The prognostic implications of acute myocardial infarct scintigraphy with 99mTc-pyrophosphate.

Abstract:

:The predictive value of the myocardial scintigraphy with 99mTc-pyrophosphate was studied in 100 patients admitted to the coronary care unit with suspected acute myocardial infarction. None of the 21 patients with normal scintigrams had acute myocardial infraction by other criteria. Fifty-five percent of patients with diffuse uptake (pattern B), 73% of patients with focal uptake (pattern C) and all patients with intense focal uptake (pattern D) and massive uptake (pattern E) had acute infarction. The complication rate in the hospital and after discharge (mean followup: 6.1 months) for patients with pattern E was 88% compared to 42% for D, 30% for C, 36% for B and 10% for patients with normal scintigrams (A). For patients with acute infarction with patterns C, D and E, the complication rate rose with increasing size of the myocardial uptake of 99mTc-pyrophosphate. In addition to its diagnostic potential, scintigraphy provides prognostic information which is useful for patient triage and for therapeutic decisions early in the evolution of the infarct.

journal_name

Circulation

journal_title

Circulation

authors

Holman BL,Chisholm RJ,Braunwald E

doi

10.1161/01.cir.57.2.320

subject

Has Abstract

pub_date

1978-02-01 00:00:00

pages

320-6

issue

2

eissn

0009-7322

issn

1524-4539

journal_volume

57

pub_type

杂志文章
  • 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

  • Effects of nifedipine on systemic and regional oxygen transport and metabolism at rest and during exercise.

    abstract::In a placebo-controlled, randomized, cross-over, double-blind study of 12 patients with stable exertional angina, we measured at rest and during bicycle exercise the effects of 20 mg of nifedipine administered sublingually on hemodynamics and systemic and regional oxygen extraction and metabolism. Nifedipine decreased...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.71.4.787

    authors: Choong CY,Roubin GS,Shen WF,Harris PJ,Kelly DT

    更新日期:1985-04-01 00:00:00

  • The interaction of verapamil and norverapamil with beta-adrenergic receptors.

    abstract::To determine the effect of calcium-channel blockers on beta-adrenergic receptors, we studied the interactions of verapamil, diltiazem, and nifedipine with both human lymphocyte beta 2-adrenergic receptors and rat myocardial beta 1-adrenergic receptors by means of radioligand binding assays. We also determined the func...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.72.3.547

    authors: Feldman RD,Park GD,Lai CY

    更新日期:1985-09-01 00:00:00

  • Altered contractile response in neonatal myocardium to citrate-phosphate-dextrose infusion.

    abstract::The clinical use of citrate-phosphate-dextrose during blood-product transfusion is known to affect ionized calcium levels and can result in depression of myocardial contractility. The immature heart appears to have an intrinsic reduction in contractile state compared with the adult heart and may be more dependent on t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Rebeyka IM,Yeh T Jr,Hanan SA,Borges MR,Lee KF,Tuchy GE,Abd-Elfattah AS,Wechsler AS

    更新日期:1990-11-01 00:00:00

  • Expression of NADH/NADPH oxidase p22phox in human coronary arteries.

    abstract:BACKGROUND:NADH/NADPH oxidase is an important source of superoxide in the vasculature. Recently, we found that polymorphism of the gene p22phox, a critical component of this oxidase, is associated with a risk of coronary artery disease. The aim of this study was to investigate the localization of p22phox in human coron...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.14.1494

    authors: Azumi H,Inoue N,Takeshita S,Rikitake Y,Kawashima S,Hayashi Y,Itoh H,Yokoyama M

    更新日期:1999-10-05 00:00:00

  • High-sensitivity cardiac troponin I and B-type natriuretic Peptide as predictors of vascular events in primary prevention: impact of statin therapy.

