cardiovascular patients. Prolonged anticoagulant therapy involves mainly the use of coumarin derivatives, and platelet aggregation inhibition involves the extensive use of acetylsalicylic acid. The topicality of this issue can be approached from two angles. First, the incidence of ischaemic heart disease and cerebrovascular disease in the developed world is alarmingly... tovább »

Lege Artis Medicinae

NOVEMBER 30, 1994

[Antithrombotic therapy in cardiogenic thromboembolism]

LENGYEL Mária

[All 3 methods of antithrombotic therapy have a role in the primary and secondary prevention of cardiogenic thromboembolism. The most important modality is anticoagulant treatment which is indicated now in the majority of cases of nonvalvular atrial fibrillation. An tiplatelet therapy is of limited value in cardiogenic thromboembolism. The expanded clinical use of both kinds of treatment depends on increased safety and unchanged efficacy which can be achieved by reduced dosage and the... tovább »