Abstract:
:One of the most important problems during cardiac surgery is the prevention and treatment of hypertension, occurring in 40-60% of the patients following coronary artery bypass surgery (CABS). Hypertension should be avoided to prevent myocardial damage, neurologic complications, increased blood loss, and premature graft closure due to intimal damage. During and following cardiac surgery hypertension is routinely treated with vasodilating agents, which generally induce reflex tachycardia and increased intrapulmonary shunting. The results obtained with ketanserin, a specific S2-serotonergic receptor blocker with alpha 1-adrenergic receptor blocking properties, in the prevention and treatment of hypertension in patients undergoing cardiac surgery, are presented. Ketanserin effectively lowers blood pressure by decreasing systemic vascular resistance but does not completely prevent perioperative and postoperative hypertension when administered as a continuous infusion from the start of anesthesia. In contrast to sodium nitroprusside, ketanserin does not induce reflex tachycardia in the treatment of postoperative systemic hypertension following CABS. The compound improves diuresis and perfusion of the skin perioperatively. Ketanserin is devoid of rebound phenomena after its administration is stopped. It is postulated that the antihypertensive effect of ketanserin can be explained by its property of simultaneously blocking alpha 1-adrenergic and S2-serotonergic receptors.
journal_name
Angiologyjournal_title
Angiologyauthors
van der Starre PJ,Reneman RS,Scheijgrond HWdoi
10.1177/000331978904001111subject
Has Abstractpub_date
1989-11-01 00:00:00pages
1001-10issue
11eissn
0003-3197issn
1940-1574journal_volume
40pub_type
杂志文章相关文献
ANGIOLOGY文献大全abstract:CONCLUSIONS:The last decade, patients with AMI became older with increased burden of CVRFs. Framingham risk score increased among patients with NSTEMI and decreased in patients with STEMI. These trends impact on risk stratification and secondary prevention programs. ...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/0003319718816479
更新日期:2019-07-01 00:00:00
abstract::The thoracic outlet syndromes of the upper extremities consist of many disorders. The most important two are the costoclavicular syndrome (compression of neurovascular structures between the clavicle and the first rib) and the scalenus anticus syndrome (compression of these structures within the scalene triangle). Con...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331978904000901
更新日期:1989-09-01 00:00:00
abstract::A 38-year-old, previously healthy man presented with flank pain after competing in a marathon. Initial laboratory tests and urinalysis were essentially normal. Both contrast enhanced-computed tomography and magnetic resonance angiography showed an infarcted region of the left lower kidney without renal artery dissecti...
journal_title:Angiology
pub_type: 杂志文章,评审
doi:10.1177/0003319707310278
更新日期:2009-02-01 00:00:00
abstract::The transradial approach (TRA) has been used as access site for percutaneous coronary intervention (PCI) for years. However, no large sample study has evaluated the effect of TRA in elderly patients. A total of 1098 elderly patients (age ≥ 75 years) who underwent PCI by TRA or transfemoral approach were recruited. A 1...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/0003319714535971
更新日期:2015-05-01 00:00:00
abstract::The possible associations between coronary heart disease (CHD) and peripheral arterial disease (PAD), detected by echo-Doppler analysis, with restriction fragment length polymorphism (RFLP) of apo AI/CIII cluster and apo B gene were investigated in a group of men with premature CHD (n = 39) and in a control group of m...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331979304401004
更新日期:1993-10-01 00:00:00
abstract::Of all the controversial topics in the management of cerebrovascular diseases the subject of transient ischemic attacks is perhaps the most controversial. A preponderance of literature related to the subject, reflecting a remarkable degree of interest in the topic, is a result of this controversy. Each conclusion serv...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331978303401002
更新日期:1983-10-01 00:00:00
abstract::The present study reports on the effects of a physical treatment modality in patients with intermittent claudication. During this treatment a major part of the skin surface is subjected to intermittent suction and pressure. In a previous, preliminary study the authors found a beneficial effect of this treatment in int...