    abstract:BACKGROUND:Cardiac troponin and B-type natriuretic peptide (BNP) concentrations are associated with adverse cardiovascular outcome in primary prevention populations. Whether statin therapy modifies this association is poorly understood. METHODS AND RESULTS:We measured high-sensitivity cardiac troponin I (hsTnI) in 12 ...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.114.014522

    authors: Everett BM,Zeller T,Glynn RJ,Ridker PM,Blankenberg S

    更新日期:2015-05-26 00:00:00

  • Effects of chronic hypertension and left ventricular hypertrophy on the incidence of sudden cardiac death after coronary artery occlusion in conscious dogs.

    abstract::When acute myocardial infarction occurs in patients with hypertension and left ventricular hypertrophy (LVH), the incidence of sudden cardiac death increases markedly. Possible explanations include increased size of the occluded vascular bed secondary to more extensive atherosclerotic coronary vascular disease in the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.6.1192

    authors: Koyanagi S,Eastham C,Marcus ML

    更新日期:1982-06-01 00:00:00

  • Inositol 1, 4, 5-trisphosphate receptors and human left ventricular myocytes.

    abstract:BACKGROUND:Little is known about the function of inositol 1,4,5-trisphosphate receptors (IP3Rs) in the adult heart experimentally. Moreover, whether these Ca(2+) release channels are present and play a critical role in human cardiomyocytes remains to be defined. IP3Rs may be activated after Gαq-protein-coupled receptor...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.002764

    authors: Signore S,Sorrentino A,Ferreira-Martins J,Kannappan R,Shafaie M,Del Ben F,Isobe K,Arranto C,Wybieralska E,Webster A,Sanada F,Ogórek B,Zheng H,Liu X,Del Monte F,D'Alessandro DA,Wunimenghe O,Michler RE,Hosoda T,Goichb

    更新日期:2013-09-17 00:00:00

  • Importance of mitral valve repair associated with left ventricular reconstruction for patients with ischemic cardiomyopathy: a real-time three-dimensional echocardiographic study.

    abstract:BACKGROUND:Left ventricular (LV) reconstruction surgery leads to early improvement in LV function in ischemic cardiomyopathy (ICM) patients. This study was designed to evaluate the impact of mitral valve (MV) repair associated with LV reconstruction on LV function 1-year after surgery in ICM patients assessed by real-t...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.0000087653.99527.50

    authors: Qin JX,Shiota T,McCarthy PM,Asher CR,Hail M,Agler DA,Popović ZB,Greenberg NL,Smedira NG,Starling RC,Young JB,Thomas JD

    更新日期:2003-09-09 00:00:00

  • Epidemiology and cause-specific outcome of hypertrophic cardiomyopathy in children: findings from the Pediatric Cardiomyopathy Registry.

    abstract:BACKGROUND:Current information on the epidemiology and outcomes of hypertrophic cardiomyopathy (HCM) in children is limited by disease diversity and small case series. METHODS AND RESULTS:The Pediatric Cardiomyopathy Registry has collected prospective and retrospective data on children diagnosed with HCM since 1990. W...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.621185

    authors: Colan SD,Lipshultz SE,Lowe AM,Sleeper LA,Messere J,Cox GF,Lurie PR,Orav EJ,Towbin JA

    更新日期:2007-02-13 00:00:00

  • 8-oxo-dGTPase, which prevents oxidative stress-induced DNA damage, increases in the mitochondria from failing hearts.

    abstract:BACKGROUND:Reactive oxygen species (ROS) can cause an oxidative modification of nucleotides, such as 8-oxo-7,8-dihydrodeoxyguanosine triphosphate (8-oxo-dGTP), which can lead to defects in DNA replication. The misincorporation of 8-oxo-dGTP into DNA is prevented by 8-oxo-dGTPase, which hydrolyzes 8-oxo-dGTP into 8-oxo-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4901.101347

    authors: Tsutsui H,Ide T,Shiomi T,Kang D,Hayashidani S,Suematsu N,Wen J,Utsumi H,Hamasaki N,Takeshita A

    更新日期:2001-12-11 00:00:00

  • The United States preventive services task force recommendation statement on screening for peripheral arterial disease: more harm than benefit?

