First clinical results with a new temperature-controlled rate-responsive pacemaker. Comparison of Activitrax and Nova MR pacemakers with VVI/AAI pacing.

Abstract:

:We examined the cardiopulmonary effects of maximum bicycle ergometer exercise in seven patients with implanted Intermedics Nova MR pacemakers for three types of pacing in a randomized sequence: VVI or AAI at 70 beats/min (SSI 70), rate-adaptive temperature-controlled pacing with the implanted Nova MR, and rate-adaptive activity-controlled pacing with a Medtronic Activitrax pacemaker taped to the chest wall, which triggered the implanted Nova MR in the VVT or AAT mode by skin electrodes. The maximum exercise tolerance was 67 W with SSI 70, 71 W with Activitrax pacing, and 91 W with Nova MR pacing; the maximum oxygen uptake as 17.6, 19.5, and 21.5 ml/min/kg, respectively. The highest heart rate achieved was 81 beats/min with SSI 70, 98 beats/min with the Activitrax, and 118 beats/min with the Nova MR on average; the mean rate increase from rest to maximum exercise was 11, 29, and 47 beats/min, respectively. With both rate-adaptive types of pacing (Nova MR and Activitrax), an increase in exercise tolerance and maximum heart rate could be achieved, but this increase was significantly more obvious with the temperature-controlled Nova MR than with the activity-controlled Activitrax. However, with a different form of exercise, for example, treadmill ergometry, the rate response of the Activitrax would presumably have been somewhat clearer.

journal_name

Circulation

journal_title

Circulation

authors

Alt E,Völker R,Högl B,MacCarter D

subject

Has Abstract

pub_date

1988-11-01 00:00:00

pages

III116-24

issue

5 Pt 2

eissn

0009-7322

issn

1524-4539

journal_volume

78

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 杂志文章

    doi:10.1161/01.cir.97.2.174

    authors: Ungerer M,Hartmann F,Karoglan M,Chlistalla A,Ziegler S,Richardt G,Overbeck M,Meisner H,Schömig A,Schwaiger M

    更新日期:1998-01-20 00:00:00

  • Incidence and prognosis of resistant hypertension in hypertensive patients.

    abstract:BACKGROUND:Despite a recent American Heart Association (AHA) consensus statement emphasizing the importance of resistant hypertension, the incidence and prognosis of this condition are largely unknown. METHODS AND RESULTS:This retrospective cohort study in 2 integrated health plans included patients with incident hype...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.068064

    authors: Daugherty SL,Powers JD,Magid DJ,Tavel HM,Masoudi FA,Margolis KL,O'Connor PJ,Selby JV,Ho PM

    更新日期:2012-04-03 00:00:00

  • Study of Cardiovascular Health Outcomes in the Era of Claims Data: The Cardiovascular Health Study.

    abstract:BACKGROUND:Increasingly, the diagnostic codes from administrative claims data are being used as clinical outcomes. METHODS AND RESULTS:Data from the Cardiovascular Health Study (CHS) were used to compare event rates and risk factor associations between adjudicated hospitalized cardiovascular events and claims-based me...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.115.018610

    authors: Psaty BM,Delaney JA,Arnold AM,Curtis LH,Fitzpatrick AL,Heckbert SR,McKnight B,Ives D,Gottdiener JS,Kuller LH,Longstreth WT Jr

    更新日期:2016-01-12 00:00:00

  • Inhibition of prolyl hydroxylase domain proteins promotes therapeutic revascularization.

    abstract:BACKGROUND:The hypoxia-inducible transcription factor (HIF) subunits are destabilized via the O(2)-dependent prolyl hydroxylase domain proteins (PHD1, PHD2, and PHD3). We investigated whether inhibition of PHDs via upregulating HIF might promote postischemic neovascularization. METHODS AND RESULTS:Mice with right femo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.813303

    authors: Loinard C,Ginouvès A,Vilar J,Cochain C,Zouggari Y,Recalde A,Duriez M,Lévy BI,Pouysségur J,Berra E,Silvestre JS

