Impact of final coronary flow velocity reserve on late outcome following stent implantation.

Abstract:

:Aims To assess whether coronary flow velocity reserve following stent implantation is predictive of the subsequent need of target lesion revascularization. Methods and Results The outcome was examined of 417 patients enrolled in a multicentre prospective randomized study (DESTINI), who received a successful single vessel stent implantation in native coronary arteries and in whom coronary flow velocity reserve was measured. Logistic regression analysis and the receiver operator characteristic curve were used. When compared with 358 patients not requiring target lesion revascularization, 59 patients (14%) who underwent target lesion revascularization had a lower final coronary flow velocity reserve (2.33 +/- 0.87 vs 2.48+/- 0.80, P= 0.20) and smaller final minimal lumen diameter (2.62 +/- 0.66 mm vs 2.73+/- 0.60, P= 0.19); however, those differences were not statistically significant. Patients with a coronary flow velocity reserve of < 2.0 (n=109, 26%) exhibited a significantly higher target lesion revascularization rate than patients with a coronary flow velocity reserve of > or = 2.0 (22% vs 11%, P= 0.010). This difference remained significant (odds ratio=2.01, 95% CI=1.11 to 3.66) after adjustment for other variables that were also correlated with the incidence of target lesion revascularization. Conclusion The presence of a final coronary flow velocity reserve of < 2.0 is an independent predictor of the need for target lesion revascularization after stent implantation in native coronary artery lesions.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Nishida T,Di Mario C,Kern MJ,Anderson TJ,Moussa I,Bonan R,Muramatsu T,Jain AC,Suarez de Lezo J,Cho SY,Meredith IT,Moses JW,Colombo A

doi

10.1053/euhj.2001.2734

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

331-40

issue

4

eissn

0195-668X

issn

1522-9645

pii

S0195668X01927344

journal_volume

23

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehl119

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    更新日期:2006-08-01 00:00:00

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    pub_type: 杂志文章,多中心研究

    doi:10.1093/eurheartj/ehl542

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    更新日期:2007-04-01 00:00:00

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    authors: Ishiwata S,Nishiyama S,Nakanishi S,Seki A

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    更新日期:2006-10-01 00:00:00

  • The Belgian Improvement Study on Oral Anticoagulation Therapy: a randomized clinical trial.

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    journal_title:European heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/eurheartj/ehi327

    authors: Claes N,Buntinx F,Vijgen J,Arnout J,Vermylen J,Fieuws S,Van Loon H

    更新日期:2005-10-01 00:00:00

  • Coronary microembolization during early reperfusion: infarct extension, but protection by ischaemic postconditioning.

    abstract:AIMS:Reperfusion injury following acute myocardial infarction impacts not only on the myocardium but also on the coronary microcirculation, and microembolization from the culprit lesion contributes to microvascular obstruction. Prior experimental studies have not accounted for microembolization in ischaemia/reperfusion...

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    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehs434

    authors: Skyschally A,Walter B,Heusch G

    更新日期:2013-11-01 00:00:00

  • Monocyte subset accumulation in the human heart following acute myocardial infarction and the role of the spleen as monocyte reservoir.

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    pub_type: 杂志文章

    doi:10.1093/eurheartj/eht331

    authors: van der Laan AM,Ter Horst EN,Delewi R,Begieneman MP,Krijnen PA,Hirsch A,Lavaei M,Nahrendorf M,Horrevoets AJ,Niessen HW,Piek JJ

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    pub_type: 杂志文章,多中心研究

    doi:10.1093/eurheartj/ehq465

    authors: Crowe FL,Roddam AW,Key TJ,Appleby PN,Overvad K,Jakobsen MU,Tjønneland A,Hansen L,Boeing H,Weikert C,Linseisen J,Kaaks R,Trichopoulou A,Misirli G,Lagiou P,Sacerdote C,Pala V,Palli D,Tumino R,Panico S,Bueno-de-Mesqu

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a061061

    authors: Ge J,Haude M,Görge G,Liu F,Erbel R

    更新日期:1995-08-01 00:00:00

  • Mortality of patients excluded from the Danish Verapamil Infarction Trail II. The DAVIT-II Study Group.

