Hierarchy of levels of ischemia-induced impairment in regional left ventricular systolic function in man.

Abstract:

:We tested the hypothesis that different subsets of ischemia-induced wall motion disorders are characterized by specific patterns of abnormal regional left ventricular systolic function. Regional contraction was quantitatively assessed from two-dimensional echocardiograms by an automated integrative analysis considering the time course of wall motion during the entire contraction sequence in 20 patients with chronic myocardial infarction, in 13 patients with impending myocardial infarction (less than 2 hr after the onset of symptoms), and in nine patients during transient myocardial ischemia. Wall motion abnormalities were detected in all patients by the integrative analysis. In contrast, the sensitivity for detecting wall motion abnormalities was 80% during chronic infarction, 77% during impending infarction, and 56% during transient ischemia if only end-diastolic and end-systolic frames were compared for assessment of overall regional systolic function. There were distinct differences in the time course of abnormal wall excursion between the three groups. Chronic infarction was characterized by a monophasic contraction pattern, with abnormal synergy in regional contractile events occurring predominantly during early systole. In contrast, transient ischemia caused predominantly mid-to-late systolic abnormal synergy followed by late systolic shortening corresponding to a polyphasic contraction pattern. During impending infarction, an intermediate temporal contraction pattern was present with both early and mesosystolic abnormal synergy.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Circulation

journal_title

Circulation

authors

Zeiher AM,Wollschlaeger H,Bonzel T,Kasper W,Just H

doi

10.1161/01.cir.76.4.768

subject

Has Abstract

pub_date

1987-10-01 00:00:00

pages

768-76

issue

4

eissn

0009-7322

issn

1524-4539

journal_volume

76

pub_type

杂志文章
  • Effects of aortopulmonary collaterals on cerebral cooling and cerebral metabolic recovery after circulatory arrest.

    abstract:BACKGROUND:Aortopulmonary collaterals (APC) have been associated with an increased risk of choreoathetosis after deep hypothermic circulatory arrest (DHCA). To study the effects of APC on cerebral hemodynamics and metabolism before and after DHCA, a piglet model was developed. METHODS AND RESULTS:Protocol 1: Eight 4- ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.9.490

    authors: Kirshbom PM,Skaryak LA,DiBernardo LR,Kern FH,Greeley WJ,Gaynor JW,Ungerleider RM

    更新日期:1995-11-01 00:00:00

  • Biventricular circulatory support with two miniaturized implantable assist devices.

    abstract:BACKGROUND:Up to 30% of patients with end-stage heart failure experience biventricular failure that requires biventricular mechanical support. For these patients, only bulky extracorporeal or implantable displacement pumps or the total artificial heart have been available to date, which enables only limited quality of ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.011502

    authors: Krabatsch T,Potapov E,Stepanenko A,Schweiger M,Kukucka M,Huebler M,Hennig E,Hetzer R

    更新日期:2011-09-13 00:00:00

  • Coronary arterial spasm and Prinzmetal's variant form of angina induced by hyperventilation and Tris-buffer infusion.

    abstract::Vigorous hyperventilation was induced for five minutes immediately after a five-minute infusion of 100 ml of Tris-buffer (pH 10) in nine patients with Prinzmetal's variant angina. In eight of the patients, chest pain with ischemic changes in the electrocardiogram occurred during this procedure or within five minutes a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.1.56

    authors: Yasue H,Nagao M,Omote S,Takizawa A,Miwa K,Tanaka S

    更新日期:1978-07-01 00:00:00

  • Targeting 2A protease by RNA interference attenuates coxsackieviral cytopathogenicity and promotes survival in highly susceptible mice.

    abstract:BACKGROUND:Enteroviridae such as coxsackievirus B3 (CVB3) are important infectious agents involved in viral heart disease, hepatitis, and pancreatitis, but no specific antiviral therapy is available. METHODS AND RESULTS:The aim of the present study was to evaluate the impact of RNA interference on viral replication, c...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000160360.02040.AB

    authors: Merl S,Michaelis C,Jaschke B,Vorpahl M,Seidl S,Wessely R

    更新日期:2005-04-05 00:00:00

  • Rheumatic fever and the HLA complex. A cosegregation study.