    更新日期:2009-07-07 00:00:00

  • Influence of the pericardium and ventricular interdependence on left ventricular diastolic and systolic function in patients with heart failure.

    abstract::The pericardium, because of the nature of its pressure-volume relation, can influence left ventricular diastolic and systolic pump function. During an acute increase in heart size that results in the stretching of the pericardium, the elastic properties of the pericardium restrict further cardiac dilatation and curtai...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Janicki JS

    更新日期:1990-02-01 00:00:00

  • The impending crisis awaiting cardiac transplantation. Modeling a solution based on selection.

    abstract:BACKGROUND:Each month, the number of transplant candidates added to the waiting list exceeds the number of transplantations performed, and many outpatients deteriorate to require transplantation urgently. The current list of 2400 candidates and the average wait of 8 months continue to increase. METHODS AND RESULTS:To ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.1.450

    authors: Stevenson LW,Warner SL,Steimle AE,Fonarow GC,Hamilton MA,Moriguchi JD,Kobashigawa JA,Tillisch JH,Drinkwater DC,Laks H

    更新日期:1994-01-01 00:00:00

  • Emergency department physician activation of the catheterization laboratory and immediate transfer to an immediately available catheterization laboratory reduce door-to-balloon time in ST-elevation myocardial infarction.

    abstract:BACKGROUND:Consensus guidelines and hospital quality-of-care programs recommend that ST-elevation myocardial infarction patients achieve a door-to-balloon time of < or = 90 minutes. However, there are limited prospective data on specific measures to significantly reduce door-to-balloon time. METHODS AND RESULTS:We pro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.677401

    authors: Khot UN,Johnson ML,Ramsey C,Khot MB,Todd R,Shaikh SR,Berg WJ

    更新日期:2007-07-03 00:00:00

  • Protease-Activated Receptor-2 Plays a Critical Role in Vascular Inflammation and Atherosclerosis in Apolipoprotein E-Deficient Mice.

    abstract:BACKGROUND:The coagulation system is closely linked with vascular inflammation, although the underlying mechanisms are still obscure. Recent studies show that protease-activated receptor (PAR)-2, a major receptor of activated factor X, is expressed in both vascular cells and leukocytes, suggesting that PAR-2 may contri...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.033544

    authors: Hara T,Phuong PT,Fukuda D,Yamaguchi K,Murata C,Nishimoto S,Yagi S,Kusunose K,Yamada H,Soeki T,Wakatsuki T,Imoto I,Shimabukuro M,Sata M

    更新日期:2018-10-16 00:00:00

  • Thallium 201 kinetics in stunned myocardium characterized by severe postischemic systolic dysfunction.

    abstract::The hypothesis tested in this study was that despite the presence of severe postischemic myocardial dysfunction ("stunning"), the extraction and subsequent intracellular washout of thallium 201 should be preserved as long as irreversible sarcolemmal membrane injury was avoided. To produce myocardial stunning, 19 open-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.5.1622

    authors: Moore CA,Cannon J,Watson DD,Kaul S,Beller GA

    更新日期:1990-05-01 00:00:00

  • Dose-response of chronic beta-blocker treatment in heart failure from either idiopathic dilated or ischemic cardiomyopathy. Bucindolol Investigators.

    abstract:BACKGROUND:Small-scale clinical investigations have demonstrated that single doses of beta-blocking agents can improve left ventricular function in heart failure from idiopathic dilated cardiomyopathy (IDC). The purpose of this multicenter clinical trial was to determine the dose-effect characteristics of beta-blockade...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.cir.89.4.1632

    authors: Bristow MR,O'Connell JB,Gilbert EM,French WJ,Leatherman G,Kantrowitz NE,Orie J,Smucker ML,Marshall G,Kelly P

