"Ischemia at a distance" during intermittent coronary artery occlusion: a coronary anatomic explanation.

Abstract:

:The mechanism of electrocardiographic ST segment changes during acute coronary occlusion was evaluated in 28 consecutive patients with single vessel coronary artery disease undergoing coronary angioplasty. Patients were continuously monitored with a six lead electrocardiogram. Twenty-three patients showed ST changes in the primary zone of occlusion, and 13 of these had additional ST changes in a remote zone. Ten of these 13 had unusually extensive arteries supplying the remote zone. The balloon occluded two adjacent normal arteries in two patients, and no coronary anatomic explanation was evident in one patient. Ten patients with striking primary zone ST changes showed no remote change. Seven had nonextensive primary zone arteries, and three others had abundant collateral vessels. Five patients showed no electrocardiographic changes in primary or remote zones. Four had collateral vessels, and one had left ventricular hypertrophy on the baseline electrocardiogram. It was concluded that remote electrocardiographic changes are probably due to occlusion of unusually extensive coronary arteries and are not simply reciprocal.

journal_name

J Am Coll Cardiol

authors

Brymer JF,Khaja F,Marzilli M,Goldstein S

doi

10.1016/s0735-1097(85)80250-3

subject

Has Abstract

pub_date

1985-07-01 00:00:00

pages

41-8

issue

1

eissn

0735-1097

issn

1558-3597

journal_volume

6

pub_type

杂志文章
  • Relation between volume of exercise and clinical outcomes in patients with heart failure.

    abstract:OBJECTIVES:This study determined whether greater volumes of exercise were associated with greater reductions in clinical events. BACKGROUND:The HF-ACTION (Heart Failure: A Controlled Trial Investigating Outcomes of Exercise Training) trial showed that among patients with heart failure (HF), regular exercise confers a ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jacc.2012.08.958

    authors: Keteyian SJ,Leifer ES,Houston-Miller N,Kraus WE,Brawner CA,O'Connor CM,Whellan DJ,Cooper LS,Fleg JL,Kitzman DW,Cohen-Solal A,Blumenthal JA,Rendall DS,Piña IL,HF-ACTION Investigators.

    更新日期:2012-11-06 00:00:00

  • Chinese adults are less susceptible than whites to age-related endothelial dysfunction.

    abstract:OBJECTIVES:We sought to assess the effects of aging on the endothelial physiology of a group of Chinese adults. BACKGROUND:Several studies have documented an association between aging and progressive arterial endothelial dysfunction in white subjects. We hypothesized that age-related endothelial dysfunction, an import...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(97)00111-3

    authors: Woo KS,McCrohon JA,Chook P,Adams MR,Robinson JT,McCredie RJ,Lam CW,Feng JZ,Celermajer DS

    更新日期:1997-07-01 00:00:00

  • A randomized comparison of triple-site versus dual-site ventricular stimulation in patients with congestive heart failure.

    abstract:OBJECTIVES:We compared the effects of triple-site versus dual-site biventricular stimulation in candidates for cardiac resynchronization therapy. BACKGROUND:Conventional biventricular stimulation with a single right ventricular (RV) and a single left ventricular (LV) lead is associated with persistence of cardiac dyss...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jacc.2007.11.074

    authors: Leclercq C,Gadler F,Kranig W,Ellery S,Gras D,Lazarus A,Clémenty J,Boulogne E,Daubert JC,TRIP-HF (Triple Resynchronization In Paced Heart Failure Patients) Study Group.

    更新日期:2008-04-15 00:00:00

  • The detection of viral genomes by polymerase chain reaction in the myocardium of pediatric patients with advanced HIV disease.

    abstract:OBJECTIVES:The aim of this study was to investigate the frequency of viral nucleic acid detection in the myocardium of human immunodeficiency virus (HIV)-infected children to determine whether an association exists with the development of heart disease. BACKGROUND:As improved medical interventions increase the life ex...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(99)00264-8

    authors: Bowles NE,Kearney DL,Ni J,Perez-Atayde AR,Kline MW,Bricker JT,Ayres NA,Lipshultz SE,Shearer WT,Towbin JA

    更新日期:1999-09-01 00:00:00

  • Antithrombotics: From Aspirin to DOACs in Coronary Artery Disease and Atrial Fibrillation (Part 3/5).

    abstract::For secondary prevention of coronary artery disease (CAD), oral antiplatelet therapy is essential. In case of coronary intervention, temporary dual antiplatelet therapy is mandatory as well. Recently, low-dose oral anticoagulation has entered the CAD arena. Atrial fibrillation (AF) is often seen in CAD and vice versa....

