Treatment of Helicobacter pylori and Chlamydia pneumoniae infections decreases fibrinogen plasma level in patients with ischemic heart disease.

Abstract:

BACKGROUND:Chronic Chlamydia pneumoniae and Helicobacter pylori infections could be a risk factor for ischemic heart disease (IHD), possibly by increasing fibrinogen levels. The aim of our study was to evaluate changes in fibrinogen level in patients with IHD and H pylori and/or C pneumoniae positivity randomly assigned to antibiotic treatment. METHODS AND RESULTS:Eighty-four patients with chronic IHD, H pylori and/or C pneumoniae antibodies, and normal acute-phase reactants were randomly assigned to treatment or no treatment. Treatment consisted of omeprazole, clarithromycin, and tinidazole in H pylori-positive patients and clarithromycin alone in C pneumoniae-positive patients. The effect of treatment and other baseline variables on fibrinogen levels, determined at 6 months, was evaluated by multivariate analysis. Treatment significantly reduced fibrinogen level at 6 months in the overall study population and in the groups of patients divided according to H pylori or C pneumoniae positivity. In the 43 treated patients, mean (+/-SD) basal fibrinogen was 3.65+/-0.58 g/L, and mean final fibrinogen was 3. 09+/-0.52 g/dL (P<0.001), whereas in the 41 untreated patients, mean basal and final fibrinogen levels were 3.45+/-0.70 and 3.61+/-0.71 g/L, respectively. The largest decrease was observed in patients with both infections. Fibrinogen changes were also significantly and negatively correlated with age. CONCLUSIONS:Our data suggest that a short, safe, and effective course of antibiotic therapy might be suggested as a means of interacting with an "emerging" risk factor.

journal_name

Circulation

journal_title

Circulation

authors

Torgano G,Cosentini R,Mandelli C,Perondi R,Blasi F,Bertinieri G,Tien TV,Ceriani G,Tarsia P,Arosio C,Ranzi ML

doi

10.1161/01.cir.99.12.1555

subject

Has Abstract

pub_date

1999-03-30 00:00:00

pages

1555-9

issue

12

eissn

0009-7322

issn

1524-4539

journal_volume

99

pub_type

临床试验,杂志文章,随机对照试验
  • Contribution of superior vena caval flow to total cardiac output in children. A Doppler echocardiographic study.

    abstract:BACKGROUND:After a cavopulmonary anastomosis, the superior vena caval flow, by virtue of being the effective pulmonary blood flow, is the most important factor influencing the systemic arterial saturation. Determination of the amount of this blood flow will allow a better understanding of the physiology of the circulat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.7.1860

    authors: Salim MA,DiSessa TG,Arheart KL,Alpert BS

    更新日期:1995-10-01 00:00:00

  • Uptake of cardiovascular drugs into the human heart: expression, regulation, and function of the carnitine transporter OCTN2 (SLC22A5).

    abstract:BACKGROUND:To date, the uptake of drugs into the human heart by transport proteins is poorly understood. A candidate protein is the organic cation transporter novel type 2 (OCTN2) (SLC22A5), physiologically acting as a sodium-dependent transport protein for carnitine. We investigated expression and localization of OCTN...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.586107

    authors: Grube M,Meyer zu Schwabedissen HE,Präger D,Haney J,Möritz KU,Meissner K,Rosskopf D,Eckel L,Böhm M,Jedlitschky G,Kroemer HK

    更新日期:2006-02-28 00:00:00

  • Ability of recombinant factor VIIa to reverse the anticoagulant effect of the pentasaccharide fondaparinux in healthy volunteers.

    abstract:BACKGROUND:The novel anticoagulant fondaparinux proved to be effective and safe in the postoperative prevention of venous thrombosis. Current phase III trials with this synthetic selective factor Xa inhibitor focus on its use in the treatment of patients with venous and arterial thrombosis. As with any anticoagulant th...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.0000038501.87442.02

    authors: Bijsterveld NR,Moons AH,Boekholdt SM,van Aken BE,Fennema H,Peters RJ,Meijers JC,Büller HR,Levi M

    更新日期:2002-11-12 00:00:00

  • The impact of valve surgery on 6-month mortality in left-sided infective endocarditis.

