Provocation of coronary vasospastic angina using an isoproterenol head-up tilt test.

Abstract:

:The goals of this study were to determine the value of the isoproterenol (ISO) head-up tilt (HUT) test in detecting coronary vasospastic angina and to investigate the possible mechanism responsible for coronary artery spasm. The ISO + HUT test was performed in 16 patients with coronary artery spasm documented by the intracoronary ergonovine provocation test. Patients' blood pressure and heart rate were measured at baseline, during the ISO + HUT (phase I), and during HUT after discontinuation of ISO (phase II). Patients were categorized as test-positive if they developed angina with ST-segment elevation during testing. Eight patients (50%) were test-positive (5 in phase I and 3 in phase II). Between the test-positive and test-negative groups, no significant differences were noted in the changes in blood pressure throughout the test. However, there were significant differences in the changes in heart rate from supine to 2 minutes after HUT under ISO infusion (-17 +/-22 vs 11 +/-25 beats/minute; p=0.035). In those patients with a positive result in the phase I stage, the heart rate decreased initially after tilt-up, and then significantly increased later (from 85 +/-16 to 110 +/-27 beats/minute; p=0.043), when coronary vasospasm occurred. In those patients with a positive result in the phase II stage, coronary vasospasm occurred immediately after HUT, when there was an insignificant transient increase in heart rate from the supine to the HUT position (from 85 +/-12 to 92 +/-11 beats/minute; p=0.109). The ISO + HUT test can provoke coronary vasospasm with ST-segment elevation in 50% of the patients with coronary artery spasm, when combined with an extensional protocol of HUT after discontinuation of ISO. This study suggests that the induction of coronary artery spasm during HUT testing is associated with a rapid elevation of sympathetic activity during augmented parasympathetic activity.

journal_name

Angiology

journal_title

Angiology

authors

Hung MJ,Wang CH,Cherng WJ

doi

10.1177/000331970405500306

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

271-80

issue

3

eissn

0003-3197

issn

1940-1574

journal_volume

55

pub_type

杂志文章
  • Combination of calcium channel blockers and beta blockers for patients with exercise-induced angina pectoris: a double-blind parallel-group comparison of different classes of calcium channel blockers. The Netherlands Working Group on Cardiovascular Resear

    abstract::The combination of calcium channel blockers and beta blockers is more effective for the treatment of exercise-induced angina pectoris than beta blocker monotherapy. Since ischemia in exercise-induced angina is essentially preceded by an increase in heart rate, calcium channel blockers with negative chronotropic proper...

    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:10.1177/000331979905000602

    authors: van der Vring JA,Daniëls MC,Holwerda NJ,Withagen PJ,Schelling A,Cleophas TJ,Hendriks MG

    更新日期:1999-06-01 00:00:00

  • Analysis of Serum Endothelial Cell-Specific Molecule 1 (Endocan) Level in Type 2 Diabetes Mellitus With Acute ST-Segment Elevation Myocardial Infarction and its Correlation: A Pilot Study.

    abstract::Endothelial cell-specific molecule 1 (ESM-1; endocan) is expressed by endothelial cells, and it can be overexpressed in diabetic patients. However, little is known concerning diabetic patients with acute ST-segment elevation myocardial infarction (STEMI). Therefore, we assessed serum ESM-1 level in patients having typ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319716634581

    authors: Qiu CR,Fu Q,Sui J,Zhang Q,Wei P,Wu Y,Zhu K,Lu Y,Wan P

    更新日期:2017-01-01 00:00:00

  • Magnesium treatment of torsade de pointes--a case report.

    abstract::An eighty-one-year-old woman received quinidine in order to convert atrial fibrillation to a sinus rhythm. The patient developed a prolonged QT interval on the EKG, as well as episodes of torsade de pointes. With the administration of intravenous magnesium sulfate, the abnormal rhythm was suppressed within minutes. Th...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979004100712

    authors: Gould LA,Betzu R,Vacek T,Muller RT,Pradeep V,Scafa A

    更新日期:1990-07-01 00:00:00

  • Systolic time intervals and heart sounds in left bundle branch block.

    abstract::Systolic time intervals and heart sounds were studied in twenty patients with left bundle branch block. A definite cause for the organic heart disease was not ascertained. Abnormal duration of the electromechanical systole (Q-A2), due to a prolongation both of the preejection period (PEP) and of the Q-M1 intervals, wa...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331977602700705

    authors: Macieira-Coelho E,Lema-Santos A,Machado HB,Faleiro LL

    更新日期:1976-07-01 00:00:00

  • Prevalence and risk factors of peripheral arterial disease in a selected Thai population.

