Abstract：
OBJECTIVE:A prospective randomized multicentre pilot trial, comparing stenting with balloon angioplasty as a treatment for coronary lesions, located in a bifurcation was performed. METHODS AND RESULTS:After balloon dilatation, with a < 30% residual stenosis in the main vessel and < 50% residual stenosis in the side branch, patients were randomized to stay in a "balloon-only" group or to stenting. The stents used were the AVE S 670 for the main vessel and the Bestent, if needed, for the side branch. The primary end point was the incidence of major adverse cardiac events (MACE) at 6 months, secondary end points were in-hospital MACE, acute angiographic results, use of materials and duration of the procedure. One hundred eleven patients were randomized: 55 in the balloon group, 56 in the stent group. No differences in MACE-rates were found at 6 months (22% versus 20%, p = 0.78). The target vessel revascularization rate was 16% in the balloon group and 12.5% in the stent group (p = 0.56). The acute angiographic results were significantly better in the stent group (residual stenosis 8% versus 26% [p < 0.05]). More materials were used, with a near doubling of the duration of the procedure in the stent group (p < 0.05). CONCLUSIONS:Although stenting resulted in better immediate angiographic results during percutaneous treatment of lesions located in a bifurcation, as compared to balloon angioplasty alone, clinical events were comparable in the two treatment arms.
journal_name
Acta Cardioljournal_title
Acta cardiologicaauthors
Dens J,Dubois C,Vermeersch P,Coussement P,Vrolix M,Janssens L,Desmet W,Piessens Jdoi
10.2143/AC.60.4.2004986subject
Has Abstractpub_date
2005-08-01 00:00:00pages
379-85issue
4eissn
0001-5385issn
1784-973Xjournal_volume
60pub_type
杂志文章,多中心研究,随机对照试验abstract：:Aims: Response to cardiac resynchronisation therapy (CRT) in patients with heart failure depends on the degree of correction of electromechanical dyssynchrony between the left and right ventricles (LV, RV). It is not known whether chronic programming of interventricular (VV) intervals based on characterisation of myoc...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.1080/00015385.2019.1690261
更新日期：2019-11-14 00:00:00
abstract：:We report the M-mode and two-dimensional echocardiographic findings in a patient with familial amyloidosis. The diagnosis was made by the clinical picture and histologic evidence of amyloid in peripheral nerve biopsy. Though the patient had no clinical sign of heart failure, extensive involvement of the heart was demo...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：
更新日期：1981-01-01 00:00:00
abstract：:Whereas effective strategies are available to treat acute cellular cardiac rejection, humoral rejection, also called vascular or antibody-mediated rejection, is more difficult to manage. Antibody-mediated (non-cellular) rejections (AMR) are rare and few successfully treated cases have been described in the literature....
journal_title：Acta cardiologica
pub_type： 杂志文章,评审
doi：10.1080/ac.66.2.2071263
更新日期：2011-04-01 00:00:00
abstract：BACKGROUND:The coronary slow flow phenomenon is an angiographic finding characterized by delayed distal vessel opacification in the absence of significant epicardial coronary disease, and is an important clinical entity because it may be the cause of angina at rest or during exercise, acute myocardial infarction, and h...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.63.5.2033224
更新日期：2008-10-01 00:00:00
abstract：:Color-coded liquid plastic was injected intraparenchymally (not into the blood vessels) into more than 300 hearts of homeotherms--including dog, cat, sheep, beef, horse, mammalian dolphins, chickens, turkeys, etc. The organization of the hearts of all these species appears to be similar. After injection of a heart seg...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：
更新日期：1976-01-01 00:00:00
abstract：:The case reported in this paper, besides illustrating several aspects of the eosinophilic myocarditis, documents a yet undescribed feature of the cardiac involvement in idiopathic hypereosinophilic syndrome characterized by marked basement membrane thickening of small intramyocardial vessels. We are unaware of previou...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：:The authors present a case of symptomatic non-sustained ventricular tachycardia induced by mechanical irritation of the outflow tract of the right ventricle by a loop in a permanent ventricular pacing lead. Reposition of the lead eliminated the rhythm disturbance. ...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.57.1.2005375
更新日期：2002-02-01 00:00:00
abstract：OBJECTIVE:This study sought to examine the use of treatments at discharge in patients hospitalized for myocardial infarction in a French region. METHODS AND RESULTS:Data from 2,102 patients discharged after myocardial infarction were prospectively collected at 48 university, community, and private hospitals in three d...