    abstract:BACKGROUND:The role of valve surgery in left-sided infective endocarditis has not been evaluated in randomized controlled trials. We examined the association between valve surgery and all-cause 6-month mortality among patients with left-sided infective endocarditis. METHODS AND RESULTS:A total of 546 consecutive patie...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.658831

    authors: Tleyjeh IM,Ghomrawi HM,Steckelberg JM,Hoskin TL,Mirzoyev Z,Anavekar NS,Enders F,Moustafa S,Mookadam F,Huskins WC,Wilson WR,Baddour LM

    更新日期:2007-04-03 00:00:00

  • Predictors of long-term survival after coronary artery bypass grafting surgery: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database (the ASCERT study).

    abstract:BACKGROUND:Most survival prediction models for coronary artery bypass grafting surgery are limited to in-hospital or 30-day end points. We estimate a long-term survival model using data from the Society of Thoracic Surgeons Adult Cardiac Surgery Database and Centers for Medicare and Medicaid Services. METHODS AND RESU...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.111.066902

    authors: Shahian DM,O'Brien SM,Sheng S,Grover FL,Mayer JE,Jacobs JP,Weiss JM,Delong ER,Peterson ED,Weintraub WS,Grau-Sepulveda MV,Klein LW,Shaw RE,Garratt KN,Moussa ID,Shewan CM,Dangas GD,Edwards FH

    更新日期:2012-03-27 00:00:00

  • Alteration in left ventricular diastolic filling and accumulation of myocardial collagen at insulin-resistant prediabetic stage of a type II diabetic rat model.

    abstract:BACKGROUND:Considerable controversy exists regarding impairment of cardiac function in diabetes mellitus (DM). We investigated the serial changes in left ventricular (LV) histopathology and LV filling dynamics in Otsuka Long-Evans Tokushima Fatty (OLETF) rats, which have been established as an animal model of type II D...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.8.899

    authors: Mizushige K,Yao L,Noma T,Kiyomoto H,Yu Y,Hosomi N,Ohmori K,Matsuo H

    更新日期:2000-02-29 00:00:00

  • Loss of nocturnal decline in blood pressure after cardiac transplantation.

    abstract::Twenty-four hour noninvasive ambulatory blood pressure and heart rate monitoring was performed on patients who underwent orthotopic cardiac transplantation, as part of the investigation of the de novo hypertension that developes in such patients. Patients with essential hypertension served as control subjects. The res...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.3.401

    authors: Reeves RA,Shapiro AP,Thompson ME,Johnsen AM

    更新日期:1986-03-01 00:00:00

  • Improvement in early saphenous vein graft patency after coronary artery bypass surgery with antiplatelet therapy: results of a Veterans Administration Cooperative Study.

    abstract::To determine whether specific antiplatelet therapies improved vein graft patency after coronary artery bypass grafting (CABG) we compared (1) aspirin, 325 mg daily, (2) aspirin, 325 mg three times daily, (3) aspirin plus dipyridamole (325 mg and 75 mg, respectively, three times daily), (4) sulfinpyrazone (267 mg three...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.77.6.1324

    authors: Goldman S,Copeland J,Moritz T,Henderson W,Zadina K,Ovitt T,Doherty J,Read R,Chesler E,Sako Y

    更新日期:1988-06-01 00:00:00

  • Heterogeneous atrial denervation creates substrate for sustained atrial fibrillation.

    abstract:BACKGROUND:Heterogeneous electrophysiological properties, which may be due in part to autonomic innervation, are important in the maintenance of atrial fibrillation (AF). We hypothesized that heterogeneous sympathetic denervation with phenol would create a milieu for sustained AF. METHODS AND RESULTS:After the determi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.23.2608

    authors: Olgin JE,Sih HJ,Hanish S,Jayachandran JV,Wu J,Zheng QH,Winkle W,Mulholland GK,Zipes DP,Hutchins G

    更新日期:1998-12-08 00:00:00

  • A comparison of low- with high-osmolality contrast agents in cardiac angiography. Identification of criteria for selective use.