    更新日期:1994-04-01 00:00:00

  • Hemodynamic effects of labetalol, an alpha and beta adrenergic blocking agent, in hypertensive subjects.

    abstract::Labetalol was administered to six hypertensive subjects in increasing doses for seven days. A decrease in both supine and standing arterial pressure and heart rate was observed with no change in cardiac output and few side effects. Exercise tolerance was unaltered by the drug, but the heart rate and arterial pressure ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.55.2.370

    authors: Mehta J,Cohn JN

    更新日期:1977-02-01 00:00:00

  • Phenotypic variability and unusual clinical severity of congenital long-QT syndrome in a founder population.

    abstract:BACKGROUND:In the congenital long-QT syndrome (LQTS), there can be a marked phenotypic heterogeneity. Founder effects, by which many individuals share a mutation identical by descent, represent a powerful tool to further understand the underlying mechanisms and to predict the natural history of mutation-associated effe...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.572453

    authors: Brink PA,Crotti L,Corfield V,Goosen A,Durrheim G,Hedley P,Heradien M,Geldenhuys G,Vanoli E,Bacchini S,Spazzolini C,Lundquist AL,Roden DM,George AL Jr,Schwartz PJ

    更新日期:2005-10-25 00:00:00

  • Converging evidence in support of the serotonin hypothesis of dexfenfluramine-induced pulmonary hypertension with novel transgenic mice.

    abstract:BACKGROUND:The incidence of pulmonary arterial hypertension secondary to the use of indirect serotinergic agonists such as aminorex and dexfenfluramine led to the "serotonin hypothesis" of pulmonary arterial hypertension; however, the role of serotonin in dexfenfluramine-induced pulmonary arterial hypertension remains ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.767558

    authors: Dempsie Y,Morecroft I,Welsh DJ,MacRitchie NA,Herold N,Loughlin L,Nilsen M,Peacock AJ,Harmar A,Bader M,MacLean MR

    更新日期:2008-06-03 00:00:00

  • Human platelet Ca2+ mobilization, glycoprotein IIb/IIIa activation, and experimental coronary thrombosis in vivo in dogs are all inhibited by the inotropic agent amrinone.

    abstract:BACKGROUND:Inotropic drugs are often used to treat acute, severe heart failure resulting from acute myocardial infarction and other unstable coronary artery syndromes. However, catecholamine inotropic agents may potentiate coronary thrombosis via a platelet alpha2-adrenergic mechanism, thus exacerbating the original pr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.5.1647

    authors: Sill JC,Bertha B,Berger I,Uhl C,Nugent M,Folts J

    更新日期:1997-09-02 00:00:00

  • From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: Part II.

    abstract::Atherosclerotic cardiovascular disease results in >19 million deaths annually, and coronary heart disease accounts for the majority of this toll. Despite major advances in treatment of coronary heart disease patients, a large number of victims of the disease who are apparently healthy die suddenly without prior sympto...

    journal_title:Circulation

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1161/01.CIR.0000087481.55887.C9

    authors: Naghavi M,Libby P,Falk E,Casscells SW,Litovsky S,Rumberger J,Badimon JJ,Stefanadis C,Moreno P,Pasterkamp G,Fayad Z,Stone PH,Waxman S,Raggi P,Madjid M,Zarrabi A,Burke A,Yuan C,Fitzgerald PJ,Siscovick DS,de Korte CL

    更新日期:2003-10-14 00:00:00

  • Prolyl hydroxylase domain protein 2 plays a critical role in diet-induced obesity and glucose intolerance.

    abstract:BACKGROUND:Recent studies suggest that the oxygen-sensing pathway consisting of transcription factor hypoxia-inducible factor and prolyl hydroxylase domain proteins (PHDs) plays a critical role in glucose metabolism. However, the role of adipocyte PHD in the development of obesity has not been clarified. We examined wh...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.001742

    authors: Matsuura H,Ichiki T,Inoue E,Nomura M,Miyazaki R,Hashimoto T,Ikeda J,Takayanagi R,Fong GH,Sunagawa K

