当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF CARDIOLOGY期刊下所有文献 > Value of physical and pharmacological tests in predicting intrinsic and extrinsic sick sinus syndrome.

Value of physical and pharmacological tests in predicting intrinsic and extrinsic sick sinus syndrome.

Abstract：

:We studied 13 patients with sick sinus syndrome using various physical (postural reflex testing. Valsalva manoeuvre, carotid sinus massage), pharmacological (intravenous isoprenaline, atropine, neostigmine and total autonomic blockade) and electrophysiological tests in order to identify simple non-invasive markers of intrinsic sick sinus syndrome. Following autonomic blockade, 6 patients had normal and the remaining 7 had an abnormal intrinsic heart rate. Electrophysiological testing revealed abnormal sinus node parameters in 8 (62%) subjects in the basal state and 11 (85%) after autonomic blockade. Carotid sinus massage was abnormal in all patients (100%) with an abnormal intrinsic heart rate, and in only 2 of the 6 (33%) with normal intrinsic heart rate (P less than 0.05). The heart rate response to isoprenaline was abnormal in 5 of the 6 (83%) patients with normal as compared to only 1 of the 7 with abnormal intrinsic heart rate. With isoprenaline there was a significantly (P less than 0.05) higher increase in heart rate in patients with abnormal as compared to those with normal intrinsic heart rate. The other physical and drug tests were not helpful to differentiate between intrinsic and extrinsic mechanisms. Thus, carotid sinus massage and, to some extent, isoprenaline administration appear simple bedside tests which may be helpful in identifying the underlying mechanism of sick sinus syndrome.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Bhandari S,Talwar KK,Kaul U,Bhatia ML

doi

10.1016/0167-5273(86)90243-3

subject

Has Abstract

pub_date

1986-08-01 00:00:00

pages

203-12

issue

2

eissn

0167-5273

issn

1874-1754

pii

0167-5273(86)90243-3

journal_volume

12

pub_type

杂志文章

相关文献

INTERNATIONAL JOURNAL OF CARDIOLOGY文献大全
  • General practice preventive health care in non-obstructive coronary artery disease determined by coronary computed tomography angiography.

    abstract：BACKGROUND:The aim of this study was to compare changes in health service utilization, preventive medical management, and cholesterol levels in patients without coronary artery disease (CAD) or with non-obstructive CAD as determined by coronary computed tomography angiography (CTA). METHODS:Single-center five-year obs...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2018.09.094

    authors： Mols RE,Nørgaard BL,Vedsted P,Farkas DK,Bøtker HE,Jensen JM

    更新日期：2019-03-01 00:00:00

  • Dilated cardiomyopathy and myocarditis in Kenya: an endomyocardial biopsy study.

    abstract：:We have studied, by light and electron microscopy, left ventricular endomyocardial biopsy specimens from 18 African patients (14 men) with idiopathic dilated cardiomyopathy in Nairobi. Nine patients (50%) had evidence of healing myocarditis, that is the presence of a mild inflammatory cell infiltration within the myoc...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/0167-5273(93)90156-b

    authors： Sanderson JE,Olsen EG,Gatei D

    更新日期：1993-09-01 00:00:00

  • Diffuse-regressive alterations and apoptosis of myocytes: possible causes of myocardial dysfunction in HIV-related cardiomyopathy.

    abstract：OBJECTIVE:To determine the frequency of cardiac alterations in necropsies of AIDS patients in pre-HAART era and better understand the pathogenesis of HIV-related cardiomyopathy. DESIGN:Retrospective study of 94 complete necropsies. METHOD:Macroscopic, histopathologic (histochemical, immunohistochemical and in situ hy...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2007.10.057

    authors： Pozzan G,Pagliari C,Tuon FF,Takakura CF,Kauffman MR,Duarte MI

    更新日期：2009-02-06 00:00:00

  • Ultrastructural changes associated with myocardial apoptosis, in failing rat hearts induced by volume overload.

    abstract：BACKGROUND:Myocardial apoptosis has been discussed to play a pivotal role in the development and progression of congestive heart failure (CHF). However, recently there is doubt on the evidence of myocardial apoptosis in heart failure as information on ultrastructural changes by electron microscopy is still scarce. This...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2015.06.067

    authors： Treskatsch S,Shakibaei M,Feldheiser A,Shaqura M,Dehe L,Roepke TK,Spies C,Schäfer M,Mousa SA

