当前位置： SCI文献检索 > EUROPEAN HEART JOURNAL期刊下所有文献 > Treatment of calcified aortic stenosis: surgery or percutaneous transluminal aortic valvuloplasty?

Treatment of calcified aortic stenosis: surgery or percutaneous transluminal aortic valvuloplasty?

Abstract：

:A total of 546 patients with severe aortic stenosis (AS) were retrospectively reviewed to assess the efficacy of percutaneous transluminal valvuloplasty (PTV) and valve replacement (VR). Of these, 490 underwent VR between 1968 and 1986 (mean age 62 +/- 12 years, 71.7% were in NYHA class III or IV), 68.8% received mechanical prostheses, and in 11.8% a bypass graft was associated. The operative mortality was 6.9% (4% since 1983). The mean follow-up was 57.6 months. The actuarial survival rate was 77% at five years, 60% at 10 years, and 40% at 15 years. Over 70 years of age, operative mortality was 6.2% since 1983, and the actuarial survival rate was 67.5% at five years. From February 1986 to May 1987, PTV was attempted in 56 patients and was effective in 52 patients (mean age 79 +/- 5 years, 93% in Class III or IV). Immediate mortality was 7.1%. The morbidity was due to tamponade (1.8%), myocardial infarction (3.6%), vascular trauma (5.3%), or cerebrovascular accident (9%). Forty three patients were followed after PTV (mean value 4.2 +/- 3, range 1-14 months): 12 patients (28%) died and 46% were functionally improved in NYHA Class II. PTV significantly improved the aortic valve area as shown by haemodynamics (0.49-0.75 cm2; P less than 0.0001) and these findings were corroborated by Doppler study (0.46-0.70 cm2, P less than 0.001). In conclusion, this series shows that surgery provides satisfactory results in AS with a low mortality and good long-term results, even in the elderly.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Eur Heart J

journal_title

European heart journal

authors

Acar J,Vahanian A,Slama M,Cormier B,Michel PL,Luxereau P,Farah E,Leborgne O,Dermine P

doi

10.1093/eurheartj/9.suppl_e.163

subject

Has Abstract

pub_date

1988-04-01 00:00:00

pages

163-8

eissn

0195-668X

issn

1522-9645

journal_volume

9 Suppl E

pub_type

杂志文章

相关文献

EUROPEAN HEART JOURNAL文献大全
  • A meta-analysis of randomized controlled trials in pulmonary arterial hypertension.

    abstract：AIMS:There is no cure for pulmonary arterial hypertension, but current approved treatment options include prostanoids, endothelin-receptor antagonists, and phosphodiesterase type-5 inhibitors. The effect on survival of these compounds has not been appropriately assessed in individual trials because of small sample size...

    journal_title：European heart journal

    pub_type： 杂志文章,meta分析,评审

    doi：10.1093/eurheartj/ehp022

    authors： Galiè N,Manes A,Negro L,Palazzini M,Bacchi-Reggiani ML,Branzi A

    更新日期：2009-02-01 00:00:00

  • Adipose dysplasia of the right ventricle: is endomyocardial biopsy useful?

    abstract：:Right ventricular dysplasia (RVD) is a cardiac anomaly characterized by replacement of right ventricular myocardium by adipose and fibrous tissue that was first described at autopsy, and is now being recognized pre-mortem. Sudden death and ventricular arrhythmias are the most common clinical manifestation of the condi...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/10.suppl_d.84

    authors： Strain J

    更新日期：1989-09-01 00:00:00

  • Myocardial ischaemia in the hypertensive patient--the role of coronary microcirculation abnormalities.

    abstract：:Clinicians have long suspected that hypertrophied hearts have an inadequate coronary circulation. This clinical suspicion resulted from the observation that a large proportion of patients with left ventricular hypertrophy who have normal coronary arteriograms complain of angina and have ischaemia-like ST segment depre...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：

    authors： Kaski JC

    更新日期：1993-11-01 00:00:00

  • Classification and characterization of cardiac isomyosins.

