Canadian implantable defibrillator study (CIDS) : a randomized trial of the implantable cardioverter defibrillator against amiodarone.

Abstract:

BACKGROUND:Patients surviving ventricular fibrillation (VF) or sustained ventricular tachycardia (VT) are at a high risk of death due to a recurrence of arrhythmia. The implantable cardioverter defibrillator (ICD) terminates VT or VF, but it is not known whether this device prolongs life in these patients compared with medical therapy with amiodarone. METHODS AND RESULTS:A total of 659 patients with resuscitated VF or VT or with unmonitored syncope were randomly assigned to treatment with the ICD or with amiodarone. The primary outcome measure was all-cause mortality, and the secondary outcome was arrhythmic death. A total of 328 patients were randomized to receive an ICD. A thoracotomy was done in 33, no ICD was implanted in 18, and the rest had a nonthoracotomy ICD. All 331 patients randomized to amiodarone received it initially. At 5 years, 85.4% of patients assigned to amiodarone were still receiving it at a mean dose of 255 mg/day, 28.1% of ICD patients were also receiving amiodarone, and 21.4% of amiodarone patients had received an ICD. A nonsignificant reduction in the risk of death was observed with the ICD, from 10.2% per year to 8.3% per year (19.7% relative risk reduction; 95% confidence interval, -7.7% to 40%; P=0.142). A nonsignificant reduction in the risk of arrhythmic death was observed, from 4.5% per year to 3.0% per year (32.8% relative risk reduction; 95% confidence interval, -7.2% to 57.8%; P=0.094). CONCLUSIONS:A 20% relative risk reduction occurred in all-cause mortality and a 33% reduction occurred in arrhythmic mortality with ICD therapy compared with amiodarone; this reduction did not reach statistical significance.

journal_name

Circulation

journal_title

Circulation

authors

Connolly SJ,Gent M,Roberts RS,Dorian P,Roy D,Sheldon RS,Mitchell LB,Green MS,Klein GJ,O'Brien B

doi

10.1161/01.cir.101.11.1297

subject

Has Abstract

pub_date

2000-03-21 00:00:00

pages

1297-302

issue

11

eissn

0009-7322

issn

1524-4539

journal_volume

101

pub_type

临床试验,杂志文章,随机对照试验
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    authors: Novaro GM,Sachar R,Pearce GL,Sprecher DL,Griffin BP

    更新日期:2003-10-14 00:00:00

  • Pulmonary ventilation/perfusion defects induced by epinephrine during cardiopulmonary resuscitation.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.84.5.2101

    authors: Tang W,Weil MH,Gazmuri RJ,Sun S,Duggal C,Bisera J

    更新日期:1991-11-01 00:00:00

  • Age-dependent impairment of reendothelialization after arterial injury: role of vascular endothelial growth factor.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.0000050652.47145.4c

    authors: Gennaro G,Ménard C,Michaud SE,Rivard A

    更新日期:2003-01-21 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3501.095485

    authors: van Der Velden J,Klein LJ,Zaremba R,Boontje NM,Huybregts MA,Stooker W,Eijsman L,de Jong JW,Visser CA,Visser FC,Stienen GJ

    更新日期:2001-09-04 00:00:00

  • Activation of gp130 transduces hypertrophic signals via STAT3 in cardiac myocytes.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.98.4.346

    authors: Kunisada K,Tone E,Fujio Y,Matsui H,Yamauchi-Takihara K,Kishimoto T

    更新日期:1998-07-28 00:00:00

  • Sex differences in major bleeding with glycoprotein IIb/IIIa inhibitors: results from the CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA guidelines) initiative.

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    pub_type: 杂志文章

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    authors: Alexander KP,Chen AY,Newby LK,Schwartz JB,Redberg RF,Hochman JS,Roe MT,Gibler WB,Ohman EM,Peterson ED,CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC\/

    更新日期:2006-09-26 00:00:00

  • Plasma endothelin in chronic heart failure.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.85.4.1374

    authors: McMurray JJ,Ray SG,Abdullah I,Dargie HJ,Morton JJ

    更新日期:1992-04-01 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.910703

    authors: Nykänen AI,Sandelin H,Krebs R,Keränen MA,Tuuminen R,Kärpänen T,Wu Y,Pytowski B,Koskinen PK,Ylä-Herttuala S,Alitalo K,Lemström KB

    更新日期:2010-03-30 00:00:00

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    pub_type: 杂志文章

    doi:10.1161/01.cir.78.2.338

    authors: Prince MR,LaMuraglia GM,MacNichol EF Jr

    更新日期:1988-08-01 00:00:00

  • Effects of carvedilol on left ventricular remodeling after acute myocardial infarction: the CAPRICORN Echo Substudy.

    abstract:BACKGROUND:The CAPRICORN trial has shown that carvedilol improved outcome in patients with left ventricular dysfunction after acute myocardial infarction treated with ACE inhibitors. The aim of this substudy was to determine the effects of carvedilol on left ventricular remodeling in this patient group. METHODS AND RE...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.CIR.0000108928.25690.94

    authors: Doughty RN,Whalley GA,Walsh HA,Gamble GD,López-Sendón J,Sharpe N,CAPRICORN Echo Substudy Investigators.

