Clinical evaluation of coronary lesion characteristics in acute myocardial infarction.

Abstract:

:Coronary lesion instability at the onset of acute myocardial infarction (AMI) was evaluated. The mechanism of AMI has been considered to be coronary lesion instability with occlusive thrombus, although more than one half of AMI occurs in clinically stable patients. A total of 313 AMI patients treated by primary percutaneous transluminal coronary angioplasty with provisional stenting (rate, 41%) were studied. They were divided into 2 groups: group 1A (n = 211), without unstable angina before AMI onset, and group 1B (n = 102), with unstable angina before onset. Moreover, angina patients treated similarly were studied: group 2A (n = 180), with stable angina, and group 2B (n = 204), with unstable angina. Coronary lesion instability at AMI onset was also predicted by C-reactive protein (CRP) levels within 6 hours after onset, before they were affected by myocardial damage. The incidence of repeated AMI and/or target vessel revascularization was 1.9% in group 1A, 7.8% in 1B (p=0.035), 1.7% in 2A, and 5.9% in 2B (p=0.043). Event-free survival curves were consistent with each other in groups 1A and 2A and in groups 1B and 2B. CRP levels on admission were 2.0 +/- 1.7 mg/L in group 1A, 3.3 +/- 4.8 mg/L in group 1B (p<0.001), 2.1 +/- 1.7 mg/L in group 2A, and 3.4 +/- 4.7 mg/L in group 2B (p<0.001). Thus coronary lesion characteristics at AMI onset appeared to be similar in groups 1A and 2A and in groups 1B and 2B. A substantial number of patients have stable culprit lesions at the onset of AMI.

journal_name

Angiology

journal_title

Angiology

authors

Tomoda H,Aoki N

doi

10.1177/000331970305400303

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

277-85

issue

3

eissn

0003-3197

issn

1940-1574

journal_volume

54

pub_type

杂志文章
  • Prevention of Carotid Artery Atherosclerosis: What is the Evidence?

    abstract::Carotid artery atherosclerosis (CAA) represents a significant form of atherosclerosis with stroke as a major consequence. Whether it is a unique form of atherosclerosis is not established. However, this is not of major clinical relevance as no specific preventive measures over and above the established ones for cardio...

    journal_title:Angiology

    pub_type: 杂志文章,评审

    doi:10.1177/0003319716669460

    authors: Whayne TF Jr

    更新日期:2017-09-01 00:00:00

  • Electrophysiologic properties of ethacrynic acid in man.

    abstract::Ethacrynic acid is a potent oral diuretic and saluretic agent. It has been used extensively in the treatment of heart failure and its effects on cardiovascular dynamics are well established. The clinical relief of the symptoms of pulmonary congestion frequently precedes any demonstrable diuretic effect suggesting that...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978303401108

    authors: Gould L,Gopalaswamy C,Chandy F,Abdou O

    更新日期:1983-11-01 00:00:00

  • Prevalence and severity of asymptomatic coronary and carotid artery disease in patients with abdominal aortic aneurysm.

    abstract::We evaluated the prevalence and severity of occult coronary artery disease (CAD) and cerebrovascular disease (CeVD) in patients with abdominal aortic aneurysm (AAA). We studied 100 consecutive patients with no history of CAD, normal electrocardiogram, normal systolic function, and no angina or dyspnea. All patients un...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319714540319

    authors: Marsico F,Giugliano G,Ruggiero D,Parente A,Paolillo S,Guercio LD,Esposito G,Trimarco B,Filardi PP

    更新日期:2015-04-01 00:00:00

  • Dietary treatment of lymphedema by restriction of long-chain triglycerides.

    abstract::Two patients suffering from idiopathic unilateral lower limb lymphedema were treated with a diet in which long-chain triglycerides (LCT) were drastically restricted. From the beginning of the treatment, a distinct improvement was observed in both patients, with reduction of the affected limb perimeters, decrease of ed...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979404500805

    authors: Soria P,Cuesta A,Romero H,Martínez FJ,Sastre A

    更新日期:1994-08-01 00:00:00

  • Identification of viable myocardium by nitrate echocardiography after myocardial infarction: comparison with planar thallium reinjection scintigraphy.

    abstract:BACKGROUND:The aim of this study was to validate a new diagnostic tool, nitrate echocardiography (NE), for the identification of viable noncontracting myocardium in patients with a history of prior myocardial infarction (MI). Nitroglycerin (NTG) may be useful for this purpose for its peculiar pharmacodynamic action and...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979604700502

    authors: Pontillo D,Carboni GP,Capezzuto A,Alessi C,Achilli A,Piccini F,Guerra R

    更新日期:1996-05-01 00:00:00

  • Changes of soft-tissue water examined with magnetic resonance and electrical impedance tomography: an in vivo experiment.