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2019.02.080

    authors: Verheugt FWA,Ten Berg JM,Storey RF,Cuisset T,Granger CB

    更新日期:2019-08-06 00:00:00

  • Coronary angiographic morphology in myocardial infarction: a link between the pathogenesis of unstable angina and myocardial infarction.

    abstract::It has previously been shown that analysis of coronary morphology can separate unstable from stable angina. An eccentric stenosis with a narrow neck or irregular borders, or both, is very common in patients who present with acute unstable angina, whereas it is rare in patients with stable angina. To extend these obser...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(85)80207-2

    authors: Ambrose JA,Winters SL,Arora RR,Haft JI,Goldstein J,Rentrop KP,Gorlin R,Fuster V

    更新日期:1985-12-01 00:00:00

  • Echo-Doppler mitral flow monitoring: an operative tool to evaluate day-to-day tolerance to and effectiveness of beta-adrenergic blocking agent therapy in patients with chronic heart failure.

    abstract:OBJECTIVES:The goals of this study were: 1) to assess the predictive value of baseline mitral flow pattern (MFP) and its changes after loading manipulations as regards tolerance to and effectiveness of beta-adrenergic blocking agent treatment in patients with chronic heart failure (CHF); and 2) to analyze the prognosti...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(01)01609-6

    authors: Capomolla S,Pinna GD,Febo O,Caporotondi A,Guazzotti G,La Rovere MT,Gnemmi M,Mortara A,Maestri R,Cobelli F

    更新日期:2001-11-15 00:00:00

  • Efficacy of propafenone in Wolff-Parkinson-White syndrome: electrophysiologic findings and long-term follow-up.

    abstract::The efficacy and safety of intravenous propafenone was studied in 10 patients with Wolff-Parkinson-White syndrome and in 2 patients with a concealed accessory pathway. During electrophysiologic study, the effect of propafenone on the effective refractory period of the accessory pathway was determined, as well as its e...

    journal_title:Journal of the American College of Cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0735-1097(87)80478-3

    authors: Ludmer PL,McGowan NE,Antman EM,Friedman PL

    更新日期:1987-06-01 00:00:00

  • Transvascular catheter infiltration of the ductus arteriosus with formalin in the newborn lamb: a novel method of establishing and maintaining ductal patency.

    abstract:OBJECTIVES:This study sought to establish and maintain patency of the ductus arteriosus by a new method of transvascular formalin infiltration of the ductus arteriosus wall. BACKGROUND:Maintaining patency of the ductus arteriosus postnatally is necessary with many forms of congenital heart disease to ensure survival u...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(96)00128-3

    authors: Weber HS,Baylen BG,Banaszak P,Abt AB

    更新日期:1996-07-01 00:00:00

  • Flecainide acetate for resistant arrhythmias in the young: efficacy and pharmacokinetics.

    abstract::Drug efficacy and pharmacokinetics were assessed in 63 patients, aged 5 days to 30 years (mean 8 years), who received flecainide acetate for control of resistant arrhythmias. Doses of flecainide ranged from 59 to 225 mg/m2 body surface area per day (mean 141) in divided doses every 8 to 12 h and serum trough levels ra...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(89)90070-3

    authors: Perry JC,McQuinn RL,Smith RT Jr,Gothing C,Fredell P,Garson A Jr

    更新日期:1989-07-01 00:00:00

  • Cardiac troponin I levels and clinical outcomes in patients with acute coronary syndromes: the potential role of early percutaneous revascularization.

    abstract:OBJECTIVES:To establish the role of early catheter-based coronary intervention among patients sustaining acute coronary syndromes (ACS) stratified according to admission plasma troponin I (Tn-I) levels. BACKGROUND:The impact of early revascularization strategy on the clinical outcomes in patients with ACS stratified b...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(99)00434-9

    authors: Fuchs S,Kornowski R,Mehran R,Satler LF,Pichard AD,Kent KM,Hong MK,Slack S,Stone GW,Leon MB

