Determinants of survival and left ventricular performance after mitral valve replacement. Department of Veterans Affairs Cooperative Study on Valvular Heart Disease.

Abstract:

:To determine how survival and clinical status were related to left ventricular (LV) size and systolic function after mitral valve replacement, 104 patients (48 mitral regurgitation [MR], 33 mitral stenosis [MS], and 23 MS/MR) with isolated mitral valve replacement were evaluated before and after surgery. Preoperative hemodynamic abnormalities by cardiac catheterization were improved 6 months after surgery in all three patient groups. The patients with MR exhibited reductions in LV end-diastolic volume index (EDVI) (117 +/- 51 to 89 +/- 27 ml/m2, p less than 0.001) and ejection fraction (EF) (0.56 +/- 0.15 to 0.45 +/- 0.13, p less than 0.001); however, the ratio of forward stroke volume to end-diastolic volume increased (0.32 +/- 0.21 to 0.45 +/- 0.17, p less than 0.001) because of the elimination of regurgitant volume. Survival analysis revealed that mortality was significantly higher in MS or MS/MR patients with postoperative EDVI more than 101 ml/m2 (p less than 0.001 and p less than 0.042, respectively) and in MR patients with postoperative EF less than or equal to 0.50 (p less than 0.031). Also, the majority of patients with MR or MS/MR and postoperative EDVI more than 101 ml/m2 and EF less than or equal to 0.50 were in New York Heart Association class III or IV. Multivariate logistic regression analysis in the patients with MR revealed that the strongest predictor of postoperative EF was preoperative EF (p less than 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Circulation

journal_title

Circulation

authors

Crawford MH,Souchek J,Oprian CA,Miller DC,Rahimtoola S,Giacomini JC,Sethi G,Hammermeister KE

doi

10.1161/01.cir.81.4.1173

subject

Has Abstract

pub_date

1990-04-01 00:00:00

pages

1173-81

issue

4

eissn

0009-7322

issn

1524-4539

journal_volume

81

pub_type

杂志文章
  • Abnormal hormonal and renal responses to saline load in hypertensive patients with parental history of cardiovascular accidents.

    abstract:BACKGROUND:Acute cardiac and cerebrovascular accidents are more frequent in hypertensive subjects with a family history of acute vascular accidents. The mechanisms underlying the susceptibility to vascular disease in these subjects are unknown. We investigated whether a parental history of premature heart attack or str...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.1.92

    authors: Volpe M,Lembo G,De Luca N,Lamenza F,Tritto C,Ricciardelli B,Molaro M,De Campora P,Condorelli G,Rendina V

    更新日期:1991-07-01 00:00:00

  • Usefulness of fractional flow reserve to predict clinical outcome after balloon angioplasty.

    abstract:BACKGROUND:After regular coronary balloon angioplasty, it would be helpful to identify those patients who have a low cardiac event rate. Coronary angiography alone is not sensitive enough for that purpose, but it has been suggested that the combination of optimal angiographic and optimal functional results indicates a ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.7.883

    authors: Bech GJ,Pijls NH,De Bruyne B,Peels KH,Michels HR,Bonnier HJ,Koolen JJ

    更新日期:1999-02-23 00:00:00

  • Angina symptoms are associated with mortality in older women with ischemic heart disease.

    abstract:BACKGROUND:Angina symptoms have been reported to predict mortality in men. The aim of this study was to investigate the association between angina symptoms and mortality in women. METHODS AND RESULTS:In 2004, 873 older participants in the Australian Longitudinal Study on Women's Health with self-reported ischemic hear...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.109.887380

    authors: Berecki-Gisolf J,Humphreyes-Reid L,Wilson A,Dobson A

    更新日期:2009-12-08 00:00:00

  • Raised sympathetic nerve activity in heart failure and central sleep apnea is due to heart failure severity.