    abstract:BACKGROUND:Considering the controversial results published in the literature concerning associations between human leukocyte antigens (HLA) and rheumatic fever (RF), the purpose of the present study was to investigate by means of cosegregation analysis the participation of HLA genes in susceptibility to RF. METHODS AN...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.1.138

    authors: Gerbase-DeLima M,Scala LC,Temin J,Santos DV,Otto PA

    更新日期:1994-01-01 00:00:00

  • Syncope while driving: clinical characteristics, causes, and prognosis.

    abstract:BACKGROUND:The risk of syncope occurring while driving has obvious implications for personal and public safety. We aimed to define the clinical characteristics, causes, and prognosis of syncope while driving. METHODS AND RESULTS:In this case-control study of consecutive patients evaluated for syncope from 1996 through...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.827626

    authors: Sorajja D,Nesbitt GC,Hodge DO,Low PA,Hammill SC,Gersh BJ,Shen WK

    更新日期:2009-09-15 00:00:00

  • Localization of regional myocardial ischemia by recording of monophasic action potentials.

    abstract::Identification of regional myocardial ischemia by TQ-ST segment mapping, while commonly used, is relatively imprecise and nonspecific. In 41 open-chest dogs we examined whether monophasic action potentials (MAPs) recorded from the myocardial surface by means of a new contact-electrode technique could be used to more p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.69.3.593

    authors: Franz MR,Flaherty JT,Platia EV,Bulkley BH,Weisfeldt ML

    更新日期:1984-03-01 00:00:00

  • Relations of left ventricular mass to fat-free and adipose body mass: the strong heart study. The Strong Heart Study Investigators.

    abstract:BACKGROUND:It is unclear whether increased left ventricular (LV) mass in overweight individuals is related to their adiposity or to greater fat-free mass (FFM). METHODS AND RESULTS:We compared echocardiographic LV mass to FFM and adipose body mass by bioelectric impedance and to anthropometric measurements in 3107 Ame...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.23.2538

    authors: Bella JN,Devereux RB,Roman MJ,O'Grady MJ,Welty TK,Lee ET,Fabsitz RR,Howard BV

    更新日期:1998-12-08 00:00:00

  • Local platelet activation causes vasoconstriction of large epicardial canine coronary arteries in vivo. Thromboxane A2 and serotonin are possible mediators.

    abstract::The goal of the present study was to demonstrate that intracoronary platelet deposition may trigger intense vasoconstriction of large epicardial coronary arteries in vivo and that this is largely mediated by thromboxane A2 and serotonin released by activated platelets. Cyclic flow variations (progressive declines in b...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.1.154

    authors: Golino P,Ashton JH,Buja LM,Rosolowsky M,Taylor AL,McNatt J,Campbell WB,Willerson JT

    更新日期:1989-01-01 00:00:00

  • Measurement of cardioversion/defibrillation thresholds in man by a truncated exponential waveform and an apical patch-superior vena caval spring electrode configuration.

    abstract::Defibrillation/cardioversion thresholds were measured in 33 patients undergoing defibrillator implants. Each patient had a 12 cm2 patch placed near the left ventricular apex via a thoracotomy and a 10 cm2 spring lead placed pervenously at the right atrial-superior vena caval junction. Ventricular tachycardia of stable...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.69.4.766

    authors: Winkle RA,Stinson EB,Bach SM Jr,Echt DS,Oyer P,Armstrong K

    更新日期:1984-04-01 00:00:00

  • Lipid lowering versus revascularization: an idea whose time (for testing) has come.

    abstract::There is strong evidence that revascularization does not prevent myocardial infarction in patients with stable coronary artery disease (CAD). The anatomic basis for this counterintuitive conclusion seems to be that most myocardial infarctions occur at sites that did not previously exhibit an angiographically significa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.4.1360

    authors: Forrester JS,Shah PK

    更新日期:1997-08-19 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

  • Myocardial perfusion-contraction matching. Implications for coronary heart disease and hibernation.