    abstract::Under the auspices of the Agency for Healthcare Research and Quality, the United States Preventive Services Task Force (USPSTF) recently released an update to its 1996 Peripheral Arterial Disease (PAD) Screening Recommendation Statement. The USPSTF recommended against PAD screening, giving the practice a "D" level rec...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.607846

    authors: Beckman JA,Jaff MR,Creager MA

    更新日期:2006-08-22 00:00:00

  • Epidemiology and Mechanisms of De Novo and Persistent Hypertension in the Postpartum Period.

    abstract:BACKGROUND:The pathophysiology of hypertension in the immediate postpartum period is unclear. METHODS AND RESULTS:We studied 988 consecutive women admitted to a tertiary medical center for cesarean section of a singleton pregnancy. The angiogenic factors soluble fms-like tyrosine kinase 1 and placental growth factor, ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.115.015721

    authors: Goel A,Maski MR,Bajracharya S,Wenger JB,Zhang D,Salahuddin S,Shahul SS,Thadhani R,Seely EW,Karumanchi SA,Rana S

    更新日期:2015-11-03 00:00:00

  • Plasma endothelin in chronic heart failure.

    abstract:BACKGROUND:Endothelins are recently characterized vasoconstrictor peptides. As chronic heart failure (CHF) is characterized by peripheral arteriolar and renal vasoconstriction, we have measured venous plasma endothelin-like immunoreactivity ("endothelin") in patients with this syndrome. METHODS AND RESULTS:Compared wi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.4.1374

    authors: McMurray JJ,Ray SG,Abdullah I,Dargie HJ,Morton JJ

    更新日期:1992-04-01 00:00:00

  • Chronic variant of myocarditis associated with hepatitis C virus infection.

    abstract:BACKGROUND:Although molecular biological studies suggest a pathogenic link between enterovirus infection and dilated cardiomyopathy (DCM), the frequency of detection of enteroviral RNA is not consistently high in myocardial tissue from patients with DCM. A recent study has suggested that hepatitis C virus (HCV) may als...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.1.22

    authors: Okabe M,Fukuda K,Arakawa K,Kikuchi M

    更新日期:1997-07-01 00:00:00

  • Accurate volume determination in the isolated ejecting canine left ventricle by two-dimensional echocardiography.

    abstract::Two-dimensional echocardiography can provide serial cross-sectional images of the left ventricular cavity. We examined whether such serial images from steady-state ejecting hearts would allow three-dimensional reconstruction and accurate volume estimation without major geometric assumptions. Cross-circulated, paced do...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.60.2.320

    authors: Eaton LW,Maughan WL,Shoukas AA,Weiss JL

    更新日期:1979-08-01 00:00:00

  • Efficacy and safety of tenecteplase in combination with the low-molecular-weight heparin enoxaparin or unfractionated heparin in the prehospital setting: the Assessment of the Safety and Efficacy of a New Thrombolytic Regimen (ASSENT)-3 PLUS randomized tr

    abstract:BACKGROUND:The combination of a single-bolus fibrinolytic and a low-molecular-weight heparin may facilitate prehospital reperfusion and further improve clinical outcome in patients with ST-elevation myocardial infarction. METHODS AND RESULTS:In the prehospital setting, 1639 patients with ST-elevation myocardial infarc...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.CIR.0000081659.72985.A8

    authors: Wallentin L,Goldstein P,Armstrong PW,Granger CB,Adgey AA,Arntz HR,Bogaerts K,Danays T,Lindahl B,Mäkijärvi M,Verheugt F,Van de Werf F

    更新日期:2003-07-15 00:00:00

  • National survey of coronary artery bypass grafting for coronary stenosis caused by Kawasaki disease in Japan.

    abstract:BACKGROUND:We surveyed the national experience of coronary artery bypass grafting (CABG) for coronary sequelae of Kawasaki disease (kDa) in 2002. METHODS AND RESULTS:A questionnaire was returned from 323/552 (59%) institutions. Two hundred forty-four patients (188 male 56 female) since 1975 were identified. The mean n...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000138194.61225.10

    authors: Tsuda E,Kitamura S,Cooperative Study Group of Japan.