    更新日期:2013-05-28 00:00:00

  • Long-Term Survival and Freedom From Reintervention After Off-Pump Coronary Artery Bypass Grafting: A Propensity-Matched Study.

    abstract:BACKGROUND:The long-term outcomes of off-pump coronary artery bypass grafting (CABG) are the subject of speculation. Our institution has >15 years of experience performing CABG both off-pump (OPCAB) and on cardiopulmonary bypass (CPB). Our null hypothesis was that there would be no difference in a long-term composite o...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.021933

    authors: Kirmani BH,Holmes MV,Muir AD

    更新日期:2016-10-25 00:00:00

  • Genetically defined therapy of inherited long-QT syndrome. Correction of abnormal repolarization by potassium.

    abstract:BACKGROUND:Many members of families with inherited long-QT (LQT) syndrome have mutations in HERG, a gene encoding a cardiac potassium channel that is modulated by extracellular potassium. We hypothesized that an increase in serum potassium would normalize repolarization in these patients. METHODS AND RESULTS:We studie...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.5.1018

    authors: Compton SJ,Lux RL,Ramsey MR,Strelich KR,Sanguinetti MC,Green LS,Keating MT,Mason JW

    更新日期:1996-09-01 00:00:00

  • Prognostic significance of atrial fibrillation in advanced heart failure. A study of 390 patients.

    abstract:BACKGROUND:Atrial fibrillation is common in advanced heart failure, but its prognostic significance is controversial. METHODS AND RESULTS:We evaluated the relation of atrial rhythm to overall survival and sudden death in 390 consecutive advanced heart failure patients. Etiology of heart failure was coronary artery dis...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.1.40

    authors: Middlekauff HR,Stevenson WG,Stevenson LW

    更新日期:1991-07-01 00:00:00

  • Coronary vasodilation induced by angiotensin-converting enzyme inhibition in vivo: differential contribution of nitric oxide and bradykinin in conductance and resistance arteries.

    abstract:BACKGROUND:We studied in coronary conductance and resistance arteries the coronary vasodilator effects of the angiotensin-converting enzyme inhibitor ramiprilat and the contribution of nitric oxide, bradykinin, and prostaglandins to this vasodilation. METHODS AND RESEARCH:In seven anesthetized dogs, a Doppler guidewir...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.9.1734

    authors: Sudhir K,Chou TM,Hutchison SJ,Chatterjee K

    更新日期:1996-05-01 00:00:00

  • Cardiac manifestations of malignant hyperthermia susceptibility.

    abstract::Malignant hyperthermia is a disease resulting from defective cellular membranes, usually presenting as drug-induced pyrexic crises. We describe four patients with life threatening ventricular arrhythmias or chest pain in the absence of pyrexic crises. Three presented with life threatening arrhythmias and the fourth wi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.5.916

    authors: Huckell VF,Staniloff HM,Britt BA,Waxman MB,Morch JE

    更新日期:1978-11-01 00:00:00

  • Long-term preservation of ischemic myocardium in the dog by hyaluronidase.

    abstract::The administration of hyaluronidase is a promising intervention to protect the ischemic myocardium in man, but evidence of the extent to which it may reduce the ultimate size of an infarct is not well-defined. Hence, open chest, anesthetized dogs were randomized into 10 control dogs which received saline and eight tre...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.2.220

    authors: Kloner RA,Braunwald E,Maroko PR

    更新日期:1978-08-01 00:00:00

  • Transplantation of nanoparticle transfected skeletal myoblasts overexpressing vascular endothelial growth factor-165 for cardiac repair.

    abstract:BACKGROUND:We investigated the feasibility and efficacy of polyethylenimine (PEI) based human vascular endothelial growth factor-165 (hVEGF165) gene transfer into human skeletal myoblasts (HSM) for cell based delivery to the infarcted myocardium. METHODS AND RESULTS:Based on optimized transfection procedure using enha...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.680124

    authors: Ye L,Haider HKh,Tan R,Toh W,Law PK,Tan W,Su L,Zhang W,Ge R,Zhang Y,Lim Y,Sim EK

