Attenuation of exercise-induced myocardial ischemia in dogs with recruitment of coronary vasodilator reserve by nifedipine.

Abstract:

:There is now evidence that under resting conditions coronary vasodilator reserve exists even in the presence of myocardial ischemia. Therefore, we tested the hypothesis that a vasodilator reserve may exist during exercise so that during exercise-induced ischemia a reduction in coronary constrictor tone can be produced that attenuates the decreases in regional myocardial blood flow and function distal to a severe coronary stenosis without changing the determinants of myocardial oxygen demand. Nine dogs were instrumented with an ameroid constrictor on the left circumflex coronary artery and were studied 2 to 3 weeks later. During a control treadmill run, heart rate increased from 119 +/- 20 to 225 +/- 20 beats/min and peak left ventricular pressure increased from 144 +/- 17 to 163 +/- 28 mm Hg. Poststenotic subendocardial blood flow (measured by a microsphere technique) fell from 1.19 +/- 0.36 to 0.51 +/- 0.30 ml/min X g and systolic wall thickening (by sonomicrometry) decreased from 24.3 +/- 5.8% to 6.0 +/- 6.1%. During an identical run after nifedipine (10 micrograms/kg iv), systemic hemodynamics were not significantly altered. However, subendocardial blood flow was increased to 0.85 +/- 0.51 ml/min X g (p less than .05) and systolic wall thickening to 11.4 +/- 7.8% (p less than .01). We conclude that in this study the amelioration of exercise-induced myocardial ischemia was due to the recruitment by nifedipine of coronary vasodilator reserve.

journal_name

Circulation

journal_title

Circulation

authors

Heusch G,Guth BD,Seitelberger R,Ross J Jr

doi

10.1161/01.cir.75.2.482

subject

Has Abstract

pub_date

1987-02-01 00:00:00

pages

482-90

issue

2

eissn

0009-7322

issn

1524-4539

journal_volume

75

pub_type

杂志文章
  • Dietary fat intake determines the effect of a common polymorphism in the hepatic lipase gene promoter on high-density lipoprotein metabolism: evidence of a strong dose effect in this gene-nutrient interaction in the Framingham Study.

    abstract:BACKGROUND:Gene-nutrient interactions affecting high-density lipoprotein cholesterol (HDL-C) concentrations may contribute to the interindividual variability of the cardiovascular disease risk associated with dietary fat intake. Hepatic lipase (HL) is a key determinant of HDL metabolism. Four polymorphisms in linkage d...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000036597.52291.c9

    authors: Ordovas JM,Corella D,Demissie S,Cupples LA,Couture P,Coltell O,Wilson PW,Schaefer EJ,Tucker KL

    更新日期:2002-10-29 00:00:00

  • The Effect of Coconut Oil Consumption on Cardiovascular Risk Factors: A Systematic Review and Meta-Analysis of Clinical Trials.

    abstract:BACKGROUND:Coconut oil is high in saturated fat and may, therefore, raise serum cholesterol concentrations, but beneficial effects on other cardiovascular risk factors have also been suggested. Therefore, we conducted a systematic review of the effect of coconut oil consumption on blood lipids and other cardiovascular ...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析

    doi:10.1161/CIRCULATIONAHA.119.043052

    authors: Neelakantan N,Seah JYH,van Dam RM

    更新日期:2020-03-10 00:00:00

  • Effect of sympathoinhibition on exercise performance in patients with heart failure.

    abstract:BACKGROUND:In patients with heart failure, excessive sympathetic activation during exercise could interfere with exercise performance by impairing arteriolar dilation in working muscle and by adversely altering skeletal muscle metabolic behavior. To test this hypothesis, we examined the effect of sympathoinhibition wit...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.96.1.238

    authors: Lang CC,Rayos GH,Chomsky DB,Wood AJ,Wilson JR

    更新日期:1997-07-01 00:00:00

  • Chronic inflammation and impaired coronary vasoreactivity in patients with coronary risk factors.

