Products of myocardial ischemia and electrical instability of the heart.

Abstract:

:Products of ischemic metabolism can make a major contribution to electrical instability of the heart. In particular, enhanced extracellular potassium slows conduction, thereby predisposing to reentrant circuits, especially when levels of cyclic adenosine monophosphate (AMP) increase in the early ischemic period. Other products (lactate, lipid metabolites) alter the duration of the action potential. Accumulated calcium may induce inward diastolic currents.

journal_name

J Am Coll Cardiol

authors

Opie LH

doi

10.1016/s0735-1097(85)80549-0

subject

Has Abstract

pub_date

1985-06-01 00:00:00

pages

162B-165B

issue

6 Suppl

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(85)80549-0

journal_volume

5

pub_type

杂志文章,评审
  • The neonatal heart has a relatively high content of total collagen and type I collagen, a condition that may explain the less compliant state.

    abstract:OBJECTIVES:This study evaluated the extent of the collagen network in neonatal heart muscle and whether the type I/type III collagen ratio is the same as in the adult heart. BACKGROUND:The functional integrity and the stress-strain relation of heart muscle depends largely on the extracellular collagen matrix. The ques...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(94)90612-2

    authors: Marijianowski MM,van der Loos CM,Mohrschladt MF,Becker AE

    更新日期:1994-04-01 00:00:00

  • Left ventricular mechanics during right ventricular apical or left ventricular-based pacing in patients with chronic atrial fibrillation after atrioventricular junction ablation.

    abstract:OBJECTIVES:The aim of the study was to evaluate whether left ventricular (LV) mechanics are better under LV-based pacing than under right ventricular (RV) apical pacing in patients with permanent atrial fibrillation (AF) after atrioventricular junction (AVJ) ablation. BACKGROUND:"Ablate and pace" is an acceptable ther...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2003.10.038

    authors: Simantirakis EN,Vardakis KE,Kochiadakis GE,Manios EG,Igoumenidis NE,Brignole M,Vardas PE

    更新日期:2004-03-17 00:00:00

  • Impact of lesion sets on mid-term results of surgical ablation procedure for atrial fibrillation.

    abstract:OBJECTIVES:The objective of this study was to evaluate the effects of different lesion sets of ablation in patients undergoing mitral surgery plus maze. BACKGROUND:The role of lesion sets on outcome after maze is poorly defined. METHODS:A total of 141 patients were prospectively followed up. Two different lesion sets...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2010.09.055

    authors: Onorati F,Mariscalco G,Rubino AS,Serraino F,Santini F,Musazzi A,Klersy C,Sala A,Renzulli A

    更新日期:2011-02-22 00:00:00

  • Early Mortality After Catheter Ablation of Ventricular Tachycardia in Patients With Structural Heart Disease.

    abstract:BACKGROUND:In patients referred for radiofrequency catheter ablation (RFCA) of ventricular tachycardia (VT) in the setting of structural heart disease, early post-procedural mortality (EM) has not been previously investigated. OBJECTIVES:The purpose of this study was to evaluate EM after catheter ablation of scar-rela...

    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.2017.02.044

    authors: Santangeli P,Frankel DS,Tung R,Vaseghi M,Sauer WH,Tzou WS,Mathuria N,Nakahara S,Dickfeldt TM,Lakkireddy D,Bunch TJ,Di Biase L,Natale A,Tholakanahalli V,Tedrow UB,Kumar S,Stevenson WG,Della Bella P,Shivkumar K,Marchl

    更新日期:2017-05-02 00:00:00

  • Risk Stratification for Arrhythmic Events in Patients With Asymptomatic Pre-Excitation: A Systematic Review for the 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Card

    abstract:OBJECTIVE:To review the literature systematically to determine whether noninvasive or invasive risk stratification, such as with an electrophysiological study of patients with asymptomatic pre-excitation, reduces the risk of arrhythmic events and improves patient outcomes. METHODS:PubMed, EMBASE, and the Cochrane Cent...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2015.09.018

    authors: Al-Khatib SM,Arshad A,Balk EM,Das SR,Hsu JC,Joglar JA,Page RL

    更新日期:2016-04-05 00:00:00

  • Atrial fibrillation promotion by endurance exercise: demonstration and mechanistic exploration in an animal model.