    更新日期：2015-10-15 00:00:00

  • Cycle-ergometry stress testing and use of chronotropic reserve adjustment of ST depression for identification of significant coronary artery disease in clinical practice.

    abstract：:Diagnostic reliability of indexations of peak exercise ST segment depression (DeltaST) for heart rate reserve (HRi) or chronotropic reserve (CR) to identify significant coronary artery disease (CAD) by cycle-ergometer exercise testing has not been evaluated previously. Exercise testing by upright cycle-ergometer (25 W...

    journal_title：International journal of cardiology

    pub_type： 信件

    doi：10.1016/j.ijcard.2007.04.035

    authors： Palmieri V,Pezzullo S,Arezzi E,D'Andrea C,Cassese S,Martino S,Celentano A

    更新日期：2008-07-21 00:00:00

  • Effect of age on atrial contribution to ventricular filling after balloon mitral valvuloplasty in mitral stenosis.

    abstract：OBJECTIVE:Ventricular filling takes place during the conduit and pump functions of the atrium. While studying whether relief of mitral valve obstruction improves atrial filling, the effect of age on atrial contribution to ventricular filling was studied before and after balloon mitral valvuloplasty (BMV) and on follow-...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2003.07.015

    authors： Krishnamoorthy KM,Dash PK

    更新日期：2004-08-01 00:00:00

  • Presence of Chlamydophila pneumoniae DNA but not mRNA in stenotic aortic heart valves.

    abstract：BACKGROUND:The pathogenesis of aortic valve stenosis may involve inflammation and we have previously demonstrated Chlamydophila pneumoniae (C. pneumoniae) DNA in stenotic aortic heart valves. Dissemination of these bacteria is probably mediated by alveolar macrophages. Bacterial DNA alone does not indicate whether the ...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2009.01.052

    authors： Edvinsson M,Hjelm E,Thelin S,Friman G,Nyström-Rosander C

    更新日期：2010-08-06 00:00:00

  • Deterioration of indices of aortic augmentation and vascular age predate major cardiac events and interact with opiate dependence.

    abstract：:Pulse wave analysis (PWA) by radial arterial tonometry is receiving increasing attention for the assessment of central vascular compliance in younger patients. We present five PWA studies performed prospectively on a patient with severe coronary artery disease, and find that the measures of central augmented pressure ...

    journal_title：International journal of cardiology

    pub_type： 信件

    doi：10.1016/j.ijcard.2009.03.015

    authors： Reece AS

    更新日期：2011-05-19 00:00:00

  • Non-vitamin K antagonist oral anticoagulants compared with warfarin at different levels of INR control in atrial fibrillation: A meta-analysis of randomized trials.

    abstract：BACKGROUND:The efficacy and safety of warfarin for stroke prevention in atrial fibrillation (AF) depend on the time in the therapeutic range (TTR) with an international normalised ratio (INR) of 2.0-3.0. This meta-analysis focused the relative efficacy and safety of non-VKA oral anticoagulants (NOAC) compared with warf...

    journal_title：International journal of cardiology

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.ijcard.2017.06.004

    authors： Carmo J,Ferreira J,Costa F,Carmo P,Cavaco D,Carvalho S,Morgado F,Adragão P,Mendes M

    更新日期：2017-10-01 00:00:00

  • Lifestyle advice and interventions for cardiovascular risk reduction: A systematic review of guidelines.

    abstract：BACKGROUND:Lifestyle factors are important in preventing cardiovascular disease (CVD) development. We aimed to systematically review guidelines on primary prevention of CVD and their recommendations on lifestyle advice or intervention, in order to guide primary prevention programs. METHODS:Publications in MEDLINE, CIN...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2018.02.094

    authors： Khanji MY,van Waardhuizen CN,Bicalho VVS,Ferket BS,Hunink MGM,Petersen SE

    更新日期：2018-07-15 00:00:00

  • Sex related differences in patients with acute venous thromboembolism treated with new oral anticoagulants. A meta-analysis of the interventional trials.

