Research related to medical treatment of cardiovascular disease.

Abstract:

:Medical treatment of heart disease has improved significantly in the past 30 years. The spectacular change in the natural history of rheumatic heart disease is apparent from a 1948 article that reported that 42% of children with rheumatic heart disease died of rheumatic infection or bacterial endocarditis. Antibiotics and cardiac surgery have improved the outcome from rheumatic heart disease. Cardiopulmonary resuscitation has had a major impact on the treatment of myocardial infarction and on the management of sudden death. The fundamental principle underlying the discovery of cardiopulmonary resuscitation is reviewed, and recent developments emphasizing the importance of intrathoracic pressure in the hemodynamics of cardiopulmonary resuscitation are highlighted. The important new drugs of the last 30 years include the oral diuretics, the antihypertensives and the antiarrhythmic agents. The development of the beta-blocking agents is cited as an example of the translation of basic physiological research to medical care. Finally, the role of epidemiologic techniques in the design of clinical trials to evaluate medical therapy and hence improve medical management is discussed.

journal_name

Circulation

journal_title

Circulation

authors

Ross RS

doi

10.1161/01.cir.60.7.1609

subject

Has Abstract

pub_date

1979-12-01 00:00:00

pages

1609-12

issue

7

eissn

0009-7322

issn

1524-4539

journal_volume

60

pub_type

临床试验,历史文章,杂志文章
  • Effects of L-749,329, an ET(A)/ET(B) endothelin receptor antagonist, in a porcine coronary artery injury model of vascular restenosis.

    abstract:BACKGROUND:Previous studies in animal models of angioplasty have suggested a role in neointimal hyperplasia for endothelins (ETs), potent vasoconstricting peptides that also exert growth-promoting effects. The present studies were undertaken to test the hypothesis that endothelin receptor blockade can reduce neointimal...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.14.1899

    authors: Huckle WR,Drag MD,Acker WR,Powers M,McFall RC,Holder DJ,Walsh TF,Schwartz RS,Greenlee WJ,Johnson RG Jr

    更新日期:2001-04-10 00:00:00

  • Inducible nitric oxide synthase inhibition of weibel-palade body release in cardiac transplant rejection.

    abstract:BACKGROUND:Inducible nitric oxide synthase (iNOS, or NOS2) reduces the severity of accelerated graft arteriosclerosis (AGA) in transplanted organs, although the precise mechanism is unclear. METHODS AND RESULTS:We transplanted wild-type murine hearts into either wild-type or NOS2-null recipient mice; we then measured ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4401.098471

    authors: Qian Z,Gelzer-Bell R,Yang Sx SX,Cao W,Ohnishi T,Wasowska BA,Hruban RH,Rodriguez ER,Baldwin WM 3rd,Lowenstein CJ

    更新日期:2001-11-06 00:00:00

  • Salt, volume and the prevention of hypertension.

    abstract::The evidence supporting the thesis that hypertension can be prevented by eliminating salt from the diet is based on four principal sources: (1) epidemiological studies in unacculturated peoples showing that the prevalence of hypertension is inversely correlated with the degree of salt intake; (2) hemodynamic studies s...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.53.4.589

    authors: Freis ED

    更新日期:1976-04-01 00:00:00

  • Cardiac interbeat interval dynamics from childhood to senescence : comparison of conventional and new measures based on fractals and chaos theory.

    abstract:BACKGROUND:New methods of R-R interval variability based on fractal scaling and nonlinear dynamics ("chaos theory") may give new insights into heart rate dynamics. The aims of this study were to (1) systematically characterize and quantify the effects of aging from early childhood to advanced age on 24-hour heart rate ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.4.393

    authors: Pikkujämsä SM,Mäkikallio TH,Sourander LB,Räihä IJ,Puukka P,Skyttä J,Peng CK,Goldberger AL,Huikuri HV

    更新日期:1999-07-27 00:00:00

  • Impaired VE-cadherin/beta-catenin expression mediates endothelial cell degeneration in dilated cardiomyopathy.

    abstract:BACKGROUND:The cross-talk between vascular endothelial growth factor (VEGF)-A, angiopoietin (Ang), and VE-cadherin coregulates endothelial cell (EC) survival. Cardiac expression of VEGF-A but not its receptor KDR is blunted in dilated cardiomyopathy (DCM). Whether VE-cadherin/Ang function is affected in DCM is unknown....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000091085.12422.19

    authors: Schäfer R,Abraham D,Paulus P,Blumer R,Grimm M,Wojta J,Aharinejad S

    更新日期:2003-09-30 00:00:00

  • Acute effect of intravenous dipyridamole on regional coronary hemodynamics and metabolism.