    abstract::The purpose of this study was the examination of short-term changes in soft-tissue water under in vivo conditions. In 12 healthy volunteers the water distribution of a selected slice of the lower limb was examined after change of position and rapid infusion of 0.9% saline solution. Two methods were used for data acqui...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979304401107

    authors: Sievers KW,Gauger J,Bauermann T,Löhr E

    更新日期:1993-11-01 00:00:00

  • Arterio-venous shunting in renal transplant rejection.

    abstract::The angiographic appearance of arterio-venous shunting has been reported in one previous case of a patient with acute severe transplant rejection. Two additional cases are presented here. In the first the arteriovenous shunting is massive, and the venous filling is within the first second of the study. In the second t...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331977802900106

    authors: Zimmerman R,Sprayregen S

    更新日期:1978-01-01 00:00:00

  • Hyperkalemia-induced conversion of chronic atrial fibrillation to normal sinus rhythm; a case report.

    abstract::The electrocardiographic manifestations of hyperkalemia have been well described. We report a patient with chronic congestive heart failure and atrial fibrillation for 6 years. who converted to sinus rhythm during an episode of hyperkalemia. To our knowledge, this is the first report of hyperkalemia-induced conversion...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331977903000210

    authors: Mathew PK

    更新日期:1979-02-01 00:00:00

  • Association Between Plasma ADAMTS-9 Levels and Severity of Coronary Artery Disease.

    abstract::Genome-wide association studies have shown that a disintegrin and metalloproteinase with thrombospondin motifs 9 (ADAMTS-9) is associated with the development of atherosclerosis. We assessed the level of ADAMTS-9 in patients with coronary artery disease (CAD) and its severity and prognosis. We selected 666 participant...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319720979238

    authors: Wei M,Pan H,Guo K

    更新日期:2020-12-14 00:00:00

  • Effect of pentoxifylline on microvascular blood flow velocity.

    abstract::Pentoxifylline (PF), known to increase red blood cell (RBC) deformability, has recently attracted much attention because of its possible effect of reducing capillary resistance. There has been practically no reliable demonstration of an increase in capillary blood flow by this drug. This study was intended to examine ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978103201103

    authors: Ohshima N,Sato M

    更新日期:1981-11-01 00:00:00

  • Noninvasive versus invasive evaluation of the extracranial circulation in patients with suspected cerebral vascular disease.

    abstract::This is the second in an ongoing series of evaluations in an attempt to find a combined system of noninvasive cerebral vascular evaluation of the extracranial circulation reliable enough so that decisions can be made, utilizing this system regarding further diagnostic studies and management. The current study evaluate...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978303400304

    authors: Alves AM,Sterensis JB

    更新日期:1983-03-01 00:00:00

  • Experimental cardiac hypertrophy induced by oral administration of mineralocorticoid and saline in rats.

    abstract::We suggest a new, easily applicable way of myocardial hypertrophy induction in rats. Forty randomized age-matched male Wistar rats were divided into 2 groups of 20 each: a control group and an orally administered fludrocortisone/salt group. Myocardial hypertrophy was estimated by measuring body weight, heart-weight-to...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319711423529

    authors: Voucharas C,Tagarakis G,Lazou A,Triposkiadis F,Tsilimingas N

    更新日期:2012-08-01 00:00:00

  • Exercise performance, physical activity, and health-related quality of life in participants with stable angina.

    abstract::We compared exercise performance, daily physical activity, and health-related quality of life in 115 participants with stable angina and 441 controls without coronary artery disease or stable angina. Participants with stable angina had shorter 6-min walk distance (P = .003), and lower total leisure-time physical activ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319711399897

    authors: Gardner AW,Montgomery PS,Ritti-Dias RM,Thadani U

    更新日期:2011-08-01 00:00:00

  • The role of angiography in the management of intestinal carcinoid.

    abstract::Carcinoid tumors of the intestine may present with bowel obstruction or with the carcinoid syndrome. Confirmation of the diagnosis by biochemical means is easy. Management is often surgical and a number of different procedures have been advocated, e.g. resection of the primary, hemicolectomy and lately, partial hepate...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331977502600801

    authors: Strasberg Z,Hyland J,Salem S,Wilderspin K,Tuttle RJ

    更新日期:1975-09-01 00:00:00

  • Venous plethysmography applied in pathologic conditions.