    abstract:BACKGROUND:Congestive heart failure (CHF) patients with central sleep apnea (CHF-CSA) have elevated plasma norepinephrine (NE) compared with CHF patients without apnea (CHF-N). Patients with CHF-CSA also demonstrate higher mean pulmonary artery pressure (PAP), which is suggestive of worse cardiac function. Whether CSA ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000056520.17353.4f

    authors: Mansfield D,Kaye DM,Brunner La Rocca H,Solin P,Esler MD,Naughton MT

    更新日期:2003-03-18 00:00:00

  • Endothelial dysfunction after repeated Chlamydia pneumoniae infection in apolipoprotein E-knockout mice.

    abstract:BACKGROUND:Arterial relaxation is largely regulated by endothelial nitric oxide (NO). Its diminished activity has been associated with incipient atherosclerosis. We investigated the endothelium-dependent relaxation of aorta in apolipoprotein E-knockout (apoE-KO) mice exposed to single or repeated Chlamydia pneumoniae i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.9.1039

    authors: Liuba P,Karnani P,Pesonen E,Paakkari I,Forslid A,Johansson L,Persson K,Wadström T,Laurini R

    更新日期:2000-08-29 00:00:00

  • Survival and function of bioengineered cardiac grafts.

    abstract:INTRODUCTION:Patients with congenital heart disease frequently require graft material for repair of cardiac defects. However, currently available grafts lack growth potential and are noncontractile and thrombogenic. We have developed a viable cardiac graft that contracts spontaneously in tissue culture by seeding cells...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.suppl_2.ii-63

    authors: Li RK,Jia ZQ,Weisel RD,Mickle DA,Choi A,Yau TM

    更新日期:1999-11-09 00:00:00

  • Chlamydia pneumoniae-specific circulating immune complexes in patients with chronic coronary heart disease.

    abstract:BACKGROUND:An association of chronic Chlamydia pneumoniae infection to coronary heart disease has been suggested recently. In a recent study, we demonstrated circulating immune complexes containing chlamydial genus-specific lipopolysaccharide in patients with coronary heart disease. The objective of the present study w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.4.1130

    authors: Linnanmäki E,Leinonen M,Mattila K,Nieminen MS,Valtonen V,Saikku P

    更新日期:1993-04-01 00:00:00

  • Survival and bioprosthetic valve failure. Ten-year follow-up.

    abstract::Between 1976 and 1982, 413 consecutive patients underwent valvular replacement with a bioprosthesis. Aortic valve replacement was performed in 240 patients, mitral valve replacement in 132, and multiple-valve replacement in 41. Four prostheses were employed: Carpentier-Edwards porcine (n = 336), Angel-Shiley porcine (...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Teoh KH,Ivanov J,Weisel RD,Darcel IC,Rakowski H

    更新日期:1989-09-01 00:00:00

  • Echocardiography in Chagas heart disease.

    abstract:BACKGROUND:Chagas heart disease is a frequent cause of morbidity and mortality in Latin America. Echocardiography provides useful diagnostic and prognostic information and is an important tool in the management of patients with Chagas disease. METHODS AND RESULTS:A search for relevant publications was obtained from ME...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.106.627323

    authors: Acquatella H

    更新日期:2007-03-06 00:00:00

  • Human semilunar cardiac valve remodeling by activated cells from fetus to adult: implications for postnatal adaptation, pathology, and tissue engineering.

    abstract:BACKGROUND:The evolution of cell phenotypes and matrix architecture in cardiac valves during fetal maturation and postnatal adaptation through senescence remains unexplored. METHODS AND RESULTS:We hypothesized that valvular interstitial (VIC) and endothelial cell (VEC) phenotypes, critical for maintaining valve functi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.591768

    authors: Aikawa E,Whittaker P,Farber M,Mendelson K,Padera RF,Aikawa M,Schoen FJ

    更新日期:2006-03-14 00:00:00

  • Endoventricular remodeling of left ventricular aneurysm. Functional, clinical, and electrophysiological results.

    abstract:BACKGROUND:Recent advances in surgical techniques for the repair of left ventricular aneurysms (LVAs) include the use of an endoventricular patch to exclude the aneurysm cavity. This technique has replaced conventional linear plication of the aneurysm. The endoventricular patch technique remodels the left ventricular c...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.9.98

    authors: Grossi EA,Chinitz LA,Galloway AC,Delianides J,Schwartz DS,McLoughlin DE,Keller N,Kronzon I,Spencer FC,Colvin SB