    更新日期:2004-09-14 00:00:00

  • Very long-term survival and durability of mitral valve repair for mitral valve prolapse.

    abstract:BACKGROUND:Mitral regurgitation (MR) due to mitral valve prolapse (MVP) is often treatable by surgical repair. However, the very long-term (>10-year) durability of repair in both anterior leaflet prolapse (AL-MVP) and posterior leaflet prolapse (PL-MVP) is unknown. METHODS AND RESULTS:In 917 patients (aged 65+/-13 yea...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc37t1.094903

    authors: Mohty D,Orszulak TA,Schaff HV,Avierinos JF,Tajik JA,Enriquez-Sarano M

    更新日期:2001-09-18 00:00:00

  • Intermediate-density lipoproteins and progression of carotid arterial wall intima-media thickness.

    abstract:BACKGROUND:Although LDL cholesterol (LDL-C) is generally accepted to be a major risk factor for progression of atherosclerosis, the traditional measurement of LDL-C includes measurement of IDL. Little is known about the relationship between IDL and progression of atherosclerosis. Therefore, we investigated the associat...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.95.8.2022

    authors: Hodis HN,Mack WJ,Dunn M,Liu C,Liu C,Selzer RH,Krauss RM

    更新日期:1997-04-15 00:00:00

  • Vasodilatory effects of C-type natriuretic peptide on forearm resistance vessels are distinct from those of atrial natriuretic peptide in chronic heart failure.

    abstract:BACKGROUND:C-type natriuretic peptide (CNP) is a newly identified peptide that is structurally related to atrial natriuretic peptide (ANP). Although it has been suggested that CNP is released from the endothelium for the regulation of local vascular tone, no data are available concerning the vasodilatory response to CN...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.90.3.1210

    authors: Nakamura M,Arakawa N,Yoshida H,Makita S,Hiramori K

    更新日期:1994-09-01 00:00:00

  • Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association.

    abstract::Cardiac arrest systems of care are successfully coordinating community, emergency medical services, and hospital efforts to improve the process of care for patients who have had a cardiac arrest. As a result, the number of people surviving sudden cardiac arrest is increasing. However, physical, cognitive, and emotiona...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIR.0000000000000747

    authors: Sawyer KN,Camp-Rogers TR,Kotini-Shah P,Del Rios M,Gossip MR,Moitra VK,Haywood KL,Dougherty CM,Lubitz SA,Rabinstein AA,Rittenberger JC,Callaway CW,Abella BS,Geocadin RG,Kurz MC,American Heart Association Emergency Cardiovasc

    更新日期:2020-03-24 00:00:00

  • Prevalence of hypertension in Mexico City and San Antonio, Texas.

    abstract:BACKGROUND:Few data are available on the prevalence of hypertension in Mexico. METHODS AND RESULTS:We compared the prevalence of mild hypertension (systolic blood pressure > or = 140 mm Hg and/or diastolic blood pressure > or = 90 mm Hg and/or use of antihypertensive medications) in 1500 low-income Mexican Americans w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.3.1542

    authors: Haffner S,González Villalpando C,Hazuda HP,Valdez R,Mykkänen L,Stern M

    更新日期:1994-09-01 00:00:00

  • Right ventricular fibrosis and conduction delay in a patient with clinical signs of Brugada syndrome: a combined electrophysiological, genetic, histopathologic, and computational study.

    abstract:BACKGROUND:The mechanism of ECG changes and arrhythmogenesis in Brugada syndrome (BS) patients is unknown. METHODS AND RESULTS:A BS patient without clinically detected cardiac structural abnormalities underwent cardiac transplantation for intolerable numbers of implantable cardioverter/defibrillator discharges. The pa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.532614

    authors: Coronel R,Casini S,Koopmann TT,Wilms-Schopman FJ,Verkerk AO,de Groot JR,Bhuiyan Z,Bezzina CR,Veldkamp MW,Linnenbank AC,van der Wal AC,Tan HL,Brugada P,Wilde AA,de Bakker JM

