Outcome in medically treated coronary artery disease. Ischemic events: nonfatal infarction and death.

Abstract:

:In this study we extended the characterization of outcome in 1214 medically treated patients with coronary disease by considering nonfatal infarction and death together as ischemic events. At 7 years, the cumulative event rate was 47% (18% for nonfatal infarction as the initial event and 29% for death as the initial event). In multivariable analysis of 81 baseline descriptors, 11 (six clinical and five catheterization) were independent predictors of events. Progressive chest pain, number of diseased vessels, left main stenosis and left ventricular (LV) function were the most important predictors. Progrressive pain was a more important predictor of total events than of survival alone. In patients with one-, two- or three-vessel disease and normal LV function, nonfatal infarcation accounted for at least 50% of initial events. In patients with left main disease or severe LV dysfunction, death was the predominant event. These results have important implications for interpreting the natural history of coronary artery disease.

journal_name

Circulation

journal_title

Circulation

authors

Harris PJ,Lee KL,Harrell FE Jr,Behar VS,Rosati RA

doi

10.1161/01.cir.62.4.718

subject

Has Abstract

pub_date

1980-10-01 00:00:00

pages

718-26

issue

4

eissn

0009-7322

issn

1524-4539

journal_volume

62

pub_type

杂志文章
  • Cardiac-specific overexpression of fibroblast growth factor-2 protects against myocardial dysfunction and infarction in a murine model of low-flow ischemia.

    abstract:BACKGROUND:Preconditioning the heart before an ischemic insult has been shown to protect against contractile dysfunction, arrhythmias, and infarction. Pharmacological studies have suggested that fibroblast growth factor-2 (FGF2) is involved in cardioprotection. However, because of the number of FGFs expressed in the he...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000105723.91637.1C

    authors: House SL,Bolte C,Zhou M,Doetschman T,Klevitsky R,Newman G,Schultz Jel J

    更新日期:2003-12-23 00:00:00

  • Tissue Doppler imaging differentiates physiological from pathological pressure-overload left ventricular hypertrophy in rats.

    abstract:BACKGROUND:The myocardial velocity gradient (MVG) is a recent index of regional myocardial function derived from endocardial and epicardial velocities obtained by tissue Doppler imaging (TDI). This index might be useful for discriminating between physiological and pathological left ventricular hypertrophy (LVH) and for...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000012943.91101.d7

    authors: Derumeaux G,Mulder P,Richard V,Chagraoui A,Nafeh C,Bauer F,Henry JP,Thuillez C

    更新日期:2002-04-02 00:00:00

  • Comparison of angioplasty and surgery for unoperated coarctation of the aorta.

    abstract:BACKGROUND:The use of balloon coarctation angioplasty instead of surgery as treatment for unoperated coarctation of the aorta is controversial. The efficacy and complications of the two procedures have not been studied before in a prospective fashion. METHODS AND RESULTS:Thirty-six patients were prospectively randomiz...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.87.3.793

    authors: Shaddy RE,Boucek MM,Sturtevant JE,Ruttenberg HD,Jaffe RB,Tani LY,Judd VE,Veasy LG,McGough EC,Orsmond GS

    更新日期:1993-03-01 00:00:00

  • Coronary collateral function in patients without occlusive coronary artery disease.

    abstract::Little is known of the functional capacity of coronary collaterals in humans without occlusive coronary artery disease. We, therefore, measured peripheral coronary pressure (PCP) and retrograde flow (RF) from coronary arteries at aortic valve replacement in seven patients without occlusive coronary artery disease. Usi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.51.1.118

    authors: Goldstein RE,Michaelis LL,Morrow AG,Epstein SE

    更新日期:1975-01-01 00:00:00

  • Role of genetic analyses in cardiology: part I: mendelian diseases: cardiac channelopathies.