    更新日期:1999-11-15 00:00:00

  • Surgical management of severe aortic outflow obstruction in lesions other than the hypoplastic left heart syndrome: use of a pulmonary artery to aorta anastomosis.

    abstract::Between December 1985 and April 1990, 50 infants with a variety of congenital cardiac lesions other than the hypoplastic left heart syndrome underwent surgical relief of aortic outflow obstruction by creation of a pulmonary artery to aorta anastomosis. The patients were grouped anatomically by ventriculoarterial align...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(91)90806-k

    authors: Rychik J,Murdison KA,Chin AJ,Norwood WI

    更新日期:1991-09-01 00:00:00

  • Computer system for analysis of ST segment changes on 24 hour Holter monitor tapes: comparison with other available systems.

    abstract::The accuracy of a computer system that was developed for the analysis of ST segment changes recorded on Holter ambulatory electrocardiographic monitoring tapes was compared with conventional visual scrutiny, beat by beat analog printouts and a commercial J point trend system. The program calculates and plots multiple ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(84)80209-0

    authors: Gallino A,Chierchia S,Smith G,Croom M,Morgan M,Marchesi C,Maseri A

    更新日期:1984-08-01 00:00:00

  • Effect of rotational atherectomy in noncalcified atherosclerotic plaque: a volumetric intravascular ultrasound study.

    abstract:OBJECTIVES:This study used pre-rotational and post-rotational atherectomy volumetric intravascular ultrasound analysis to determine whether rotational atherectomy causes ablation of non-calcified atherosclerotic plaque. BACKGROUND:Rotational atherectomy is currently the preferred treatment for heavily calcified corona...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(96)00255-0

    authors: Dussaillant GR,Mintz GS,Pichard AD,Kent KM,Satler LF,Popma JJ,Leon MB

    更新日期:1996-10-01 00:00:00

  • Referral patterns and perceived barriers to adult congenital heart disease care: results of a survey of U.S. pediatric cardiologists.

    abstract:OBJECTIVES:This study sought to elucidate referral patterns and barriers to adult congenital heart disease (ACHD) care, as perceived by pediatric cardiologists (PCs). BACKGROUND:Management guidelines recommend that care of adults with moderate/complex congenital heart disease be guided by clinicians trained in ACHD. ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jacc.2012.09.015

    authors: Fernandes SM,Khairy P,Fishman L,Melvin P,O'Sullivan-Oliveira J,Sawicki GS,Ziniel S,Breitinger P,Williams R,Takahashi M,Landzberg MJ

    更新日期:2012-12-11 00:00:00

  • Predictors of aneurysmal formation after surgical correction of aortic coarctation.

    abstract:OBJECTIVES:We sought to identify the predictors of aneurysmal formation after surgical correction of aortic coarctation. BACKGROUND:In 9% of patients, aneurysms develop late after corrective surgery of coarctation of the aorta, with a 36% mortality rate if left untreated. However, the predictors of postsurgical aneury...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0735-1097(01)01784-3

    authors: von Kodolitsch Y,Aydin MA,Koschyk DH,Loose R,Schalwat I,Karck M,Cremer J,Haverich A,Berger J,Meinertz T,Nienaber CA

    更新日期:2002-02-20 00:00:00

  • Genetic inhibition of CETP, ischemic vascular disease and mortality, and possible adverse effects.

    abstract:OBJECTIVES:This study tested whether genetic variation in the CETP gene is consistent with a protective effect of cholesteryl ester transfer protein (CETP) inhibition on risk of ischemic events and on total mortality, without the adverse effects reported for torcetrapib. BACKGROUND:Torcetrapib, an inhibitor of CETP, i...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2012.07.045

    authors: Johannsen TH,Frikke-Schmidt R,Schou J,Nordestgaard BG,Tybjærg-Hansen A

    更新日期:2012-11-13 00:00:00

  • Beneficial effects of metoprolol in heart failure associated with coronary artery disease: a randomized trial.

    abstract:OBJECTIVES:This clinical trial was performed to determine the safety and clinical impact of titrated metoprolol therapy in patients with heart failure, documented coronary artery disease and a low ejection fraction. BACKGROUND:Despite known cardiodepressant effects, long-term use of beta-adrenergic antagonists appears...

