Robert Berent

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BACKGROUND Increased arterial stiffness, determined invasively, has been shown to predict a higher risk of coronary atherosclerosis. However, invasive techniques are of limited value for screening and risk stratification in larger patient groups. METHODS AND RESULTS We prospectively enrolled 465 consecutive, symptomatic men undergoing coronary angiography(More)
Abuse of the drugs like amphetamine, cocaine and "Ecstasy" may be complicated by intracerebral, subdural or subarachnoid haemorrhage. Contrary to historical opinion, drug-related intracranial haemorrhage (ICH) is frequently related to an underlying vascular malformation. We report the case of an 18-year-old man with a history of Ecstasy abuse preceding the(More)
To the Editor: Sano et al 1 investigated the relation between lesion morphology as seen under preintervention intravascular ultrasound and C-reactive protein (CRP) in the acute phase of acute myocardial infarction (AMI). They found that elevated CRP concentrations may be related to the presence of ruptured plaque and concluded that in the setting of AMI,(More)
Cardiac ischemia typically causes chest pain, variously radiating elsewhere. Convergence of cardiac nerve fibers on central pathways receiving somatic afferents from the head is likely to be responsible for the perception of cardiac ischemic pain as headache. A 47-year-old man was admitted to the emergency room of our hospital with a 2-hour history of(More)
Tumour markers (TM), including alpha-fetoprotein (AFP), carcinoembryonic antigen (CEA), cancer antigen (CA) 15-3 and prostate-specific antigen (PSA), are serum markers for malignant diseases. Previous studies investigating the effect of acute and chronic inflammation, cardiopulmonary bypass surgery and cardiopulmonary resuscitation (CPR) on levels of TM(More)
This case report describes the devastating consequences of spontaneous coronary dissection in a 36 year old female patient who otherwise had a normal coronary arteriogram. Intravascular ultrasound showed coronary artery dissection and intramural haematoma at the left main stem coronary artery. Acute coronary syndrome developed and subsequently surgical(More)
To the Editor: We read with great interest the article on circulating vitamin B 6 levels and C-reactive protein (CRP) in cardiovascular disease (CVD) by Friso et al 1 showing that low plasma pyridoxal 5Ј-phosphate (PLP) is associated with higher CRP levels. Total plasma homocysteine (tHcy), a well-known risk factor for CVD, 2 represents a major determinant(More)