    abstract::Genetic analysis can be performed to identify the molecular substrate of inherited arrhythmogenic diseases; however, the role of this information in helping the management of patients is still debated. Here, we support the view that the practical value of genetic analysis is different in the various inherited conditio...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.105.563205

    authors: Priori SG,Napolitano C

    更新日期:2006-02-28 00:00:00

  • Contrasting inotropic effects of endogenous endothelin in the normal and failing human heart: studies with an intracoronary ET(A) receptor antagonist.

    abstract:BACKGROUND:Endothelin-1 (ET-1) is a potent positive inotrope in vitro, but its physiological effects on intrinsic myocardial contractile function in humans in vivo are unknown. Plasma ET-1 levels are elevated in heart failure, and ET-1 may be involved in the pathophysiology of this condition. However, its effects on co...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.2.142

    authors: MacCarthy PA,Grocott-Mason R,Prendergast BD,Shah AM

    更新日期:2000-01-18 00:00:00

  • Focal pharmacological modulation of atrioventricular nodal conduction via implantable catheter: a novel therapy for atrial fibrillation?

    abstract:BACKGROUND:Pharmacological ventricular rate control is an acceptable atrial fibrillation (AF) therapy limited by systemic toxicity. We postulate that focal catheter-based drug delivery into the atrioventricular nodal (AVN) region may effectively control ventricular rate during AF without systemic toxicity. This study e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.609420

    authors: Sigg DC,Hiniduma-Lokuge P,Coles JA Jr,Falkner P,Rose R,Urban JF,Ujhelyi MR

    更新日期:2006-05-23 00:00:00

  • Congestive heart failure alters receptor-dependent cAMP-mediated relaxation of canine pulmonary arteries.

    abstract:BACKGROUND:Alterations in myocardial function and systemic vascular tone are well documented in congestive heart failure (CHF), but little information is available on the effects of CHF on pulmonary vessels. We examined the mechanisms of tone regulation of canine pulmonary arteries during pacing-induced CHF. METHODS A...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.5.1722

    authors: Mathew R,Wang J,Gewitz MH,Hintze TH,Wolin MS

    更新日期:1993-05-01 00:00:00

  • Angiotensin II increases plasminogen activator inhibitor type 1 and tissue-type plasminogen activator messenger RNA in cultured rat aortic smooth muscle cells.

    abstract:BACKGROUND:The role of angiotensin as a vasoconstrictor is well established. Lately, several other actions of this hormone on vascular smooth muscle (VSM) cells have been recognized including the induction of hypertrophy and/or DNA synthesis. Platelet-derived growth factor (PDGF), a mitogen recently shown to increase p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.1.362

    authors: van Leeuwen RT,Kol A,Andreotti F,Kluft C,Maseri A,Sperti G

    更新日期:1994-07-01 00:00:00

  • Intracoronary application of C1 esterase inhibitor improves cardiac function and reduces myocardial necrosis in an experimental model of ischemia and reperfusion.

    abstract:BACKGROUND:Myocardial injury from ischemia can be aggravated by reperfusion of the jeopardized area. The precise underlying mechanisms have not been clearly defined, but proinflammatory events, including complement activation, leukocyte adhesion, and infiltration and release of diverse mediators, probably play importan...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.3.701

    authors: Horstick G,Heimann A,Götze O,Hafner G,Berg O,Böhmer P,Becker P,Darius H,Rupprecht HJ,Loos M,Bhakdi S,Meyer J,Kempski O

    更新日期:1997-02-04 00:00:00

  • Assessment of systemic right ventricular function in patients with transposition of the great arteries using the myocardial performance index: comparison with cardiac magnetic resonance imaging.

    abstract:BACKGROUND:Assessment of systemic right ventricular (RV) function is a key point in the follow-up of patients with transposition of the great arteries (TGA). Current echocardiographic assessment of RV function is at best an estimate, and cardiac magnetic resonance (CMR) is considered the gold standard. However, this te...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000147284.54140.73

    authors: Salehian O,Schwerzmann M,Merchant N,Webb GD,Siu SC,Therrien J

    更新日期:2004-11-16 00:00:00

  • Cardiomyogenic potential of C-kit(+)-expressing cells derived from neonatal and adult mouse hearts.