journal_title:Angiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/000331979304400103
更新日期:1993-01-01 00:00:00
abstract::A case in which the diagnosis of idiopathic giant cell myocarditis was obscured by the presence of severe coronary artery disease is described. A 47-year-old man presented with recurrent inferior myocardial infarction and complete heart block. Cardiac catheterization confirmed severe 2-vessel disease and left ventricu...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331970205300516
更新日期:2002-09-01 00:00:00
abstract::The main blood flow velocity patterns in the LVOT and RVOT were recorded by pulsed Doppler echocardiography in 28 normal healthy cases, in two athletes, and in 85 patients with atrial septal defects, pulmonary regurgitation, tetralogy of Fallot, aortic regurgitation, mitral stenosis, aortic stenosis, mitral regurgitat...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331978503600302
更新日期:1985-03-01 00:00:00
abstract::A transient complete coronary occlusion due to spasm was induced by the cold pressor test in a 51-year-old man with variant angina. Arteriography before the test revealed a normal left coronary artery and only minor irregularities of the mid-portion of the right coronary artery. Three minutes after cold stimulation, a...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331978303400701
更新日期:1983-07-01 00:00:00
abstract::The calcium-blocking agent nifedipine, which possesses vasodilating potency, was tested in 8 patients with peripheral arterial insufficiency. 10 mg sublingually significantly decreased systolic arm and ankle blood pressure. Neither blood flow nor local peripheral resistance in the calf and the forefoot at rest and the...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331978303400106
更新日期:1983-01-01 00:00:00
abstract::Many nonhealing tissues are hypoxic, with oxygen tensions frequently ranging from 5 to 15 mmHg. In such an environment, the normal wound healing sequence is disrupted or halted and phagocytic killing activity depressed. So the adjunctive use of hyperbaric oxygen (HBO), based on physiologic data and clinical observatio...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331979004100109
更新日期:1990-01-01 00:00:00
abstract::Since the first cardiac catheterization in 1929, this procedure has evolved considerably. Historically performed via the transfemoral access, in the last years, the transradial access has been spreading gradually due to its many advantages. We have conducted a review of published literature concerning efficacy, safety...
journal_title:Angiology
pub_type: 杂志文章,评审
doi:10.1177/0003319716656714
更新日期:2017-04-01 00:00:00
abstract::Kawasaki disease (KD) is an acute childhood febrile disease of unknown etiology. It exhibits not only coronary artery aneurysms in some cases but also systemic vasculitis. Whether KD is associated with accelerated atherosclerosis remains debatable. The measurement of pulse wave velocity (PWV) is useful as a simple, no...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/0003319716651789
更新日期:2017-03-01 00:00:00
abstract::Peripheral neuropathy is often found in ischemic limbs with nondiabetic atherosclerotic peripheral vascular disease (PVD). Sensory symptoms such as burning pain are common in severely ischemic limbs, and sympathectomy has been undertaken for ischemic rest pain. The authors assessed noninvasive quantitative skin vasomo...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331979804900303
更新日期:1998-03-01 00:00:00
abstract::Obesity is new in human evolutionary history, having become possible at the population level with increased food security. As with any phenotype, obesity is at base an outcome of gene-environment interactions. However, different disciplines working in obesity research have identified different facets of the problem an...