    abstract：:The structural properties of cardiac isomyosins from several species were compared using native gel electrophoresis, analysis of proteolytic digests, analysis of monoclonal antibody reactivity to specific proteolytic fragments on electroblots and S1 nuclease mapping with cDNA probes. The structure of specific regions ...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/5.suppl_f.69

    authors： Clark WA,Everett AW,Chizzonite RA,Eisenberg BR,Zak R

    更新日期：1984-12-01 00:00:00

  • Association of cyclooxygenase-2 genetic variant with cardiovascular disease.

    abstract：AIM:A genetic variant (rs20417) of the PTGS2 gene, encoding for COX-2, has been associated with decreased COX-2 activity and a decreased risk of cardiovascular disease (CVD). However, this genetic association and the role of COX-2 in CVD remain controversial. METHODS AND RESULTS:The association of rs20417 with CVD was...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehu168

    authors： Ross S,Eikelboom J,Anand SS,Eriksson N,Gerstein HC,Mehta S,Connolly SJ,Rose L,Ridker PM,Wallentin L,Chasman DI,Yusuf S,Paré G

    更新日期：2014-09-01 00:00:00

  • Stefan Agewall, Editor-in-Chief of new EHJ Cardiovascular Pharmacotherapy journal.

    abstract：:A new European Heart Journal, Cardiovascular Pharmacotherapy, was launched at the ESC Congress 2014 in Barcelona and begins publication in February 2014. ...

    journal_title：European heart journal

    pub_type： 新闻

    doi：

    authors： Ozcan J

    更新日期：2014-09-07 00:00:00

  • 24-h ECG monitoring in patients with rheumatoid arthritis.

    abstract：:Although the main cardiac complication in patients with rheumatoid arthritis is subclinical pericarditis, mononuclear cell infiltrations into myocardium may cause cardiac arrhythmias and conduction defects. In order to examine these problems we evaluated 70 patients (53 women and 17 men) aged 18-83 years (average 56.7...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a061005

    authors： Tłustochowicz W,Piotrowicz R,Cwetsch A,Raczka A,Kramarz E,Nowak J

    更新日期：1995-06-01 00:00:00

  • Effect of irbesartan and enalapril in non-ST elevation acute coronary syndrome: results of the randomized, double-blind ARCHIPELAGO study.

    abstract：AIMS:This study investigated the effects of irbesartan vs. enalapril, with early vs. late treatment, on markers of inflammation and ischaemic heart disease in patients with non-ST-segment elevation acute coronary syndrome (NSTEACS). METHODS AND RESULTS:Patients hospitalized with ischaemic symptoms and evidence of NSTE...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1093/eurheartj/ehp301

    authors： Montalescot G,Drexler H,Gallo R,Pearson T,Thoenes M,Bhatt DL

    更新日期：2009-11-01 00:00:00

  • Quantitative relationship between resting heart rate reduction and magnitude of clinical benefits in post-myocardial infarction: a meta-regression of randomized clinical trials.

    abstract：AIMS:The impact on mortality outcomes of beta-blockers and calcium blockers in post-myocardial infarction (MI) has been suggested to be related to resting heart rate (HR) reduction. A meta-regression of randomized clinical trials was carried out to assess this relationship using weighted meta-regression of logarithm of...

    journal_title：European heart journal

    pub_type： 杂志文章,meta分析,评审

    doi：10.1093/eurheartj/ehm489

    authors： Cucherat M

    更新日期：2007-12-01 00:00:00

  • Opposite central cardiovascular effects of various morphine-like drugs and opiate peptides in the rat.

    abstract：:Opiate agonists were administered into the cisterna magna of normotensive urethane-anaesthetized artificially-ventilated rats. Increases in blood pressure and heart rate were produced by fentanyl (0.3-3.0 nmol). [D-ala]2-met-enkephalinamide (17 nmol), and beta-endorphin (2.9 nmol). On the contrary, ethylketocyclazocin...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/4.suppl_g.61

    authors： Laurent S,Schmitt H

    更新日期：1983-11-01 00:00:00

  • Clinical and prognostic profile of patients with infective endocarditis who need urgent surgery.