    abstract:BACKGROUND:Controversy exists as to whether low-osmolality radiographic contrast agents, which have less detrimental pharmacological effects but are considerably more expensive than high-osmolality agents, should be used universally or only for selected high-risk patients. METHODS AND RESULTS:A randomized, double-blin...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.89.1.291

    authors: Matthai WH Jr,Kussmaul WG 3rd,Krol J,Goin JE,Schwartz JS,Hirshfeld JW Jr

    更新日期:1994-01-01 00:00:00

  • Urinary bisphenol A concentration and risk of future coronary artery disease in apparently healthy men and women.

    abstract:BACKGROUND:The endocrine-disrupting chemical bisphenol A (BPA) is widely used in food and beverage packaging. Higher urinary BPA concentrations were cross-sectionally associated with heart disease in National Health and Nutrition Examination Survey (NHANES) 2003-2004 and NHANES 2005-2006, independent of traditional ris...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.069153

    authors: Melzer D,Osborne NJ,Henley WE,Cipelli R,Young A,Money C,McCormack P,Luben R,Khaw KT,Wareham NJ,Galloway TS

    更新日期:2012-03-27 00:00:00

  • Preconditioning of human myocardium with adenosine during coronary angioplasty.

    abstract:BACKGROUND:It is unknown whether adenosine can precondition human myocardium against ischemia in vivo. METHODS AND RESULTS:Thirty patients were randomized to receive a 10-minute intracoronary infusion of adenosine (2 mg/min) or normal saline; 10 minutes later, they underwent percutaneous transluminal coronary angiopla...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.95.11.2500

    authors: Leesar MA,Stoddard M,Ahmed M,Broadbent J,Bolli R

    更新日期:1997-06-03 00:00:00

  • Exercise Training-Induced Repolarization Abnormalities Masquerading as Congenital Long QT Syndrome.

    abstract:BACKGROUND:The diagnosis of long QT syndrome (LQTS) is rather straightforward. We were surprised by realizing that, despite long-standing experience, we were making occasional diagnostic errors by considering as affected subjects who, over time, resulted as not affected. These individuals were all actively practicing s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.048916

    authors: Dagradi F,Spazzolini C,Castelletti S,Pedrazzini M,Kotta MC,Crotti L,Schwartz PJ

    更新日期:2020-12-22 00:00:00

  • Dilated cardiomyopathy associated with deficiency of the cytoskeletal protein metavinculin.

    abstract:BACKGROUND:The cytoskeleton plays an important role in maintaining cell structure and integrity. Defects in cytoskeletal proteins can cripple cell strength and may cause cardiomyopathy. We analyzed heart tissues from subjects with dilated cardiomyopathy for abnormalities in the cardiac cytoskeleton. Metavinculin, a car...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.1.17

    authors: Maeda M,Holder E,Lowes B,Valent S,Bies RD

    更新日期:1997-01-07 00:00:00

  • Superoxide production and expression of nox family proteins in human atherosclerosis.

    abstract:BACKGROUND:NAD(P)H oxidases are important sources of superoxide in the vasculature, the activity of which is associated with risk factors for human atherosclerosis. This study was designed to investigate the localization of superoxide production and the expression of the Nox family of NAD(P)H oxidase proteins (gp91phox...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000012917.74432.66

    authors: Sorescu D,Weiss D,Lassègue B,Clempus RE,Szöcs K,Sorescu GP,Valppu L,Quinn MT,Lambeth JD,Vega JD,Taylor WR,Griendling KK

    更新日期:2002-03-26 00:00:00

  • Effect of the ouabain-quinidine interaction on left ventricular and left atrial function in conscious dogs.

    abstract::The effect of the ouabain-quinidine interaction was examined in 10 conscious dogs. Left ventricular (LV) pressure, LV dP/dt, LV diameter and left atrial (LA) diameter were measured with high-fidelity micromanometers and sonomicrometer crystals. Ouabain, 0.025 mg/kg, significantly (p less than 0.05) increased LV dP/dt,...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.67.5.1054

    authors: Goldman S,Hager WD,Olajos M,Perrier D,Mayersohn M

    更新日期:1983-05-01 00:00:00

  • Distribution, morphology, and neurochemistry of endocardial and epicardial nerve terminal arborizations in the human heart.