    更新日期:1995-11-01 00:00:00

  • Sustained improvement after combined anterior mitral leaflet extension and myectomy in hypertrophic obstructive cardiomyopathy.

    abstract:BACKGROUND:Mitral leaflet extension (MLE) combined with septal myectomy is a new surgical approach to treat hypertrophic obstructive cardiomyopathy (HOCM) and an enlarged mitral leaflet area. The study presents the long-term clinical results and outcome of this technique. METHODS AND RESULTS:MLE entails grafting a glu...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000092912.57140.14

    authors: van der Lee C,Kofflard MJ,van Herwerden LA,Vletter WB,ten Cate FJ

    更新日期:2003-10-28 00:00:00

  • Circulating transforming growth factor-beta in Marfan syndrome.

    abstract:BACKGROUND:Marfan syndrome (MFS) is caused by mutations in the fibrillin-1 gene and dysregulation of transforming growth factor-beta (TGF-beta). Recent evidence suggests that losartan, an angiotensin II type 1 blocker that blunts TGF-beta activation, may be an effective treatment for MFS. We hypothesized that dysregula...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.841981

    authors: Matt P,Schoenhoff F,Habashi J,Holm T,Van Erp C,Loch D,Carlson OD,Griswold BF,Fu Q,De Backer J,Loeys B,Huso DL,McDonnell NB,Van Eyk JE,Dietz HC,GenTAC Consortium.

    更新日期:2009-08-11 00:00:00

  • Long-term outcome of patients with depressed left ventricular function undergoing percutaneous transluminal coronary angioplasty. The NHLBI PTCA Registry.

    abstract:BACKGROUND:Coronary revascularization with bypass has been shown to improve survival in patients with coronary artery disease and left ventricular dysfunction. In these patients, use of nonsurgical revascularization with percutaneous transluminal coronary angioplasty (PTCA) is increasing, although their long-term outco...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.1.21

    authors: Holmes DR Jr,Detre KM,Williams DO,Kent KM,King SB 3rd,Yeh W,Steenkiste A

    更新日期:1993-01-01 00:00:00

  • Assessment of the treatment effect of enoxaparin for unstable angina/non-Q-wave myocardial infarction. TIMI 11B-ESSENCE meta-analysis.

    abstract:BACKGROUND:Two phase III trials of enoxaparin for unstable angina/non-Q-wave myocardial infarction have shown it to be superior to unfractionated heparin for preventing a composite of death and cardiac ischemic events. A prospectively planned meta-analysis was performed to provide a more precise estimate of the effects...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,meta分析,多中心研究

    doi:10.1161/01.cir.100.15.1602

    authors: Antman EM,Cohen M,Radley D,McCabe C,Rush J,Premmereur J,Braunwald E

    更新日期:1999-10-12 00:00:00

  • Postpericardiotomy syndrome in adults: incidence, autoimmunity and virology.

    abstract::While continuing a study of immunologic and virologic aspects of the postpericardiotomy syndrome (PPS) in infants and children, we undertook a companion study in adults. Whereas the incidence in 119 children was 27.8%, as is usual for our hospital, the incidence in 142 adults was 17.6%. Most of the operations (95 of 1...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Engle MA,Gay WA Jr,McCabe J,Longo E,Johnson D,Senterfit LB,Zabriskie JB

    更新日期:1981-08-01 00:00:00

  • Effect of the calcium antagonist verapamil on necrosis following temporary coronary artery occlusion in dogs.

    abstract::Calcium metabolism may play an important role in the pathogenesis of myocardial ischemic injury. The effect of the sarcolemmal calcium flux inhibitor, verapamil, on myocardial necrosis was studied in dogs subjected to temporary coronary artery occlusion. One group of dogs was untreated. A second group was given 0.8 mg...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.4.581

    authors: Reimer KA,Lowe JE,Jennings RB

    更新日期:1977-04-01 00:00:00

  • Locus for atrial fibrillation maps to chromosome 6q14-16.

