当前位置： SCI文献检索 > AMERICAN HEART JOURNAL期刊下所有文献 > Coronary artery bypass surgery in patients with acute coronary syndromes is difficult to predict.

Coronary artery bypass surgery in patients with acute coronary syndromes is difficult to predict.

Abstract：

BACKGROUND:Although the use of clopidogrel in patients "unlikely" to require coronary artery bypass grafting (CABG) is recommended in current guidelines of acute coronary syndrome (ACS) management, an important minority of patients require CABG. We assessed the ability to predict need for CABG from demographics known at the time of ACS presentation, using data from SYNERGY. METHODS:Patients undergoing CABG at any time after the index angiogram were included. Early CABG was defined as surgery <72 hours after angiography. The relationship between cessation of enoxaparin and glycoprotein IIb/IIIa inhibition, CABG timing, and 30-day death or MI and bleeding events was assessed. Demographic and clinical factors and geographic location were assessed as predictors of early CABG or CABG at any time. The discriminatory utility is reported with the c-index. RESULTS:Of the 9053 patients undergoing angiography, 1793 (18.1%) received CABG. Early CABG (n = 972) was associated with more bleeding events (39.2% vs 29.4%, P < .001) but not death or MI. The risk of bleeding events diminished when surgery was delayed >18 hours after cessation of enoxaparin and glycoprotein IIb/IIIa inhibition. Clinical factors associated with early CABG included diabetes and lack of prior CABG or clopidogrel. However, overall the logistic regression model had poor discriminatory ability to predict patients likely to require CABG in the setting of an ACS presentation (c-index 0.671). CONCLUSIONS:It is difficult to predict those high-risk patients with ACS who will undergo surgical revascularization based on baseline clinical characteristics.

journal_name

Am Heart J

journal_title

American heart journal

authors

Chew DP,Mahaffey KW,White HD,Huang Z,Hoekstra JW,Ferguson JJ,Califf RM,Aylward PE

doi

10.1016/j.ahj.2007.12.002

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

841-7

issue

5

eissn

0002-8703

issn

1097-6744

pii

S0002-8703(07)01000-9

journal_volume

155

pub_type

杂志文章

相关文献

AMERICAN HEART JOURNAL文献大全
  • Cost effectiveness of a gene expression score and myocardial perfusion imaging for diagnosis of coronary artery disease.

    abstract：BACKGROUND:Over 3 million patients annually present with symptoms suggestive of obstructive coronary artery disease (oCAD) in the United States (US), but a cardiac etiology is found in as few as 10% of cases. Usual care may include advanced cardiac testing with myocardial perfusion imaging (MPI), with attendant radiati...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2014.02.005

    authors： Phelps CE,O'Sullivan AK,Ladapo JA,Weinstein MC,Leahy K,Douglas PS

    更新日期：2014-05-01 00:00:00

  • Prognostic implications of complicated ventricular arrhythmias early after hospital discharge in acute myocardial infarction: a serial ambulatory electrocardiography study.

    abstract：:To assess the prevalence and prognostic implications of complicated ventricular ectopic depolarizations (VEDs) after hospital discharge in patients with acute myocardial infarction (AMI), we obtained serial 24-hour Holter recordings in 85 patients during the first 6 weeks after AMI. Recordings were obtained during two...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(84)90745-2

    authors： Olson HG,Lyons KP,Troop P,Butman SM,Piters KM

    更新日期：1984-11-01 00:00:00

  • Postextrasystolic potentiation: analysis of methods of induction.

    abstract：:Studies were conducted in 15 patients with coronary artery disease to determine if the type of pacing used to induce an extrasystole had a bearing on subsequent postextrasystolic potentiation (PESP) and if the fact that these were evaluated in jeopardized or nonjeopardized portions of the ventricle altered the ability...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0002-8703(86)90149-3

    authors： Cooper MW,Lutherer LO,Stanton MW,Lust RM Jr

    更新日期：1986-02-01 00:00:00

  • Factors associated with non-vitamin K antagonist oral anticoagulants for stroke prevention in patients with new-onset atrial fibrillation: Results from the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation II (ORBIT-AF II).

