Fibrinopeptide A and platelet factor levels in unstable angina pectoris.

Abstract:

:Fibrinopeptide A, platelet factor 4, beta-thromboglobulin, thromboxane B2, and 6-keto-prostaglandin F1 alpha were estimated by radioimmunoassay on venous plasma samples taken within 48 hr of admission from 16 consecutive patients with unstable angina and 15 patients with stable angina matched for clinical variables. The ratio of circulating platelet aggregates, platelet aggregation to increasing concentrations of ADP (0.455 to 1.82 micrograms/ml), and platelet thromboxane B2 production in vitro were also tested. The two groups of patients were statistically similar in terms of sex distribution, age, presence of risk factors, use of medication, extent of coronary artery disease and history of previous myocardial infarction. Mean plasma levels of fibrinopeptide A were 2.7 +/- 0.4 ng/ml (geometric means +/- SEM, range 1.5 to 5.5) in patients with stable angina vs 5.5 +/- 1.8 ng/ml (range 2.4 to 32; p less than .001) in those with unstable angina. In the latter group, after 6 to 8 days, fibrinopeptide A levels decreased to 3.6 +/- 0.5 ng/ml (range 1.5 to 9.3; p less than .04 vs admission). All other variables measured were statistically identical in the two groups. We conclude that plasma fibrinopeptide A levels, as opposed to platelet factors, discriminate between patients with unstable and stable angina, indicating an activation of the coagulation system in unstable angina.

journal_name

Circulation

journal_title

Circulation

authors

Théroux P,Latour JG,Léger-Gauthier C,De Lara J

doi

10.1161/01.cir.75.1.156

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

156-62

issue

1

eissn

0009-7322

issn

1524-4539

journal_volume

75

pub_type

杂志文章
  • Determinants of left ventricular early-diastolic lengthening velocity: independent contributions from left ventricular relaxation, restoring forces, and lengthening load.

    abstract:BACKGROUND:Peak early-diastolic mitral annulus velocity (e') by tissue Doppler imaging has been introduced as a clinical marker of diastolic function. This study investigates whether lengthening load (early-diastolic load) and restoring forces are determinants of e' in addition to rate of left ventricular (LV) relaxati...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.791681

    authors: Opdahl A,Remme EW,Helle-Valle T,Lyseggen E,Vartdal T,Pettersen E,Edvardsen T,Smiseth OA

    更新日期:2009-05-19 00:00:00

  • Why patients with congestive heart failure die: arrhythmias and sudden cardiac death.

    abstract::Patients with congestive heart failure have a high incidence of sudden cardiac death that is attributed to ventricular arrhythmias. The mortality rate in a group of patients with class III and IV heart failure is about 40% per year, and half of the deaths are sudden. Half of the patients with New York Heart Associatio...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Bigger JT Jr

    更新日期:1987-05-01 00:00:00

  • Peroxisome proliferator-activated receptor gamma activators downregulate angiotensin II type 1 receptor in vascular smooth muscle cells.

    abstract:BACKGROUND:Peroxisome proliferator-activated receptor gamma (PPARgamma) activators, such as troglitazone (Tro), not only improve insulin resistance but also suppress the neointimal formation after balloon injury. However, the precise mechanisms have not been determined. Angiotensin II (Ang II) plays crucial roles in th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.15.1834

    authors: Takeda K,Ichiki T,Tokunou T,Funakoshi Y,Iino N,Hirano K,Kanaide H,Takeshita A

    更新日期:2000-10-10 00:00:00

  • Comparison of echocardiographic dyssynchrony assessment by tissue velocity and strain imaging in subjects with or without systolic dysfunction and with or without left bundle-branch block.

    abstract:BACKGROUND:Several echocardiographic dyssynchrony indexes have been proposed to identify responders to cardiac resynchronization therapy using tissue velocity and strain. The present study aimed to compare tissue velocity-derived and strain-derived dyssynchrony indexes in patients with or without systolic dysfunction a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.733675

    authors: Miyazaki C,Powell BD,Bruce CJ,Espinosa RE,Redfield MM,Miller FA,Hayes DL,Cha YM,Oh JK