    abstract:BACKGROUND:The heart contains a variety of morphologically distinct nerve terminals known to influence cardiac function. Little is known about the distribution, morphology, and neurochemistry of these terminals in the human heart. METHODS AND RESULTS:We examined the entire endocardial and epicardial surfaces of infant...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.8.2343

    authors: Marron K,Wharton J,Sheppard MN,Fagan D,Royston D,Kuhn DM,de Leval MR,Whitehead BF,Anderson RH,Polak JM

    更新日期:1995-10-15 00:00:00

  • Enzymatically degraded, nonoxidized LDL induces human vascular smooth muscle cell activation, foam cell transformation, and proliferation.

    abstract:BACKGROUND:Enzymatic, nonoxidative modification transforms LDL to an atherogenic molecule (E-LDL) that activates complement and macrophages and is present in early atherosclerotic lesions. METHODS AND RESULTS:We report on the atherogenic effects of E-LDL on human vascular smooth muscle cells (SMC). E-LDL accumulated i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.15.1799

    authors: Klouche M,Rose-John S,Schmiedt W,Bhakdi S

    更新日期:2000-04-18 00:00:00

  • Minimum hematocrit at differing cardiopulmonary bypass temperatures in dogs.

    abstract:BACKGROUND:The purpose of this study was to determine the minimum hematocrit (Hct) supporting cerebral oxygenation over the range clinically relevant cardiopulmonary bypass (CPB) temperatures in dogs. The effect of hemodilution on cerebral blood flow (CBF), cerebral metabolic rate (CMRO2), and cerebral oxygen delivery ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Cook DJ,Orszulak TA,Daly RC

    更新日期:1998-11-10 00:00:00

  • Characterization of the hyperpolarization-activated current, I(f), in ventricular myocytes from human failing heart.

    abstract:BACKGROUND:Disease-associated electrophysiological alterations may contribute to the increased predisposition to arrhythmias of the hypertrophied or failing myocardium. An I(f)-like current is expressed in rat left ventricular myocytes (LVMs), its amplitude being linearly related to the severity of cardiac hypertrophy....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.3.568

    authors: Cerbai E,Pino R,Porciatti F,Sani G,Toscano M,Maccherini M,Giunti G,Mugelli A

    更新日期:1997-02-04 00:00:00

  • Role of neuregulin-1/ErbB signaling in cardiovascular physiology and disease: implications for therapy of heart failure.

    abstract::Since the discovery that neuregulin-1 (NRG-1)/ErbB signaling is indispensable in cardiac development, evidence has shown that this system also plays a crucial role in the adult heart. In patients, an inhibitory ErbB2 antibody, trastuzumab, used in the treatment of mammary carcinomas, increases the risk for the develop...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.107.690487

    authors: Lemmens K,Doggen K,De Keulenaer GW

    更新日期:2007-08-21 00:00:00

  • Lower Risk of Heart Failure and Death in Patients Initiated on Sodium-Glucose Cotransporter-2 Inhibitors Versus Other Glucose-Lowering Drugs: The CVD-REAL Study (Comparative Effectiveness of Cardiovascular Outcomes in New Users of Sodium-Glucose Cotranspo

    abstract:BACKGROUND:Reduction in cardiovascular death and hospitalization for heart failure (HHF) was recently reported with the sodium-glucose cotransporter-2 inhibitor (SGLT-2i) empagliflozin in patients with type 2 diabetes mellitus who have atherosclerotic cardiovascular disease. We compared HHF and death in patients newly ...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.117.029190

    authors: Kosiborod M,Cavender MA,Fu AZ,Wilding JP,Khunti K,Holl RW,Norhammar A,Birkeland KI,Jørgensen ME,Thuresson M,Arya N,Bodegård J,Hammar N,Fenici P,CVD-REAL Investigators and Study Group*.