    abstract：AIMS:Surgery in patients with infective endocarditis (IE) can be elective (upon completion of antibiotic treatment) or urgent (before antibiotic treatment has ended) when the clinical course is unfavourable. However, urgent surgery for left-sided endocarditis is associated with high mortality. The aims of this study we...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehl315

    authors： Revilla A,López J,Vilacosta I,Villacorta E,Rollán MJ,Echevarría JR,Carrascal Y,Di Stefano S,Fulquet E,Rodríguez E,Fiz L,San Román JA

    更新日期：2007-01-01 00:00:00

  • Effect of uniformly prolonged, and increased basic dispersion of repolarization on premature dispersion on ventricular surface in dogs: role of action potential duration and activation time differences.

    abstract：:Strong experimental evidence links ventricular fibrillation to an increased temporal dispersion of the recovery of excitability. The effect of an overall prolongation of repolarization and an increased basic dispersion of repolarization on premature dispersion was studied on ventricular surface in 10 dogs. Our observa...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/6.suppl_d.15

    authors： Amlie JP,Kuo CS,Munakata K,Reddy PS,Surawicz B

    更新日期：1985-11-01 00:00:00

  • Electrocardiographic patterns during Holter monitoring in patients with first and second degree A-V block due to 'dual A-V nodal pathways'.

    abstract：:The electrocardiographic patterns, observed during 24-h Holter monitoring, of 10 patients (mean age 35 +/- 22 years) with first and second degree A-V block due to dual A-V nodal pathways are reported. Recordings were selected according to the presence of: sudden and persistent prolongation of the PR interval: sudden n...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a059904

    authors： Di Biase M,Tritto M,Sabato G,Pitzalis MV,Rizzon P

    更新日期：1991-03-01 00:00:00

  • Troponin I and cardiovascular risk prediction in the general population: the BiomarCaRE consortium.

    abstract：AIMS:Our aims were to evaluate the distribution of troponin I concentrations in population cohorts across Europe, to characterize the association with cardiovascular outcomes, to determine the predictive value beyond the variables used in the ESC SCORE, to test a potentially clinically relevant cut-off value, and to ev...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehw172

    authors： Blankenberg S,Salomaa V,Makarova N,Ojeda F,Wild P,Lackner KJ,Jørgensen T,Thorand B,Peters A,Nauck M,Petersmann A,Vartiainen E,Veronesi G,Brambilla P,Costanzo S,Iacoviello L,Linden G,Yarnell J,Patterson CC,Everett BM

    更新日期：2016-08-07 00:00:00

  • Searching for a better assessment of the individual coronary risk profile. The role of angiotensin-converting enzyme, angiotensin II type 1 receptor and angiotensinogen gene polymorphisms.

    abstract：BACKGROUND:Polymorphisms within renin angiotensin system genes have been investigated as risk factors for coronary artery disease in different populations with contradicting results. The aim of this study was to investigate the genotype distribution and the allele frequencies of ACE, AT1R and AGT gene polymorphisms as ...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1053/euhj.1999.1738

    authors： Fatini C,Abbate R,Pepe G,Battaglini B,Gensini F,Ruggiano G,Gensini GF,Guazzelli R

    更新日期：2000-04-01 00:00:00

  • Sudden cardiac death in children (1-18 years): symptoms and causes of death in a nationwide setting.

    abstract：AIMS:Hitherto, sudden cardiac death in children (SCDc)-defined as sudden cardiac death (SCD) in the 1-18 years old-has been incompletely described in the general population. Knowledge on incidence rates, causes of death and symptoms prior to death is sparse and has been affected by reporting and referral bias. METHODS...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/eht509

    authors： Winkel BG,Risgaard B,Sadjadieh G,Bundgaard H,Haunsø S,Tfelt-Hansen J

    更新日期：2014-04-01 00:00:00

  • The haemodynamic side-effects of ionic and non-ionic contrast media in the presence of pulmonary hypertension: experimental and clinical investigation.

    abstract：:The haemodynamic side-effects of ionic (amidotrizoate) and non-ionic (iopamidol) contrast media after injection into the right atrium were compared in experimental and clinical studies. Pulmonary hypertension was induced in 10 dogs by embolization of the pulmonary vascular bed with agar-agar solution (mean pulmonary a...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1093/oxfordjournals.eurheartj.a062219

    authors： Schräder R,Hellige G,Kaltenbach M,Kober G

    更新日期：1987-12-01 00:00:00

  • Lipoproteins in chronic kidney disease: from bench to bedside.