    abstract:BACKGROUND:C-kit is a receptor tyrosine kinase family member expressed in hematopoietic stem cells. C-kit is also transiently expressed in cardiomyocyte precursors during development and in a rare cell population in the normal adult heart. In the present study, the cardiomyogenic potential of c-kit(+) cells isolated fr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.909093

    authors: Zaruba MM,Soonpaa M,Reuter S,Field LJ

    更新日期:2010-05-11 00:00:00

  • Fish oil treatment decreases superoxide anions in the myocardium and coronary arteries of atherosclerotic monkeys.

    abstract:BACKGROUND:This experiment sought to determine the effects of fish oil on superoxide anion production in the myocardium and coronary arteries of atherosclerotic monkeys. Recent evidence indicates that dietary supplementation with fish oil preserves normal vasomotion of atherosclerotic coronary arteries and reduces dama...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.4.1123

    authors: Supari F,Ungerer T,Harrison DG,Williams JK

    更新日期:1995-02-15 00:00:00

  • Prospective observations in patients with chronic bundle branch block and marked H-V prolongation.

    abstract::Eighteen of 388 patients with chronic bundle branch block, studied electrophysiologically and followed prospectively, had H-V intervals of 80 msec or greater. Five patients were functional class I, five class II, seven class III, and one class IV. Follow-up ranged from 103 to 1919 days (mean 711 +/- 118). Three patien...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.4.600

    authors: Dhingra RC,Denes P,Wu D,Wyndham CR,Amat-y-Leon F,Towne WD,Rosen KM

    更新日期:1976-04-01 00:00:00

  • Presence of tissue factor pathway inhibitor in human atherosclerotic plaques is associated with reduced tissue factor activity.

    abstract:BACKGROUND:Plaque disruption and exposure of subendothelial procoagulants such as tissue factor (TF) to circulating factor VII/VIIa (FVII/VIIa) lead to intravascular thrombosis. Tissue factor pathway inhibitor (TFPI) is an endogenous inhibitor of TF-induced coagulation that binds to factor Xa and the TF-FVIIa catalytic...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.11.1051

    authors: Caplice NM,Mueske CS,Kleppe LS,Simari RD

    更新日期:1998-09-15 00:00:00

  • Discordant secular trends in elevated blood pressure and obesity in children and adolescents in a rapidly developing country.

    abstract:BACKGROUND:The effect of the increasing prevalence of obesity on blood pressure (BP) secular trends is unclear. We analyzed BP and body mass index secular trends between 1998 and 2006 in children and adolescents of the Seychelles, a rapidly developing island state in the African region. METHODS AND RESULTS:School-base...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.796276

    authors: Chiolero A,Paradis G,Madeleine G,Hanley JA,Paccaud F,Bovet P

    更新日期:2009-02-03 00:00:00

  • Limitation of infarct size with thrombolytic agents--electrocardiographic indexes.

    abstract::Forty-four patients with acute transmural myocardial infarction underwent cardiac catheterization 4.7 +/- 1.3 hours (+/- SD) after the onset of persistent chest discomfort. Thirty-nine patients had total occlusion of infarct-related vessels; 27 of these 39 had successful intracoronary thrombolysis. Twenty of these 27 ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Goldberg S,Urban P,Greenspon A,Berger B,Walinsky P,Muza B,Kusiak V,Maroko PR

    更新日期:1983-08-01 00:00:00

  • Effect of atrial fibrillation on atrial refractoriness in humans.