journal_title：Acta cardiologica
pub_type： 杂志文章,多中心研究
doi：10.2143/AC.56.1.2005589
更新日期：2001-02-01 00:00:00
abstract：BACKGROUND:Available clinical and angiographic scoring systems fail to predict clinical outcomes in real-world patients undergoing revascularization of the unprotected left main coronary artery (ULMCA). METHODS:We prospectively assessed major adverse cardiac and cerebrovascular events (MACCE) in a real-world populatio...
journal_title：Acta cardiologica
pub_type： 杂志文章,多中心研究
doi：10.1080/ac.67.5.2174124
更新日期：2012-10-01 00:00:00
abstract：:We report the case of a 73-year-old man admitted to our hospital for acute hepatic failure. Antemortem diagnosis of systemic AA amyloidosis was made because of typical electrocardiographic and echocardiographic findings, in the absence of the classic clinical picture of kidney involvement. ...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.65.4.2053906
更新日期：2010-08-01 00:00:00
abstract：OBJECTIVE:The aortic distensibility index, as a measure of vascular function, can serve as a marker of coronary artery disease severity. This study explores the feasibility of using the non-invasively measured index as an indicator of severity of coronary stenosis. METHODS:One hundred patients with normal left ventric...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.1080/ac.70.4.3096895
更新日期：2015-08-01 00:00:00
abstract：:A patient with unstable angina and known heart failure, and marked U wave alternans on the electrocardiogram is reported. Alternans of the U wave with no change in the QRS complex is extremely rare. The relevant literature is reviewed. ...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：OBJECTIVES:Heart failure (HF) is a lethal disorder most common in blacks. Available treatment options have little impact on prognosis, making primary prevention a priority. We aimed to describe the spectrum of established HF risk factors and clinical features in Nigerian adults. METHODS:We recruited consecutive adults...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.63.4.2033041
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:The metabolic syndrome is associated with increased risk of cardiovascular disease. It is important to examine the relation of the metabolic syndrome with the early stages of atherosclerosis. We sought to determine the impact of the metabolic syndrome, defined with International Diabetes Federation criteria, ...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.65.3.2050348
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVE:This study sought to evaluate the potential prognostic usefulness of QT dispersion (QTd) in patients with unstable angina. METHODS AND RESULTS:QTd was calculated and plasma troponin T (TnT) level was measured and rest perfusion imaging with Tc-99m sestamibi was performed in 62 patients admitted with chest pa...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.59.3.2005183
更新日期：2004-06-01 00:00:00
abstract：:Most decision-support systems in medicine have been developed in hospital environments, but only few are designed for being used by general practitioners. The present work aims to design an expert system for practitioners in chronic heart failure (CHF) treatment. It provides assistance in defining the therapy relying ...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:Cardiac computed tomography (CT) and conventional biplane ventriculography are established methods for the determination of ventricular function. Recently dual source CT was introduced for cardiac CT scanning providing a temporal resolution of 83 ms independent of the patient's heart rate. The purpose of this...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.64.3.2038015
更新日期：2009-06-01 00:00:00
abstract：:We present a 64-year-old woman who was brought to the emergency department after suffering a motor vehicle accident, involving multiple soft tissue and bone trauma. Even though she was free from cardiovascular symptoms for the last three years, her past medical history of aorto-coronary bypass surgery prompted preoper...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.58.2.2005271
更新日期：2003-04-01 00:00:00
abstract：OBJECTIVE:We investigated the survival of patients who had undergone elective reconstruction of the ascending aorta for degenerative aneurysms. The long-term survival was compared to an age- and sex-matched case-control population. An analysis of risk factors, influencing survival was made. METHODS AND RESULTS:From Ma...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.1080/ac.68.4.2988887
更新日期：2013-08-01 00:00:00