    abstract::The acute coronary hemodynamic and metabolic effects of intravenous dipyridamole were studied in 13 patients. Total left ventricular (LV), anterior (supplied by the left anterior descending coronary artery) and inferior (supplied by circumflex and right coronary arteries) regional flows and metabolic responses were as...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.64.2.333

    authors: Feldman RL,Nichols WW,Pepine CJ,Conti CR

    更新日期:1981-08-01 00:00:00

  • Multitargeted effects of statin-enhanced thrombolytic therapy for stroke with recombinant human tissue-type plasminogen activator in the rat.

    abstract:BACKGROUND:Microvascular dysfunction posttreatment of stroke with recombinant human tissue-type plasminogen activator (rht-PA) constrains the therapeutic window to 3 hours. Statins (3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors) promote vascular thrombolysis and reduce the inflammation response. We therefo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.516757

    authors: Zhang L,Zhang ZG,Ding GL,Jiang Q,Liu X,Meng H,Hozeska A,Zhang C,Li L,Morris D,Zhang RL,Lu M,Chopp M

    更新日期:2005-11-29 00:00:00

  • Adenosine primes the opening of mitochondrial ATP-sensitive potassium channels: a key step in ischemic preconditioning?

    abstract:BACKGROUND:Adenosine can initiate ischemic preconditioning, and mitochondrial ATP-sensitive potassium (K(ATP)) channels have emerged as the likely effectors. We sought to determine the mechanistic interactions between these 2 observations. METHODS AND RESULTS:The mitochondrial flavoprotein oxidation induced by diazoxi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.7.800

    authors: Sato T,Sasaki N,O'Rourke B,Marbán E

    更新日期:2000-08-15 00:00:00

  • Changes in cross-sectional area of the coronary lumen in the six months after angioplasty: a quantitative analysis of the variable response to percutaneous transluminal angioplasty.

    abstract::Although immediate and late changes in coronary stenoses after percutaneous transluminal coronary angioplasty (PTCA) have been reported, most investigators have employed qualitative or semiquantitative techniques to analyze the angiograms. Such data is not optimal because of considerable interobserver variability and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.3.467

    authors: Johnson MR,Brayden GP,Ericksen EE,Collins SM,Skorton DJ,Harrison DG,Marcus ML,White CW

    更新日期:1986-03-01 00:00:00

  • Thrombolytic therapy for the treatment of prosthetic heart valve thrombosis in pregnancy with low-dose, slow infusion of tissue-type plasminogen activator.

    abstract:BACKGROUND:Prosthetic valve thrombosis during pregnancy is life-threatening for mother and fetus, and the treatment of this complication is unclear. Cardiac surgery in pregnancy is associated with very high maternal and fetal mortality and morbidity. Thrombolytic therapy has rarely been used in these patients. The aim ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.001145

    authors: Özkan M,Çakal B,Karakoyun S,Gürsoy OM,Çevik C,Kalçık M,Oğuz AE,Gündüz S,Astarcioglu MA,Aykan AÇ,Bayram Z,Biteker M,Kaynak E,Kahveci G,Duran NE,Yıldız M

    更新日期:2013-07-30 00:00:00

  • Subclinical coronary atherosclerosis in asymptomatic Filipino and white women.

    abstract:BACKGROUND:Coronary heart disease (CHD) is the leading cause of morbidity and mortality in persons with type 2 diabetes mellitus (T2DM). Electron-beam computed tomography (EBCT) detects coronary artery calcium (CAC), a marker of atherosclerotic plaque. Few studies have described EBCT-defined CHD among ethnic minorities...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000146377.15057.CC

    authors: Araneta MR,Barrett-Connor E

    更新日期:2004-11-02 00:00:00

  • 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 a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.035263

    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

    更新日期:2018-10-23 00:00:00

  • Importance of endogenous adenosine during ischemia and reperfusion in neonatal porcine hearts.

    abstract:BACKGROUND:Adenosine has several potentially cardioprotective effects. We hypothesized that the effects of endogenous adenosine vary with degree of ischemia and that elevating endogenous levels is protective. METHODS AND RESULTS:Isolated blood-perfused piglet hearts underwent 120 minutes of low-flow ischemia (10% flow...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.9.3094

    authors: Sommerschild HT,Grund F,Offstad J,Jynge P,Ilebekk A,Kirkebøen KA

    更新日期:1997-11-04 00:00:00

  • Lumen diameter of normal human coronary arteries. Influence of age, sex, anatomic variation, and left ventricular hypertrophy or dilation.