    abstract:BACKGROUND:The acute effect of atrial fibrillation (AF) on the atrial effective refractory period (ERP) in humans is unknown. METHODS AND RESULTS:In 20 patients without structural heart disease, the atrial ERP was measured before and after pacing-induced AF at drive cycle lengths of 350 and 500 ms. Immediately after s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.7.1600

    authors: Daoud EG,Bogun F,Goyal R,Harvey M,Man KC,Strickberger SA,Morady F

    更新日期:1996-10-01 00:00:00

  • Effects of the beta 1-adrenergic receptor partial agonist xamoterol on left ventricular diastolic function. An evaluation after 1-6 years of oral therapy.

    abstract::Acute intravenous administration of the new beta 1-adrenergic receptor partial agonist xamoterol lowers left ventricular end-diastolic pressure and improves the isovolumic indexes of inotropic state and relaxation. To determine if these hemodynamic changes were maintained after prolonged administration, the dose-respo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Pouleur H,Etienne J,Van Mechelen H,Gurné O,Rousseau MF

    更新日期:1990-02-01 00:00:00

  • Transient ST-segment in unstable angina. Clinical and hemodynamic significance.

    abstract::The significance of the direction of the ST-segment shifts on the 12-lead electrocardiogram was evaluated in 82 consecutive patients with unstable angina. Eighteen patients with ST-segment elevation (group I) were compared with 64 patients with ST-segment depression (group II). There was no difference between group I ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.51.6.1015

    authors: Plotnick GD,Conti CR

    更新日期:1975-06-01 00:00:00

  • Long Noncoding RNA MANTIS Facilitates Endothelial Angiogenic Function.

    abstract:BACKGROUND:The angiogenic function of endothelial cells is regulated by numerous mechanisms, but the impact of long noncoding RNAs (lncRNAs) has hardly been studied. We set out to identify novel and functionally important endothelial lncRNAs. METHODS:Epigenetically controlled lncRNAs in human umbilical vein endothelia...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.026991

    authors: Leisegang MS,Fork C,Josipovic I,Richter FM,Preussner J,Hu J,Miller MJ,Epah J,Hofmann P,Günther S,Moll F,Valasarajan C,Heidler J,Ponomareva Y,Freiman TM,Maegdefessel L,Plate KH,Mittelbronn M,Uchida S,Künne C,Stello

    更新日期:2017-07-04 00:00:00

  • Diabetic cardiomyopathy revisited.

    abstract::Diabetes mellitus increases the risk of heart failure independently of underlying coronary artery disease, and many believe that diabetes leads to cardiomyopathy. The underlying pathogenesis is partially understood. Several factors may contribute to the development of cardiac dysfunction in the absence of coronary art...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.106.679597

    authors: Boudina S,Abel ED

    更新日期:2007-06-26 00:00:00

  • Deficiency of Prebiotic Fiber and Insufficient Signaling Through Gut Metabolite-Sensing Receptors Leads to Cardiovascular Disease.

    abstract:BACKGROUND:High blood pressure (BP) continues to be a major, poorly controlled but modifiable risk factor for cardiovascular death. Among key Western lifestyle factors, a diet poor in fiber is associated with prevalence of high BP. The impact of lack of prebiotic fiber and the associated mechanisms that lead to higher ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.043081

    authors: Kaye DM,Shihata WA,Jama HA,Tsyganov K,Ziemann M,Kiriazis H,Horlock D,Vijay A,Giam B,Vinh A,Johnson C,Fiedler A,Donner D,Snelson M,Coughlan MT,Phillips S,Du XJ,El-Osta A,Drummond G,Lambert GW,Spector TD,Valdes AM

    更新日期:2020-04-28 00:00:00

  • A comparison of low- with high-osmolality contrast agents in cardiac angiography. Identification of criteria for selective use.

    abstract:BACKGROUND:Controversy exists as to whether low-osmolality radiographic contrast agents, which have less detrimental pharmacological effects but are considerably more expensive than high-osmolality agents, should be used universally or only for selected high-risk patients. METHODS AND RESULTS:A randomized, double-blin...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.89.1.291

    authors: Matthai WH Jr,Kussmaul WG 3rd,Krol J,Goin JE,Schwartz JS,Hirshfeld JW Jr

