Abstract:
:The long-term patency of the left internal mammary artery (IMA) has made it the preferred conduit for myocardial revascularization. The proximal segment of the subclavian artery becomes functionally connected to the coronary circulation as a result of IMA implantation during coronary artery bypass surgery. The subclavian coronary steal syndrome results from stenosis in the left subclavian artery proximal to the IMA, compromising blood flow to the myocardium. We describe 7 patients, aged 55-75 years, 1.7-10.5 years after coronary bypass who presented with recurrent angina due to subclavian artery stenosis. The IMA graft was found open in each patient. A true steal mechanism was not demonstrated, casting doubt on the syndrome's traditional name. Angioplasty and stenting of the subclavian artery resulted in the immediate disappearance of angina and continuous benefit at a follow-up of 3-32 months. The subclavian coronary steal syndrome, although rare, is a severe condition readily treated by angioplasty and stenting.
journal_name
Cardiologyjournal_title
Cardiologyauthors
Elian D,Gerniak A,Guetta V,Jonas M,Agranat O,Har-Zahav Y,Rath S,Di Segni Edoi
10.1159/000063116subject
Has Abstractpub_date
2002-01-01 00:00:00pages
175-9issue
4eissn
0008-6312issn
1421-9751pii
crd97175journal_volume
97pub_type
杂志文章相关文献
CARDIOLOGY文献大全abstract::Fourteen hypertensive patients and 14 normotensive control subjects were submitted to the oral glucose test and their plasma potassium, glucose and insulin levels were measured. Cardiovascular responses were evaluated by blood pressure and pulse rate measurements. Five of 14 hypertensive patients were hyperinsulinemic...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000174852
更新日期:1991-01-01 00:00:00
abstract::This study shows significant changes occurring in systolic time intervals in an experimental animal model of aortic outflow obstruction with cardiac hypertrophy. The left ventricular ejection time is markedly prolonged and the preejection period/left ventricular ejection time ratio shortened. These changes are in the ...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000173260
更新日期:1981-01-01 00:00:00
abstract::Mass screening for heart disease in children can be accomplished by automatic analysis of phonocardiograms (PCG) obtained from five routine auscultation points. An ECG signal serves as reference. PCG signals exceeding 20% of the amplitude of the first heart sound S1 in the diastolic interval and 40% of S1 in the systo...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000169876
更新日期:1978-01-01 00:00:00
abstract:OBJECTIVE:The objective was to evaluate the effect of hormone replacement therapy (HRT) on plasma homocysteine levels in postmenopausal women with coronary artery disease (CAD) and to investigate associations of homocysteine to other cardiovascular risk factors. METHODS:The women in this single-center, controlled, and...
journal_title:Cardiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000064667
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:To assess the relationship between nonalcoholic fatty liver disease (NAFLD) and arterial stiffness in nondiabetic, nonhypertensive individuals with and without metabolic syndrome (MetS). METHODS:Hepatic ultrasound and brachial-ankle pulse wave velocity (baPWV) were investigated in 4,467 individuals. The sub...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000341248
更新日期:2012-01-01 00:00:00
abstract::The temporal and spatial pattern of left ventricular (LV) contraction and relaxation in 34 patients with isolated lesions of the left anterior descending artery (LAD) were studied from the LV cineangiogram in the right anterior oblique position using a computer interactive technique. The LV outline was divided into 10...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000173980
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVES:To explore the relation between the baseline aortic valve gradient (AVG) as a continuous variable and clinical outcomes following transcatheter aortic valve implantation (TAVI) in general and specifically in patients with high-gradient aortic stenosis (AS). METHODS:We reviewed 317 consecutive patients who u...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000444007
更新日期:2016-01-01 00:00:00