    abstract:BACKGROUND:Precise knowledge of the expected "normal" lumen diameter at a given coronary anatomic location is a first step toward developing a quantitative estimate of coronary disease severity that could be more useful than the traditional "percent stenosis." METHODS AND RESULTS:Eighty-three arteriograms were careful...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.1.232

    authors: Dodge JT Jr,Brown BG,Bolson EL,Dodge HT

    更新日期:1992-07-01 00:00:00

  • Surgery for aortic regurgitation in women. Contrasting indications and outcomes compared with men.

    abstract:BACKGROUND:Indications for surgical correction of aortic regurgitation have been established mostly in men and have not been validated in women. The outcome of this surgical correction in women is unknown. METHODS AND RESULTS:Baseline characteristics and postoperative outcomes were compared between 51 women and 198 me...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.10.2472

    authors: Klodas E,Enriquez-Sarano M,Tajik AJ,Mullany CJ,Bailey KR,Seward JB

    更新日期:1996-11-15 00:00:00

  • Elevated high-density lipoprotein cholesterol levels are protective against plaque progression: a follow-up study of 1952 persons with carotid atherosclerosis the Tromsø study.

    abstract:BACKGROUND:There is an inverse relationship between HDL cholesterol and coronary heart disease. Experimental studies have indicated that HDL cholesterol may exert an antiatherogenic effect by inducing regression of atherosclerotic plaques and by turning lipid-rich plaques into more fibrotic lesions. In this prospective...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.522706

    authors: Johnsen SH,Mathiesen EB,Fosse E,Joakimsen O,Stensland-Bugge E,Njølstad I,Arnesen E

    更新日期:2005-07-26 00:00:00

  • Characterization of low right atrial isthmus as the slow conduction zone and pharmacological target in typical atrial flutter.

    abstract:BACKGROUND:Previous electrophysiological studies in patients with typical atrial flutter suggested that the slow conduction zone might be located in the low right atrial isthmus, which is a path formed by orifice of inferior vena cava, eustachian valve/ridge, coronary sinus ostium, and tricuspid annulus. The conduction...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.8.2601

    authors: Tai CT,Chen SA,Chiang CE,Lee SH,Ueng KC,Wen ZC,Huang JL,Chen YJ,Yu WC,Feng AN,Chiou CW,Chang MS

    更新日期:1997-10-21 00:00:00

  • Increased platelet binding to circulating monocytes in acute coronary syndromes.

    abstract:BACKGROUND:Present therapies for acute coronary syndromes aim toward limiting platelet-platelet adhesion and aggregation processes. However, platelet-leukocyte interactions may contribute importantly to disease progression in the arterial wall. Recent studies suggest that prevention of platelet-leukocyte binding via P-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000015700.27754.6f

    authors: Sarma J,Laan CA,Alam S,Jha A,Fox KA,Dransfield I

    更新日期:2002-05-07 00:00:00

  • Estimates of repolarization dispersion from electrocardiographic measurements.

    abstract:BACKGROUND:Repolarization dispersion (Rd) is frequently mentioned as a predictor of cardiac abnormalities. We present a new measure of Rd based on the root-mean-square (RMS) curve of an ECG lead set and compare its performance with that of the commonly used QT dispersion (QTd) measure with the use of recovery times mea...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.6.685

    authors: Fuller MS,Sándor G,Punske B,Taccardi B,MacLeod RS,Ershler PR,Green LS,Lux RL

    更新日期:2000-08-08 00:00:00

  • Impact of nonoperative therapy on the clinical management of peripheral arterial disease.

    abstract::Nonoperative therapy includes conservative noninterventional modalities and the endovascular interventional modalities of percutaneous transluminal angioplasty and a variety of laser systems and atherectomy devices. The role and impact of all nonoperative treatments are considered in the perspectives of the natural hi...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Veith FJ,Gupta SK,Wengerter KR,Rivers SP,Bakal CW

    更新日期:1991-02-01 00:00:00

  • Transcriptional genomics associates FOX transcription factors with human heart failure.

    abstract:BACKGROUND:Specific transcription factors (TFs) modulate cardiac gene expression in murine models of heart failure, but their relevance in human subjects remains untested. We developed and applied a computational approach called transcriptional genomics to test the hypothesis that a discrete set of cardiac TFs is assoc...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.632430

    authors: Hannenhalli S,Putt ME,Gilmore JM,Wang J,Parmacek MS,Epstein JA,Morrisey EE,Margulies KB,Cappola TP

    更新日期:2006-09-19 00:00:00

  • Results of endomyocardial biopsy in patients with spontaneous ventricular tachycardia but without apparent structural heart disease.