    abstract：BACKGROUND:Gender differences have been reported in patients with acute VTE treated with antithrombotic drugs. OBJECTIVE:To address the relationship between gender and new oral anticoagulants (NOACs), we performed a meta-analysis to evaluate the incidence of recurrent VTE and major plus clinically relevant non-major b...

    journal_title：International journal of cardiology

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.ijcard.2016.03.086

    authors： Loffredo L,Violi F,Perri L

    更新日期：2016-06-01 00:00:00

  • Vasculoprotective properties of enhanced external counterpulsation for coronary artery disease: beyond the hemodynamics.

    abstract：:A growing pool of evidence has shown that enhanced external counterpulsation (EECP) is a non-invasive, safe, low-cost, and highly beneficial therapy for patients with coronary artery disease. However, the exact mechanisms of benefit exerted by EECP therapy remain only partially understood. The favorable hemodynamic ef...

    journal_title：International journal of cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijcard.2012.04.003

    authors： Yang DY,Wu GF

    更新日期：2013-06-05 00:00:00

  • The prevalence of concomitant hypertension and hypercholesterolaemia in the general population.

    abstract：OBJECTIVE:To study the joint prevalence of elevated blood pressure and raised total cholesterol in adult individuals and to estimate the multifactorial cardiovascular risk associated with this clustering. MATERIAL AND METHODS:Data were obtained through pooling of databases from large cross-sectional representative pop...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2005.08.037

    authors： De Bacquer D,De Backer G

    更新日期：2006-06-16 00:00:00

  • The chance finding at multislice computed tomography coronary angiography of myocardial bridging.

    abstract：:Myocardial bridging is present when a segment of a major epicardial coronary artery, the 'tunnelled artery', runs intramurally through the myocardium. With each systole, the coronary artery is compressed. The pathophysiology of myocardial bridging is incompletely understood. With each systole, the coronary artery is c...

    journal_title：International journal of cardiology

    pub_type： 信件

    doi：10.1016/j.ijcard.2009.03.106

    authors： Dattilo G,Carerj S,Lamari A,Messina F,Imbalzano E,Di Bella G,Marte F,Patanè S

    更新日期：2012-01-26 00:00:00

  • Impact of increased transmitral gradients after undersized annuloplasty for chronic ischemic mitral regurgitation.

    abstract：BACKGROUND:Recent studies have demonstrated that undersized ring mitral annuloplasty (URMA) for chronic ischemic mitral regurgitation (CIMR) can induce iatrogenic mitral stenosis. The impact of this functional mitral stenosis on clinical and echocardiographic results is not well established. METHODS:125 consecutive UR...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2011.01.006

    authors： Rubino AS,Onorati F,Santarpia G,Achille F,Lorusso R,Santini F,Renzulli A

    更新日期：2012-06-28 00:00:00

  • Pre-cardiac transplant amiodarone use is not associated with postoperative mortality: An updated meta-analysis.

    abstract：BACKGROUND:Amiodarone remains the preferred agent for the treatment and prevention of life-threatening ventricular arrhythmias in patients with end-stage heart failure. While several reports suggest that pre-operative amiodarone exposure worsens outcomes in heart transplant recipients, other studies have failed to vali...

    journal_title：International journal of cardiology

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.ijcard.2017.02.045

    authors： Jennings DL,Baker WL

    更新日期：2017-06-01 00:00:00

  • Congenital atresia of the orifice of the left coronary artery and its main stem.

    abstract：:A 13-year-old black male who died suddenly as a result of atresia of the left coronary ostium and left main coronary artery is presented. An association between this anomaly and supravalvar aortic stenosis is observed. The literature is reviewed and 14 similar cases are compared. Presentation of this anomaly is variab...

    journal_title：International journal of cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/0167-5273(89)90284-2

    authors： Debich DE,Williams KE,Anderson RH

    更新日期：1989-03-01 00:00:00

  • Progression of coronary artery calcium in Japanese American men and white men in the ERA JUMP study.

    abstract：BACKGROUND:Progression of coronary artery calcium (CAC) is associated with increased risk of coronary heart disease (CHD) and is reported to be greater in whites than blacks, Hispanics, and Chinese in the US. Our objective was to compare progression of CAC between Japanese Americans and whites. METHODS:Population-base...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2016.11.238

    authors： Ahuja V,Masaki K,Vishnu A,Ye L,Wilcox B,Wassel C,Fujiyoshi A,Barinas-Mitchell EJ,Miura K,Ueshima H,Rodriguez BL,Edmundowicz D,Sekikawa A,ERA JUMP Study.