    abstract:OBJECTIVES:The goal of this study was to assess mechanisms underlying atrial fibrillation (AF) promotion by exercise training in an animal model. BACKGROUND:High-level exercise training promotes AF, but the underlying mechanisms are unclear. METHODS:AF susceptibility was assessed by programmed stimulation in rats aft...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2013.01.091

    authors: Guasch E,Benito B,Qi X,Cifelli C,Naud P,Shi Y,Mighiu A,Tardif JC,Tadevosyan A,Chen Y,Gillis MA,Iwasaki YK,Dobrev D,Mont L,Heximer S,Nattel S

    更新日期:2013-07-02 00:00:00

  • Blood flow-dependent uptake of indium-111 monoclonal antimyosin antibody in canine acute myocardial infarction.

    abstract:OBJECTIVES:The relation of myocardial blood flow and indium-111 (111In) antimyosin antibody uptake was studied by inducing myocardial infarction in 18 dogs, 8 with closed chest left anterior descending artery balloon occlusion for 3 h followed by reperfusion (group A) and 10 dogs with open chest left anterior descendin...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(93)90742-j

    authors: Mody FV,Buxton DB,Araujo LI,Fishbein ME,Selin CE,Schelbert HR,Schwaiger M

    更新日期:1993-01-01 00:00:00

  • The effect of diabetes mellitus on prognosis and serial left ventricular function after acute myocardial infarction: contribution of both coronary disease and diastolic left ventricular dysfunction to the adverse prognosis. The MILIS Study Group.

    abstract::Patients with diabetes mellitus experience a more adverse outcome after acute myocardial infarction compared with nondiabetic patients, although the mechanisms responsible for these findings are not clear. From the Multicenter Investigation of the Limitation of Infarct Size (MILIS) study, the course of acute infarctio...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(89)90053-3

    authors: Stone PH,Muller JE,Hartwell T,York BJ,Rutherford JD,Parker CB,Turi ZG,Strauss HW,Willerson JT,Robertson T

    更新日期:1989-07-01 00:00:00

  • Aortic Valve Sparing in Different Aortic Valve and Aortic Root Conditions.

    abstract::The development of aortic valve-sparing operations (reimplantation of the aortic valve and remodeling of the aortic root) expanded the surgical armamentarium for treating patients with aortic root dilation caused by a variety of disorders. Young adults with aortic root aneurysms associated with genetic syndromes are i...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2016.04.062

    authors: David TE

    更新日期:2016-08-09 00:00:00

  • A Simple Disease-Guided Approach to Personalize ACC/AHA-Recommended Statin Allocation in Elderly People: The BioImage Study.

    abstract:BACKGROUND:The 2013 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines recommend primary prevention with statins for individuals with ≥7.5% 10-year risk for atherosclerotic cardiovascular disease (ASCVD). Everyone living long enough will become eligible for risk-based statin therapy due to...

    journal_title:Journal of the American College of Cardiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.jacc.2016.05.084

    authors: Mortensen MB,Fuster V,Muntendam P,Mehran R,Baber U,Sartori S,Falk E

    更新日期:2016-08-30 00:00:00

  • Reduced Lymphatic Reserve in Heart Failure With Preserved Ejection Fraction.

    abstract:BACKGROUND:Microvascular dysfunction plays an important role in the pathogenesis of heart failure with preserved ejection fraction (HFpEF). However, no mechanistic link between systemic microvasculature and congestion, a central feature of the syndrome, has yet been investigated. OBJECTIVES:This study aimed to investi...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2020.10.022

    authors: Rossitto G,Mary S,McAllister C,Neves KB,Haddow L,Rocchiccioli JP,Lang NN,Murphy CL,Touyz RM,Petrie MC,Delles C

    更新日期:2020-12-15 00:00:00

  • A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate.