    abstract：BACKGROUND:Several non-vitamin K antagonist oral anticoagulant (NOAC) alternatives to warfarin are available for stroke prevention in atrial fibrillation (AF). We aimed to describe the factors associated with selection of NOACs versus warfarin in patients with new onset AF. METHODS:The ORBIT-AF II study is a national,...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/j.ahj.2017.03.024

    authors： Steinberg BA,Shrader P,Thomas L,Ansell J,Fonarow GC,Gersh BJ,Hylek E,Kowey PR,Mahaffey KW,O'Brien EC,Singer DE,Peterson ED,Piccini JP,Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) Investigato

    更新日期：2017-07-01 00:00:00

  • Effect of discontinuance of type A behavioral counseling on type A behavior and cardiac recurrence rate of post myocardial infarction patients.

    abstract：:Three hundred post infarction participants who had received type A behavioral counseling in the Recurrent Coronary Prevention Project, (RCPP) agreed to be followed for 1 additional year after stopping 4.5 years of continuous type A behavioral counseling. One hundred fourteen participants who had served for 4.5 years a...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0002-8703(87)90742-3

    authors： Friedman M,Powell LH,Thoresen CE,Ulmer D,Price V,Gill JJ,Thompson L,Rabin DD,Brown B,Breall WS

    更新日期：1987-09-01 00:00:00

  • Association between angiotensin I-converting enzyme gene insertion/deletion polymorphism and mitral valve prolapse syndrome.

    abstract：BACKGROUND:Some studies have reported that patients with mitral valve prolapse syndrome (MVPS) also have a disorder in the autonomic or neuroendocrine function, which can cause a host of related symptoms. A potential role of the renin-angiotensin system in the pathogenesis of MVPS has been addressed. However, the role ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1067/mhj.2003.26

    authors： Chou HT,Chen YT,Shi YR,Tsai FJ

    更新日期：2003-01-01 00:00:00

  • The effect of aspirin on the hemodynamic response to nitroglycerin.

    abstract：:The role of prostaglandins in mediating the hemodynamic response to nitroglycerin in vivo is controversial. To determine the effect of inhibiting prostaglandin production on the response to nitroglycerin, either placebo or aspirin (650 mg) was administered 1 hour prior to the administration of nitroglycerin (432 micro...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0002-8703(88)90252-9

    authors： Levin RI,Feit F

    更新日期：1988-07-01 00:00:00

  • Prevention of nitroglycerin tolerance with diuretics.

    abstract：:Tolerance to prolonged nitroglycerin (NTG) may be due to drug-induced intravascular expansion. To test the hypothesis that concomitant diuretics may reduce volume expansions and thus prevent NTG tolerance, we studied 23 healthy volunteers randomized to hydrochlorthiazide or placebo before and during 74-hour continuous...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0002-8703(95)90361-5

    authors： Mohanty N,Wasserman AG,Walker P,Katz RJ

    更新日期：1995-09-01 00:00:00

  • Incidence and clinical relevance of supraventricular tachyarrhythmias in pulmonary hypertension.

    abstract：BACKGROUND:In patients with severe pulmonary hypertension (PH), right ventricular function is a main determinant of clinical stability and outcome. Supraventricular tachyarrhythmias (SVTs) may compromise cardiac function and threaten prognosis in patients with PH, but the incidence and clinical relevance of SVTs in PH ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2006.09.008

    authors： Tongers J,Schwerdtfeger B,Klein G,Kempf T,Schaefer A,Knapp JM,Niehaus M,Korte T,Hoeper MM

    更新日期：2007-01-01 00:00:00

  • Prognostic significance of coronary artery calcium in asymptomatic subjects with usual cardiovascular risk.

    abstract：BACKGROUND:Coronary calcium detected noninvasively is an attractive way to diagnose atherosclerosis before the development of symptoms. This study examines the prognostic value of coronary calcium in asymptomatic subjects with usual cardiovascular risk. METHODS AND RESULTS:In 425 asymptomatic subjects, 229 men (aged 4...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1067/mhj.2003.169

    authors： Alexopoulos D,Toulgaridis T,Davlouros P,Christodoulou J,Sitafidis G,Hahalis G,Vagenakis AG

