Hemodynamic and exercise performance with pulsatile and continuous-flow left ventricular assist devices.

Abstract:

BACKGROUND:Continuous-flow rotary pumps with axial design are increasingly used for left ventricular assist support. The efficacy of this design compared with pulsatile, volume displacement pumps, with respect to characteristics of left ventricular unloading, and exercise performance remains largely unstudied. METHODS AND RESULTS:Thirty-four patients undergoing implantation with a pulsatile, volume displacement pump operating in a full-to-empty cycle (HeartMate XVE; Thoratec Inc, Pleasanton, Calif; n=16) or continuous-flow rotary pump with an axial design operating at a fixed rotor speed (HeartMate II; Thoratec Inc; n=18) were evaluated with right heart catheterization and echocardiography preoperatively and at 3 months postoperatively and cardiopulmonary exercise testing 3 months postoperatively. Support with either the XVE or II resulted in significant (P<0.05) increases in cardiac output and reduction in mean pulmonary artery and pulmonary wedge pressures. Exercise capacity at 3 months was similar between groups (% predicted peak VO2-XVE: 46.8+/-10.2 versus II: 49.1+/-13.6). Echocardiography at 3 months demonstrated a significantly (P<0.05) greater reduction in left ventricular end-diastolic volume (-49+/-16% versus -35+/-20%), left ventricular end-systolic volume (-59+/-20 versus -37+/-21%), and percent mitral valve regurgitant volume (-99+/-2% versus -52+/-56%) for the XVE compared with II, respectively. CONCLUSIONS:The HeartMate XVE or II provided equivalent degrees of hemodynamic support and exercise capacity. The XVE was associated with greater left ventricular volume unloading. Characteristics of left ventricular pressure and volume unloading between these pump designs and mode of operation do not influence early exercise performance.

journal_name

Circulation

journal_title

Circulation

authors

Haft J,Armstrong W,Dyke DB,Aaronson KD,Koelling TM,Farrar DJ,Pagani FD

doi

10.1161/CIRCULATIONAHA.106.677898

subject

Has Abstract

pub_date

2007-09-11 00:00:00

pages

I8-15

issue

11 Suppl

eissn

0009-7322

issn

1524-4539

pii

116/11_suppl/I-8

journal_volume

116

pub_type

杂志文章
  • Severe pulmonary hypertension associated with a small ventricular septal defect.

    abstract::A case of progressive pulmonary hypertension in a child with a small ventricular septal defect is presented. Natural history studies have indicated that children with small ventricular septal defects can be followed conservatively. This case represents a contradiction to that rule and suggests that further study must ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.67.2.470

    authors: Bisset GS 3rd,Hirschfeld SS

    更新日期:1983-02-01 00:00:00

  • Noninvasive study of early diastole in mitral stenosis.

    abstract::Cardiac events of early diastole were studied in 50 normal subjects and 46 patients with mitral stenosis (MS) by simultaneous recordings of the mitral valve echogram (MVE), phonocardiogram, and apexcardiogram (ACG). Left ventricular isovolumic relaxation time (IRT), measured between A2 and onset of the MVE opening mot...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.4.708

    authors: Toutouzas P,Velimezis A,Castellanos S,Avgoustakis D

    更新日期:1978-04-01 00:00:00

  • Fifteen year survival study of patients with obstructive coronary artery disease.

    abstract::Survival rates were determined for a group of 598 patients in whom severe coronary disease was demonstrated by arteriography; initially they were treated medically and were followed-up for 15 years. Deaths due to noncoronary causes were uncommon (5% of total) in the first 5 year period but were frequent (36%) in the t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.5.986

    authors: Proudfit WJ,Bruschke AV,MacMillan JP,Williams GW,Sones FM Jr

    更新日期:1983-11-01 00:00:00

  • Novel gene mutations in patients with left ventricular noncompaction or Barth syndrome.

    abstract:BACKGROUND:Mutations in the gene G4.5 result in a wide spectrum of severe infantile cardiomyopathic phenotypes, including isolated left ventricular noncompaction (LVNC), as well as Barth syndrome (BTHS) with dilated cardiomyopathy (DCM). The purpose of this study was to investigate patients with LVNC or BTHS for mutati...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.9.1256

    authors: Ichida F,Tsubata S,Bowles KR,Haneda N,Uese K,Miyawaki T,Dreyer WJ,Messina J,Li H,Bowles NE,Towbin JA

