Fractional Flow Reserve and Quality-of-Life Improvement After Percutaneous Coronary Intervention in Patients With Stable Coronary Artery Disease.

Abstract:

BACKGROUND:Whether the benefit in quality of life (QOL) after percutaneous coronary intervention depends on the severity of the stenosis as determined by fractional flow reserve (FFR) remains unknown. This study sought to investigate the relationship between FFR values and improvement in QOL. METHODS:From the FAME 1 and 2 trials (Fractional Flow Reserve Versus Angiography for Multivessel Evaluation), we identified 706 stable patients with coronary artery disease who had at least 1 lesion with an FFR≤0.80 that was treated with percutaneous coronary intervention and 185 patients with coronary artery disease who had no lesion with an FFR≤0.80 and were treated medically who served as a reference group. QOL was assessed by the European Quality of Life-5 Dimensions index at baseline, 1 month, and 1 year. We assessed the relationship between QOL improvement (defined as the change in European Quality of Life-5 Dimensions index from baseline) and FFR as a continuous value and according to abnormal FFR tertile. RESULTS:QOL improved significantly after percutaneous coronary intervention in each abnormal FFR tertile, whereas it did not change in the reference group. The lowest abnormal FFR subgroup had the greatest improvement in QOL at 1 month ( P<0.001). In mixed-effects models for repeated measures, lower FFR ( P=0.002 for 1 month and 0.049 for 1 year), greater delta FFR ( P=0.021 for 1 month and 0.025 for 1 year), and higher angina class ( P=0.001 for 1 month and <0.001 for 1 year) were associated with the greatest magnitude of QOL improvement at both 1 month and 1 year. CONCLUSIONS:Among patients with stable coronary artery disease, FFR and angina severity predict QOL improvement after percutaneous coronary intervention. CLINICAL TRIAL REGISTRATION:URL: https://www.clinicaltrials.gov . Unique identifiers: NCT00267774 and NCT01132495.

journal_name

Circulation

journal_title

Circulation

authors

Nishi T,Piroth Z,De Bruyne B,Jagic N,Möbius-Winkler S,Kobayashi Y,Derimay F,Fournier S,Barbato E,Tonino P,Jüni P,Pijls NHJ,Fearon WF

doi

10.1161/CIRCULATIONAHA.118.035263

subject

Has Abstract

pub_date

2018-10-23 00:00:00

pages

1797-1804

issue

17

eissn

0009-7322

issn

1524-4539

journal_volume

138

pub_type

杂志文章
  • Deleting Full Length Titin Versus the Titin M-Band Region Leads to Differential Mechanosignaling and Cardiac Phenotypes.

    abstract:BACKGROUND:Titin is a giant elastic protein that spans the half-sarcomere from Z-disk to M-band. It acts as a molecular spring and mechanosensor and has been linked to striated muscle disease. The pathways that govern titin-dependent cardiac growth and contribute to disease are diverse and difficult to dissect. METHOD...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.037588

    authors: Radke MH,Polack C,Methawasin M,Fink C,Granzier HL,Gotthardt M

    更新日期:2019-04-09 00:00:00

  • Adenovirus-mediated VEGF(121) gene transfer stimulates angiogenesis in normoperfused skeletal muscle and preserves tissue perfusion after induction of ischemia.

    abstract:BACKGROUND:Administration of angiogenic factors stimulates neovascularization in ischemic tissues. However, there is no evidence that angiogenesis can be induced in normoperfused skeletal muscles. We tested the hypothesis that adenovirus-mediated intramuscular (IM) gene transfer of the 121-amino-acid form of vascular e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.5.565

    authors: Gowdak LH,Poliakova L,Wang X,Kovesdi I,Fishbein KW,Zacheo A,Palumbo R,Straino S,Emanueli C,Marrocco-Trischitta M,Lakatta EG,Anversa P,Spencer RG,Talan M,Capogrossi MC

    更新日期:2000-08-01 00:00:00

  • Lipid-rich atherosclerotic plaques detected by gadofluorine-enhanced in vivo magnetic resonance imaging.

    abstract:BACKGROUND:MRI of specific components in atherosclerotic plaque may provide information on plaque stability and its potential to rupture. We evaluated gadofluorine in atherosclerotic rabbits using a new MR sequence that allows plaque detection within 1 hour after injection and assessed enhancement in lipid-rich and non...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000129310.17277.E7

    authors: Sirol M,Itskovich VV,Mani V,Aguinaldo JG,Fallon JT,Misselwitz B,Weinmann HJ,Fuster V,Toussaint JF,Fayad ZA