    abstract::To evaluate possible occult myocardial disease in 18 patients whose only major manifestation of heart disease was spontaneous ventricular tachycardia or fibrillation, right ventricular endomyocardial biopsies were performed. None of the patients had symptoms of ischemic or congestive heart disease, and at catheterizat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.6.1171

    authors: Strain JE,Grose RM,Factor SM,Fisher JD

    更新日期:1983-12-01 00:00:00

  • Abnormalities of the extracellular degradation of collagen type I in essential hypertension.

    abstract:BACKGROUND:This study was designed to investigate whether collagen type I degradation is altered in patients with essential hypertension and whether this alteration could be related to disturbances in the serum matrix metalloproteinase pathway of collagen degradation. A second aim of the study was to assess whether som...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.6.535

    authors: Laviades C,Varo N,Fernández J,Mayor G,Gil MJ,Monreal I,Díez J

    更新日期:1998-08-11 00:00:00

  • An in vivo model of experimental arterial stenosis, intimal damage, and periodic thrombosis.

    abstract::Coronary artery bypass grafts, angioplasty, and thrombolysis are beneficial procedures for patients with coronary artery disease. However, these procedures can fail by mechanisms related to interactions between platelets and the damaged arterial wall. An experimental model for studying some of the mechanisms of platel...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Folts J

    更新日期:1991-06-01 00:00:00

  • Atherosclerotic renovascular disease in older US patients starting dialysis, 1996 to 2001.

    abstract:BACKGROUND:Temporal trends regarding the epidemiology of atherosclerotic renovascular disease (ARVD) in dialysis populations are poorly defined. METHODS AND RESULTS:United States Renal Data System data were used to identify patients aged 67 years or older at dialysis inception between 1996 and 2001 (n=146,973). Medica...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.637751

    authors: Guo H,Kalra PA,Gilbertson DT,Liu J,Chen SC,Collins AJ,Foley RN

    更新日期:2007-01-02 00:00:00

  • B-type natriuretic peptide and ischemia in patients with stable coronary disease: data from the Heart and Soul study.

    abstract:BACKGROUND:In patients with symptoms of heart failure, elevations in B-type natriuretic peptide (BNP) accurately identify ventricular dysfunction. However, BNP levels are not specific for ventricular dysfunction in patients who do not have overt symptoms of heart failure, suggesting that other cardiac processes such as...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000103681.04726.9C

    authors: Bibbins-Domingo K,Ansari M,Schiller NB,Massie B,Whooley MA

    更新日期:2003-12-16 00:00:00

  • Beta-blocker treatment of dilated cardiomyopathy. Beneficial effect of carteolol in mice.

    abstract:BACKGROUND:The effects of carteolol, a nonselective beta-adrenergic receptor blocker with intrinsic sympathomimetic activity, were compared with those of metoprolol in a murine model of viral myocarditis and dilated cardiomyopathy caused by encephalomyocarditis virus. METHODS AND RESULTS:In the acute experiment, BALB/...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.83.6.2021

    authors: Tominaga M,Matsumori A,Okada I,Yamada T,Kawai C

    更新日期:1991-06-01 00:00:00

  • Vascular endothelial growth factor enhances cardiac allograft arteriosclerosis.

    abstract:BACKGROUND:Cardiac allograft arteriosclerosis is a complex process of alloimmune response, chronic inflammation, and smooth muscle cell proliferation that includes cross talk between cytokines and growth factors. METHODS AND RESULTS:Our results in rat cardiac allografts established alloimmune response as an alternativ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000016821.76177.d2

    authors: Lemström KB,Krebs R,Nykänen AI,Tikkanen JM,Sihvola RK,Aaltola EM,Häyry PJ,Wood J,Alitalo K,Ylä-Herttuala S,Koskinen PK

    更新日期:2002-05-28 00:00:00

  • Regulation of Kv4.3 current by KChIP2 splice variants: a component of native cardiac I(to)?

    abstract:BACKGROUND:The transient outward potassium current (I(to)) encoded by the Kv4 family of potassium channels is important in the repolarization of cardiac myocytes. KChIPs are a recently identified group of Ca2+-binding accessory subunits that modulate Kv4-encoded currents. KChIP2 is the only family member expressed in t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000025417.65658.b6

    authors: Deschênes I,DiSilvestre D,Juang GJ,Wu RC,An WF,Tomaselli GF

    更新日期:2002-07-23 00:00:00

  • Quantification of extracellular and intracellular adenosine production: understanding the transmembranous concentration gradient.

    abstract:BACKGROUND:Inhibitors of adenosine membrane transport cause vasodilation and enhance the plasma adenosine concentration. However, it is unclear why the plasma adenosine concentration rises rather than falls when membrane transport is inhibited. We tested the hypothesis that the cytosolic adenosine concentration exceeds...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.15.2041

    authors: Deussen A,Stappert M,Schäfer S,Kelm M

    更新日期:1999-04-20 00:00:00