    abstract::The 18 month mortality rate in 2180 patients excluded from the Danish Verapamil Infarction Trail II (DAVIT II) was 25.6%. In non-consenters (n = 368) this was 15.0% compared with 13.85 in 897 placebo-treated patients (hazard ratio 1.09 [P = 0.60] when adjusting for sex and age). The increased mortality rate in exclude...

    journal_title:European heart journal

    pub_type: 临床试验,杂志文章

    doi:10.1093/eurheartj/14.3.377

    authors: Madsen JK,Hansen JF

    更新日期:1993-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehr285

    authors: Ahlehoff O,Gislason GH,Jørgensen CH,Lindhardsen J,Charlot M,Olesen JB,Abildstrøm SZ,Skov L,Torp-Pedersen C,Hansen PR

    更新日期:2012-08-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehq247

    authors: de Waha S,Desch S,Eitel I,Fuernau G,Zachrau J,Leuschner A,Gutberlet M,Schuler G,Thiele H

    更新日期:2010-11-01 00:00:00

  • Left ventricular systolic function assessment in secondary mitral regurgitation: left ventricular ejection fraction vs. speckle tracking global longitudinal strain.

    abstract:AIMS:Left ventricular (LV) ejection fraction (LVEF) is currently considered for the decision making of patients with mitral regurgitation (MR). However, LVEF represents change in LV volume between end-diastole and end-systole but does not characterize the intrinsic function of the myocardium. In contrast, speckle-track...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehv680

    authors: Kamperidis V,Marsan NA,Delgado V,Bax JJ

    更新日期:2016-03-07 00:00:00

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    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/eurheartj/ehr369

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    doi:10.1093/eurheartj/ehy077

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    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Kober G,Pennaforte S,Buck T,Sievert H,Vallbracht C

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    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehq519

    authors: Brokopp CE,Schoenauer R,Richards P,Bauer S,Lohmann C,Emmert MY,Weber B,Winnik S,Aikawa E,Graves K,Genoni M,Vogt P,Lüscher TF,Renner C,Hoerstrup SP,Matter CM

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  • Renal effects of low dose prazosin in patients with congestive heart failure.

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    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/eurheartj/14.9.1245

    authors: Lang CC,Choy AM,Rahman AR,Struthers AD

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  • 24-h ECG monitoring in patients with rheumatoid arthritis.

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a061005

    authors: Tłustochowicz W,Piotrowicz R,Cwetsch A,Raczka A,Kramarz E,Nowak J

    更新日期:1995-06-01 00:00:00

  • Matricellular proteins and matrix metalloproteinases mark the inflammatory and fibrotic response in human cardiac allograft rejection.

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehs375

    authors: Vanhoutte D,van Almen GC,Van Aelst LN,Van Cleemput J,Droogné W,Jin Y,Van de Werf F,Carmeliet P,Vanhaecke J,Papageorgiou AP,Heymans S

    更新日期:2013-07-01 00:00:00

  • Sudden death in cardiac sarcoidosis: an analysis of nationwide clinical and cause-of-death registries.

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehz428

    authors: Ekström K,Lehtonen J,Nordenswan HK,Mäyränpää MI,Räisänen-Sokolowski A,Kandolin R,Simonen P,Pietilä-Effati P,Alatalo A,Utriainen S,Rissanen TT,Haataja P,Kokkonen J,Vihinen T,Miettinen H,Kaikkonen K,Kerola T,Kupari M

    更新日期:2019-10-01 00:00:00

  • Impaired myocardial perfusion reserve and fibrosis in Friedreich ataxia: a mitochondrial cardiomyopathy with metabolic syndrome.

    abstract:AIMS:Cardiomyopathy produces significant mortality in patients with Friedreich ataxia (FA), a genetic disorder that produces intra-mitochondrial iron accumulation. We sought to test the hypothesis that abnormal myocardial perfusion reserve and fibrosis represent early manifestations of cardiomyopathy. METHODS AND RESU...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehq443

    authors: Raman SV,Phatak K,Hoyle JC,Pennell ML,McCarthy B,Tran T,Prior TW,Olesik JW,Lutton A,Rankin C,Kissel JT,Al-Dahhak R

    更新日期:2011-03-01 00:00:00