    abstract:OBJECTIVES:We sought to test the hypothesis that complex fractionated electrograms (CFAEs) recorded during atrial fibrillation (AF) could be used as target sites for catheter ablation of AF. BACKGROUND:Mapping of AF in humans has shown that areas of CFAEs correlate with areas of slowed conduction and pivot points of r...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2003.12.054

    authors: Nademanee K,McKenzie J,Kosar E,Schwab M,Sunsaneewitayakul B,Vasavakul T,Khunnawat C,Ngarmukos T

    更新日期:2004-06-02 00:00:00

  • Syncope in hypertrophic cardiomyopathy: multivariate analysis of prognostic determinants.

    abstract::Twenty-nine consecutive patients with symptomatic hypertrophic cardiomyopathy and a mean age of 44.8 +/- 12.2 years (range 21 to 63) underwent complex invasive and noninvasive testing to identify a risk profile for syncope. Clinical, morphologic, electrophysiologic and hemodynamic variables at rest and at a symptom-li...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(90)90222-b

    authors: Nienaber CA,Hiller S,Spielmann RP,Geiger M,Kuck KH

    更新日期:1990-04-01 00:00:00

  • Current status of bioresorbable scaffolds in the treatment of coronary artery disease.

    abstract::State-of-the-art drug-eluting metal stents are the gold standard for interventional treatment of coronary artery disease. Although they overcome some disadvantages and limitations of plain balloon angioplasty and bare-metal stents, some limitations apply, most notably a chronic local inflammatory reaction due to perma...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2014.09.041

    authors: Wiebe J,Nef HM,Hamm CW

    更新日期:2014-12-16 00:00:00

  • Interassociation Consensus Statement on Cardiovascular Care of College Student-Athletes.

    abstract::Cardiovascular evaluation and care of college student-athletes is gaining increasing attention from both the public and medical communities. Emerging strategies include screening of the general athlete population, recommendations of permissible levels of participation by athletes with identified cardiovascular conditi...

    journal_title:Journal of the American College of Cardiology

    pub_type: 共识发展会议,杂志文章

    doi:10.1016/j.jacc.2016.03.527

    authors: Hainline B,Drezner JA,Baggish A,Harmon KG,Emery MS,Myerburg RJ,Sanchez E,Molossi S,Parsons JT,Thompson PD

    更新日期:2016-06-28 00:00:00

  • Calcium-dependent NOX5 nicotinamide adenine dinucleotide phosphate oxidase contributes to vascular oxidative stress in human coronary artery disease.

    abstract:OBJECTIVES:This study sought to examine the expression and activity of the calcium-dependent nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX) in human atherosclerotic coronary arteries. BACKGROUND:The NOX-based NADPH oxidases are major sources of reactive oxygen species (ROS) in human vessels. Several...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2008.07.063

    authors: Guzik TJ,Chen W,Gongora MC,Guzik B,Lob HE,Mangalat D,Hoch N,Dikalov S,Rudzinski P,Kapelak B,Sadowski J,Harrison DG

    更新日期:2008-11-25 00:00:00

  • Sensing/pacing lead complications with a newer generation implantable cardioverter-defibrillator: worldwide experience from the Guardian ATP 4210 clinical trial.

    abstract:OBJECTIVES:This report describes the sensing/pacing lead complications that developed during a worldwide clinical trial of a new implantable cardioverter-defibrillator. BACKGROUND:The reliability of the leads used for sensing and pacing with the implantable cardioverter-defibrillator has not been adequately studied. ...

    journal_title:Journal of the American College of Cardiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/0735-1097(94)90510-x

    authors: Stambler BS,Wood MA,Damiano RJ,Greenway PS,Smutka ML,Ellenbogen KA

    更新日期:1994-01-01 00:00:00

  • The effect of intracoronary radiation for the treatment of recurrent in-stent restenosis in patients with diabetes mellitus.