    journal_title:Journal of the American College of Cardiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0735-1097(94)90641-6

    authors: Fisher ML,Gottlieb SS,Plotnick GD,Greenberg NL,Patten RD,Bennett SK,Hamilton BP

    更新日期:1994-03-15 00:00:00

  • Fibrinolytic activity after vessel wall injury.

    abstract::The goal of this study was to assess fibrinolytic activity after vessel wall injury and to correlate changes in fibrinolytic activity with angiographic and histologic findings. Accordingly, in 18 atherosclerotic rabbits, vessel wall injury was produced by means of iliac artery balloon angioplasty (the injury group), w...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(92)90502-e

    authors: Shi Y,Nardone D,Hernandez-Martinez A,Walinsky P,Bjornsson TD,Zalewski A

    更新日期:1992-02-01 00:00:00

  • Vorapaxar in acute coronary syndrome patients undergoing coronary artery bypass graft surgery: subgroup analysis from the TRACER trial (Thrombin Receptor Antagonist for Clinical Event Reduction in Acute Coronary Syndrome).

    abstract:OBJECTIVES:This study evaluated effects of protease-activated receptor-1 antagonist vorapaxar (Merck, Whitehouse Station, New Jersey) versus placebo among the TRACER (Thrombin Receptor Antagonist for Clinical Event Reduction in Acute Coronary Syndrome) study patients with non-ST-segment elevation acute coronary syndrom...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jacc.2013.10.048

    authors: Whellan DJ,Tricoci P,Chen E,Huang Z,Leibowitz D,Vranckx P,Marhefka GD,Held C,Nicolau JC,Storey RF,Ruzyllo W,Huber K,Sinnaeve P,Weiss AT,Dery JP,Moliterno DJ,Van de Werf F,Aylward PE,White HD,Armstrong PW,Wallentin

    更新日期:2014-03-25 00:00:00

  • Lorcainide in patients with refractory ventricular tachyarrhythmia.

    abstract::Lorcainide, a new antiarrhythmic agent with local anesthetic or membrane-stabilizing properties similar to those of quinidine, was tested in 76 patients with diverse types of heart disease and recurrent ventricular tachycardia or ventricular fibrillation. Lorcainide was administered for 72 to 96 hours in a dose rangin...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(84)80293-4

    authors: Chesnie B,Lampert S,Podrid P,Lown B

    更新日期:1984-06-01 00:00:00

  • Differential effects of dobutamine and a phosphodiesterase inhibitor on early diastolic filling in patients with congestive heart failure.

    abstract:OBJECTIVES:This study was designed to compare the influence of beta-adrenergic stimulation (dobutamine) and a selective phosphodiesterase inhibitor (MS-857) on left ventricular diastolic performance and Doppler transmitral flow velocity patterns in patients with congestive heart failure and to elucidate the mechanisms ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0735-1097(94)00369-2

    authors: Nagata K,Iwase M,Sobue T,Yokota M

    更新日期:1995-02-01 00:00:00

  • Embolic potential of left ventricular thrombus after myocardial infarction: a two-dimensional echocardiographic study of 119 patients.

    abstract::Left ventricular thrombus complicating myocardial infarction was diagnosed by two-dimensional echocardiography in 119 patients. The infarct site was anterior in 98 patients and inferior in 11. Systemic embolism occurred in 26 patients (stroke in 18, lower limb embolism in 7 and mesenteric embolism in 1). A protruding ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(85)80336-3

    authors: Visser CA,Kan G,Meltzer RS,Dunning AJ,Roelandt J

    更新日期:1985-06-01 00:00:00

  • Assessment of coronary flow velocity with transthoracic Doppler echocardiography during dobutamine stress echocardiography.

    abstract:OBJECTIVES:The purpose of this study was to evaluate the feasibility of measuring coronary flow velocity (CFV) by transthoracic Doppler echocardiography (TTDE) in the left anterior descending coronary artery (LAD) during contrast-enhanced dobutamine stress echocardiography (DSE). We also assessed the value of TTDE for ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(01)01322-5

    authors: Takeuchi M,Miyazaki C,Yoshitani H,Otani S,Sakamoto K,Yoshikawa J

    更新日期:2001-07-01 00:00:00

  • Magnetic resonance imaging of arrhythmogenic right ventricular dysplasia: sensitivity, specificity, and observer variability of fat detection versus functional analysis of the right ventricle.