    更新日期:2001-03-06 00:00:00

  • Inhibition of glycosphingolipid synthesis ameliorates atherosclerosis and arterial stiffness in apolipoprotein E-/- mice and rabbits fed a high-fat and -cholesterol diet.

    abstract:BACKGROUND:Glycosphingolipids, integral components of the cell membrane, have been shown to serve as messengers, transducing growth factor-initiated phenotypes. Here, we have examined whether inhibition of glycosphingolipid synthesis could ameliorate atherosclerosis and arterial stiffness in transgenic mice and rabbits...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.007559

    authors: Chatterjee S,Bedja D,Mishra S,Amuzie C,Avolio A,Kass DA,Berkowitz D,Renehan M

    更新日期:2014-06-10 00:00:00

  • Neurohumoral activation in preclinical heart failure. Remodeling and the potential for intervention.

    abstract::Congestive heart failure is often preceded by a latent or preclinical phase in which patients are relatively asymptomatic. During this period, there is neuroendocrine activation, left ventricular dysfunction, and remodeling of the heart. The extent to which these activities are interrelated is unclear, but it appears ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Francis GS,McDonald KM,Cohn JN

    更新日期:1993-05-01 00:00:00

  • Epidemiology and cause-specific outcome of hypertrophic cardiomyopathy in children: findings from the Pediatric Cardiomyopathy Registry.

    abstract:BACKGROUND:Current information on the epidemiology and outcomes of hypertrophic cardiomyopathy (HCM) in children is limited by disease diversity and small case series. METHODS AND RESULTS:The Pediatric Cardiomyopathy Registry has collected prospective and retrospective data on children diagnosed with HCM since 1990. W...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.621185

    authors: Colan SD,Lipshultz SE,Lowe AM,Sleeper LA,Messere J,Cox GF,Lurie PR,Orav EJ,Towbin JA

    更新日期:2007-02-13 00:00:00

  • Residual Inflammatory Risk on Treatment With PCSK9 Inhibition and Statin Therapy.

    abstract:BACKGROUND:The combination of statin therapy and PCSK9 (proprotein convertase subtilisin/kexin type 9) inhibition markedly lowers low-density lipoprotein cholesterol (LDL-C) and reduces cardiovascular event rates. Whether residual inflammatory risk as measured by on-treatment high sensitivity C-reactive protein (hsCRP)...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.118.034645

    authors: Pradhan AD,Aday AW,Rose LM,Ridker PM

    更新日期:2018-07-10 00:00:00

  • Thioredoxin-2 inhibits mitochondrial reactive oxygen species generation and apoptosis stress kinase-1 activity to maintain cardiac function.

    abstract:BACKGROUND:Thioredoxin 2 (Trx2) is a key mitochondrial protein that regulates cellular redox and survival by suppressing mitochondrial reactive oxygen species generation and by inhibiting apoptosis stress kinase-1 (ASK1)-dependent apoptotic signaling. To date, the role of the mitochondrial Trx2 system in heart failure ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.114.012725

    authors: Huang Q,Zhou HJ,Zhang H,Huang Y,Hinojosa-Kirschenbaum F,Fan P,Yao L,Belardinelli L,Tellides G,Giordano FJ,Budas GR,Min W

    更新日期:2015-03-24 00:00:00

  • Immediate diagnosis of acute myocardial infarction by two-dimensional echocardiography.

    abstract::To define the role of portable two-dimensional echocardiography (2-D echo) in the immediate diagnosis of acute chest pain syndrome, 80 consecutive patients were studied. Adequate 2-D echo studies were obtained in 65 (81%). Thirty-three patients had clinical evidence of transmural or nontransmural acute myocardial infa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.2.323

    authors: Horowitz RS,Morganroth J,Parrotto C,Chen CC,Soffer J,Pauletto FJ

    更新日期:1982-02-01 00:00:00

  • Time Course for Benefit and Risk of Clopidogrel and Aspirin After Acute Transient Ischemic Attack and Minor Ischemic Stroke.