    abstract::The correlation between venography and SGP in 41 patients was studied. Fourteen normal subjects were used as a reference. SGP was shown to be very sensitive (97.5%), including proximal and distal DVT, and highly specific (96.4%). After some recommendations for patient positioning and technical use, it will enhance bot...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978103201204

    authors: Baccalon H,Chikhany G,Lozes A,Vaislic C,Puel P,Enjalbert A

    更新日期:1981-12-01 00:00:00

  • Pulmonary tuberculosis with multiple saccular aneurysms of the aorta--a case report.

    abstract::A forty-eight-year-old man presented with cavitary pulmonary tuberculosis and widening of the mediastinum. Mediastinal widening was due to multiple saccular aneurysms of the ascending aorta and the arch of the aorta. The various presentations of tubercular aortitis and the reasons for considering alternative etiology ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979004100411

    authors: Mally A,D'Souza C,Dwivedi S,Shatapathi P

    更新日期:1990-04-01 00:00:00

  • Effect of long-term administration of buflomedil on regional cerebral blood flow in chronic cerebral infarction.

    abstract::The influence of long-term oral administration of buflomedil on regional cerebral blood flow was investigated in 10 patients with chronic cerebral infarction and mild to moderate mental deterioration. Patients were given 150 mg buflomedil three times daily for a period of eight weeks. Regional cerebral blood flow (rCB...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978803901102

    authors: Kobayashi S,Yamaguchi S,Okada K,Kitani M,Yamashita K,Shimote K,Tsunematsu T

    更新日期:1988-11-01 00:00:00

  • Left Bundle Branch Block in Acute Cardiac Events: Insights From a 23-Year Registry.

    abstract::Between 1991 and 2013, we evaluated the demographics, presentations, and final diagnosis of patients hospitalized with acute cardiac events and left bundle branch block (LBBB). Of 50 992 patients, 768 (1.5%) had LBBB. Compared with non-LBBB patients, patients with LBBB were mostly older, female, diabetic, and had hype...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319714560223

    authors: Alkindi F,El-Menyar A,Al-Suwaidi J,Patel A,Gehani AA,Singh R,Albinali H,Arabi A

    更新日期:2015-10-01 00:00:00

  • Effect of enalapril maleate on cerebral blood flow in patients with chronic heart failure.

    abstract::The effect of enalapril on cerebral blood flow (CBF) was studied in 11 patients with chronic heart failure (NYHA II or III, dilated cardiomyopathy in 6 and old myocardial infarction in 5). CBF was evaluated by analyzing the Patlak-Plot curve obtained from radionuclide angiography with technetium-99m hexamethylpropylen...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979704800806

    authors: Kamishirado H,Inoue T,Fujito T,Kase M,Shimizu M,Sakai Y,Takayanagi K,Morooka S,Natsui S

    更新日期:1997-08-01 00:00:00

  • Direct in vivo visualization of right cardiac anatomy by fiberoptic endoscopy. Hemodynamic effects and image validation.

    abstract::The authors tested the ability of a balloon-tipped fiberoptic endoscope to accurately visualize and identify right-heart anatomy in 7 anesthetized dogs. A 3.6-mm-diameter fiberoptic endoscope with a latex balloon covering the distal tip was inserted into the right atrium, where the balloon was inflated with air in 5 m...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979504600303

    authors: Fujimura O,Lawton MA,Koch CA

    更新日期:1995-03-01 00:00:00

  • Atherosclerosic dissection of the cervical internal carotid artery--a case report.

    abstract::Atherosclerosis as a cause of spontaneous dissection in the cervical internal carotid arteries has been described in only a few cases. The authors present a surgically and pathologically proven case of dissection on the base of atherosclerosis of the cervical internal carotid artery. A resection of the pathologic segm...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979004100212

    authors: De Baets P,Delanote G,Jackers G,De Puydt P,Wilms G

    更新日期:1990-02-01 00:00:00

  • Coronary heart disease, echo-Doppler evidence of peripheral arterial disease and polymorphism of apolipoprotein B gene and Apo AI/CIII cluster.

    abstract::The possible associations between coronary heart disease (CHD) and peripheral arterial disease (PAD), detected by echo-Doppler analysis, with restriction fragment length polymorphism (RFLP) of apo AI/CIII cluster and apo B gene were investigated in a group of men with premature CHD (n = 39) and in a control group of m...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979304401004

    authors: De Lorenzo F,Rubba P,Monticelli A,Cocozza S

    更新日期:1993-10-01 00:00:00

  • Immunoscintigraphy of venous thrombi: clinical effectiveness of a new antifibrin D-dimer monoclonal antibody.