    abstract:OBJECTIVES:The purpose of this study was to examine the effect of intracoronary radiation therapy (IRT) in diabetic patients with in-stent restenosis (ISR). BACKGROUND:Diabetic patients are at an increased risk for restenosis, repeat revascularization procedures and late mortality after percutaneous coronary intervent...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(02)01891-0

    authors: Gruberg L,Waksman R,Ajani AE,Kim HS,White RL,Pinnow EE,Satler LF,Pichard AD,Kent KM,Lindsay J Jr

    更新日期:2002-06-19 00:00:00

  • Precision Medicine in Patients With Resistant Hypertension and Obstructive Sleep Apnea: Blood Pressure Response to Continuous Positive Airway Pressure Treatment.

    abstract:BACKGROUND:In patients with resistant hypertension (RH) and obstructive sleep apnea (OSA), the blood pressure response to continuous positive airway pressure (CPAP) treatment is highly variable and could be associated with differential micro-ribonucleic acid (miRNA) profiles. Currently, no available methods exist to id...

    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.2015.06.1315

    authors: Sánchez-de-la-Torre M,Khalyfa A,Sánchez-de-la-Torre A,Martinez-Alonso M,Martinez-García MÁ,Barceló A,Lloberes P,Campos-Rodriguez F,Capote F,Diaz-de-Atauri MJ,Somoza M,González M,Masa JF,Gozal D,Barbé F,Spanish Sleep Network

    更新日期:2015-09-01 00:00:00

  • Inappropriate sinus tachycardia.

    abstract::Inappropriate sinus tachycardia (IST) is a syndrome in which the sinus heart rate is inexplicably faster than expected and associated symptoms are present. The heart rate at rest, even in a supine position, can exceed 100 beats/min; minimal activity accelerates the rate rapidly and substantially. Patients with IST may...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2012.07.074

    authors: Olshansky B,Sullivan RM

    更新日期:2013-02-26 00:00:00

  • Iodine-123 phenylpentadecanoic acid and single photon emission computed tomography in identifying left ventricular regional metabolic abnormalities in patients with coronary heart disease: comparison with thallium-201 myocardial tomography.

    abstract::Iodine-123 phenylpentadecanoic acid (IPPA) is a synthetic long chain fatty acid with myocardial kinetics similar to palmitate. Two hypotheses were tested in this study. The first hypothesis was that IPPA imaging with single photon emission computed tomography (SPECT) is useful in the identification of patients with co...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(88)90359-2

    authors: Hansen CL,Corbett JR,Pippin JJ,Jansen DE,Kulkarni PV,Ugolini V,Henderson E,Akers M,Buja LM,Parkey RW

    更新日期:1988-07-01 00:00:00

  • Low-level exercise echocardiography detects contractile reserve and predicts reversible dysfunction after acute myocardial infarction: comparison with low-dose dobutamine echocardiography.

    abstract:OBJECTIVES:The aim of this study was to evaluate low-level exercise echocardiography (LLEE) in detecting contractile reserve and predicting functional improvement of akinetic myocardium early after acute myocardial infarction (AMI). BACKGROUND:Experimental and clinical studies have shown that low-dose dobutamine enhan...

    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/s0735-1097(99)00340-x

    authors: Hoffer EP,Dewé W,Celentano C,Piérard LA

    更新日期:1999-10-01 00:00:00

  • Reliability of retrograde atrial activation patterns during ventricular pacing for localizing accessory pathways.

    abstract::Definitive localization of accessory pathways is based on atrial activation patterns during orthodromic supraventricular tachycardia when retrograde conduction occurs exclusively through the accessory pathway. In some patients, supraventricular tachycardia cannot be induced or is deleterious. To determine whether acce...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(87)80467-9

    authors: Crossen KJ,Lindsay BD,Cain ME

    更新日期:1987-06-01 00:00:00

  • Effect of chronic supraventricular tachycardia on left ventricular function and structure in newborn pigs.