    abstract:BACKGROUND:The goal of this study was to examine a possible association between systemic microinflammation, as reflected by C-reactive protein (CRP) serum levels, and coronary vasomotion in patients with coronary risk factors but with angiographically normal coronary arteries. METHODS AND RESULTS:Coronary vasomotor fu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000140264.56496.76

    authors: Schindler TH,Nitzsche EU,Olschewski M,Magosaki N,Mix M,Prior JO,Facta AD,Solzbach U,Just H,Schelbert HR

    更新日期:2004-08-31 00:00:00

  • Vasodilation to bradykinin is mediated by an ouabain-sensitive pathway as a compensatory mechanism for impaired nitric oxide availability in essential hypertensive patients.

    abstract:BACKGROUND:In essential hypertension, endothelium-dependent vasodilation is impaired because of reduced nitric oxide (NO) availability, which is mainly caused by oxidative stress. The present study was designed to identify the mechanism(s) responsible for NO-independent vasodilation to bradykinin in patients with essen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.13.1400

    authors: Taddei S,Ghiadoni L,Virdis A,Buralli S,Salvetti A

    更新日期:1999-09-28 00:00:00

  • Youth with obesity and obesity-related type 2 diabetes mellitus demonstrate abnormalities in carotid structure and function.

    abstract:BACKGROUND:Adults with obesity or type 2 diabetes mellitus (T2DM) are at higher risk for stroke and myocardial infarction. Increased carotid intima-media thickness (cIMT) and stiffness are associated with these adverse outcomes. We compared carotid arteries in youth who were lean, were obese, or had T2DM. METHODS AND ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.830380

    authors: Urbina EM,Kimball TR,McCoy CE,Khoury PR,Daniels SR,Dolan LM

    更新日期:2009-06-09 00:00:00

  • Weight Loss and Heart Failure: A Nationwide Study of Gastric Bypass Surgery Versus Intensive Lifestyle Treatment.

    abstract:BACKGROUND:Associations of obesity with incidence of heart failure have been observed, but the causality is uncertain. We hypothesized that gastric bypass surgery leads to a lower incidence of heart failure compared with intensive lifestyle modification in obese people. METHODS:We included obese people without previou...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.025629

    authors: Sundström J,Bruze G,Ottosson J,Marcus C,Näslund I,Neovius M

    更新日期:2017-04-25 00:00:00

  • Altered skeletal muscle metabolic response to exercise in chronic heart failure. Relation to skeletal muscle aerobic enzyme activity.

    abstract:BACKGROUND:Exertional fatigue, which frequently limits exercise in patients with chronic heart failure, is associated with early anaerobic metabolism in skeletal muscle. The present study was designed to examine the skeletal muscle metabolic response to exercise in this disorder and determine the relation of reduced mu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.4.1597

    authors: Sullivan MJ,Green HJ,Cobb FR

    更新日期:1991-10-01 00:00:00

  • Long-term outcome of patients with depressed left ventricular function undergoing percutaneous transluminal coronary angioplasty. The NHLBI PTCA Registry.

    abstract:BACKGROUND:Coronary revascularization with bypass has been shown to improve survival in patients with coronary artery disease and left ventricular dysfunction. In these patients, use of nonsurgical revascularization with percutaneous transluminal coronary angioplasty (PTCA) is increasing, although their long-term outco...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.1.21

    authors: Holmes DR Jr,Detre KM,Williams DO,Kent KM,King SB 3rd,Yeh W,Steenkiste A

    更新日期:1993-01-01 00:00:00

  • Genetic testing for long-QT syndrome: distinguishing pathogenic mutations from benign variants.

    abstract:BACKGROUND:Genetic testing for long-QT syndrome (LQTS) has diagnostic, prognostic, and therapeutic implications. Hundreds of causative mutations in 12 known LQTS-susceptibility genes have been identified. Genetic testing that includes the 3 most commonly mutated genes is available clinically. Distinguishing pathogenic ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.863076

    authors: Kapa S,Tester DJ,Salisbury BA,Harris-Kerr C,Pungliya MS,Alders M,Wilde AA,Ackerman MJ

    更新日期:2009-11-03 00:00:00

  • Spatial distribution of phase singularities in ventricular fibrillation.