    更新日期:2004-06-15 00:00:00

  • Metabolic modulator perhexiline corrects energy deficiency and improves exercise capacity in symptomatic hypertrophic cardiomyopathy.

    abstract:BACKGROUND:Hypertrophic cardiomyopathy patients exhibit myocardial energetic impairment, but a causative role for this energy deficiency in the pathophysiology of hypertrophic cardiomyopathy remains unproven. We hypothesized that the metabolic modulator perhexiline would ameliorate myocardial energy deficiency and ther...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.109.934059

    authors: Abozguia K,Elliott P,McKenna W,Phan TT,Nallur-Shivu G,Ahmed I,Maher AR,Kaur K,Taylor J,Henning A,Ashrafian H,Watkins H,Frenneaux M

    更新日期:2010-10-19 00:00:00

  • Improved preservation of saphenous vein grafts by the use of glyceryl trinitrate-verapamil solution during harvesting.

    abstract:BACKGROUND:High-pressure distension during harvesting damages the saphenous vein (SV) and may contribute to subsequent coronary artery bypass graft (CABG) occlusion. Application of vasodilator agents to the SV during harvesting may reduce the need for high-pressure distension and improve graft quality. We tested the ef...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.92.9.31

    authors: Roubos N,Rosenfeldt FL,Richards SM,Conyers RA,Davis BB

    更新日期:1995-11-01 00:00:00

  • Resuscitation Education Science: Educational Strategies to Improve Outcomes From Cardiac Arrest: A Scientific Statement From the American Heart Association.

    abstract::The formula for survival in resuscitation describes educational efficiency and local implementation as key determinants in survival after cardiac arrest. Current educational offerings in the form of standardized online and face-to-face courses are falling short, with providers demonstrating a decay of skills over time...

    journal_title:Circulation

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1161/CIR.0000000000000583

    authors: Cheng A,Nadkarni VM,Mancini MB,Hunt EA,Sinz EH,Merchant RM,Donoghue A,Duff JP,Eppich W,Auerbach M,Bigham BL,Blewer AL,Chan PS,Bhanji F,American Heart Association Education Science Investigators; and on behalf of the American

    更新日期:2018-08-07 00:00:00

  • Phenotypic Consequences of a Genetic Predisposition to Enhanced Nitric Oxide Signaling.

    abstract:BACKGROUND:Nitric oxide signaling plays a key role in the regulation of vascular tone and platelet activation. Here, we seek to understand the impact of a genetic predisposition to enhanced nitric oxide signaling on risk for cardiovascular diseases, thus informing the potential utility of pharmacological stimulation of...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.117.028021

    authors: Emdin CA,Khera AV,Klarin D,Natarajan P,Zekavat SM,Nomura A,Haas M,Aragam K,Ardissino D,Wilson JG,Schunkert H,McPherson R,Watkins H,Elosua R,Bown MJ,Samani NJ,Baber U,Erdmann J,Gormley P,Palotie A,Stitziel NO,Gup

    更新日期:2018-01-16 00:00:00

  • Realizing the potential of carotid artery stenting: proposed paradigms for patient selection and procedural technique.

    abstract::Carotid artery stenting, compared with carotid endarterectomy, is emerging as an effective and less invasive method of revascularization for extracranial carotid artery stenosis. Carotid stenting is established as the treatment of choice for certain high-risk patient subsets, and ongoing clinical trials are evaluating...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.595512

    authors: Roubin GS,Iyer S,Halkin A,Vitek J,Brennan C

    更新日期:2006-04-25 00:00:00

  • Impact of pulmonary valve replacement on arrhythmia propensity late after repair of tetralogy of Fallot.

    abstract:BACKGROUND:Chronic pulmonary regurgitation after repair of tetralogy of Fallot (TOF) may lead to right ventricular dilatation, which may be accompanied by ventricular tachycardia and sudden death. We aimed to examine the effects of pulmonary valve replacement (PVR) on (1) certain electrocardiographic markers predictive...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.20.2489

    authors: Therrien J,Siu SC,Harris L,Dore A,Niwa K,Janousek J,Williams WG,Webb G,Gatzoulis MA