    abstract::Experimental studies demonstrate that short-term regional perfusion-contraction matching, in which the energy demands of regional myocardial contraction are reduced to match the diminished myocardial substrate supply, occurs during states of low coronary blood flow under resting conditions and during exercise-induced ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.83.3.1076

    authors: Ross J Jr

    更新日期:1991-03-01 00:00:00

  • Viral illness and the postpericardiotomy syndrome. A prospective study in children.

    abstract::Postoperative fever and pericardial-pleural reaction, designated postpericardiotomy syndrome (PPS), is a common complication of cardiac surgery involving entry into the pericardium. To determine whether the etiology of PPS is viral or immunologic, we undertook a prospective, triple-blind study of consecutive long-term...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.62.6.1151

    authors: Engle MA,Zabriskie JB,Senterfit LB,Gay WA Jr,O'Loughlin JE Jr,Ehlers KH

    更新日期:1980-12-01 00:00:00

  • Effect of amiodarone and sotalol on ventricular defibrillation threshold: the optimal pharmacological therapy in cardioverter defibrillator patients (OPTIC) trial.

    abstract:BACKGROUND:Many patients with implanted cardioverter defibrillators (ICDs) receive adjunctive antiarrhythmic drug therapy, most commonly amiodarone or sotalol. The effects of these drugs on defibrillation energy requirements have not been previously assessed in a randomized controlled trial. METHODS AND RESULTS:The Op...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.106.618421

    authors: Hohnloser SH,Dorian P,Roberts R,Gent M,Israel CW,Fain E,Champagne J,Connolly SJ

    更新日期:2006-07-11 00:00:00

  • Ventricular enlargement and reduced survival after myocardial infarction.

    abstract::Increased ventricular volume is one of the most powerful predictors of reduced survival in patients with heart disease. Despite its well-documented prognostic significance, the magnitude of the progression of ventricular dilatation from the acute to the chronic phase of myocardial infarction has only recently been app...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Pfeffer MA,Pfeffer JM

    更新日期:1987-05-01 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

  • 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

  • Smooth muscle cell proliferation is proportional to the degree of balloon injury in a rat model of angioplasty.

    abstract:BACKGROUND:A variable degree of smooth muscle cell (SMC) proliferation after balloon injury has been reported in previous rat studies. It is unknown whether balloon injury induces c-fos expression and whether it is related to the degree of vascular injury in vivo. Therefore, we tested the hypothesis that proportional i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.5.1230

    authors: Indolfi C,Esposito G,Di Lorenzo E,Rapacciuolo A,Feliciello A,Porcellini A,Avvedimento VE,Condorelli M,Chiariello M

    更新日期:1995-09-01 00:00:00

  • Circus movement in the canine atrium around the tricuspid ring during experimental atrial flutter and during reentry in vitro.

    abstract::A Y-shaped lesion in the right atrium allows induction of atrial flutter in dogs. We recorded the activation sequence during this tachycardia from 96 endocardial bipolar electrodes using intracavitary electrode arrays during 12 separate episodes in three isolated perfused hearts. In each case a reentrant impulse circu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.76.5.1155

    authors: Frame LH,Page RL,Boyden PA,Fenoglio JJ Jr,Hoffman BF

    更新日期:1987-11-01 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

  • Application of the American Heart Association/American College of Sports Medicine Adult Preparticipation Screening Checklist to a nationally representative sample of US adults aged >=40 years from the National Health and Nutrition Examination Survey 2001

    abstract:BACKGROUND:Although the American Heart Association/American College of Sports Medicine's Preparticipation Questionnaire (AAPQ) is a recommended preexercise cardiovascular screening tool, it has never been systematically evaluated. The purpose of this research is to provide preliminary evidence of its effectiveness amon...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.004160

    authors: Whitfield GP,Pettee Gabriel KK,Rahbar MH,Kohl HW 3rd

    更新日期:2014-03-11 00:00:00

  • Oxidative stress induces NF-kappaB nuclear translocation without degradation of IkappaBalpha.