    abstract:BACKGROUND:In patients with acute minor ischemic stroke or high-risk transient ischemic attack enrolled in the POINT trial (Platelet-Oriented Inhibition in New TIA and Minor Ischemic Stroke [POINT] Trial), the combination of clopidogrel and aspirin for 90 days reduced major ischemic events but increased major hemorrhag...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.119.040713

    authors: Johnston SC,Elm JJ,Easton JD,Farrant M,Barsan WG,Kim AS,Lindblad AS,Palesch YY,Zurita KG,Albers GW,Cucchiara BL,Kleindorfer DO,Lutsep HL,Pearson C,Sethi P,Vora N,POINT and Neurological Emergencies Treatment Trials Network

    更新日期:2019-08-20 00:00:00

  • Cytosolic DNA Sensing Promotes Macrophage Transformation and Governs Myocardial Ischemic Injury.

    abstract:BACKGROUND:Myocardium irreversibly injured by ischemic stress must be efficiently repaired to maintain tissue integrity and contractile performance. Macrophages play critical roles in this process. These cells transform across a spectrum of phenotypes to accomplish diverse functions ranging from mediating the initial i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.117.031046

    authors: Cao DJ,Schiattarella GG,Villalobos E,Jiang N,May HI,Li T,Chen ZJ,Gillette TG,Hill JA

    更新日期:2018-06-12 00:00:00

  • Chronic hyperglycemia impairs endothelial function and insulin sensitivity via different mechanisms in insulin-dependent diabetes mellitus.

    abstract:BACKGROUND:We explored whether chronic hyperglycemia is associated with defects in endothelium-dependent vasodilatation in vivo and whether defects in the hemodynamic effects of insulin explain insulin resistance. METHODS AND RESULTS:Vasodilator responses to brachial artery infusions of acetylcholine, sodium nitroprus...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.6.1276

    authors: Mäkimattila S,Virkamäki A,Groop PH,Cockcroft J,Utriainen T,Fagerudd J,Yki-Järvinen H

    更新日期:1996-09-15 00:00:00

  • Reciprocating tachycardia using bilateral anomalous pathways: electrophysiologic and clinical implications.

    abstract::A patient who had disabling supraventricular tachycardia showed electrophysiologic evidence of coexistent right and left Kent bundles. The supraventricular tachycardia was accelerated by sequential antegrade and retrograde conduction over the right and left Kent bundles, respectively. Spontaneous blocking of the condu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.62.3.657

    authors: Cinca J,Valle V,Gutierrez L,Figueras J,Rius J

    更新日期:1980-09-01 00:00:00

  • Exercise echocardiography versus 201Tl single-photon emission computed tomography in evaluation of coronary artery disease. Analysis of 292 patients.

    abstract:BACKGROUND:Exercise echocardiography (digital cine-loop technique) and 201Tl single-photon emission computed tomography (SPECT) were performed simultaneously in 292 patients being evaluated for coronary artery disease. METHODS AND RESULTS:Pretreadmill and posttreadmill echocardiographic images of diagnostic quality we...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.3.1026

    authors: Quiñones MA,Verani MS,Haichin RM,Mahmarian JJ,Suarez J,Zoghbi WA

    更新日期:1992-03-01 00:00:00

  • Relation of plasma lipoprotein(a) to infarct artery patency in survivors of myocardial infarction.

    abstract:BACKGROUND:In the minutes to days after myocardial infarction, endogenous lysis of an occlusive coronary arterial thrombus occurs in most subjects. Compared with those in whom thrombolysis does not occur, those with antegrade flow in the infarct artery have improved left ventricular performance, less left ventricular d...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.3.935

    authors: Moliterno DJ,Lange RA,Meidell RS,Willard JE,Leffert CC,Gerard RD,Boerwinkle E,Hobbs HH,Hillis LD

    更新日期:1993-09-01 00:00:00

  • Disparities in revascularization rates after acute myocardial infarction between aboriginal and non-aboriginal people in Australia.