    更新日期:2008-05-20 00:00:00

  • Regulation of spontaneous transient outward potassium currents in human coronary arteries.

    abstract:BACKGROUND:Spontaneous transient outward potassium currents (STOCs) induce myogenic relaxation in small cerebral vessels. We found STOCs in human coronary artery vascular smooth muscle cells (VSMCs) and studied their regulation. METHODS AND RESULTS:K+ currents were recorded in human coronary VSMCs by current- and volt...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.2.503

    authors: Bychkov R,Gollasch M,Ried C,Luft FC,Haller H

    更新日期:1997-01-21 00:00:00

  • Cigarette smoking and the development and progression of aortic atherosclerosis. A 9-year population-based follow-up study in women.

    abstract:BACKGROUND:Cigarette smoking has been recognized as an important risk factor for cardiovascular disease in men and women. Whether the increased risk results from an atherogenic effect of smoking is still debated. We examined the relation between cigarette smoking and atherosclerotic changes in the abdominal aorta. MET...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.5.2156

    authors: Witteman JC,Grobbee DE,Valkenburg HA,van Hemert AM,Stijnen T,Hofman A

    更新日期:1993-11-01 00:00:00

  • Elevated aortic pulse wave velocity, a marker of arterial stiffness, predicts cardiovascular events in well-functioning older adults.

    abstract:BACKGROUND:Aging results in vascular stiffening and an increase in the velocity of the pressure wave as it travels down the aorta. Increased aortic pulse wave velocity (aPWV) has been associated with mortality in clinical but not general populations. The objective of this investigation was to determine whether aPWV is ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.483628

    authors: Sutton-Tyrrell K,Najjar SS,Boudreau RM,Venkitachalam L,Kupelian V,Simonsick EM,Havlik R,Lakatta EG,Spurgeon H,Kritchevsky S,Pahor M,Bauer D,Newman A,Health ABC Study.

    更新日期:2005-06-28 00:00:00

  • Endogenous nitric oxide synthase inhibitor: a novel marker of atherosclerosis.

    abstract:BACKGROUND:Exposure to risk factors such as hypertension or hypercholesterolemia decreases the bioavailability of endothelium-derived nitric oxide (NO) and impairs endothelium-dependent vasodilation. Recently, a circulating endogenous NO synthase inhibitor, asymmetric dimethylarginine (ADMA), has been detected in human...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.9.1141

    authors: Miyazaki H,Matsuoka H,Cooke JP,Usui M,Ueda S,Okuda S,Imaizumi T

    更新日期:1999-03-09 00:00:00

  • Long-term treatment with N(omega)-nitro-L-arginine methyl ester causes arteriosclerotic coronary lesions in endothelial nitric oxide synthase-deficient mice.

    abstract:BACKGROUND:N(omega)-nitro-L-arginine methyl ester (l-NAME) is widely used to inhibit endothelial synthesis of NO in vivo. However, it is controversial whether the long-term vascular effects of l-NAME are mediated primarily by inhibition of endothelial NO synthesis. We addressed this point in mice that are deficient in ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000029749.16101.44

    authors: Suda O,Tsutsui M,Morishita T,Tanimoto A,Horiuchi M,Tasaki H,Huang PL,Sasaguri Y,Yanagihara N,Nakashima Y

    更新日期:2002-09-24 00:00:00

  • Oxygenation in patients with a functionally univentricular circulation and complete mixing of blood: are saturation and flow interchangeable?

    abstract:BACKGROUND:Perioperative management of patients with complete mixing of pulmonary and systemic blood centers on approximately equating pulmonary (Qp) and systemic (Qs) blood flow (Qp/Qs approximately 1). This empirically derived target is opposed by theoretical studies advocating a target Qp/Qs well below 1. We studied...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.21.2198

    authors: Francis DP,Willson K,Thorne SA,Davies LC,Coats AJ

    更新日期:1999-11-23 00:00:00

  • Very long-term survival implications of heart valve replacement with tissue versus mechanical prostheses in adults

    abstract:BACKGROUND:Several centers favor replacing a diseased native heart valve with a tissue rather than a mechanical prosthesis, even in younger adult patients. However, long-term data supporting this approach are lacking. We examined the survival implications of selecting a tissue versus a mechanical prosthesis at initial ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.681429

    authors: Ruel M,Chan V,Bédard P,Kulik A,Ressler L,Lam BK,Rubens FD,Goldstein W,Hendry PJ,Masters RG,Mesana TG