    abstract:OBJECTIVES:The purpose of this study was to determine interobserver agreement for interpretation of magnetic resonance imaging (MRI) examinations of arrhythmogenic right ventricular dysplasia (ARVD) and to determine sensitivity and specificity of fat detection versus functional parameters measured by MRI. BACKGROUND:T...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2006.07.051

    authors: Tandri H,Castillo E,Ferrari VA,Nasir K,Dalal D,Bomma C,Calkins H,Bluemke DA

    更新日期:2006-12-05 00:00:00

  • Cardiac magnetic resonance imaging findings and the risk of cardiovascular events in patients with recent myocardial infarction or suspected or known coronary artery disease: a systematic review of prognostic studies.

    abstract::The goal of this study was to review the prognostic value of cardiac magnetic resonance (CMR) imaging findings for future cardiovascular events in patients with a recent myocardial infarction (MI) and patients with suspected or known coronary artery disease (CAD). Although the diagnostic value of CMR findings is estab...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2013.11.048

    authors: El Aidi H,Adams A,Moons KG,Den Ruijter HM,Mali WP,Doevendans PA,Nagel E,Schalla S,Bots ML,Leiner T

    更新日期:2014-03-25 00:00:00

  • Pericardial thickness measured with transesophageal echocardiography: feasibility and potential clinical usefulness.

    abstract:OBJECTIVES:This study assessed the reliability of transesophageal echocardiographic measurements of pericardial thickness and the potential diagnostic usefulness of this technique. BACKGROUND:Transthoracic echocardiography cannot reliably detect thickened pericardium. The superior resolution achieved with transesophag...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(97)82756-8

    authors: Ling LH,Oh JK,Tei C,Click RL,Breen JF,Seward JB,Tajik AJ

    更新日期:1997-05-01 00:00:00

  • Initial Feasibility Study of a New Transcatheter Mitral Prosthesis: The First 100 Patients.

    abstract:BACKGROUND:Transcatheter mitral valve replacement (TMVR) is a rapidly evolving therapy. Follow-up of TMVR patients remains limited in duration and number treated. OBJECTIVES:The purpose of this study was to examine outcomes with expanded follow-up for the first 100 patients who underwent TMVR with the prosthesis. MET...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2018.12.066

    authors: Sorajja P,Moat N,Badhwar V,Walters D,Paone G,Bethea B,Bae R,Dahle G,Mumtaz M,Grayburn P,Kapadia S,Babaliaros V,Guerrero M,Satler L,Thourani V,Bedogni F,Rizik D,Denti P,Dumonteil N,Modine T,Sinhal A,Chuang ML,P

    更新日期:2019-03-26 00:00:00

  • Left atrial spontaneous echo contrast in mitral valve disease: an indicator for an increased thromboembolic risk.

    abstract::The incidence of left atrial spontaneous echo contrast was evaluated in 52 patients with isolated or predominant mitral valve stenosis (Group 1) and 70 other patients who had undergone mitral valve replacement (Group 2). All patients were studied by conventional transthoracic and transesophageal two-dimensional echoca...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(88)90283-5

    authors: Daniel WG,Nellessen U,Schröder E,Nonnast-Daniel B,Bednarski P,Nikutta P,Lichtlen PR

    更新日期:1988-06-01 00:00:00

  • Which white blood cell subtypes predict increased cardiovascular risk?

    abstract:OBJECTIVES:We sought to determine the predictive ability of total white blood cell (WBC) count and its subtypes for risk of death or myocardial infarction (MI). BACKGROUND:An elevated WBC count has been associated with cardiovascular risk, but which leukocyte subtypes carry this risk is uncertain. METHODS:Consecutive...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2005.02.054

    authors: Horne BD,Anderson JL,John JM,Weaver A,Bair TL,Jensen KR,Renlund DG,Muhlestein JB,Intermountain Heart Collaborative Study Group.

    更新日期:2005-05-17 00:00:00