    更新日期:2005-11-01 00:00:00

  • An oligosaccharide sialyl-Lewis(x) analogue does not reduce myocardial infarct size after ischemia and reperfusion in dogs.

    abstract:BACKGROUND:Polymorphonuclear leukocytes, particularly neutrophils, are important mediators of ischemia/reperfusion-induced myocardial and coronary vascular injury. The selectin family of glycoprotein receptors mediates neutrophil "rolling," a loose, transient adhesion to the coronary endothelium that precedes the firme...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.3.542

    authors: Gill EA,Kong Y,Horwitz LD

    更新日期:1996-08-01 00:00:00

  • Systemic infection related to endocarditis on pacemaker leads: clinical presentation and management.

    abstract:BACKGROUND:Endocarditis related to pacemaker (PM)-lead infection is a rare but serious complication of permanent transvenous pacing. To determine in which situations the diagnosis should be evoked and to determine optimal management, we reviewed our experience with endocarditis related to PM-lead infection. METHODS AN...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.95.8.2098

    authors: Klug D,Lacroix D,Savoye C,Goullard L,Grandmougin D,Hennequin JL,Kacet S,Lekieffre J

    更新日期:1997-04-15 00:00:00

  • Flavone-8-acetic acid (Flavonoid) profoundly reduces platelet-dependent thrombosis and vasoconstriction after deep arterial injury In vivo.

    abstract:BACKGROUND:Flavone-8-acetic acid (FAA; [Flavonoid]), an adjuvant antitumor drug, inhibits ristocetin-induced aggregation of human platelets. The effect of FAA on platelet-dependent thrombosis was studied in vivo in the porcine carotid artery after deep arterial injury by balloon angioplasty. METHODS AND RESULTS:(111)I...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.3.324

    authors: Mruk JS,Webster MW,Heras M,Reid JM,Grill DE,Chesebro JH

    更新日期:2000-01-25 00:00:00

  • Relationship between plasma lipid concentrations and coronary artery disease in 496 patients.

    abstract::The relationship between fasting plasma cholesterol and triglyceride concentrations and the frequency and extensiveness of coronary artery disease (CAD) was studied in 496 subjects evaluated for chest pain by coronary arteriography at The Methodist Hospital. One hundred six of the patients had no CAD while 390 had 25%...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.5.875

    authors: Gotto AM,Gorry GA,Thompson JR,Cole JS,Trost R,Yeshurun D,DeBakey ME

    更新日期:1977-11-01 00:00:00

  • Relations of insulin sensitivity to longitudinal blood pressure tracking: variations with baseline age, body mass index, and blood pressure.

    abstract:BACKGROUND:The relations of insulin sensitivity (IS) to hypertension incidence may vary according to baseline age, body mass index (BMI), and blood pressure (BP). METHODS AND RESULTS:We investigated the relations of IS (insulin sensitivity index, ISI(0,120)) to 4-year incidence of hypertension and BP progression in 19...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.535039

    authors: Arnlöv J,Pencina MJ,Nam BH,Meigs JB,Fox CS,Levy D,D'Agostino RB,Vasan RS

    更新日期:2005-09-20 00:00:00

  • Surgical management of mitral regurgitation after repair of endocardial cushion defects: early and midterm results.

    abstract:BACKGROUND:Mitral regurgitation (MR) represents the principal indication for reoperation in patients after repair of atrioventricular septal defects (AVSD). Reports of mitral valvuloplasty (MVP) in such patients are few; the alternative, mitral valve replacement (MVR), necessitates commitment to future valve replacemen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.suppl_3.iii-160

    authors: Moran AM,Daebritz S,Keane JF,Mayer JE

    更新日期:2000-11-07 00:00:00