    更新日期:2007-09-11 00:00:00

  • Increased plasma levels of brain natriuretic peptide in patients with acute myocardial infarction.

    abstract:BACKGROUND:Brain natriuretic peptide is a novel natriuretic peptide that is secreted predominantly from the ventricles, and its plasma levels have been shown to be markedly increased in patients with chronic congestive heart failure. This study was designed to examine the plasma levels of brain natriuretic peptide as w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.1.82

    authors: Morita E,Yasue H,Yoshimura M,Ogawa H,Jougasaki M,Matsumura T,Mukoyama M,Nakao K

    更新日期:1993-07-01 00:00:00

  • Potential role of hepatocyte growth factor, a novel angiogenic growth factor, in peripheral arterial disease: downregulation of HGF in response to hypoxia in vascular cells.

    abstract:BACKGROUND:Although hepatocyte growth factor (HGF), a novel angiogenic growth factor, plays an important role in angiogenesis, regulation of local HGF production under hypoxia has not yet been clarified in vascular smooth muscle cells (VSMC) and endothelial cells (EC). Thus, we have studied the role of HGF in hypoxia-i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.suppl_2.ii-301

    authors: Hayashi S,Morishita R,Nakamura S,Yamamoto K,Moriguchi A,Nagano T,Taiji M,Noguchi H,Matsumoto K,Nakamura T,Higaki J,Ogihara T

    更新日期:1999-11-09 00:00:00

  • Loss of Mdm4 results in p53-dependent dilated cardiomyopathy.

    abstract:BACKGROUND:Although several loci for familial dilated cardiomyopathy (DCM) have been mapped, the origin of a large percentage of DCM remains unclear. Mdm2, a p53-negative regulator, protects cardiomyocytes from ischemic and reperfusion-induced cell death. Mdm4, a homolog of Mdm2, inhibits p53 activity in numerous cell ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.689901

    authors: Xiong S,Van Pelt CS,Elizondo-Fraire AC,Fernandez-Garcia B,Lozano G

    更新日期:2007-06-12 00:00:00

  • Validation of the Bleeding Academic Research Consortium definition of bleeding in patients with coronary artery disease undergoing percutaneous coronary intervention.

    abstract:BACKGROUND:The Bleeding Academic Research Consortium (BARC) has recently proposed a unified definition of bleeding in patients receiving antithrombotic therapy. We investigated the relationship between bleeding events as defined by BARC and 1-year mortality in patients undergoing percutaneous coronary intervention (PCI...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.111.060871

    authors: Ndrepepa G,Schuster T,Hadamitzky M,Byrne RA,Mehilli J,Neumann FJ,Richardt G,Schulz S,Laugwitz KL,Massberg S,Schömig A,Kastrati A

    更新日期:2012-03-20 00:00:00

  • The nitrovasodilators. New ideas about old drugs.

    abstract::The nitrovasodilators are a diverse group of pharmacological agents that produce vascular relaxation by releasing nitric oxide. The mechanisms by which these compounds release nitric oxide vary, depending on their chemical structure. Compounds with lower oxidation states of nitrogen such as nitroprusside, nitrosamines...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.87.5.1461

    authors: Harrison DG,Bates JN

    更新日期:1993-05-01 00:00:00

  • Weekend versus weekday admission and mortality after acute pulmonary embolism.