    更新日期：2017-02-01 00:00:00

  • Baseline von Willebrand factor plasma levels and no-reflow phenomenon after primary percutaneous coronary intervention for ST segment elevation myocardial infarction.

    abstract：:No-reflow phenomenon is associated with a poor prognosis and its underlying mechanisms are still poorly understood. von Willebrand Factor (vWF) is a central molecule in haemostasis which plays an important role in acute coronary syndromes. However its possible role in no-reflow has not been assessed prior to this stud...

    journal_title：International journal of cardiology

    pub_type： 信件

    doi：10.1016/j.ijcard.2009.07.046

    authors： Sgueglia GA,Niccoli G,Spaziani C,Cosentino N,Russo E,Andreotti F,Lanza GA,Landolfi R,Crea F

    更新日期：2010-11-19 00:00:00

  • Correction of the hypertensive response in the treadmill testing by the work performance improves the prediction of hypertension by ambulatory blood pressure monitoring and incidence of cardiac abnormalities by echocardiography: results of an eight year f

    abstract：BACKGROUND:Studies of the association between hypertensive response (HR) in the exercise treadmill testing (ETT) and end organ damage are mostly cross-sectional and have not used ABPM. We investigated the association of different definitions of HR with incidence of hypertension by ABPM and development of cardiac struct...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2008.11.208

    authors： Zanettini JO,Pisani Zanettini J,Zanettini MT,Fuchs FD

    更新日期：2010-06-11 00:00:00

  • Gain-of-function mutation in SCN5A causes ventricular arrhythmias and early onset atrial fibrillation.

    abstract：BACKGROUND:Mutations in SCN5A, the gene encoding the α-subunit of the cardiac sodium channel (NaV1.5), are associated with a broad spectrum of inherited cardiac arrhythmia disorders. The purpose of this study was to identify the genetic and functional determinants underlying a Dutch family that presented with a combine...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2017.01.113

    authors： Lieve KV,Verkerk AO,Podliesna S,van der Werf C,Tanck MW,Hofman N,van Bergen PF,Beekman L,Bezzina CR,Wilde AAM,Lodder EM

    更新日期：2017-06-01 00:00:00

  • Progression of venoconstriction in patients after heart transplantation during exercise.

    abstract：:Changes of both central hemodynamics and peripheral circulation in non-exercising muscle were investigated in 17 patients after successful orthotopic heart transplantation during moderate supine isotonic leg-exercise. Changes of peripheral circulation were measured in 14 healthy controls. The cardiac output rose from ...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/0167-5273(94)90288-7

    authors： Petrasko M,Horak J,Prerovsky I

    更新日期：1994-05-01 00:00:00

  • Outpatient volumes and medical staffing resources as predictors for continuity of follow-up care during transfer of adolescents with congenital heart disease.

    abstract：BACKGROUND:Providing continuous follow-up care to patients with congenital heart disease (CHD) remains a challenge in many settings. Previous studies highlight that patients with CHD experience discontinuation of follow-up care, but mainly describe a single-centre perspective, neglecting inter-institutional variations....

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2020.01.016

    authors： Skogby S,Moons P,Johansson B,Sunnegårdh J,Christersson C,Nagy E,Winberg P,Hanséus K,Trzebiatowska-Krzynska A,Fadl S,Fernlund E,Kazamia K,Rydberg A,Zühlke L,Goossens E,Bratt EL

    更新日期：2020-07-01 00:00:00

  • A haemodynamic study of the effects of combined slow-calcium channel blockade (nisoldipine) and beta-blockade (metoprolol) in coronary heart disease.

    abstract：:The interaction of a new slow-calcium blocker (nisoldipine) and the beta-blocker metoprolol was evaluated in 16 patients with stable angina. Haemodynamic parameters were determined in a control rest and exercise period. Patients were then randomised equally to nisoldipine (4-8 micrograms/kg) or metoprolol (10 mg) and ...