    abstract:BACKGROUND:Multiple excitation wavelets are present during ventricular fibrillation (VF). The underlying wavelet organization of VF is unclear. Phase singularities (PSs)-locations of ambiguous activation state-underlie reentry and wavelet splitting and represent the sources of VF. Understanding the mechanisms of PS for...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000080322.67408.B4

    authors: Valderrábano M,Chen PS,Lin SF

    更新日期:2003-07-22 00:00:00

  • Long-term results (≤18 years) of the edge-to-edge mitral valve repair without annuloplasty in degenerative mitral regurgitation: implications for the percutaneous approach.

    abstract:BACKGROUND:To assess the long-term results of the edge-to-edge mitral repair performed without annuloplasty in degenerative mitral regurgitation (MR). METHODS AND RESULTS:From 1993 to 2002, 61 patients with degenerative MR were treated with an isolated edge-to-edge suture without any annuloplasty. Annuloplasty was omi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.007885

    authors: De Bonis M,Lapenna E,Maisano F,Barili F,La Canna G,Buzzatti N,Pappalardo F,Calabrese M,Nisi T,Alfieri O

    更新日期:2014-09-09 00:00:00

  • MicroRNA-320 is involved in the regulation of cardiac ischemia/reperfusion injury by targeting heat-shock protein 20.

    abstract:BACKGROUND:Recent studies have identified critical roles for microRNAs (miRNAs) in a variety of cellular processes, including regulation of cardiomyocyte death. However, the signature of miRNA expression and possible roles of miRNA in the ischemic heart have been less well studied. METHODS AND RESULTS:We performed miR...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.814145

    authors: Ren XP,Wu J,Wang X,Sartor MA,Jones K,Qian J,Nicolaou P,Pritchard TJ,Fan GC

    更新日期:2009-05-05 00:00:00

  • Diagnostic thresholds for ambulatory blood pressure monitoring based on 10-year cardiovascular risk.

    abstract:BACKGROUND:Current diagnostic thresholds for ambulatory blood pressure (ABP) mainly rely on statistical parameters derived from reference populations. We determined an outcome-driven reference frame for ABP measurement. METHODS AND RESULTS:We performed 24-hour ABP monitoring in 5682 participants (mean age 59.0 years; ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.662254

    authors: Kikuya M,Hansen TW,Thijs L,Björklund-Bodegård K,Kuznetsova T,Ohkubo T,Richart T,Torp-Pedersen C,Lind L,Ibsen H,Imai Y,Staessen JA,International Database on Ambulatory blood pressure monitoring in relation to Cardiovascular Outcom

    更新日期:2007-04-24 00:00:00

  • Hypercontractile cardiac states simulating hypertrophic cardiomyopathy.

    abstract::Hypertrophic cardiomyopathy (HCM) or idiopathic hypertrophic subaortic stenosis (IHSS) has been defined as an autosomal dominant myocardial disease characterized by specific physical findings, echocardiographic features, asymmetric septal hypertrophy and disordered myocardial architecture. Echocardiographic and scinti...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.6.901

    authors: Come PC,Bulkley BH,Goodman ZD,Hutchins GM,Pitt B,Fortuin NJ

    更新日期:1977-06-01 00:00:00

  • Dobutamine echocardiography and quantitative rest-redistribution 201Tl tomography in myocardial hibernation. Relation of contractile reserve to 201Tl uptake and comparative prediction of recovery of function.

    abstract:BACKGROUND:The purposes of this study were to evaluate the comparative accuracy of dobutamine echocardiography and quantitative rest-redistribution 201Tl tomography in the prediction of recovery of function after revascularization and to assess the relation of contractile reserve to thallium uptake. METHODS AND RESULT...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.3.626

    authors: Qureshi U,Nagueh SF,Afridi I,Vaduganathan P,Blaustein A,Verani MS,Winters WL Jr,Zoghbi WA

    更新日期:1997-02-04 00:00:00

  • Second natural history study of congenital heart defects. Results of treatment of patients with pulmonary valvar stenosis.

