Publications by authors named "Vivian Clark"
Article Synopsis
- A study involving 77 patients with coronary heart disease (CHD) assessed their demographics, risk factors, and levels of Major Depressive Disorder (MDD) and emotional distress.
- While MDD did not correlate with an early age at initial diagnosis of CHD (AAID), emotional distress was linked to increased AAID and various psychological symptoms.
- The findings propose that the severity of mental disorders, such as depression, might be evaluated based on their onset or worsening alongside serious medical conditions like CHD.
Article Synopsis
- A strong link was found between a positive family history of early coronary heart disease and early age at diagnosis, specifically in males, leading to a focus on male subjects for further analysis.
- The self-report Ketterer Stress Symptom Frequency Checklist revealed that factors like aggravation, depression, and anxiety were connected to both a positive family history and early diagnosis age.
- Further analysis using reports from spouses or friends indicated that these external perspectives explained a significant portion (68%) of the common variance between family history and early diagnosis in males.
We evaluated the frequency and prognosis of emergency coronary artery bypass grafting (CABG) after percutaneous coronary intervention (PCI) for acute myocardial infarction in a large, multicenter registry of contemporary PCI. In this study, emergency CABG occurred in 2% of cases, and was associated with high in-hospital mortality (20%) and with a high incidence of stroke (8%), renal failure requiring dialysis (8.3%), and bleeding (63.
View Article and Find Full Text PDFThe past decade has been characterized by increased scrutiny of outcomes of surgical and percutaneous coronary interventions (PCIs). This increased scrutiny has led to the development of regional, state, and national databases for outcome assessment and for public reporting. This report describes the initial development of a regional, collaborative, cardiovascular consortium and the progress made so far by this collaborative group.
View Article and Find Full Text PDFThis study was undertaken to determine the incidence, risk factors, and in-hospital outcome of nephropathy requiring dialysis (NRD) after percutaneous coronary intervention (PCI), and to evaluate the role of a weight- and creatinine-adjusted maximum radiographic contrast dose (MRCD) on NRD. Data were obtained from a registry of 16,592 PCIs. The data were divided into development and test sets.
View Article and Find Full Text PDFThe present study uses early diagnosis of ischaemic coronary heart disease (ICHD) as a proxy for disease malignancy in testing the statistical strength of association, and uniqueness/confounding, of several psychometric scales that have previously been found to prospectively predict death in cardiac samples (Beck Depression Inventory, Crown-Crisp Phobic Anxiety Scale, Type D Scale & Ketterer Stress Symptom Frequency Checklist). Eighty-three patients (no. of females = 35) with documented ICHD were assessed for traditional and psychometric risk factors.
View Article and Find Full Text PDFSpontaneous closure of a perforation-induced coronary artery pseudoaneurysm.
J Invasive Cardiol
May 2002
We describe an unusual case of a coronary perforation presenting as a large pseudoaneurysm. An elderly woman who had undergone percutaneous coronary intervention several months earlier presented with shortness of breath. Cardiac catheterization revealed a large pseudoaneurysm arising from the proximal circumflex artery.
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