    更新日期:2004-01-20 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Novick WM,Wallace HW,Root KL,Rozanski DJ,Fuller EO

    更新日期:1986-11-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1161/01.cir.54.2.251

    authors: De Ambroggi L,Taccardi B,Macchi E

    更新日期:1976-08-01 00:00:00

  • Left Ventricular Unloading Is Associated With Lower Mortality in Patients With Cardiogenic Shock Treated With Venoarterial Extracorporeal Membrane Oxygenation: Results From an International, Multicenter Cohort Study.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.048792

    authors: Schrage B,Becher PM,Bernhardt A,Bezerra H,Blankenberg S,Brunner S,Colson P,Cudemus Deseda G,Dabboura S,Eckner D,Eden M,Eitel I,Frank D,Frey N,Funamoto M,Goßling A,Graf T,Hagl C,Kirchhof P,Kupka D,Landmesser U,Li

    更新日期:2020-12-01 00:00:00

  • Different mechanisms of increased luminal stenosis after arterial injury in mice deficient for urokinase- or tissue-type plasminogen activator.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.0000031162.80988.2b

    authors: Schäfer K,Konstantinides S,Riedel C,Thinnes T,Müller K,Dellas C,Hasenfuss G,Loskutoff DJ

    更新日期:2002-10-01 00:00:00

  • Increased vascular senescence and impaired endothelial progenitor cell function mediated by mutation of circadian gene Per2.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.790469

    authors: Wang CY,Wen MS,Wang HW,Hsieh IC,Li Y,Liu PY,Lin FC,Liao JK

    更新日期:2008-11-18 00:00:00

  • Performance of conventional orthogonal and multiple-dipole electrocardiograms in estimating left ventricular muscle mass.

    abstract::For estimating left ventricular mass (LVM), ECG criteria for left ventricular hypertrophy (LVH) were selected from conventional 12-lead ECGs, orthogonal three-lead ECGs, and multiple-dipole ECGs (MDECG). The three cardiograms were recorded in 139 patients for whom the degree of LVH was independently determined from bi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.60.6.1350

    authors: Dunn RA,Pipberger HV,Holt JH Jr,Barnard AC,Pipberger HA

    更新日期:1979-12-01 00:00:00

  • Intravascular thrombosis after hypoxia-induced pulmonary hypertension: regulation by cyclooxygenase-2.

    abstract:BACKGROUND:Pulmonary hypertension induced by chronic hypoxia is characterized by thickening of pulmonary artery walls, elevated pulmonary vascular resistance, and right-heart failure. Prostacyclin analogues reduce pulmonary pressures in this condition; raising the possibility that cycloxygenase-2 (COX-2) modulates the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000145613.01188.0B

    authors: Pidgeon GP,Tamosiuniene R,Chen G,Leonard I,Belton O,Bradford A,Fitzgerald DJ

    更新日期:2004-10-26 00:00:00

  • Clinical pharmacology and antiarrhythmic efficacy of encainide in patients with chronic ventricular arrhythmias.

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    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.64.2.290

    authors: Winkle RA,Peters F,Kates RE,Tucker C,Harrison DC

    更新日期:1981-08-01 00:00:00

  • Electrocardiographic changes suggestive of myocardial ischemia elicited by dipyridamole infusion in acute rejection early after heart transplantation.

    abstract::Acute cardiac rejection, syndrome X, and arterial hypertension can induce small vessel damage and, therefore, restriction of coronary reserve in the presence of normal epicardial coronary arteries. A characteristic response pattern to dipyridamole (DIP) infusion has been previously described in syndrome X and arterial...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.1.72

    authors: Picano E,De Pieri G,Salerno JA,Arbustini E,Distante A,Martinelli L,Pucci A,Montemartini C,Viganò M,Donato L

    更新日期:1990-01-01 00:00:00

  • Atrium-selective sodium channel block as a strategy for suppression of atrial fibrillation: differences in sodium channel inactivation between atria and ventricles and the role of ranolazine.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.704890

    authors: Burashnikov A,Di Diego JM,Zygmunt AC,Belardinelli L,Antzelevitch C

    更新日期:2007-09-25 00:00:00

  • Coexpression of endothelin-converting enzyme-1 and endothelin-1 in different stages of human atherosclerosis.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3301.094742

    authors: Ihling C,Szombathy T,Bohrmann B,Brockhaus M,Schaefer HE,Loeffler BM

    更新日期:2001-08-21 00:00:00

  • Acute hemodynamic improvement by thermal vasodilation in congestive heart failure.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.10.2582

    authors: Tei C,Horikiri Y,Park JC,Jeong JW,Chang KS,Toyama Y,Tanaka N

    更新日期:1995-05-15 00:00:00

  • Unlocking the Secrets of Mitochondria in the Cardiovascular System: Path to a Cure in Heart Failure—A Report from the 2018 National Heart, Lung, and Blood Institute Workshop