    abstract:OBJECTIVES:The purpose of this study was to examine the effects of supraventricular pacing tachycardia on left ventricular function and myocardial structure in newborn, immature pigs and to determine whether immature pigs respond to supraventricular tachycardia differently from adults. BACKGROUND:Previous studies have...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(92)90462-v

    authors: Tanaka R,Spinale FG,Crawford FA,Zile MR

    更新日期:1992-12-01 00:00:00

  • Rapid change in plaque size, composition, and molecular footprint after recombinant apolipoprotein A-I Milano (ETC-216) administration: magnetic resonance imaging study in an experimental model of atherosclerosis.

    abstract:OBJECTIVES:This study sought to assess the effect of short-term apolipoprotein (apo) A-I(Milano) administration on plaque size and on suspected markers of plaque vulnerability. BACKGROUND:Long-term lipid-lowering interventions can regress and stabilize atherosclerotic plaques. However, the majority of recurrent events...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2007.09.071

    authors: Ibanez B,Vilahur G,Cimmino G,Speidl WS,Pinero A,Choi BG,Zafar MU,Santos-Gallego CG,Krause B,Badimon L,Fuster V,Badimon JJ

    更新日期:2008-03-18 00:00:00

  • Intracoronary ultrasound assessment of directional coronary atherectomy: immediate and follow-up findings.

    abstract:OBJECTIVES:This study was conducted to assess the relations among intracoronary ultrasound, angiographic and histologic data obtained from patients with coronary artery disease successfully treated by directional coronary atherectomy. In addition, it was designed to elucidate whether some aspects of intravascular ultra...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/0735-1097(93)90667-p

    authors: Suárez de Lezo J,Romero M,Medina A,Pan M,Pavlovic D,Vaamonde R,Hernández E,Melián F,López Rubio F,Marrero J

    更新日期:1993-02-01 00:00:00

  • Contrast echocardiographic visualization of cough-induced right to left shunt through a patent foramen ovale.

    abstract::In a series of 24 consecutive patients referred to the echocardiography laboratory because of suspected patent foramen ovale, contrast two-dimensional and M-mode echocardiographic studies were performed during normal breathing and during two provocative tests: the Valsalva maneuver and cough. A right to left shunt was...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(84)80106-0

    authors: Dubourg O,Bourdarias JP,Farcot JC,Gueret P,Terdjman M,Ferrier A,Rigaud M,Bardet JC

    更新日期:1984-09-01 00:00:00

  • Inverse relationship of blood pressure levels to sudden cardiac mortality and benefit of the implantable cardioverter-defibrillator in patients with ischemic left ventricular dysfunction.

    abstract:OBJECTIVES:This study was designed to evaluate the relationship among blood pressure (BP) levels, risk of sudden cardiac death (SCD), and benefit of the implantable cardioverter-defibrillator (ICD) in patients with ischemic left ventricular (LV) dysfunction. BACKGROUND:Low BP has been shown to be associated with incre...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jacc.2006.11.042

    authors: Goldenberg I,Moss AJ,McNitt S,Zareba W,Hall WJ,Andrews ML,MADIT-II Investigators.

    更新日期:2007-04-03 00:00:00

  • Adiponectin and vulnerable atherosclerotic plaques.

    abstract::High-risk plaques that are vulnerable to rupture demonstrate distinct morphological characteristics. They are differentiated from the lesions responsible for stable coronary artery disease by their large necrotic cores, thin-inflamed fibrous caps, and positive remodeling. Adiponectin is an adipocytokine that is reduce...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jacc.2010.11.011

    authors: Barseghian A,Gawande D,Bajaj M

    更新日期:2011-02-15 00:00:00

  • Prognostic value of the Duke treadmill score in the elderly.

    abstract:OBJECTIVES:The purpose of this study was to test the hypothesis that the Duke treadmill score works less well for risk stratification in patients age 75 years or above. BACKGROUND:Although the Duke treadmill score is generally effective for risk stratification, its prognostic value in the elderly may be limited becaus...

    journal_title:Journal of the American College of Cardiology

    pub_type: 杂志文章

    doi:10.1016/s0735-1097(02)01769-2

    authors: Kwok JM,Miller TD,Hodge DO,Gibbons RJ

    更新日期:2002-05-01 00:00:00