    abstract:BACKGROUND:Optimal management of acute pulmonary embolism (PE) requires medical expertise, diagnostic testing, and therapies that may not be available consistently throughout the entire week. We sought to assess whether associations exist between weekday or weekend admission and mortality and length of hospital stay fo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.824292

    authors: Aujesky D,Jiménez D,Mor MK,Geng M,Fine MJ,Ibrahim SA

    更新日期:2009-02-24 00:00:00

  • Normal myocardial contractile state in the presence of quinidine.

    abstract::Since quinidine is one of the few agents available to treat and prevent ventricular arrhythmias in ambulatory patients, its hemodynamic effects have been reevaluated. When given in therapeutic doses to anesthetized mongrel dogs, quinidine significantly reduced heart rate, aortic pressure and flow, but it did not signi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.1.101

    authors: Markiewicz W,Winkle R,Binetti G,Kernoff R,Harrison DC

    更新日期:1976-01-01 00:00:00

  • Pulmonary regurgitation in the late postoperative follow-up of tetralogy of Fallot. Volumetric quantitation by nuclear magnetic resonance velocity mapping.

    abstract:BACKGROUND:Pulmonary regurgitation frequently occurs after surgical correction of tetralogy of Fallot. To date, reliable quantitation of pulmonary regurgitation has not been possible, and therefore the clinical significance of pulmonary regurgitation is controversial. Nuclear magnetic resonance (NMR) velocity mapping a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.5.2257

    authors: Rebergen SA,Chin JG,Ottenkamp J,van der Wall EE,de Roos A

    更新日期:1993-11-01 00:00:00

  • Arterial stiffness increases with deteriorating glucose tolerance status: the Hoorn Study.

    abstract:BACKGROUND:Type 2 diabetes (DM-2) and impaired glucose metabolism (IGM) are associated with an increased cardiovascular disease risk. In nondiabetic individuals, increased arterial stiffness is an important cause of cardiovascular disease. Associations between DM-2 and IGM and arterial stiffness have not been systemati...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000065222.34933.FC

    authors: Henry RM,Kostense PJ,Spijkerman AM,Dekker JM,Nijpels G,Heine RJ,Kamp O,Westerhof N,Bouter LM,Stehouwer CD,Hoorn Study.

    更新日期:2003-04-29 00:00:00

  • Mutant caveolin-3 induces persistent late sodium current and is associated with long-QT syndrome.

    abstract:BACKGROUND:Congenital long-QT syndrome (LQTS) is a primary arrhythmogenic syndrome stemming from perturbed cardiac repolarization. LQTS, which affects approximately 1 in 3000 persons, is 1 of the most common causes of autopsy-negative sudden death in the young. Since the sentinel discovery of cardiac channel gene mutat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.635268

    authors: Vatta M,Ackerman MJ,Ye B,Makielski JC,Ughanze EE,Taylor EW,Tester DJ,Balijepalli RC,Foell JD,Li Z,Kamp TJ,Towbin JA

    更新日期:2006-11-14 00:00:00

  • Regional three-dimensional geometry and function of left ventricles with fibrous aneurysms. A cine-computed tomography study.

    abstract:BACKGROUND:To assess the extent and nature of the dysfunction surrounding aneurysms of the left ventricle (LV), we examined the parameters of local and global three-dimensional shape, size, and function of LVs of eight patients with histologically confirmed anterior fibrous aneurysms. METHODS AND RESULTS:Three-dimensi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.3.1072

    authors: Lessick J,Sideman S,Azhari H,Marcus M,Grenadier E,Beyar R

    更新日期:1991-09-01 00:00:00

  • Relation of plasma lipoprotein(a) to infarct artery patency in survivors of myocardial infarction.

    abstract:BACKGROUND:In the minutes to days after myocardial infarction, endogenous lysis of an occlusive coronary arterial thrombus occurs in most subjects. Compared with those in whom thrombolysis does not occur, those with antegrade flow in the infarct artery have improved left ventricular performance, less left ventricular d...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.3.935

    authors: Moliterno DJ,Lange RA,Meidell RS,Willard JE,Leffert CC,Gerard RD,Boerwinkle E,Hobbs HH,Hillis LD

    更新日期:1993-09-01 00:00:00

  • Placental Growth Factor as an Indicator of Maternal Cardiovascular Risk After Pregnancy.