    abstract:BACKGROUND:Rel/NF-kappaB, an oxidative stress-responsive transcription factor, participates transiently in the control of gene expression. The cellular mechanisms that mediate NF-kappaB activation during ischemia (and during reperfusion in the course of treating ischemia) are not known. METHODS AND RESULTS:To investig...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.suppl_2.ii-361

    authors: Canty TG Jr,Boyle EM Jr,Farr A,Morgan EN,Verrier ED,Pohlman TH

    更新日期:1999-11-09 00:00:00

  • G894T polymorphism in the endothelial nitric oxide synthase gene is associated with an enhanced vascular responsiveness to phenylephrine.

    abstract:BACKGROUND:Differences in vascular reactivity to phenylephrine (PE) responsiveness have been largely evidenced in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). Because nitric oxide (NO) strongly affects modulation of the vascular tone in response to vasopressor agents, we hypothesized that the ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.99.24.3096

    authors: Philip I,Plantefeve G,Vuillaumier-Barrot S,Vicaut E,LeMarie C,Henrion D,Poirier O,Levy BI,Desmonts JM,Durand G,Benessiano J

    更新日期:1999-06-22 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

  • Coronary artery surgery study (CASS): a randomized trial of coronary bypass surgery. Eight years follow-up and survival in patients with reduced ejection fraction.

    abstract::Survival data after 8 years of follow-up for all patients and after 7 years for certain subgroups are reported from CASS, a randomized trial of surgical or medical treatment assignment in patients with coronary artery disease who have less than severe angina or are asymptomatic after myocardial infarction. After 8 yea...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:

    authors: Killip T,Passamani E,Davis K

    更新日期:1985-12-01 00:00:00

  • A myosin missense mutation, not a null allele, causes familial hypertrophic cardiomyopathy.

    abstract:BACKGROUND:Hypertrophic cardiomyopathy (HCM) is characterized by myocardial hypertrophy of unknown etiology. Missense mutations of the cardiac beta-myosin-heavy-chain (beta-MHC) gene that may be responsible for cardiac hypertrophy have been detected in patients with HCM. On the other hand, gross structural abnormalitie...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.12.2911

    authors: Nishi H,Kimura A,Harada H,Koga Y,Adachi K,Matsuyama K,Koyanagi T,Yasunaga S,Imaizumi T,Toshima H

    更新日期:1995-06-15 00:00:00

  • Atrioventricular nodal conduction during atrial fibrillation: role of atrial input modification.

    abstract:BACKGROUND:Posteroseptal ablation of the atrioventricular node (AVN) has been proposed as a means to slow the ventricular rate during atrial fibrillation (AF). The suggested mechanism is elimination of the AVN "slow pathway." On the basis of the unpredictable success of the procedure, we hypothesize that, in fact, the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.17.2323

    authors: Garrigue S,Mowrey KA,Fahy G,Tchou PJ,Mazgalev TN

    更新日期:1999-05-04 00:00:00

  • Effects of dopamine beta-hydroxylase inhibition with nepicastat on the progression of left ventricular dysfunction and remodeling in dogs with chronic heart failure.

    abstract:BACKGROUND:Inhibition of dopamine beta-hydroxylase (DBH) results in a decrease in norepinephrine synthesis. The present study was a randomized, blinded, placebo-controlled investigation of the long-term effects of therapy with the DBH inhibitor nepicastat (NCT) on the progression of left ventricular (LV) dysfunction an...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.16.1990

    authors: Sabbah HN,Stanley WC,Sharov VG,Mishima T,Tanimura M,Benedict CR,Hegde S,Goldstein S

    更新日期:2000-10-17 00:00:00

  • The effect of substituted sydnonimines on coronary smooth muscle relaxation and cyclic guanosine monophosphate levels.

    abstract::In vitro experiments on precontracted canine coronary arteries were performed to study the direct relaxant effects of molsidomine (MOLS) and its active metabolite, SIN-1, and to determine if there is a relationship between effect and cGMP level elevations. The effects of MOLS and SIN-1 were compared with those of a cl...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.6.1315

    authors: Rinaldi G,Cingolani H

    更新日期:1983-12-01 00:00:00