    更新日期:2007-09-11 00:00:00

  • Comparison of myocardial preservation with hypothermic potassium and nifedipine arrest.

    abstract::Preservation of regional myocardial function, high-energy phosphate stores and ultrastructure were assessed in 28 canine hearts subjected to 2 hours of global ischemia at either 12 degrees C or 21 degrees C. The preservation achieved with a potassium arrest solution was simultaneously compared in the same heart with e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Johnson RG,Jacocks MA,Aretz TH,Geffin GA,O'Keefe DD,DeBoer LW,Guyton RA,Fallon JT,Daggett WM

    更新日期:1982-08-01 00:00:00

  • Plasma oxidized low-density lipoprotein, a strong predictor for acute coronary heart disease events in apparently healthy, middle-aged men from the general population.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.529297

    authors: Meisinger C,Baumert J,Khuseyinova N,Loewel H,Koenig W

    更新日期:2005-08-02 00:00:00

  • Comparison of candesartan, enalapril, and their combination in congestive heart failure: randomized evaluation of strategies for left ventricular dysfunction (RESOLVD) pilot study. The RESOLVD Pilot Study Investigators.

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    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.100.10.1056

    authors: McKelvie RS,Yusuf S,Pericak D,Avezum A,Burns RJ,Probstfield J,Tsuyuki RT,White M,Rouleau J,Latini R,Maggioni A,Young J,Pogue J

    更新日期:1999-09-07 00:00:00

  • Coronary angioplasty performed within the thrombolysis in Myocardial Infarction II study.

    abstract:BACKGROUND:Percutaneous transluminal coronary angioplasty (PTCA) of the infarct-related artery was performed within 42 days of recombinant tissue-type plasminogen activator (rt-PA) administration in 1,414 of the 3,534 patients who participated in the Thrombolysis In Myocardial Infarction (TIMI) II study. Primary angiog...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.1.93

    authors: Baim DS,Diver DJ,Feit F,Greenberg MA,Holmes DR,Weiner BH,Williams DO,Schweiger MJ,Brown BG,Frederick MM

    更新日期:1992-01-01 00:00:00

  • Outcome of patients with low ejection fraction undergoing coronary artery bypass grafting: renal function and mortality after 3.8 years.

    abstract:BACKGROUND:There are few data regarding medium-term outcome of coronary artery bypass grafting (CABG) in patients with severe left ventricular (LV) systolic dysfunction, particularly in the modern era, and even less assessing preoperative factors that might identify patients at highest risk. METHODS AND RESULTS:Three ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.000661

    authors: Hillis GS,Zehr KJ,Williams AW,Schaff HV,Orzulak TA,Daly RC,Mullany CJ,Rodeheffer RJ,Oh JK

    更新日期:2006-07-04 00:00:00

  • Reliability of multicenter pediatric echocardiographic measurements of left ventricular structure and function: the prospective P(2)C(2) HIV study.

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    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/01.cir.104.3.310

    authors: Lipshultz SE,Easley KA,Orav EJ,Kaplan S,Starc TJ,Bricker JT,Lai WW,Moodie DS,Sopko G,Schluchter MD,Colan SD

    更新日期:2001-07-17 00:00:00

  • Improved neurologic recovery and survival after early defibrillation.

    abstract::Eighty-seven patients who had out-of-hospital cardiac arrests received defibrillating shocks delivered by minimally trained first responders before the arrival of paramedics in a city with short emergency response times. Their outcomes were compared with those of 370 other victims who received only basic life support ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.69.5.943

    authors: Weaver WD,Copass MK,Bufi D,Ray R,Hallstrom AP,Cobb LA

    更新日期:1984-05-01 00:00:00