    abstract:BACKGROUND:Atrial fibrillation (AF), the most common clinical arrhythmia, is a major cause of morbidity and mortality. Although AF is often associated with other cardiovascular conditions, many patients present without an obvious etiology. Inherited forms of AF exist, but the causative gene has been defined only in a s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000077910.80718.49

    authors: Ellinor PT,Shin JT,Moore RK,Yoerger DM,MacRae CA

    更新日期:2003-06-17 00:00:00

  • Elderly patients with acute coronary syndromes managed without revascularization: insights into the safety of long-term dual antiplatelet therapy with reduced-dose prasugrel versus standard-dose clopidogrel.

    abstract:BACKGROUND:Dual antiplatelet therapy in older versus younger patients with acute coronary syndromes is understudied. Low-dose prasugrel (5 mg/d) is recommended for younger, lower-body-weight patients and elderly patients with acute coronary syndromes to mitigate the bleeding risk of standard-dose prasugrel (10 mg/d). ...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.113.002303

    authors: Roe MT,Goodman SG,Ohman EM,Stevens SR,Hochman JS,Gottlieb S,Martinez F,Dalby AJ,Boden WE,White HD,Prabhakaran D,Winters KJ,Aylward PE,Bassand JP,McGuire DK,Ardissino D,Fox KA,Armstrong PW

    更新日期:2013-08-20 00:00:00

  • Occurrence and properties of the hyperpolarization-activated current If in ventricular myocytes from normotensive and hypertensive rats during aging.

    abstract:BACKGROUND:Cellular electrophysiological alterations may contribute to arrhythmogenesis in cardiac hypertrophy. An L-like current occurs in left ventricular myocytes (LVMs) isolated from the hypertrophied heart of old spontaneously hypertensive rats (SHR). Factors that influence L occurrence during development of cardi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.7.1674

    authors: Cerbai E,Barbieri M,Mugelli A

    更新日期:1996-10-01 00:00:00

  • Sustained inhibition of epsilon protein kinase C inhibits vascular restenosis after balloon injury and stenting.

    abstract:BACKGROUND:ε protein kinase C (εPKC) is involved in vascular smooth muscle cell (VSMC) activation, but little is known about its function in vascular pathology. We aimed at assessing the role of εPKC in the development of restenosis. METHODS AND RESULTS:Rat models of aortic balloon injury with or without subsequent st...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.927640

    authors: Deuse T,Koyanagi T,Erben RG,Hua X,Velden J,Ikeno F,Reichenspurner H,Robbins RC,Mochly-Rosen D,Schrepfer S

    更新日期:2010-09-14 00:00:00

  • Ischemic, hemodynamic, and neurohormonal responses to mental and exercise stress. Experience from the Psychophysiological Investigations of Myocardial Ischemia Study (PIMI).

    abstract:BACKGROUND:The pathophysiology of mental stress-induced myocardial ischemia, which occurs at lower heart rates than during physical stress, is not well understood. METHODS AND RESULTS:The Psychophysiological Investigations of Myocardial Ischemia Study (PIMI) evaluated the physiological and neuroendocrine functioning i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.10.2402

    authors: Goldberg AD,Becker LC,Bonsall R,Cohen JD,Ketterer MW,Kaufman PG,Krantz DS,Light KC,McMahon RP,Noreuil T,Pepine CJ,Raczynski J,Stone PH,Strother D,Taylor H,Sheps DS

    更新日期:1996-11-15 00:00:00

  • Quantitative assessment of right and left ventricular growth in the human fetal heart: a pathoanatomic study.

    abstract::We quantitated the growth patterns of the normal fetal heart and the right and left ventricles from postmortem hearts obtained from 55 spontaneously aborted human fetuses from the completion of cardiogenesis to term. Fetal gestational age was assessed by menstrual history of the mother, crown-rump length, head circumf...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.70.6.935

    authors: St John Sutton MG,Raichlen JS,Reichek N,Huff DS

    更新日期:1984-12-01 00:00:00

  • Effects of a novel platelet nitric oxide donor (LA816), aspirin, clopidogrel, and combined therapy in inhibiting flow- and lesion-dependent thrombosis in the porcine ex vivo model.