    abstract:BACKGROUND:From 1958 to 1969, 592 patients (mostly children) with pulmonary stenosis were admitted to the First Natural History Study of Congenital Heart Defects (NHS-1) after cardiac catheterization. Most with gradients < 50 mm Hg were managed medically; most with gradients > or = 80 mm Hg had pulmonary valvotomy. Amo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Hayes CJ,Gersony WM,Driscoll DJ,Keane JF,Kidd L,O'Fallon WM,Pieroni DR,Wolfe RR,Weidman WH

    更新日期:1993-02-01 00:00:00

  • Depressed cardiac performance after mitral valve replacement. A problem of myocardial preservation during operation.

    abstract::Our experimental studies since 1972 show that the heart is preserved best during cardiopulmonary bypass when it is in the beating, nonworking state. Results after mitral valve replacement (MVR) from 1968 to 1974 using various techniques of cardiac preservation were compared. In group I were 47 patients (1968 to 1972) ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Maloney JV Jr,Cooper N,Mulder DG,Buckberg GD

    更新日期:1975-08-01 00:00:00

  • Endothelial-to-mesenchymal transition in pulmonary hypertension.

    abstract:BACKGROUND:The vascular remodeling responsible for pulmonary arterial hypertension (PAH) involves predominantly the accumulation of α-smooth muscle actin-expressing mesenchymal-like cells in obstructive pulmonary vascular lesions. Endothelial-to-mesenchymal transition (EndoMT) may be a source of those α-smooth muscle a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.114.008750

    authors: Ranchoux B,Antigny F,Rucker-Martin C,Hautefort A,Péchoux C,Bogaard HJ,Dorfmüller P,Remy S,Lecerf F,Planté S,Chat S,Fadel E,Houssaini A,Anegon I,Adnot S,Simonneau G,Humbert M,Cohen-Kaminsky S,Perros F

    更新日期:2015-03-17 00:00:00

  • Effect of obesity and insulin resistance on myocardial substrate metabolism and efficiency in young women.

    abstract:BACKGROUND:Obesity is a risk factor for impaired cardiac performance, particularly in women. Animal studies suggest that alterations in myocardial fatty acid metabolism and efficiency in obesity can cause decreased cardiac performance. In the present study, we tested the hypothesis that myocardial fatty acid metabolism...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000127959.28627.F8

    authors: Peterson LR,Herrero P,Schechtman KB,Racette SB,Waggoner AD,Kisrieva-Ware Z,Dence C,Klein S,Marsala J,Meyer T,Gropler RJ

    更新日期:2004-05-11 00:00:00

  • Single-gene mutations and increased left ventricular wall thickness in the community: the Framingham Heart Study.

    abstract:BACKGROUND:Mutations in sarcomere protein, PRKAG2, LAMP2, alpha-galactosidase A (GLA), and several mitochondrial genes can cause rare familial cardiomyopathies, but their contribution to increased left ventricular wall thickness (LVWT) in the community is unknown. METHODS AND RESULTS:We studied 1862 unrelated particip...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.593558

    authors: Morita H,Larson MG,Barr SC,Vasan RS,O'Donnell CJ,Hirschhorn JN,Levy D,Corey D,Seidman CE,Seidman JG,Benjamin EJ

    更新日期:2006-06-13 00:00:00

  • Real-time inferior vena caval ultrasonography: normal and abnormal findings and its use in assessing right-heart function.

    abstract::We studied the inferior vena cava (IVC) as an index of right-heart function in 111 patients. A two-dimensional echocardiographic sector was used to visualize the IVC, and its M-mode cursor was used to generate a time-motion record of the IVC size and pulsation. Normal subjects had a small presystolic A wave (less than...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.64.5.1018

    authors: Mintz GS,Kotler MN,Parry WR,Iskandrian AS,Kane SA

    更新日期:1981-11-01 00:00:00

  • Antiplatelet drug response status does not predict recurrent ischemic events in stable cardiovascular patients: results of the Antiplatelet Drug Resistances and Ischemic Events study.

    abstract:BACKGROUND:The biological response to antiplatelet drugs has repeatedly been shown to predict the recurrence of major adverse cardiovascular events (MACEs). However, most studies involved coronary artery disease patients with recent vessel injury shortly after the initiation of antiplatelet therapy. Data on stable card...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.085464

    authors: Reny JL,Berdagué P,Poncet A,Barazer I,Nolli S,Fabbro-Peray P,Schved JF,Bounameaux H,Mach F,de Moerloose P,Fontana P,Antiplatelet Drug Resistances and Ischemic Events (ADRIE) Study Group.