    journal_title：International journal of cardiology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0167-5273(86)90147-6

    authors： Silke B,Verma SP,Midtbo KA,Müller P,Frais MA,Reynolds G,Taylor SH

    更新日期：1986-11-01 00:00:00

  • Cluster of multiple atrial tachycardias limited to pregnancy after radiofrequency ablation following senning operation.

    abstract：:This case report describes a female patient with a cluster of four supraventricular tachycardias during the third trimester of pregnancy. The patient was surgically corrected with a Senning operation at the age of 15. Due to numerous monomorphic atrial tachycardias at the age of 28 an ablation using the noncontact map...

    journal_title：International journal of cardiology

    pub_type： 信件

    doi：10.1016/j.ijcard.2006.11.124

    authors： Risius T,Mortensen K,Meinertz T,Willems S

    更新日期：2008-01-24 00:00:00

  • Four years follow-up study in patients with Takayasu arteritis and severe aortic regurgitation; assessment by echocardiography.

    abstract：:We prospectively performed the follow-up study in 11 female patients with Takayasu arteritis and severe aortic regurgitation by echocardiography. A mean follow-up period was 4 years. The inflammatory state was controlled in all patients. Antihypertensive agents including beta-blocker were administered in nine patients...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/s0167-5273(96)88786-9

    authors： Hashimoto Y,Tanaka M,Hata A,Kakuta T,Maruyama Y,Numano F

    更新日期：1996-08-01 00:00:00

  • A cornerstone of heart failure treatment is not effective in experimental right ventricular failure.

    abstract：BACKGROUND:Right ventricular (RV) failure due to increased pressure load causes significant morbidity and mortality in patients with congenital heart diseases and pulmonary arterial hypertension. It is unknown whether renin-angiotensin-aldosterone-system (RAAS) inhibition (the cornerstone of left ventricular failure tr...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2013.08.102

    authors： Borgdorff MA,Bartelds B,Dickinson MG,Steendijk P,Berger RM

    更新日期：2013-11-05 00:00:00

  • Involvement of exogenous H2S in recovery of cardioprotection from ischemic post-conditioning via increase of autophagy in the aged hearts.

    abstract：BACKGROUND:Hydrogen sulfide (H2S), which is a member of the gasotransmitter family, plays an important physiological and pathological role in cardiovascular system. Ischemic post-conditioning (PC) provides myocardial protective effect in the young hearts but not in the aged hearts. Exogenous H2S restores PC-induced car...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2016.06.200

    authors： Chen J,Gao J,Sun W,Li L,Wang Y,Bai S,Li X,Wang R,Wu L,Li H,Xu C

    更新日期：2016-10-01 00:00:00

  • Suppression by propranolol and amiodarone of an electrical storm refractory to metoprolol and amiodarone.

    abstract：:A 60-year-old male patient with ischemic cardiomyopathy experienced an electrical storm 1 month after implantation of an internal cardioverter-defibrillator. Recurrent life-threatening episodes of ventricular tachycardia persisted despite maximal antiarrhythmic theraphy with amiodarone, metoprolol and mexiletine. Afte...

    journal_title：International journal of cardiology

    pub_type： 信件

    doi：10.1016/j.ijcard.2003.11.033

    authors： Tsagalou EP,Kanakakis J,Rokas S,Anastasiou-Nana MI

    更新日期：2005-03-18 00:00:00

  • In vivo evaluation of fibrous cap thickness by optical coherence tomography for positive remodeling and low-attenuation plaques assessed by computed tomography angiography.

    abstract：BACKGROUND:Coronary plaques with positive remodeling (PR) and low-attenuation plaques (LAP) by computed tomography angiography (CTA) might be associated with plaque vulnerability. The purpose of this study was to assess the relation between coronary plaques with PR and LAP by CTA and fibrous cap thickness measured by o...

    journal_title：International journal of cardiology

    pub_type： 杂志文章

    doi：10.1016/j.ijcard.2015.01.021

    authors： Sato A,Hoshi T,Kakefuda Y,Hiraya D,Watabe H,Kawabe M,Akiyama D,Koike A,Aonuma K

    更新日期：2015-03-01 00:00:00