    abstract:BACKGROUND:Angiogenic placental growth factor (PlGF) concentrations rise during pregnancy, peaking at the end of midpregnancy. Low PlGF concentrations during pregnancy are associated with pregnancy complications with recognized later-life cardiovascular risk. We hypothesized that low PlGF concentrations, especially in ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.036632

    authors: Benschop L,Schalekamp-Timmermans S,Broere-Brown ZA,Roeters van Lennep JE,Jaddoe VWV,Roos-Hesselink JW,Ikram MK,Steegers EAP,Roberts JM,Gandley RE

    更新日期:2019-04-02 00:00:00

  • Survival, integration, and differentiation of cardiomyocyte grafts: a study in normal and injured rat hearts.

    abstract:BACKGROUND:Cardiomyocyte grafting augments myocyte numbers in the heart. We investigated (1) how developmental stage influences graft survival; (2) whether acutely necrotic or healing cardiac lesions support grafts; and (3) the differentiation and integration of cardiomyocyte grafts in injured hearts. METHODS AND RESU...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.2.193

    authors: Reinecke H,Zhang M,Bartosek T,Murry CE

    更新日期:1999-07-13 00:00:00

  • Height and incidence of cardiovascular disease in male physicians.

    abstract:BACKGROUND:An inverse association between height and risk of coronary heart disease (CHD) has been reported in several case-control and cohort studies, but the reasons for the association remain uncertain. We evaluated this association among 22,071 male physicians, a population homogeneous for high educational attainme...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.88.4.1437

    authors: Hebert PR,Rich-Edwards JW,Manson JE,Ridker PM,Cook NR,O'Connor GT,Buring JE,Hennekens CH

    更新日期:1993-10-01 00:00:00

  • Immediate effects of hydralazine-isosorbide dinitrate combination on exercise capacity and exercise hemodynamics in patients with left ventricular failure.

    abstract::Resting hemodynamics improve during vasodilator administration in patients, with congestive heart failure (CHF), but the effects of these agents on exercise is unknown. Twenty-two patients with class II or III CHF performed bicycle exercise to symptomatic maximum before and 90 minutes after random double-blind adminis...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.59.6.1085

    authors: Franciosa JA,Cohn JN

    更新日期:1979-06-01 00:00:00

  • Eliminating bradyarrhythmias after orthotopic heart transplantation.

    abstract:BACKGROUND:Bradycardia and sinus node dysfunction are common causes of early postoperative morbidity in orthotopic heart transplant recipients and frequently require the use of chronotropic drugs or permanent pacemakers. Several causes have been postulated, including surgical trauma to the sinus node and its blood supp...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Rothman SA,Jeevanandam V,Combs WG,Furukawa S,Hsia HH,Eisen HJ,Buxton AE,Miller JM

    更新日期:1996-11-01 00:00:00

  • Effects of neuronal nitric oxide synthase on human coronary artery diameter and blood flow in vivo.

    abstract:BACKGROUND:Nitric oxide (NO)-mediated local regulation of vascular tone is considered to involve endothelial NO synthase (eNOS). However, we recently reported that human forearm basal microvascular tone in vivo is tonically regulated by neuronal NO synthase (nNOS), in contrast to an acetylcholine-stimulated reduction i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.822205

    authors: Seddon M,Melikian N,Dworakowski R,Shabeeh H,Jiang B,Byrne J,Casadei B,Chowienczyk P,Shah AM

    更新日期:2009-05-26 00:00:00

  • Spatial distribution of phase singularities in ventricular fibrillation.

    abstract:BACKGROUND:Multiple excitation wavelets are present during ventricular fibrillation (VF). The underlying wavelet organization of VF is unclear. Phase singularities (PSs)-locations of ambiguous activation state-underlie reentry and wavelet splitting and represent the sources of VF. Understanding the mechanisms of PS for...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000080322.67408.B4

    authors: Valderrábano M,Chen PS,Lin SF

    更新日期:2003-07-22 00:00:00