    更新日期:2001-05-22 00:00:00

  • Potentiation of isosorbide dinitrate effects with N-acetylcysteine in patients with chronic heart failure.

    abstract:BACKGROUND:Supply of sulfhydryl groups with the administration of N-acetylcysteine (NAC) has been reported to reverse tolerance to nitroglycerin but not to isosorbide dinitrate (ISDN). Lack of interaction between NAC and ISDN was suggested as an explanation for these findings. The present study was therefore designed t...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.89.6.2595

    authors: Mehra A,Shotan A,Ostrzega E,Hsueh W,Vasquez-Johnson J,Elkayam U

    更新日期:1994-06-01 00:00:00

  • Association of virulent Helicobacter pylori strains with ischemic heart disease.

    abstract:BACKGROUND:Previous studies have reported an association between chronic Helicobacter pylori infection and ischemic heart disease. However, it is not clear whether this association is really due to the virulence of the bacterium or is merely the result of confounding factors (in particular, age and social class). METH...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.17.1675

    authors: Pasceri V,Cammarota G,Patti G,Cuoco L,Gasbarrini A,Grillo RL,Fedeli G,Gasbarrini G,Maseri A

    更新日期:1998-05-05 00:00:00

  • Relation of hormone-replacement therapy to measures of plasma fibrinolytic activity. Atherosclerosis Risk in Communities (ARIC) Study Investigators.

    abstract:BACKGROUND:The mechanisms by which replacement hormones may reduce the risk of coronary heart disease are not fully understood. Of specific interest is a potential effect of replacement hormones on plasma fibrinolytic activity, a putative determinant of thrombotic events. METHODS AND RESULTS:We investigated the relati...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.cir.93.11.1970

    authors: Shahar E,Folsom AR,Salomaa VV,Stinson VL,McGovern PG,Shimakawa T,Chambless LE,Wu KK

    更新日期:1996-06-01 00:00:00

  • Nitric oxide modulates myocardial oxygen consumption in the failing heart.

    abstract:BACKGROUND:Endogenous nitric oxide (NO) has been reported to inhibit oxygen consumption in the normal heart, so that nonselective inhibition of NO synthase (NOS) caused an increase of myocardial oxygen consumption (MVO2). Although endothelial NOS responses are depressed in congestive heart failure (CHF), inducible NOS ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000021120.90970.b9

    authors: Chen Y,Traverse JH,Du R,Hou M,Bache RJ

    更新日期:2002-07-09 00:00:00

  • Magnetic resonance imaging with 3-dimensional analysis of left ventricular remodeling in isolated mitral regurgitation: implications beyond dimensions.

    abstract:BACKGROUND:Although surgery is indicated in patients with mitral regurgitation (MR) when left ventricular (LV) end-systolic (LVES) dimension is >40 mm, LV ejection fraction may decrease after mitral valve surgery. We hypothesize that significant LV remodeling before surgery is not reflected by standard echocardiographi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.073239

    authors: Schiros CG,Dell'Italia LJ,Gladden JD,Clark D 3rd,Aban I,Gupta H,Lloyd SG,McGiffin DC,Perry G,Denney TS Jr,Ahmed MI

    更新日期:2012-05-15 00:00:00

  • Natural history and classification of occlusive thromboaortopathy (Takayasu's disease).

    abstract::Fifty-four Japanese patients with occlusive thromboaortopathy (OTAP), including four males, were classified according to evidence of complications attributed to OTAP at the time when the diagnosis was established: Group I, uncomplicated OTAP with or without the involvement of the pulmonary artery. Group II, mono-compl...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.1.27

    authors: Ishikawa K

    更新日期:1978-01-01 00:00:00

  • Vasopressor response to angiotensin II infusion in patients with chronic heart failure receiving beta-blockers.

    abstract:BACKGROUND:A synergistic interaction between the angiotensin II (Ang II) type 1 receptor and alpha1-adrenergic receptors has been described. We hypothesized that the nonselective beta-antagonist carvedilol, through its alpha1-adrenergic blocking properties, may modulate vascular reactivity to Ang II in patients with ch...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.0000045666.04794.14

    authors: Vittorio TJ,Lang CC,Katz SD,Packer M,Mancini DM,Jorde UP

    更新日期:2003-01-21 00:00:00

  • Ischemia-related lesion characteristics in patients with stable or unstable angina. A study with intracoronary angioscopy and ultrasound.