    更新日期：2003-03-01 00:00:00

  • Loss of bone marrow-derived vascular progenitor cells leads to inflammation and atherosclerosis.

    abstract：BACKGROUND:Aging represents the most powerful risk for the development of atherosclerosis and atherosclerotic thromboembolic complications. Yet, the mechanism by which aging affects the arterial wall and its deterioration has remained essentially uncharacterized. FINDINGS:Chronic injuries to the arterial wall contribu...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/j.ahj.2003.09.002

    authors： Goldschmidt-Clermont PJ

    更新日期：2003-10-01 00:00:00

  • Adenosine or adenosine triphosphate for supraventricular tachycardias? Comparative double-blind randomized study in patients with spontaneous or inducible arrhythmias.

    abstract：:The effects of intravenous adenosine and adenosine triphosphate (ATP) were studied in a double-blind randomized study during 68 episodes of supraventricular tachycardia in 39 patients. Adenosine restored sinus rhythm in 20 patients (25 of 27 episodes) and produced atrioventricular block to reveal atrial arrhythmias in...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0002-8703(05)80022-5

    authors： Rankin AC,Oldroyd KG,Chong E,Dow JW,Rae AP,Cobbe SM

    更新日期：1990-02-01 00:00:00

  • Rationale and Design of Family-Based Approach in a Minority Community Integrating Systems-Biology for Promotion of Health (FAMILIA).

    abstract：BACKGROUND:The 2020 American Heart Association Impact Goal aims to improve cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular disease and stroke by 20%. A large step toward this goal would be to better understand and take advantage of the significant intersection between behavior an...

    journal_title：American heart journal

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ahj.2017.02.020

    authors： Bansilal S,Vedanthan R,Kovacic JC,Soto AV,Latina J,Björkegren JLM,Jaslow R,Santana M,Sartori S,Giannarelli C,Mani V,Hajjar R,Schadt E,Kasarskis A,Fayad ZA,Fuster V

    更新日期：2017-05-01 00:00:00

  • Acute and chronic effects of ketanserin on the electrophysiologic properties of isolated rabbit ventricular myocardium: particular reference to repolarization.

    abstract：:The acute and chronic cellular electrophysiologic actions of ketanserin, a selective blocker of 5-hydroxytriptamine (5-HT2) receptor, were examined in the isolated rabbit ventricular muscle. This work was prompted by the recent observations that small numbers of patients treated with hypertension develop QTc prolongat...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(88)90012-9

    authors： Kamiya K,Venkatesh N,Singh BN

    更新日期：1988-06-01 00:00:00

  • Imaging and diagnostic testing: diastolic dysfunction after coronary artery bypass grafting: a frequent finding of clinical significance not influenced by intravenous calcium.

    abstract：BACKGROUND:Diastolic dysfunction is common immediately after coronary artery bypass surgery (CABG). The duration of this phenomenon is unknown. Intravenous calcium is frequently administered during separation from cardiopulmonary bypass (CPB). We sought to determine whether intravenous calcium influences perioperative ...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/S0002-8703(02)94786-1

    authors： Ekery DL,Davidoff R,Orlandi QG,Apstein CS,Hesselvik JF,Shemin RJ,Shapira OM

    更新日期：2003-05-01 00:00:00

  • Angiotensin II receptor antagonists: a new approach to blockade of the renin-angiotensin system.

    abstract：:A-II exerts its activity on various target tissues by binding to its receptors. The discovery of local RASs and A-II receptors within various tissues has generated interest in the clinical usefulness of RAS inhibition by directly blocking the action of A-II at the receptor level. Different A-II receptor subtypes have ...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/0002-8703(94)90061-2

    authors： Kang PM,Landau AJ,Eberhardt RT,Frishman WH

    更新日期：1994-05-01 00:00:00

  • "Non-Q wave," alias "nontransmural," myocardial infarction: a specific entity.