    更新日期:1994-01-01 00:00:00

  • Riociguat for patients with pulmonary hypertension caused by systolic left ventricular dysfunction: a phase IIb double-blind, randomized, placebo-controlled, dose-ranging hemodynamic study.

    abstract:BACKGROUND:Pulmonary hypertension caused by systolic left ventricular dysfunction is associated with significant morbidity and mortality; however, no treatment is approved for this indication. We hypothesized that riociguat, a novel soluble guanylate cyclase stimulator, would have beneficial hemodynamic effects in pati...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.113.001458

    authors: Bonderman D,Ghio S,Felix SB,Ghofrani HA,Michelakis E,Mitrovic V,Oudiz RJ,Boateng F,Scalise AV,Roessig L,Semigran MJ,Left Ventricular Systolic Dysfunction Associated With Pulmonary Hypertension Riociguat Trial (LEPHT) Study Group.

    更新日期:2013-07-30 00:00:00

  • Radiofrequency catheter modification of the sinus node for "inappropriate" sinus tachycardia.

    abstract:BACKGROUND:Radiofrequency catheter ablation is the treatment of choice for patients with paroxysmal supraventricular tachycardias refractory to medical therapy. However, in symptomatic patients with inappropriate sinus tachycardia resistant to drug therapy, catheter ablation of the His' bundle with permanent pacemaker ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.10.2919

    authors: Lee RJ,Kalman JM,Fitzpatrick AP,Epstein LM,Fisher WG,Olgin JE,Lesh MD,Scheinman MM

    更新日期:1995-11-15 00:00:00

  • Nitroglycerin improves functional recovery of neonatal lamb hearts after 2 hours of cold ischemia.

    abstract:BACKGROUND:Vascular events during initial reperfusion after a period of hypothermic cardioplegic ischemia may play an important role in the recovery of mechanical function. Prior studies have shown (1) that dysfunction of the postischemic myocardium after normothermic ischemia can be ameliorated by vasodilation and (2)...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Kawata H,Aoki M,Mayer JE Jr

    更新日期:1993-11-01 00:00:00

  • Acute hemodynamic improvement by thermal vasodilation in congestive heart failure.

    abstract:BACKGROUND:A warm-water bath (WWB) or sauna bath (SB) has generally been considered inappropriate for patients with severe congestive heart failure (CHF). However, a comprehensive investigation of the hemodynamic effects of thermal vasodilation in CHF has not been previously undertaken. METHODS AND RESULTS:To investig...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.10.2582

    authors: Tei C,Horikiri Y,Park JC,Jeong JW,Chang KS,Toyama Y,Tanaka N

    更新日期:1995-05-15 00:00:00

  • Correlations of plasma high-density lipoprotein cholesterol levels with other plasma lipid and lipoprotein concentrations.

    abstract::We investigated the association of plasma high-density lipoprotein (HDL) cholesterol levels with levels of cholesterol in other plasma lipoprotein fractions (low-density [LDL], very low density [VLDL] and their sum) and with total plasma cholesterol and triglyceride levels in 3493 males and 3318 females in the Lipid R...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Davis CE,Gordon D,LaRosa J,Wood PD,Halperin M

    更新日期:1980-11-01 00:00:00

  • Effect of tachycardia heart failure on the restitution of left ventricular function in closed-chest dogs.

    abstract:BACKGROUND:Cardiac mechanical restitution and relaxation restitution are thought to be physiological correlates of the recovery kinetics of Ca2+ release mechanisms and sequestration capacity of the sarcoplasmic reticulum (SR). Since congestive heart failure is characterized by abnormal intracellular Ca2+ handling, we s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.1.176

    authors: Prabhu SD,Freeman GL

    更新日期:1995-01-01 00:00:00