journal_title:Angiology
pub_type: 杂志文章,评审
doi:10.1177/0003319708320763
更新日期:2008-04-01 00:00:00
abstract::Three cases of arterial-graft infection are presented. In all cases the gram stain obtained at surgery demonstrated white blood cells but no bacteria. Cultures obtained at operation subsequently grew Pseudomonas aeruginosa in two patients and Bacteroides fragilis in one patient. Failure to recognize the fallibility of...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331978203301007
更新日期:1982-10-01 00:00:00
abstract::We assessed the association between 5 well-defined polymorphisms of the transforming growth factor-β1 (TGFB1) gene and coronary artery disease (CAD) among patients with hypertension from northeast China. All study participants were classified into patients with CAD (n = 679) and controls (n = 686) according to angiogr...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/0003319714547946
更新日期:2015-08-01 00:00:00
abstract::The possibility that a familial background of hypertension might influence the blood pressure response to a calcium entry blocker was evaluated in 15 normotensive relatives of patients with essential hypertension and 18 normotensive subjects with no family history of hypertension. Under control conditions, blood press...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331978703801203
更新日期:1987-12-01 00:00:00
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
更新日期:1999-06-01 00:00:00
abstract::We report a unique case of a 33 year old female with congenital aneurysm of the left ventricular apex associated with an aneurysm of the left main coronary artery and surgically repaired supravalvular aortic stenosis. The congenital aneurysm of the left ventricular apex was not associated with a midline thoraco-abdomi...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331977502600304
更新日期:1975-03-01 00:00:00
abstract::A His bundle electrogram was obtained in a 65 year old male with syncopal episodes. A split bundle of His deflection was recorded. After the intravenous administration of phentolamine, a marked shortening of the H-H' interval was observed. This signifies an improvement in conduction at the bundle of His level. ...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331977502600701
更新日期:1975-07-01 00:00:00
abstract::Initial electrocardiography changes were compared prospectively with the findings of coronary angiography to predict the infarct-related artery (IRA) in cases of single- and multi-vessel disease and to demonstrate the relationship between other coexisting coronary involvements and IRA in patients who presented with ac...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331970505600404
更新日期:2005-07-01 00:00:00
abstract::Thirty adult patients with distal, monolateral deep vein thrombosis of the lower limbs were randomly treated for sixty days either with subcutaneous Ca-Heparin or with Sulodexide, administered IM for ten days and orally for fifty days. The thrombus accretion above the knee, the venous pressures of the affected leg, th...
journal_title:Angiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/000331979704800907
更新日期:1997-09-01 00:00:00
abstract::A review of 6938 computer-generated electrocardiogram interpretations was undertaken by a single cardiologist. The computer-assisted program correctly interpreted 51.6% of the tracings. One or more corrections were necessary in 48.4%. The greatest number of incorrect interpretations involved repolarization (T wave) ab...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331979704801204
更新日期:1997-12-01 00:00:00
abstract::A case of aorticopulmonary window associated with tetralogy of Fallot is reported with its clinical, hemodynamic, angiocardiographic, surgical, and necropsy findings. The difficulty in diagnosing a tetralogy of Fallot in the presence of a large aorticopulmonary shunt is emphasized. It is also noted that the only means...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331977602700906
更新日期:1976-09-01 00:00:00
abstract::The authors report use of intravenous (IV) tissue plasminogen activator (TPA) to treat acute anterior wall myocardial infarction in a forty-two-year-old woman during the active menstrual period. The patient received the TPA with the front-loading system with excellent result. Hemoglobin remained unchanged. This case d...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/000331979404500408
更新日期:1994-04-01 00:00:00
abstract::Lipid lowering with statins improves morbidity and mortality, particularly in diabetics, and may have additional nonlipid effects. South Asians (SAs) are at higher risk of cardiovascular disease and diabetes compared with white Europeans (WEs). We hypothesized that abnormal endothelial (marked by von Willebrand factor...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/0003319711401904
更新日期:2011-10-01 00:00:00
abstract::Left ventricular aneurysm (LVA) is an important complication of acute transmural myocardial infarction (MI) that bears great clinical significance because of high mortality. Heart rate variability (HRV) analysis is extensively used to evaluate autonomic modulation of sinus node and to identify patients at risk for an ...
journal_title:Angiology
pub_type: 杂志文章
doi:10.1177/0003319707302449
更新日期:2007-06-01 00:00:00
abstract::Angiotensin-converting enzyme (ACE) inhibitors are reported to prevent neointimal formation after balloon injury in animal models, but in most prospective studies in humans, ACE inhibitors failed to prevent restenosis after percutaneous transluminal coronary angioplasty (PTCA). The ACE genotype assigned by an insertio...
journal_title:Angiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/000331979905001005
更新日期:1999-10-01 00:00:00