    abstract：:Although Q wave and non-Q wave MI are often referred to as "transmural" and "nontransmural," there is no anatomic evidence to justify this distinction. Nevertheless, a distinction is important, because the two entities have a different prognosis. At the present time, between 25% and 35% of MIs are non-Q wave. They are...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/0002-8703(89)90629-7

    authors： André-Fouet X,Pillot M,Leizorovicz A,Finet G,Gayet C,Milon H

    更新日期：1989-04-01 00:00:00

  • Comparison of adverse event and device problem rates for transcatheter aortic valve replacement and Mitraclip procedures as reported by the Transcatheter Valve Therapy Registry and the Food and Drug Administration postmarket surveillance data.

    abstract：BACKGROUND:Although outcomes data on transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (Mitraclip) are available via the Transcatheter Valve Therapy (TVT) registry, dissemination of TVT data is often delayed. The Food and Drug Administration's Manufacturer and User Facility Device Expe...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2017.10.013

    authors： Galper BZ,Beery DE,Leighton G,Englander LL

    更新日期：2018-04-01 00:00:00

  • Restrictive hemodynamic patterns after cardiac transplantation: relationship to histologic signs of rejection.

    abstract：:Hemodynamic and echocardiographic data from 33 consecutive patients undergoing cardiac transplantation were correlated with endomyocardial biopsy results to determine whether reversible restrictive hemodynamics accompany histologic evidence of transplant rejection. During the study period 251 biopsy specimens were obt...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(91)90475-w

    authors： Wilensky RL,Bourdillon PD,O'Donnell JA,Sharp SM,Armstrong WF,Fineberg NS,Himes V,Waller BF

    更新日期：1991-10-01 00:00:00

  • Survival of DDD pacing mode after atrioventricular junction ablation and pacing for refractory atrial fibrillation.

    abstract：BACKGROUND:Patients with recurrent forms of atrial fibrillation may receive dual-chamber pacemakers after atrioventricular junction ablation for refractory symptoms. These patients are at risk for chronic atrial fibrillation, which would negate the benefits of dual-chamber pacing. The purpose of this study was to exami...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1016/s0002-8703(99)70223-1

    authors： Wood MA,Curtis AB,Takle-Newhouse TA,Ellenbogen KA

    更新日期：1999-04-01 00:00:00

  • Drug interactions with amiodarone.

    abstract：:There are a number of important drug interactions with amiodarone. This agent appears to have a marked effect on the kinetics of some commonly used cardiovascular drugs, such as warfarin, digoxin, quinidine, and procainamide, and has dynamic interactions with others, such as the beta blockers and some calcium antagoni...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(83)90017-0

    authors： Marcus FI

    更新日期：1983-10-01 00:00:00

  • Hospital patterns of medical management strategy use for patients with non-ST-elevation myocardial infarction and 3-vessel or left main coronary artery disease.

    abstract：BACKGROUND:Patients with non-ST-elevation myocardial infarction (NSTEMI) and three-vessel or left main coronary disease (3VD/LMD) have a high risk of long-term mortality when treated with a medical management strategy (MMS) compared with revascularization. METHODS:We evaluated patterns of use and patient features acro...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2013.12.004

    authors： Harskamp RE,Wang TY,Bhatt DL,Wiviott SD,Amsterdam EA,Li S,Thomas L,de Winter RJ,Roe MT

    更新日期：2014-03-01 00:00:00

  • Insulin sensitivity in young women with vasovagal syncope.

    abstract：BACKGROUND:Insulin, in addition to its known metabolic effects, has sympatho-excitatory and vasodilatory actions on muscular blood vessels. The goal of this study was to evaluate insulin sensitivity in young women with vasovagal syncope and positive tilt test results (HUT+) and to compare it with that in patients with ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/S0002-8703(02)94707-1

    authors： Ruiz GA,Calvar C,Hermes R,Rivadeneira D,Bengolea V,Chirife R,Tentori MC,Gelpi RJ