    abstract:BACKGROUND:This study examined revascularization rates after acute myocardial infarction (AMI) for Aboriginal and non-Aboriginal patients sequentially controlling for admitting hospital and risk factors. METHODS AND RESULTS:Hospital data from the state of New South Wales, Australia (July 2000 through December 2008) we...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.112.000566

    authors: Randall DA,Jorm LR,Lujic S,O'Loughlin AJ,Eades SJ,Leyland AH

    更新日期:2013-02-19 00:00:00

  • Contribution of vasodilator prostanoids and nitric oxide to resting flow, metabolic vasodilation, and flow-mediated dilation in human coronary circulation.

    abstract:BACKGROUND:Endothelial dysfunction is associated with atherosclerosis and may contribute to ischemic syndromes. We assessed the contribution of endothelium-derived nitric oxide (NO) and vasodilator prostanoids to resting blood flow, metabolic vasodilation, and flow reserve in the human coronary circulation. METHODS AN...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.19.1951

    authors: Duffy SJ,Castle SF,Harper RW,Meredith IT

    更新日期:1999-11-09 00:00:00

  • Familial congenital complete heart block and maternal systemic lupus erythematosis.

    abstract::A family is reported in which two siblings had congenital complete heart block with resultant congestive heart failure, the father and paternal grandfather show adult-onset conduction defects, and the mother has systemic lupus erythematosis. The interaction of heredity and environment is discussed in this context. A r...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.6.1103

    authors: Winkler RB,Nora AH,Nora JJ

    更新日期:1977-12-01 00:00:00

  • Increased plasma levels of brain natriuretic peptide in patients with acute myocardial infarction.

    abstract:BACKGROUND:Brain natriuretic peptide is a novel natriuretic peptide that is secreted predominantly from the ventricles, and its plasma levels have been shown to be markedly increased in patients with chronic congestive heart failure. This study was designed to examine the plasma levels of brain natriuretic peptide as w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.1.82

    authors: Morita E,Yasue H,Yoshimura M,Ogawa H,Jougasaki M,Matsumura T,Mukoyama M,Nakao K

    更新日期:1993-07-01 00:00:00

  • The role of left ventricular conduction in the electrogenesis of left ventricular hypertrophy. An electrophysiologic study in man.

    abstract::Various electrocardiographic and vectorcardiographic (ECG-VCG) patterns of ventricular conduction disturbances are inducible by premature right atrial stimulation (PRAS). These patterns are a consequence of different degrees of refractoriness in the specialized ventricular conduction system. We observed that the inter...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.59.5.1044

    authors: Piccolo E,Raviele A,Delise P,Dainese F,Pascotto P,Totaro G,Sartori F,D'Este D

    更新日期:1979-05-01 00:00:00

  • The Science Underlying COVID-19: Implications for the Cardiovascular System.

    abstract::The coronavirus disease 2019 (COVID-19) pandemic has affected health and economy worldwide on an unprecedented scale. Patients have diverse clinical outcomes, but those with preexisting cardiovascular disease, hypertension, and related conditions incur disproportionately worse outcome. The high infectivity of severe a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.047549

    authors: Liu PP,Blet A,Smyth D,Li H

    更新日期:2020-07-07 00:00:00

  • Increased vascular senescence and impaired endothelial progenitor cell function mediated by mutation of circadian gene Per2.

    abstract:BACKGROUND:Alteration of the circadian rhythm and increased vascular senescence are linked to cardiovascular disease. Per2, a circadian gene, is known to regulate endothelium-dependent vasomotion. However, the mechanism by which Per2 affects endothelial function is unknown. We hypothesize that endothelial dysfunction i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.790469

    authors: Wang CY,Wen MS,Wang HW,Hsieh IC,Li Y,Liu PY,Lin FC,Liao JK

    更新日期:2008-11-18 00:00:00

  • Prioritizing Functional Capacity as a Principal End Point for Therapies Oriented to Older Adults With Cardiovascular Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association.

    abstract::Adults are living longer, and cardiovascular disease is endemic in the growing population of older adults who are surviving into old age. Functional capacity is a key metric in this population, both for the perspective it provides on aggregate health and as a vital goal of care. Whereas cardiorespiratory function has ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIR.0000000000000483

    authors: Forman DE,Arena R,Boxer R,Dolansky MA,Eng JJ,Fleg JL,Haykowsky M,Jahangir A,Kaminsky LA,Kitzman DW,Lewis EF,Myers J,Reeves GR,Shen WK,American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and St