    abstract::Peripheral arterial disease (PAD) is a condition with high mortality, but it is amenable to secondary prevention. Data on its prevalence in Thailand are scarce. To study the prevalence of PAD in a middle-class, urban Thai population, a cross-sectional study was conducted at the Electric Generating Authority of Thailan...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319707303652

    authors: Sritara P,Sritara C,Woodward M,Wangsuphachart S,Barzi F,Hengprasith B,Yipintsoi T

    更新日期:2007-10-01 00:00:00

  • Common carotid artery wall properties in Takayasu's arteritis.

    abstract::The vessel wall properties of the common carotid artery have been noninvasively and quantitatively assessed with an ultrasonic instrument. Stiffness parameter beta, which represents the mechanical properties of the vessel, was calculated from the relationship between blood pressure and the diameter of the artery. Ther...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979604700705

    authors: Wada T,Kodaira K,Fujishiro K,Maie K,Tsukiyama E,Fukumoto T,Uchida T,Yamazaki S

    更新日期:1996-07-01 00:00:00

  • Effect of spirapril and hydrochlorothiazide on platelet function and euglobulin clot lysis time in patients with mild hypertension.

    abstract::Thirteen patients with mild hypertension (untreated diastolic blood pressure of 95 to 114 mmHg) received, in random order, three successive treatments of four weeks with placebo, spirapril (6 mg daily), or hydrochlorothiazide (HCT2) (24 mg daily). At the end of each treatment, blood samples for assessment of platelet ...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/000331979604701003

    authors: Gleerup G,Petersen JR,Mehlsen J,Winther K

    更新日期:1996-10-01 00:00:00

  • Placebo-controlled, double-blind trial of hemodilution in peripheral occlusive arterial disease.

    abstract::A number of uncontrolled trials has suggested that hemodilution is effective in peripheral occlusive arterial disease. This study was aimed at proving or disproving the efficacy of hemodilution by using a randomized, placebo-controlled, double-blind crossover design. Twenty-four stable claudicants with long, collatera...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/000331978904000509

    authors: Ernst E,Matrai A,Kollar L

    更新日期:1989-05-01 00:00:00

  • Acute fatality following pulmonary angiography in a patient on an amiodarone regimen--a case report.

    abstract::A patient being treated with amiodarone experienced acute respiratory failure and death immediately following pulmonary angiography. Physicians must be aware of the potential catastrophic complication of both ionic and nonionic contrast angiography in this setting. ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979304400211

    authors: Malden ES,Tartar VM,Gutierrez FR

    更新日期:1993-02-01 00:00:00

  • Right coronary arteriocameral fistula into the right ventricle. An inspiratory accentuation of continuous murmur: a case report.

    abstract::A case of a right coronary artery fistula into the right ventricle is presented. The clinical diagnosis was based on the presence of a continuous murmur best heard in the epigastrium, which increased in intensity and duration on inspiration . This report stresses the importance of this sign in the localization of the ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331977903000310

    authors: Munsi SC,Dalal JJ,Nair KG

    更新日期:1979-03-01 00:00:00

  • Assessment of Arterial Stiffness in Korean Patients With Psoriasis by Cardio-Ankle Vascular Index.

    abstract::Many recent studies have suggested that psoriasis, a chronic, inflammatory, immune-mediated skin disease, is associated with increased risk of cardiovascular disease (CVD). We aimed to compare arterial stiffness in psoriasis and control patient groups using the cardio-ankle vascular index (CAVI) and to determine wheth...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319716652284

    authors: Choi BG,Kim MJ,Yang HS,Lee YW,Choe YB,Ahn KJ

    更新日期:2017-08-01 00:00:00

  • Nonselective left internal mammary artery angiography during right transradial coronary angiography: a simple, rapid, and safe technique.

    abstract::Internal mammary artery angiography is increasingly required, but the technique for left internal mammary artery (LIMA) angiography during right transradial coronary angiography is not well established. The authors investigated the feasibility and safety of a new, simple, and rapid nonselective technique. Following ri...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/000331970105201107

    authors: Cha KS,Kim MH,Hung JS,Woo JS,Kim YD,Kim JS

    更新日期:2001-11-01 00:00:00

  • Myocardial infarction in a young woman with systemic lupus erythematosus.

    abstract::We describe the case of a young woman with systemic lupus erythematosus (SLE) who suffered an acute myocardial infarction (MI). The patient was treated by corticosteroids in addition to the usual management for acute MI. The role of arteritis in producing the infarction is also discussed. ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978003100811

    authors: Rosenthal T,Neufeld H,Kishon Y,Yelin O,Many A

    更新日期:1980-08-01 00:00:00

  • Physical activity and cardiovascular disease prevention: current recommendations.