    更新日期：2003-05-01 00:00:00

  • Origin of the basal systolic murmurs in mitral stenosis. A study with intracardiac phonocardiography.

    abstract：:In order to study the origin of the basal systolic murmurs in mitral stenosis, left and right heart catheterization was performed in 18 patients with mitral stenosis using intracardiac phonocardiography. Our data revealed that the basal systolic murmurs originated in the aorta, the pulmonary artery, and the outflow tr...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(78)90163-1

    authors： Kambe T,Suzuki S,Kato T,Hibi N,Fukui Y,Arakawa T,Nishimura K,Miwa A,Sakamoto N

    更新日期：1978-10-01 00:00:00

  • Response of reperfusion-salvaged, stunned myocardium to inotropic stimulation.

    abstract：:The purpose of this study was to determine whether myocardium salvaged by reperfusion following coronary occlusion could respond to inotropic stimulation by dopamine. Mongrel dogs underwent a 2-hour occlusion of the proximal left anterior descending coronary artery, followed by reperfusion for 5 or 28 hours. Dopamine ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(84)90126-1

    authors： Ellis SG,Wynne J,Braunwald E,Henschke CI,Sandor T,Kloner RA

    更新日期：1984-01-01 00:00:00

  • Uniform platelet activation exists before coronary stent implantation despite aspirin therapy.

    abstract：BACKGROUND:Platelets play an important role in the natural history of coronary artery disease. Enhanced platelet aggregation and receptor expression unquestionably occur after coronary stent implantation; however, the functional characteristics of platelets before stenting have not been fully elucidated. METHODS:Plate...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1067/mhj.2001.116478

    authors： Serebruany VL,Cummings CC,Malinin AI,Steinhubl SR,Gurbel PA

    更新日期：2001-10-01 00:00:00

  • Randomized clinical trials and recent patterns in the use of statins.

    abstract：BACKGROUND:Three landmark trials involving 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors (statins) were published between 1994 and 1996 (the Scandinavian Simvastatin Survival Study [4S], the West of Scotland Coronary Prevention Study, and the Cholesterol and Recurrent Events trial). These trials provided e...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1067/mhj.2001.115587

    authors： Wang TJ,Stafford RS,Ausiello JC,Chaisson CE

    更新日期：2001-06-01 00:00:00

  • Biplane transesophageal echo-Doppler studies of atrial septal defects: quantitative evaluation and monitoring for transcatheter closure.

    abstract：:Forty-four patients with atrial septal defects, aged 7 months to 18 years (median 8.9), underwent biplane transesophageal (TEE) and transthoracic (TTE) echocardiography. The size of the defect and the shunt flow volume were measured by TEE and compared with the actual size at surgery (N = 14) or the shunt volume measu...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(93)91008-3

    authors： Ishii M,Kato H,Inoue O,Takagi J,Maeno Y,Sugimura T,Miyake T,Kumate M,Kosuga K,Ohishi K

    更新日期：1993-05-01 00:00:00

  • New diagnostic options in hypertrophic cardiomyopathy.

    abstract：:The pathophysiologic features and clinical manifestations of HCM have been elucidated by the introduction of several new diagnostic options. Knowledge of the molecular defects of HCM has advanced rapidly, and genetic screening studies have reemphasized the value of the standard electrocardiogram as an initial screenin...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/s0002-8703(96)90018-6

    authors： Posma JL,van der Wall EE,Blanksma PK,van der Wall E,Lie KI

    更新日期：1996-11-01 00:00:00

  • Comparative analysis of physiologic responses to three different maximal graded exercise test protocols in healthy women.

    abstract：:The purpose of this study was to compare the three most commonly used maximal graded exercise test (GXT) protocols in healthy women. Submaximal and maximal metabolic and hemodynamic responses were determined from two treadmill protocols, Bruce and Balke, and a bicycle protocol, in 49 women. Maximum oxygen uptake (VO2 ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(82)90275-7

    authors： Pollock ML,Foster C,Schmidt D,Hellman C,Linnerud AC,Ward A

    更新日期：1982-03-01 00:00:00