    abstract:BACKGROUND:Acetylsalicylic acid (ASA), or aspirin, plus clopidogrel is becoming the standard antithrombotic treatment in people with coronary disease. Novel approaches such as the use of platelet-selective nitric oxide (NO) donors may provide additional protection against thrombosis. We evaluated the antithrombotic pro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000142296.19558.99

    authors: Vilahur G,Segalés E,Salas E,Badimon L

    更新日期:2004-09-21 00:00:00

  • Mitogenic effect of serotonin on vascular endothelial cells.

    abstract:BACKGROUND:Recent studies indicate that serotonin (5-HT) has a growth-promoting effect on several different cell types, including smooth muscle cells. After percutaneous transluminal coronary angioplasty, there is damage and denudation of vascular endothelial cells, which promotes platelet aggregation at the site of in...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.4.1919

    authors: Pakala R,Willerson JT,Benedict CR

    更新日期:1994-10-01 00:00:00

  • Regression of left ventricular hypertrophy after surgical therapy for aortic stenosis is associated with changes in extracellular matrix gene expression.

    abstract:BACKGROUND:Regression of left ventricular hypertrophy (LVH) after surgical correction for aortic stenosis is not fully understood on the molecular level. The aim of this study was to examine whether there is an association between LVH regression and extracellular matrix (ECM) gene expression. METHODS AND RESULTS:A sta...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc37t1.094777

    authors: Walther T,Schubert A,Falk V,Binner C,Kanev A,Bleiziffer S,Walther C,Doll N,Autschbach R,Mohr FW

    更新日期:2001-09-18 00:00:00

  • Arrhythmia burden in adults with surgically repaired tetralogy of Fallot: a multi-institutional study.

    abstract:BACKGROUND:The arrhythmia burden in tetralogy of Fallot, types of arrhythmias encountered, and risk profile may change as the population ages. METHODS AND RESULTS:The Alliance for Adult Research in Congenital Cardiology (AARCC) conducted a multicenter cross-sectional study to quantify the arrhythmia burden in tetralog...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.109.928481

    authors: Khairy P,Aboulhosn J,Gurvitz MZ,Opotowsky AR,Mongeon FP,Kay J,Valente AM,Earing MG,Lui G,Gersony DR,Cook S,Ting JG,Nickolaus MJ,Webb G,Landzberg MJ,Broberg CS,Alliance for Adult Research in Congenital Cardiology (AARCC).

    更新日期:2010-08-31 00:00:00

  • Multicentric origin of the atrial depolarization wave: the pacemaker complex. Relation to dynamics of atrial conduction, P-wave changes and heart rate control.

    abstract::In studies to ascertain the basis of dynamic changes in the P wave, bipolar epicardial potentials were recorded from multiple atrial electrodes in dogs. One hundred to 120 activation times were displayed by a digital computer and used to construct atrial isotemporal activation sequence maps. Changes in heart rate or b...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.6.1036

    authors: Boineau JP,Schuessler RB,Mooney CR,Wylds AC,Miller CB,Hudson RD,Borremans JM,Brockus CW

    更新日期:1978-12-01 00:00:00

  • Effect of time of day on prehospital care and outcomes after out-of-hospital cardiac arrest.

    abstract:BACKGROUND:More than 300 000 out-of-hospital cardiac arrests (OHCA) occur each year in the United States. The relationship between time of day and OHCA outcomes in the prehospital setting is unknown. Any such association may have important implications for emergency medical services resource allocation. METHODS AND RE...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.002058

    authors: Wallace SK,Abella BS,Shofer FS,Leary M,Agarwal AK,Mechem CC,Gaieski DF,Becker LB,Neumar RW,Band RA

    更新日期:2013-04-16 00:00:00

  • The effect of substituted sydnonimines on coronary smooth muscle relaxation and cyclic guanosine monophosphate levels.

    abstract::In vitro experiments on precontracted canine coronary arteries were performed to study the direct relaxant effects of molsidomine (MOLS) and its active metabolite, SIN-1, and to determine if there is a relationship between effect and cGMP level elevations. The effects of MOLS and SIN-1 were compared with those of a cl...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.6.1315

    authors: Rinaldi G,Cingolani H

    更新日期:1983-12-01 00:00:00