    abstract:BACKGROUND:Postmortem-derived findings support the common beliefs that lipid-rich coronary plaques with a thin, fibrous cap are prone to rupture and that rupture and superimposed thrombosis are the primary mechanisms causing acute coronary syndromes. In vivo imaging with intracoronary techniques may disclose difference...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.6.1408

    authors: de Feyter PJ,Ozaki Y,Baptista J,Escaned J,Di Mario C,de Jaegere PP,Serruys PW,Roelandt JR

    更新日期:1995-09-15 00:00:00

  • Exercise performance after pediatric heart transplantation.

    abstract:BACKGROUND:Children awaiting heart transplantation have severe limitations in their ability to exercise. The purpose of this study was to assess exercise capacity after pediatric heart transplantation and to identify factors influencing exercise performance. METHODS AND RESULTS:Progressive cycle ergometry testing was ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Hsu DT,Garofano RP,Douglas JM,Michler RE,Quaegebeur JM,Gersony WM,Addonizio LJ

    更新日期:1993-11-01 00:00:00

  • Prospective observations in patients with chronic bundle branch block and marked H-V prolongation.

    abstract::Eighteen of 388 patients with chronic bundle branch block, studied electrophysiologically and followed prospectively, had H-V intervals of 80 msec or greater. Five patients were functional class I, five class II, seven class III, and one class IV. Follow-up ranged from 103 to 1919 days (mean 711 +/- 118). Three patien...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.4.600

    authors: Dhingra RC,Denes P,Wu D,Wyndham CR,Amat-y-Leon F,Towne WD,Rosen KM

    更新日期:1976-04-01 00:00:00

  • Uric acid and survival in chronic heart failure: validation and application in metabolic, functional, and hemodynamic staging.

    abstract:BACKGROUND:Serum uric acid (UA) could be a valid prognostic marker and useful for metabolic, hemodynamic, and functional (MFH) staging in chronic heart failure (CHF). METHODS AND RESULTS:For the derivation study, 112 patients with CHF (age 59+/-12 years, peak oxygen consumption [Vo2] 17+/-7 mL/kg per minute) were recr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000065637.10517.A0

    authors: Anker SD,Doehner W,Rauchhaus M,Sharma R,Francis D,Knosalla C,Davos CH,Cicoira M,Shamim W,Kemp M,Segal R,Osterziel KJ,Leyva F,Hetzer R,Ponikowski P,Coats AJ

    更新日期:2003-04-22 00:00:00

  • The evolution of chemokine release supports a bimodal mechanism of spinal cord ischemia and reperfusion injury.

    abstract:BACKGROUND:Paraplegia remains a devastating complication of thoracic aortic surgery. The mechanism of the antecedent spinal cord ischemia and reperfusion injury (IR) remains poorly described. IR involves 2 injuries, an initial ischemic insult and subsequent inflammatory amplification of the injury. This mechanism is co...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.080275

    authors: Smith PD,Puskas F,Meng X,Lee JH,Cleveland JC Jr,Weyant MJ,Fullerton DA,Reece TB

    更新日期:2012-09-11 00:00:00

  • Thrombin facilitation of voltage-gated sodium channel activation in human cardiomyocytes: implications for ischemic sodium loading.

    abstract:BACKGROUND:Thrombin plays a role in mediating ischemic injury and cardiac arrhythmias, but the mechanisms involved are poorly understood. Because voltage-gated sodium channels (VGSCs) have not previously been considered, putative effects of thrombin on VGSC function were investigated in human isolated cardiomyocytes. ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000034510.64828.96

    authors: Pinet C,Le Grand B,John GW,Coulombe A

    更新日期:2002-10-15 00:00:00

  • Atrial fibrillation begets atrial fibrillation. A study in awake chronically instrumented goats.

    abstract:BACKGROUND:In this study we tested the hypothesis that atrial fibrillation (AF) causes electrophysiological changes of the atrial myocardium which might explain the progressive nature of the arrhythmia. METHODS AND RESULTS:Twelve goats were chronically instrumented with multiple electrodes sutured to the epicardium of...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.7.1954

    authors: Wijffels MC,Kirchhof CJ,Dorland R,Allessie MA

    更新日期:1995-10-01 00:00:00

  • Humanized mouse model of thrombosis is predictive of the clinical efficacy of antiplatelet agents.