    abstract::Epidemiologic studies support an inverse and robust relationship between physical activity (PA) and mortality risk, even after adjusting for potential confounding factors. The authors have reported 13% lower mortality risk for every 1-MET (metabolic equivalent) increase in exercise capacity. For those with an exercise...

    journal_title:Angiology

    pub_type: 杂志文章,评审

    doi:10.1177/0003319708318582

    authors: Kokkinos P

    更新日期:2008-04-01 00:00:00

  • Delineation of premature P waves on four-dimensional electrocardiography, a new display of electrical forces by computer techniques.

    abstract::This study investigated the feasibility of four-dimensional electrocardiography (4-D ECG), a new display in which the vector loop was rotated and scanned along a timed axis to overcome the shortcomings of vectorcardiography (VCG). The subjects consisted of 38 patients with premature atrial complexes and 30 controls. T...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979604701111

    authors: Morikawa J,Habuchi Y,Nishio M,Yamamoto T,Tanaka H,Kashima K

    更新日期:1996-11-01 00:00:00

  • Persons with varicose veins have a high subsequent incidence of arterial disease: a population-based study in Tampere, Finland.

    abstract::The aim of this population research was to find out the risk of arterial disease (defined as angina pectoris, myocardial infarction, peripheral occlusive arterial disease, and cerebrovascular disease) and hypertension in persons with varicose veins. A 5-year follow-up study was conducted in Tampere, Finland. A validat...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319707299202

    authors: Mäkivaara LA,Ahti TM,Luukkaala T,Hakama M,Laurikka JO

    更新日期:2007-12-01 00:00:00

  • Mediators and readiness to exercise in patients at risk of symptomatic peripheral arterial disease.

    abstract::To inform future walking interventions, we sought to identify exercise mediators that are associated with readiness to exercise in persons with either asymptomatic peripheral arterial disease (PAD) or disease risk factors. We enrolled participants excluded from a larger behavioral intervention trial for persons with d...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319709361196

    authors: Barnes S,Curran C,Lunos S,Ahluwalia JS,Collins TC

    更新日期:2010-05-01 00:00:00

  • Outcomes in Patients Fully Covered With Coronary Artery Aneurysm and Stenosis Lesion by Second Generation Drug-Eluting Stents After 1 Year.

    abstract::We evaluated the safety and efficacy of second-generation drug-eluting stents (DES) fully covering a coronary artery aneurysm (CAA) and stenosis lesion. Patients (n = 33) with CAA and stenosis lesion (>60%) were enrolled between January 2014 and December 2017. Baseline characteristics and biochemical variables were re...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319720944346

    authors: Wu Z,Xu C,You W,Ye F,Wu X

    更新日期:2020-11-01 00:00:00

  • The effect of short-term treatment with simvastatin on renal function in patients with peripheral arterial disease.

    abstract::The objective of this study was to investigate the effects of lipid-lowering treatment on renal function in patients with peripheral arterial disease (PAD). This was a retrospective study of hyperlipidemic claudicants referred to a vascular surgery and risk modification clinic. Serum creatinine and urate concentration...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331970405500108

    authors: Youssef F,Gupta P,Seifalian AM,Myint F,Mikhailidis DP,Hamilton G

    更新日期:2004-01-01 00:00:00

  • Differential effects of vasodilators on forearm and calf vessels.

    abstract::Because the literature comparing the effects of vasodilators on forearm and calf vessels is very scarce, the authors compared different vasodilators used in cardiovascular medicine in a group of volunteers. The peripheral effects were measured in the sitting position by plethysmography at the calf and at the forearm. ...

    journal_title:Angiology

    pub_type: 临床试验,杂志文章

    doi:10.1177/000331979004100408

    authors: Colardyn F,Clement DL

    更新日期:1990-04-01 00:00:00

  • Peripheral arterial disease is prevalent but underdiagnosed and undertreated in the primary care setting in central Greece.

    abstract::We investigated the prevalence of peripheral arterial disease (PAD). Primary Care Health Centers (n = 14) in Thessaly (central Greece) recruited 436 participants, mean age 71 (50-79) years. Peripheral arterial disease was considered present if the ankle-brachial index (ABI) was <0.9 or >1.4 in at least 1 leg. Asymptom...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319712439092

    authors: Argyriou C,Saleptsis V,Koutsias S,Giannoukas AD

    更新日期:2013-02-01 00:00:00

  • Methodological issues in the quantitative assessment of quality of life.