abstract::The current study examined the effects of temperature on myocardial pH, contractile function and adenosine triphosphate metabolism, particularly the production of adenosine. We matched intermittent delivery of blood cardioplegia in two groups (hypothermia 15 degrees C; normothermia 37 degrees C), for 2 h of cardiopleg...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000177148
更新日期:1996-11-01 00:00:00
abstract::The left ventricular function of 14 acromegalic patients was investigated using radionuclide ventriculography. After labeling the red blood cells with 750-1,000 MBq 99mTc-pertechnetate, ECG-triggered left anterior oblique images were recorded. Fourier analysis was then performed on the time-activity curve of the left ...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000175000
更新日期:1992-01-01 00:00:00
abstract::A 65-year-old female patient suffering from hypertension and myxedema due to chronic thyroiditis developed anginal attacks under trichlormethiazide therapy. The ECG revealed a SA block with reciprocal beats and aberrant ventricular conduction in a form of bigeminy. Upon substitution of desiccated thyroid for the antih...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000169716
更新日期:1975-01-01 00:00:00
abstract::We studied the relation between the plasma concentration of brain natriuretic peptide (BNP) and echocardiographic findings to determine the sensitivity of BNP as an indicator of left-ventricular dysfunction in elderly patients with various cardiovascular diseases. The plasma concentration of BNP was positively correla...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000177368
更新日期:1997-09-01 00:00:00
abstract::Helicobacter pylori infects over 50% of the worldwide population. For eradication, European, Canadian, and American guidelines recommend a regimen consisting of a proton pump inhibitor, clarithromycin, and metronidazole or amoxicillin dosed twice daily for at least 7 days. When this treatment strategy fails, a complex...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000110489
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to assess the recovery of regional myocardial function of the left-ventricular septal wall and the septal site of the mitral valve (MV) annulus by tissue Doppler imaging (TDI). METHODS:In 63 (32 diabetic and 31 control) patients having off-pump coronary artery bypass grafting (OPCA...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000380811
更新日期:2015-01-01 00:00:00
abstract::This is the case of a 43-year-old Caucasian man with frequent episodes of paroxysmal atrial fibrillation (AF) and normal resting electrocardiogram (ECG), who fulfilled two minor diagnostic criteria for arrhythmogenic right ventricular cardiomyopathy (ARVC): late potentials by signal-averaged ECG and regional right ven...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000342274
更新日期:2012-01-01 00:00:00
abstract::This multicenter, randomized, double-blind, parallel group study was undertaken to determine the effectiveness of selected antihypertensives (doxazosin, amlodipine, enalapril, and bendrofluazide) in maintaining 24-hour control of blood pressure (BP). The predictive value of ambulatory (A)BP versus clinic (C)BP measure...
journal_title:Cardiology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1159/000049095
更新日期:2001-01-01 00:00:00
abstract::In 6 patients with healthy hearts (controls), 17 with coronary artery disease (CAD) and 6 with left ventricular hypertrophy due to aortic valvular disease, aortic pressure, coronary sinus blood flow (CSF) and lactate extraction were determined before and after the sudden onset of a paced ventricular tachycardia of 170...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000173524
更新日期:1982-01-01 00:00:00
abstract::In a prospective randomized short-term study, the efficacy and safety of xipamide and a combination of spironolactone and furosemide were compared in the treatment of hepatic cirrhotic ascites. Twenty-two patients were randomized to either xipamide, 20 mg/day (group I), or spironolactone, 200 mg/day, combined with fur...
journal_title:Cardiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000176461
更新日期:1994-01-01 00:00:00
abstract::The blood pressure behavior during and after ergometric exercise was investigated in 552 males in order to clarify if this standardized procedure is suitable for differentiating between normotensive subjects and hypertensive patients. Patients suffering from mild hypertension showed significantly (p less than 0.001) h...