    abstract：:Chronic kidney disease (CKD) is associated with high cardiovascular risk. CKD patients exhibit a specific lipoprotein pattern termed 'uraemic dyslipidaemia', which is characterized by rather normal low-density lipoprotein cholesterol, low high-density lipoprotein cholesterol, and high triglyceride plasma levels. All t...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehaa1050

    authors： Speer T,Ridker PM,von Eckardstein A,Schunk SJ,Fliser D

    更新日期：2021-01-04 00:00:00

  • Randomized trial of paclitaxel- and sirolimus-eluting stents in small coronary vessels.

    abstract：AIMS:Sirolimus- and paclitaxel-eluting stents effectively reduce restenosis in small coronary vessels. The relative efficacy of these drug-eluting stents in this high-risk subset is not known. METHODS AND RESULTS:A total of 360 patients undergoing percutaneous coronary intervention for de novo lesions in native corona...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1093/eurheartj/ehi721

    authors： Mehilli J,Dibra A,Kastrati A,Pache J,Dirschinger J,Schömig A,Intracoronary Drug-Eluting Stenting to Abrogate Restenosis in Small Arteries (ISAR-SMART 3) Study Investigators.

    更新日期：2006-02-01 00:00:00

  • Temperature-controlled radiofrequency catheter ablation of manifest accessory pathways.

    abstract：OBJECTIVES:The primary objectives of this study were to assess the feasibility of temperature-controlled radiofrequency catheter ablation of left and right sided manifest accessory pathways in patients with Wolff-Parkinson-White syndrome and to gain more insights into biophysical aspects of temperature-controlled cathe...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a014878

    authors： Willems S,Chen X,Kottkamp H,Hindricks G,Haverkamp W,Rotman B,Shenasa M,Breithardt G,Borggrefe M

    更新日期：1996-03-01 00:00:00

  • The multicentre trial philosophy in stress echocardiography: lessons learned from the EPIC study. EPIC-EDIC Study Project. Echo Persantine International Cooperative Study. Echo-Dobutamine International Cooperative Study.

    abstract：:The scientific assessment of diagnostic tests should not be based upon a small series of results published by the best academic institutions, but ought to require large scale, multicentre validation founded on grass roots institutions with real doctors, real patients and real problems. To this purpose, an internationa...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：10.1093/eurheartj/16.suppl_j.2

    authors： Picano E,Sicari R,Landi P,Raciti M,Pingitore A,Vassalle C,Mathias W Jr,Lowenstein J,Petix N,Gigli G

    更新日期：1995-10-01 00:00:00

  • Nitric oxide for inhalation in ST-elevation myocardial infarction (NOMI): a multicentre, double-blind, randomized controlled trial.

    abstract：Aims:Inhalation of nitric oxide (iNO) during myocardial ischaemia and after reperfusion confers cardioprotection in preclinical studies via enhanced cyclic guanosine monophosphate (cGMP) signalling. We tested whether iNO reduces reperfusion injury in patients with ST-elevation myocardial infarction (STEMI; NCT01398384)...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1093/eurheartj/ehy232

    authors： Janssens SP,Bogaert J,Zalewski J,Toth A,Adriaenssens T,Belmans A,Bennett J,Claus P,Desmet W,Dubois C,Goetschalckx K,Sinnaeve P,Vandenberghe K,Vermeersch P,Lux A,Szelid Z,Durak M,Lech P,Zmudka K,Pokreisz P,Vranckx

    更新日期：2018-08-01 00:00:00

  • Current therapy and outcome of Eisenmenger syndrome: data of the German National Register for congenital heart defects.

    abstract：AIMS:We aimed to assess the contemporary outcome of Eisenmenger syndrome (ES), delineate the use of disease targeting therapies (DTT) in these patients and to investigate the effect of treatment on outcome in the community. METHODS AND RESULTS:Patients with ES were systematically identified from the German National Re...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehv743

    authors： Diller GP,Körten MA,Bauer UM,Miera O,Tutarel O,Kaemmerer H,Berger F,Baumgartner H,German Competence Network for Congenital Heart Defects Investigators.