    abstract::The term quality of life can be identified in Aristotle's classical writings of 330 BC. In his Nichomachian ethics he recognises the multiple relationships between happiness, well-being, "eudemonia" and quality of life. Historically the concept of quality of life has undergone various interpretations. It involves pers...

    journal_title:Angiology

    pub_type: 社论

    doi:10.1177/0003319711403735

    authors: Panagiotakos DB,Yfantopoulos JN

    更新日期:2011-10-01 00:00:00

  • Do vasospasms provoke ocular diseases?

    abstract::Vasospasms in the eye are often combined with digital vasospasms, as can be diagnosed with a nailfold capillaroscopic local cooling test. In 16 patients with a history of cold hands and feet the presence of peripheral vasospasms without any underlying disease was demonstrated by means of nailfold video-capillaroscopy....

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331979004100306

    authors: Gasser P,Flammer J,Guthauser U,Mahler F

    更新日期:1990-03-01 00:00:00

  • Flow-mediated arterial dilation in primary antiphospholipid syndrome.

    abstract:OBJECTIVE:To investigate precocious alterations in the artery wall of patients with primary antiphospholipid syndrome (APS). METHODS:We evaluated flow-mediated dilation (FMD) of the brachial artery and intima-media thickness (IMT) of carotid arteries in 16 patients and 16 healthy controls matched for age, gender, and ...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319708315304

    authors: Bilora F,Sartori MT,Zanon E,Campagnolo E,Arzenton M,Rossato A

    更新日期:2009-02-01 00:00:00

  • Impact of Diabetes Mellitus on Critical Limb Ischemia With Below the Knee Disease: Japan Below-the-Knee Artery Treatment Subanalysis.

    abstract:BACKGROUND:A strong association exists between diabetes mellitus and critical limb ischemia. METHODS AND RESULTS:We performed endovascular therapy on 1060 limbs in 884 patients with below knee lesions only. The patients were divided into diabetes (DG) and nondiabetes groups (NDG). Limb salvage was poorer in the DG (79...

    journal_title:Angiology

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0003319713499606

    authors: Suzuki K,Iida O,Yamauchi Y,Nakano M,Soga Y,Kawasaki D,Tazaki J,Yamaoka T,Suematsu N,Shintani Y,Miyashita Y,Inoue N,Meguro T

    更新日期:2020-05-01 00:00:00

  • Protection by flunarizine against endothelial cell injury in vivo.

    abstract::Flunarizine in vivo protects against endothelial cell damage induced by intravenous injection of citrate, CaCl2, or lactate in rats. Its effect is optimal at the low oral dose of 0.1 mg/kg, corresponding to the clinically used one. It lasts for at least 8 hours. Edema formation, platelet activation, and venostatic thr...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978103200702

    authors: Hladovec J,De Clerck F

    更新日期:1981-07-01 00:00:00

  • Acute effects of furosemide on blood electrolytes and hemodynamics in dogs.

    abstract::The effects of furosemide on the hemodynamics, blood electrolytes, and urinary output in 5 anesthetized dogs were studied. There were no significant changes in blood Na+ or Ca++ levels, but K+ decreased significantly after 15 minutes of furosemide treatment. There were no significant changes in the blood pressure, hea...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331977802900606

    authors: Koob R,Prasad K

    更新日期:1978-06-01 00:00:00

  • A new syndrome: angiotensin-converting enzyme dysfunction syndrome: differential diagnosis and pathogenesis--case reports.

    abstract::The authors previously reported a new syndrome, angiotensin-converting enzyme dysfunction syndrome (ACEDS), which is clinically characterized by mild systemic hypertension, a hypokalemic alkalosis, and hyperreninism with a high concentration of angiotensin-I (ANG-I), a normal angiotensin-II (ANG-II) value, and a norma...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/000331978803900110

    authors: Umeki S,Terao A,Sawayama T

    更新日期:1988-01-01 00:00:00

  • Classification of Aortic Stenosis by Flow and Gradient Patterns Provides Insights into the Pathophysiology of Disease.

    abstract::Different patterns of flow and valve gradients can lead to diagnostic uncertainty about the severity of aortic stenosis (AS). Consecutive patients with severe AS (valve area <1 cm(2)) underwent echocardiography and computed tomography. Patients were classified into 4 groups (high-gradient/normal flow [HGNF], high-grad...

    journal_title:Angiology

    pub_type: 杂志文章

    doi:10.1177/0003319715611804

    authors: Bhattacharyya S,Mittal T,Abayalingam M,Kabir T,Dalby M,Cleland JG,Baltabaeva A,Rahman Haley S

    更新日期:2016-08-01 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