journal_title:Cardiology
pub_type: 杂志文章,评审
doi:10.1159/000173856
更新日期:1985-01-01 00:00:00
abstract::Coronary arteries in diabetic patients appear to be narrower than in normal subjects, but this has not been examined systematically. To investigate this hypothesis we reviewed the data of 711 consecutive patients with angiographically 'normal coronary arteries'. Excluded were patients with valvular, myocardial or peri...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000006764
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:The landmark Dual Antiplatelet Therapy (DAPT) trial revealed an impressive reduction of stent thrombosis and myocardial infarction after prolonged 30-month DAPT compared to the conventional 12-month regimen. However, aside from the expected extra bleeding risks, more cancers and noncardiovascular deaths (NCV...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000431356
更新日期:2015-01-01 00:00:00
abstract:AIM:Hyponatremia is very often associated with renal disease in patients with heart failure (HF) and, when present, determines a poor outcome. We investigated the role of hyponatremia in HF patients in whom the presence or absence renal insufficiency was accurately predefined. METHODS:This was a cohort study based on ...
journal_title:Cardiology
pub_type: 杂志文章,多中心研究
doi:10.1159/000502566
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Conventional cineradiology has been used clinically to detect partially broken outlet struts (single leg separations, SLSs) in normally functioning Björk-Shiley convexo-concave (C/C) heart valves. The value of radiographic screening has, however, been debated in the medical literature. This study uses the sa...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000006887
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Previous studies have suggested that a lower lymphocyte ratio (Ly%) in the white blood cell (WBC) differential count is related to worse outcomes in patients with acute heart failure (AHF) and other cardiovascular disorders. METHODS:In the Pre-RELAX-AHF study, 234 patients with AHF, systolic blood pressure ...
journal_title:Cardiology
pub_type: 杂志文章,随机对照试验
doi:10.1159/000321416
更新日期:2010-01-01 00:00:00
abstract::Apical segmental dysfunction is an unusual finding in hypertrophic cardiomyopathy (HCM). It is characterized by a poor clinical course and a high incidence of malignant ventricular tachyarrhythmias. Long-term prognosis of patients with HCM and apical segmental dysfunction is still unclear. We report 2 cases of apical ...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000176917
更新日期:1995-01-01 00:00:00
abstract::Ulcers in extracranial carotid arteries are a known source of cerebral embolism. However, there are no data available on the prevalence of ulcerations located at the origin of these vessels in the aortic arch. Therefore, in this pathological study the topographic distribution of ulcerated lesions were determined in th...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000006793
更新日期:1998-03-01 00:00:00
abstract:INTRODUCTION:There is no consensus regarding the natural history of rheumatic mitral stenosis (MS) among adults presenting with nonsevere disease. This study aims to describe the progression of stenosis among adult rheumatic MS patients, to identify predictive factors for progression, and to assess the incidence of com...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000505481
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:Assuming an immune component in the pathogenesis of atherosclerosis, we have investigated a possible association between coronary artery disease (CAD) and the acid phosphatase locus 1 (ACP1) genetic polymorphism, which has previously been found to be associated with immune disorders. METHODS:226 subjects ad...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000203405
更新日期:2009-01-01 00:00:00
abstract::To determine the success rate and the safety of percutaneous transluminal coronary angioplasty in patients with unstable angina pectoris (group 1) versus stable angina (group 2), we studied 299 consecutive patients who underwent coronary angioplasty of 373 consecutive lesions. Of these patients, 149 had unstable angin...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000175811
更新日期:1992-01-01 00:00:00
abstract::Four biochemical markers, creatine kinase (CK)-MB isoenzyme, myoglobin, myosin light chains and troponin I, were studied in 1,338 patients presenting to the emergency department with chest pain suggestive of coronary artery disease (CAD). One hundred and eighty-seven patients had an acute myocardial infarction (MI). A...
journal_title:Cardiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1159/000007033
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:MicroRNAs (miRNAs) are noncoding single-stranded RNA molecules that regulate gene expression in physiological functions, development and disease. In recent studies, three miRNAs have been described as muscle or cardiac specific: miR-1, miR-133, and miR-208, being involved in heart development and disease; bu...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000268088
更新日期:2010-01-01 00:00:00