    更新日期:2017-07-18 00:00:00

  • AMP-activated protein kinase inhibits angiotensin II-stimulated vascular smooth muscle cell proliferation.

    abstract:BACKGROUND:AMP-activated protein kinase (AMPK) is a stress-activated protein kinase that works as a metabolic sensor of cellular ATP levels. Here, we investigated whether AMPK signaling has a role in the regulation of the angiotensin II (Ang II)-induced proliferation signal in rat vascular smooth muscle cells (VSMCs). ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000136025.96811.76

    authors: Nagata D,Takeda R,Sata M,Satonaka H,Suzuki E,Nagano T,Hirata Y

    更新日期:2004-07-27 00:00:00

  • Transcriptomic and proteomic patterns of systemic inflammation in on-pump and off-pump coronary artery bypass grafting.

    abstract:BACKGROUND:Coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) provides controlled operative conditions but induces a whole-body inflammatory response capable of initiating devastating morbidity and mortality. Although technically more demanding, deliberate avoidance of CPB in off-pump surgery att...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.531152

    authors: Tomic V,Russwurm S,Möller E,Claus RA,Blaess M,Brunkhorst F,Bruegel M,Bode K,Bloos F,Wippermann J,Wahlers T,Deigner HP,Thiery J,Reinhart K,Bauer M

    更新日期:2005-11-08 00:00:00

  • Realizing the potential of carotid artery stenting: proposed paradigms for patient selection and procedural technique.

    abstract::Carotid artery stenting, compared with carotid endarterectomy, is emerging as an effective and less invasive method of revascularization for extracranial carotid artery stenosis. Carotid stenting is established as the treatment of choice for certain high-risk patient subsets, and ongoing clinical trials are evaluating...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.595512

    authors: Roubin GS,Iyer S,Halkin A,Vitek J,Brennan C

    更新日期:2006-04-25 00:00:00

  • Exercise-induced ST-segment depression in patients without restenosis after coronary angioplasty. Relation to preprocedural impaired left ventricular function.

    abstract:BACKGROUND:ST-segment depression during exercise testing is frequently observed in the absence of restenosis after coronary angioplasty. METHODS AND RESULTS:We studied the determinants of this phenomenon in 70 consecutive patients with unstable angina related to a single left anterior descending coronary artery lesion...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.1.148

    authors: Beregi JP,Bauters C,McFadden EP,Quandalle P,Bertrand ME,Lablanche JM

    更新日期:1994-07-01 00:00:00

  • Impact of nonoperative therapy on the clinical management of peripheral arterial disease.

    abstract::Nonoperative therapy includes conservative noninterventional modalities and the endovascular interventional modalities of percutaneous transluminal angioplasty and a variety of laser systems and atherectomy devices. The role and impact of all nonoperative treatments are considered in the perspectives of the natural hi...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Veith FJ,Gupta SK,Wengerter KR,Rivers SP,Bakal CW

    更新日期:1991-02-01 00:00:00

  • Effect of testosterone on plaque development and androgen receptor expression in the arterial vessel wall.

    abstract:BACKGROUND:-Recent studies have suggested that testosterone has a protective effect in the arterial vascular system. However, little is known about the molecular aspects of the mechanism(s) involved in these processes. The aim of the present study was to investigate the effect of testosterone on neointimal plaque devel...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.10.1382

    authors: Hanke H,Lenz C,Hess B,Spindler KD,Weidemann W

    更新日期:2001-03-13 00:00:00

  • Magnesium content of serum, circulating mononuclear cells, skeletal muscle, and myocardium in congestive heart failure.

    abstract::Deranged magnesium concentrations in serum and cardiovascular structures have been implicated in the pathophysiology of hypertension, ischemic heart disease, arrhythmias, and sudden death. This study was conducted to determine the status and interrelation of serum and tissue concentrations of magnesium in patients wit...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.3.573

    authors: Ralston MA,Murnane MR,Kelley RE,Altschuld RA,Unverferth DV,Leier CV

    更新日期:1989-09-01 00:00:00

  • Coronary artery injury due to catheter ablation in adults: presentations and outcomes.

    abstract:BACKGROUND:Currently, only anecdotal information exists on the presentation and outcome of coronary arterial injury after ablation procedures. METHODS AND RESULTS:Four patients who sustained coronary artery injury of a cohort of patients undergoing 4655 consecutive ablation procedures (0.09%) are described. The patien...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.870790

    authors: Roberts-Thomson KC,Steven D,Seiler J,Inada K,Koplan BA,Tedrow UB,Epstein LM,Stevenson WG

    更新日期:2009-10-13 00:00:00