    更新日期：2016-05-07 00:00:00

  • Simplifying cardiovascular risk estimation using resting heart rate.

    abstract：AIMS:Elevated resting heart rate (RHR) is a known, independent cardiovascular (CV) risk factor, but is not included in risk estimation systems, including Systematic COronary Risk Evaluation (SCORE). We aimed to derive risk estimation systems including RHR as an extra variable and assess the value of this addition. MET...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehq164

    authors： Cooney MT,Vartiainen E,Laatikainen T,Joulevi A,Dudina A,Graham I

    更新日期：2010-09-01 00:00:00

  • Fibrinolytic therapy in bacterial endocarditis: experimental studies in dogs.

    abstract：:An investigation was undertaken to assess the value of adding streptokinase therapy to standard penicillin treatment of artificially induced infective endocarditis due to Streptococcus sanguis. In pigs a low-grade infection could be induced which closely simulated streptococcal endocarditis in man, but for technical r...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a062100

    authors： Dewar HA,Jones MR,Barnes WS,Griffin SG

    更新日期：1986-06-01 00:00:00

  • Association of low ankle brachial index with high mortality in primary care.

    abstract：AIMS:We aimed to assess the increased risk of death and severe vascular events in elderly individuals with subclinical or manifest peripheral arterial disease (PAD), evidenced by low ankle brachial index (ABI < 0.9) in primary care. METHODS AND RESULTS:In this monitored prospective observational study, 6880 representa...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1093/eurheartj/ehl092

    authors： Diehm C,Lange S,Darius H,Pittrow D,von Stritzky B,Tepohl G,Haberl RL,Allenberg JR,Dasch B,Trampisch HJ

    更新日期：2006-07-01 00:00:00

  • Prevalence and natural course of ectopic atrial tachycardia.

    abstract：AIMS:The purpose of this study was to calculate the prevalence of ectopic atrial tachycardia in a population of young asymptomatic males and to assess its natural course both in asymptomatic subjects and in symptomatic hospital patients. METHODS AND RESULTS:12-lead electrocardiograms (ECG) of 3554 consecutive males ap...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1053/euhj.1998.1313

    authors： Poutiainen AM,Koistinen MJ,Airaksinen KE,Hartikainen EK,Kettunen RV,Karjalainen JE,Huikuri HV

    更新日期：1999-05-01 00:00:00

  • Duration and life-stage of antibiotic use and risk of cardiovascular events in women.

    abstract：AIMS:Growing data suggest that antibiotic exposure is associated with a long-lasting alteration in gut microbiota, and may be related to subsequent cardiovascular disease (CVD). We investigated associations of life-stage and duration of antibiotic exposure during adulthood with subsequent CVD events. METHODS AND RESUL...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1093/eurheartj/ehz231

    authors： Heianza Y,Zheng Y,Ma W,Rimm EB,Albert CM,Hu FB,Rexrode KM,Manson JE,Qi L

    更新日期：2019-12-14 00:00:00

  • Fractional flow reserve and pressure-bounded coronary flow reserve to predict outcomes in coronary artery disease.

    abstract：Aims:Fractional flow reserve (FFR) has proven to its prognostic and therapeutic value. However, the additive prognostic value of coronary flow reserve (CFR) remains unclear. This study sought to investigate the clinical utility of combined FFR and CFR measurements to predict outcomes. Methods and results:Using the pro...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1093/eurheartj/ehx139

    authors： Ahn JM,Zimmermann FM,Johnson NP,Shin ES,Koo BK,Lee PH,Park DW,Kang SJ,Lee SW,Kim YH,Lee CW,Park SW,Pijls NHJ,Park SJ

    更新日期：2017-07-01 00:00:00

  • A case of right coronary artery occlusion, caused by blunt chest trauma and treated with acute coronary artery bypass surgery.

    abstract：:A 37-year-old man sustained occlusion of the right coronary artery after a bicycle accident with blunt chest trauma over the left scapula. Acute coronary angiography was performed because of chest pain and ST-segment elevation. Despite surgically successful acute revascularization the patient developed a transmural in...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a060033

    authors： Gustavsson CG,Albrechtsson U,Forslind K,Ståhl E,White T

    更新日期：1992-01-01 00:00:00