    更新日期:2017-04-18 00:00:00

  • Pulmonary and left ventricular decompression by artificial pulmonary valve incompetence during percutaneous cardiopulmonary bypass support in cardiac arrest.

    abstract:BACKGROUND:In cardiac arrest, use of percutaneous cardiopulmonary bypass support (PCPS) may lead to left ventricular loading, with deleterious effects on the myocardium, and is often accompanied by an increase in pulmonary artery pressure. The present study was designed to assess the potential of artificially induced p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.10.2664

    authors: Scholz KH,Figulla HR,Schröder T,Hering JP,Bock H,Ferrari M,Kreuzer H,Hellige G

    更新日期:1995-05-15 00:00:00

  • Lack of JunD promotes pressure overload-induced apoptosis, hypertrophic growth, and angiogenesis in the heart.

    abstract:BACKGROUND:The Jun family of activator protein 1 (AP-1) transcription factors (c-Jun, JunB, and JunD) is involved in fundamental biological processes such as proliferation, apoptosis, tumor angiogenesis, and hypertrophy. The role of individual AP-1 transcription factors in the stressed heart is not clear. In the presen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.518472

    authors: Hilfiker-Kleiner D,Hilfiker A,Kaminski K,Schaefer A,Park JK,Michel K,Quint A,Yaniv M,Weitzman JB,Drexler H

    更新日期:2005-09-06 00:00:00

  • Cardiac allograft vascular disease. Relationship to microvascular cell surface markers and inflammatory cell phenotypes on endomyocardial biopsy.

    abstract:BACKGROUND:Cardiac allograft vascular disease is characterized by accelerated and diffuse intimal proliferation involving both the microvasculature and epicardial vessels. Because in vivo documentation of this complication is now possible with intracoronary ultrasound imaging, we can examine the relationship of intimal...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.6.1647

    authors: Deng MC,Bell S,Huie P,Pinto F,Hunt SA,Stinson EB,Sibley R,Hall BM,Valantine HA

    更新日期:1995-03-15 00:00:00

  • NADPH oxidase 4 promotes endothelial angiogenesis through endothelial nitric oxide synthase activation.

    abstract:UNLABELLED:BACKGROUND- Reactive oxygen species serve signaling functions in the vasculature, and hypoxia has been associated with increased reactive oxygen species production. NADPH oxidase 4 (Nox4) is a reactive oxygen species-producing enzyme that is highly expressed in the endothelium, yet its specific role is unkno...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.030775

    authors: Craige SM,Chen K,Pei Y,Li C,Huang X,Chen C,Shibata R,Sato K,Walsh K,Keaney JF Jr

    更新日期:2011-08-09 00:00:00

  • Real-time inferior vena caval ultrasonography: normal and abnormal findings and its use in assessing right-heart function.

    abstract::We studied the inferior vena cava (IVC) as an index of right-heart function in 111 patients. A two-dimensional echocardiographic sector was used to visualize the IVC, and its M-mode cursor was used to generate a time-motion record of the IVC size and pulsation. Normal subjects had a small presystolic A wave (less than...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.64.5.1018

    authors: Mintz GS,Kotler MN,Parry WR,Iskandrian AS,Kane SA

    更新日期:1981-11-01 00:00:00

  • Quantification of incomplete revascularization and its association with five-year mortality in the synergy between percutaneous coronary intervention with taxus and cardiac surgery (SYNTAX) trial validation of the residual SYNTAX score.

    abstract:BACKGROUND:The residual Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery (SYNTAX) Score is an objective measure of the degree and complexity of residual stenosis after percutaneous coronary intervention (PCI). METHODS AND RESULTS:In the randomized PCI cohort of the SYNTAX Trial (n=903)...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.113.001803

    authors: Farooq V,Serruys PW,Bourantas CV,Zhang Y,Muramatsu T,Feldman T,Holmes DR,Mack M,Morice MC,Ståhle E,Colombo A,de Vries T,Morel MA,Dawkins KD,Kappetein AP,Mohr FW

    更新日期:2013-07-09 00:00:00