    abstract::Safety and thrombus imaging capabilities of the 99mTc-labeled form of a new F(ab')2 monoclonal antibody (MoAb) against fragment D dimers from cross-linked human fibrin, previously shown to be effective labeled to 131I in detecting venous thrombi in the rabbit, were investigated. Sixteen patients (seven men, mean age: ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979905000203

    authors: Ciavolella M,Tavolaro R,Di Loreto M,La Torre F,Nicolai A,Schillaci O,Ierardi M,Scopinaro F

    更新日期:1999-02-01 00:00:00

  • Diagnosis of aortic dissection. Comparison of investigatory methods--case report.

    abstract::A case is presented of a patient with an acute aortic dissection, rapidly followed by thrombosis of the false channel. The classical aortoangiography failed to give adequate information, whereas newer, less invasive investigation methods gave images that finally led to the correct diagnosis. The value of these methods...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978703801109

    authors: Hitter E,Ranquin R,Mortelmans L,Parizel G

    更新日期:1987-11-01 00:00:00

  • Intrathrombus administration of tissue plasminogen activator in acute cerebrovascular occlusion.

    abstract::Intraarterial thrombolysis for acute cerebrovascular occlusion has achieved recanalization at a 50-90% rate. Clinical outcome has been unpredictable. The authors sought to test the hypothesis that intrathrombus administration of recombinant tissue plasminogen activator (rt-PA) would improve recanalization rate and to ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979504600802

    authors: Frey JL,Greene KA,Khayata MH,Dean BL,Hodak JA,Spetzler RF

    更新日期:1995-08-01 00:00:00

  • From Femoral to Radial Approach in Coronary Intervention.

    abstract::Since the first cardiac catheterization in 1929, this procedure has evolved considerably. Historically performed via the transfemoral access, in the last years, the transradial access has been spreading gradually due to its many advantages. We have conducted a review of published literature concerning efficacy, safety...

    journal_title:Angiology

    pub_type: 杂志文章,评审

    doi:10.1177/0003319716656714

    authors: Bianchi R,D'Acierno L,Crisci M,Tartaglione D,Cappelli Bigazzi M,Canonico M,Albanese M,Gragnano F,Fimiani F,Russo M,Cirillo P,Calabrò P

    更新日期:2017-04-01 00:00:00

  • Successful transcatheter closure of a patent ductus arteriosus: using two Gianturco coils in a 41-year-old woman. A case report.

    abstract::Patent ductus arteriosus (PDA) is a form of congenital heart disease uncommonly diagnosed in adult patients. Transcatheter closure of PDA has been widely used in children. However, the experience is limited in adults especially with use of Gianturco coils. The authors describe a case of successful transcatheter closur...

    journal_title:Angiology

    pub_type: 杂志文章,评审

    doi:10.1177/000331979905000612

    authors: Shamsham F,Kwan T,Safi AM,Clark LT

    更新日期:1999-06-01 00:00:00

  • High 2,3-DPG blood cardioplegia and myocardial preservation during cardiopulmonary bypass.

    abstract::Blood may provide superior cardioplegia compared with crystalloid cardioplegic solution. However, the results are controversial. This may be due to a leftward shift of the hemoglobin (Hb)-O2 dissociation curve induced by hypothermia, increasing the oxygen affinity for Hb. This effect may negate the potential benefit o...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978803900201

    authors: Card RT,Prasad K,Bharadwaj B,Hnatuk LA,MacFadyen MA

    更新日期:1988-02-01 00:00:00

  • Diagnostic accuracy of computerized impedance plethysmography in the diagnosis of symptomatic deep vein thrombosis: a controlled venographic study.

    abstract::The aim of our study was to evaluate the sensitivity, the specificity, and the positive and negative predictive values of a recently developed computerized impedance plethysmography (CIP) in the diagnosis of deep vein thrombosis (DVT); 117 consecutive outpatients with a clinical suspicion of DVT were evaluated. After ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979004100709

    authors: Agnelli G,Longetti M,Cosmi B,Lupattelli L,Barzi F,Levi M,Nenci GG

    更新日期:1990-07-01 00:00:00

  • Superficial vein valve repair with a new external valve support (EVS). The IMES (International Multicenter EVS Study).

    abstract::The aim of this international multicenter trial was to evaluate the effects of a new surgical device (Gore External Valve Support-EVS) and technique for external valvuloplasty of the long saphenous vein (LSV). Patients with superficial venous disease and venous hypertension due to pure superficial venous incompetence ...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1177/000331970005100806

    authors: Incandela L,Belcaro G,Nicolaides AN,Agus G,Errichi BM,Cesarone MR,De Sanctis MT,Ricci A,Sabetai M,Mondani P,De Angelis R,Bavera P,Griffin M,Geroulakos G

    更新日期:2000-08-01 00:00:00