    更新日期:2012-06-26 00:00:00

  • Benefits and risks of corticosteroid prophylaxis in adult cardiac surgery: a dose-response meta-analysis.

    abstract:BACKGROUND:Cardiopulmonary bypass and cardiac surgery are associated with a significant systemic inflammatory response that may increase postoperative complications. This meta-analysis assessed whether the benefits and risks of corticosteroid use were dose dependent in adult cardiac surgery. METHODS AND RESULTS:Random...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析

    doi:10.1161/CIRCULATIONAHA.108.848218

    authors: Ho KM,Tan JA

    更新日期:2009-04-14 00:00:00

  • 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 considerin...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.76.4.768

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

    更新日期:1987-10-01 00:00:00

  • Effect of Alirocumab on Mortality After Acute Coronary Syndromes.

    abstract:BACKGROUND:Previous trials of PCSK9 (proprotein convertase subtilisin-kexin type 9) inhibitors demonstrated reductions in major adverse cardiovascular events, but not death. We assessed the effects of alirocumab on death after index acute coronary syndrome. METHODS:ODYSSEY OUTCOMES (Evaluation of Cardiovascular Outcom...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.118.038840

    authors: Steg PG,Szarek M,Bhatt DL,Bittner VA,Brégeault MF,Dalby AJ,Diaz R,Edelberg JM,Goodman SG,Hanotin C,Harrington RA,Jukema JW,Lecorps G,Mahaffey KW,Moryusef A,Ostadal P,Parkhomenko A,Pordy R,Roe MT,Tricoci P,Vogel R

    更新日期:2019-07-09 00:00:00

  • Vasodilatation to arachidonic acid in humans. An insight into endogenous prostanoids and effects of aspirin.

    abstract:BACKGROUND:Human endothelial and vascular smooth muscle cells synthesize prostanoids. Several of these have been implicated in the physiological and pathophysiological regulation of vascular tone; however, there is no direct evidence that human blood vessels synthesize sufficient prostanoid to alter vessel tone. METHO...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.8.2113

    authors: Bhagat K,Collier J,Vallance P

    更新日期:1995-10-15 00:00:00

  • Long-term mitral valve replacement in young children. Influence of somatic growth on prosthetic valve adequacy.

    abstract::Long-term clinical and laboratory findings in three children who required mitral valve replacement below age four years are reported. In each instance a second valve replacement was necessary approximately 8 1/2 years after the initial one, following a two and one-half fold increase in body weight. Inadequate mitral v...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.5.981

    authors: Friedman S,Edmunds LH Jr,Cuaso CC

    更新日期:1978-05-01 00:00:00

  • Very late coronary stent thrombosis of a newer-generation everolimus-eluting stent compared with early-generation drug-eluting stents: a prospective cohort study.

    abstract:BACKGROUND:Early-generation drug-eluting stents releasing sirolimus (SES) or paclitaxel (PES) are associated with increased risk of very late stent thrombosis occurring >1 year after stent implantation. It is unknown whether the risk of very late stent thrombosis persists with newer-generation everolimus-eluting stents...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.111.058560

    authors: Räber L,Magro M,Stefanini GG,Kalesan B,van Domburg RT,Onuma Y,Wenaweser P,Daemen J,Meier B,Jüni P,Serruys PW,Windecker S

    更新日期:2012-03-06 00:00:00

  • Mechanism of supraventricular parasystole.

    abstract::Two patients with supraventricular parasystole (one atrioventricular and one auricular) are reported. In both patients, reentrant extrasystoles appeared to occur as the result of Mobitz type I second-degree entrance block. We believe that when a sinus impulse fell soon after the absolute refractory period of the pathw...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.1.208

    authors: Kinoshita S,Nakagawa K,Kato N,Nishino T,Tanabe Y

    更新日期:1982-01-01 00:00:00