abstract：:The aim of our study is to evaluate the prognostic value of heart rate turbulence and heart rate variability in children with dilated cardiomyopathy (DCM). Twenty-five children with DCM and 24 age- and sex-matched healthy children who were admitted between January 2002 and September 2004, enrolled in this prospective ...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.62.1.2019368
更新日期：2007-02-01 00:00:00
abstract：BACKGROUND AND AIM:Decreased left ventricular mass index in anorexia nervosa is amply reported. The aim of this study is to identify non-burdensome predictors of reduced left yentricular mass/height (cLVM) in a cohort of adolescent restrictive anorexic girls. METHODS:This is a retrospective study of all anorexic girls...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.1080/ac.70.4.3094647
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:The interest in transcatheter ventricular septal defect (VSD) closure is continuously growing. Therefore, we report our experience in perimembranous (Pm) and postinfarction (Pi) VSD closure. METHODS:All patients, older than 16 years, were selected from a data base, in which Pm and Pi VSDs were registered. T...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.62.4.2022283
更新日期：2007-08-01 00:00:00
abstract：BACKGROUND:The renin-angiotensin-aldosterone system (RAAS) plays an important role in blood pressure regulation, left ventricular and vascular structure. Some hypertensive patients develop left ventricular dilatation and heart failure symptoms while others are relatively less affected. The purpose of our study was to d...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.61.1.2005137
更新日期：2006-02-01 00:00:00
abstract：:Thromboembolic events are major causes of morbidity and mortality in patients with native heart valve disease and artificial heart valves. Oral anticoagulation can reduce these complications. The indication for and intensity of oral anticoagulation depends on both, the risk for thromboembolic events and the risk of he...
journal_title：Acta cardiologica
pub_type： 杂志文章,评审
doi：
更新日期：1996-01-01 00:00:00
abstract：:Isolated ventricular noncompaction of myocardium is a rare congenital disease due to an arrest of myocardial morphogenesis during foetal development. It is characterized by a thin compacted epicardial and an extremely thickened endocardial layer with prominent trabeculations and deep intertrabecular recesses. The pers...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.2143/AC.59.2.2005174
更新日期：2004-04-01 00:00:00
abstract：:We present two cases of Ortner's syndrome, a syndrome with hoarseness caused by unilateral left recurrent laryngeal nerve palsy as a complication of cardiovascular diseases. In the first case, aneurysmatic dilatation of the aorta and in the second case a dilated pulmonary trunk was thought to be the cause. ...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.1080/ac.65.6.2059871
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVE:Coronary revascularization methods are among the most common major medical procedures performed in industrialized countries. The short- and long-term comparative effectiveness of different techniques remains undetermined. METHODS AND RESULTS:The study population included all adult patients (94,864 subjects) ...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.1080/ac.65.6.2059861
更新日期：2010-12-01 00:00:00
abstract：:We investigated the effect of an orally administered, long-acting, beta-adrenergic blocking agent, penbutolol, on the circadian rhythm of blood pressure (BP) and heart rate (HR), and plasma renin activity (PRA), aldosterone (PA) and cortisol (PC) levels in hospital patients with essential hypertension validated by a c...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：
更新日期：1988-01-01 00:00:00
abstract：UNLABELLED:OBJECTIVE; ; The objective of this study was to identify developmental changes in vascular smooth muscle cells (VSMC) during aneurysm formation using an elastase-induced rabbit carotid artery aneurysm model. METHODS:- Aneurysms were induced in carotid arteries of rabbits by exposure to elastase. Tissues fro...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：10.1080/ac.65.5.2056235
更新日期：2010-10-01 00:00:00
abstract：:Non invasive blood pressure monitoring using an automatic Nippon Colin recorder was performed in 20 hospitalized hypertensive patients every 15 min during a 4-day study period. A chronobiologic analysis of the data was performed in order to test the consistency of the whole-day blood pressure pattern. Halberg's method...
journal_title：Acta cardiologica
pub_type： 杂志文章
doi：
更新日期：1988-01-01 00:00:00