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    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.119.040551

    authors: Tian R,Colucci WS,Arany Z,Bachschmid MM,Ballinger SW,Boudina S,Bruce JE,Busija DW,Dikalov S,Dorn GW II,Galis ZS,Gottlieb RA,Kelly DP,Kitsis RN,Kohr MJ,Levy D,Lewandowski ED,McClung JM,Mochly-Rosen D,O'Brien KD,O'R

    更新日期:2019-10-01 00:00:00

  • Impaired platelet production of nitric oxide predicts presence of acute coronary syndromes.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.15.1481

    authors: Freedman JE,Ting B,Hankin B,Loscalzo J,Keaney JF Jr,Vita JA

    更新日期:1998-10-13 00:00:00

  • Sex-related differences in the normal cardiac response to upright exercise.

    abstract::In previous studies from this laboratory, we found that approximately 30% of women with chest pain and normal coronary arteries demonstrated either a decrease in or a failure to increase radionuclide ejection fraction during exercise. To examine the hypothesis that this apparent abnormality in left ventricular functio...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.70.3.357

    authors: Higginbotham MB,Morris KG,Coleman RE,Cobb FR

    更新日期:1984-09-01 00:00:00

  • Determinants of sudden cardiac death in individuals with the electrocardiographic pattern of Brugada syndrome and no previous cardiac arrest.

    abstract:BACKGROUND:Patients with Brugada syndrome who were resuscitated from an episode of ventricular fibrillation are at high risk for recurrent sudden death. There is general agreement about the therapeutic strategy for these patients. Conversely, the prognosis and approach in patients with a diagnostic ECG but without a pr...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/01.CIR.0000104568.13957.4F

    authors: Brugada J,Brugada R,Brugada P

    更新日期:2003-12-23 00:00:00

  • Role of endogenous atrial natriuretic peptide in DOCA-salt hypertensive rats. Effects of a novel nonpeptide antagonist for atrial natriuretic peptide receptor.

    abstract:BACKGROUND:To explore roles of endogenous atrial natriuretic peptide (ANP) in blood pressure and volume regulation, we examined the effects of a newly developed ANP antagonist, HS-142-1 (HS) in deoxycorticosterone acetate (DOCA)-salt hypertensive rats. METHODS AND RESULTS:We examined 1) the effects of HS on ANP- or br...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.2.554

    authors: Hirata Y,Matsuoka H,Suzuki E,Hayakawa H,Sugimoto T,Matsuda Y,Morishita Y,Kangawa K,Minamino N,Matsuo H

    更新日期:1993-02-01 00:00:00

  • Ventricular tachycardia after in vivo DC shock ablation in dogs. Electrophysiologic and histologic correlation.

    abstract:BACKGROUND:DC shock catheter ablation for the treatment of ventricular tachycardia (VT) may induce VT episodes that disappear within days. METHODS AND RESULTS:A 30-J cathodal shock was delivered to the endocardial left ventricular wall in 15 closed-chest dogs. All dogs had VT during the first day after ablation. Eleve...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.1.267

    authors: Hauer RN,de Bakker JM,de Wilde AA,Straks W,Vermeulen JT,Janse MJ

    更新日期:1991-07-01 00:00:00

  • Percutaneous transluminal mitral valvuloplasty normalizes baroreflex sensitivity and sympathetic activity in patients with mitral stenosis.

    abstract:BACKGROUND:In patients with mitral stenosis, reduced cardiac output or altered pulmonary hemodynamics may increase sympathetic nerve activity. However, the magnitude of the increase in sympathetic activity in such patients and the effect of valvuloplasty on this activity are unknown. METHODS AND RESULTS:We microneurog...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.10.3443

    authors: Ashino K,Gotoh E,Sumita S,Moriya A,Ishii M

    更新日期:1997-11-18 00:00:00

  • Angiotensin AT1 receptor inhibition. Effects on hypertrophic remodeling and ACE expression in rats with pressure-overload hypertrophy due to ascending aortic stenosis.

    abstract:BACKGROUND:We tested the hypothesis that long-term administration of the specific angiotensin II subtype 1 (AT1)-receptor blocker BMS-186295 will regress hypertrophy and modify left ventricular angiotensin converting enzyme (ACE) expression in rats with ascending aortic stenosis. METHODS AND RESULTS:Six weeks after su...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.6.1592

    authors: Weinberg EO,Lee MA,Weigner M,Lindpaintner K,Bishop SP,Benedict CR,Ho KK,Douglas PS,Chafizadeh E,Lorell BH

    更新日期:1997-03-18 00:00:00