    abstract:BACKGROUND:In vivo testing of novel antiplatelet agents requires informative biomarkers. By genetically modifying mouse von Willebrand factor (VWF(R1326H)), we have developed a small animal model that supports human but not mouse platelet-mediated thrombosis. Here, we evaluate the use of this biological platform as a p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.951970

    authors: Magallon J,Chen J,Rabbani L,Dangas G,Yang J,Bussel J,Diacovo T

    更新日期:2011-01-25 00:00:00

  • Plasma and lipoprotein cholesterol and triglyceride concentrations in the Pima Indians: distributions differing from those of Caucasians.

    abstract::Plasma and lipoprotein cholesterol and triglyceride concentrations were measured in Pima Indians, a genetically homogeneous population with a high prevalence of obesity and diabetes and a low frequency of coronary heart disease. The data for nondiabetic Pima Indians were compared with those of U.S. Caucasians measured...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.4.714

    authors: Howard BV,Davis MP,Pettitt DJ,Knowler WC,Bennett PH

    更新日期:1983-10-01 00:00:00

  • Overexpression of functionally coupled cyclooxygenase-2 and prostaglandin E synthase in symptomatic atherosclerotic plaques as a basis of prostaglandin E(2)-dependent plaque instability.

    abstract:BACKGROUND:Studies have implicated a role for prostaglandin (PG) E(2)-dependent matrix metalloproteinase (MMP) biosynthesis in the rupture of atherosclerotic plaque. Cyclooxygenase-2 (COX-2) and PGE synthase (PGES) are coregulated in nucleated cells by inflammatory stimuli. The aim of this study was to characterize the...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3401.093152

    authors: Cipollone F,Prontera C,Pini B,Marini M,Fazia M,De Cesare D,Iezzi A,Ucchino S,Boccoli G,Saba V,Chiarelli F,Cuccurullo F,Mezzetti A

    更新日期:2001-08-21 00:00:00

  • Experience with bretylium tosylate by a hospital cardiac arrest team.

    abstract::The effect of bretylium tosylate (BT) was determined in 27 consecutive cases of resistant ventricular fibrillation (VF) encountered by a hospital cardiac arrest team. The VF was sustained and completely resistant to multiple injections of lidocaine, sequential DC shocks at 400 watt-sec and one or a combination of intr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.3.541

    authors: Holder DA,Sniderman AD,Fraser G,Fallen EL

    更新日期:1977-03-01 00:00:00

  • Association between apolipoprotein E alleles and calcific valvular heart disease.

    abstract:BACKGROUND:Studies on apolipoprotein E (apoE) alleles have reported an increased risk of coronary heart disease in patients with the apoE4 allele. Given the risk factor and histological similarities between coronary and calcific valvular heart disease (aortic stenosis [AS] and mitral annular calcification [MAC]), we po...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000097560.96431.3E

    authors: Novaro GM,Sachar R,Pearce GL,Sprecher DL,Griffin BP

    更新日期:2003-10-14 00:00:00

  • Early detection of canine myocardial infarction by magnetic resonance imaging in vivo.

    abstract::This study was undertaken to assess the ability of proton magnetic resonance imaging (MRI) to detect myocardial ischemia shortly after coronary artery occlusion. Fifteen dogs were studied before and serially for up to 6 hr after anterior descending or circumflex coronary artery ligation in vivo by gated MRI with a 0.1...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.3.587

    authors: Pflugfelder PW,Wisenberg G,Prato FS,Carroll SE,Turner KL

    更新日期:1985-03-01 00:00:00

  • Transcriptomic and proteomic patterns of systemic inflammation in on-pump and off-pump coronary artery bypass grafting.

    abstract:BACKGROUND:Coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) provides controlled operative conditions but induces a whole-body inflammatory response capable of initiating devastating morbidity and mortality. Although technically more demanding, deliberate avoidance of CPB in off-pump surgery att...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.531152

    authors: Tomic V,Russwurm S,Möller E,Claus RA,Blaess M,Brunkhorst F,Bruegel M,Bode K,Bloos F,Wippermann J,Wahlers T,Deigner HP,Thiery J,Reinhart K,Bauer M

    更新日期:2005-11-08 00:00:00