Electrocardiographic and hemodynamic changes in experimental right ventricular infarction.

Abstract:

:To investigate the electrocardiographic and hemodynamic changes in isolated right ventricular infarction, 0.25 ml or 0.5 ml of metallic mercury was injected into the right coronary artery of 14 closed-chest dogs. At autopsy, at least 60% of the right ventricle was necrotic in every dog. Hemodynamic observations were made in 11 and electrocardiographic mapping was performed in all 14 dogs. Right atrial pressure rose in 10 and left atrial pressure in nine of the 11 dogs; early right atrial pressure did not exceed left atrial pressure, but late right atrial pressure was greater in four dogs. Although cardiac output and blood pressure fell significantly, circulation was maintained. Twelve of 14 dogs had transient ST-segment elevation in the right precordial leads, and 12 developed right bundle branch block. Abnormal Q waves or R waves of 1 mm or less appeared in the right precordial leads in 13 of the 14 dogs. Since right bundle branch block and abnormal Q waves in the right precordial leads have not been recognized as useful signs in human right ventricular infarction, further investigations are warranted to determine their value in clinical applications.

journal_name

Circulation

journal_title

Circulation

authors

Chou TC,Fowler NO,Gabel M,van der Bel-Kahn J,Feltner EJ

doi

10.1161/01.cir.67.6.1258

subject

Has Abstract

pub_date

1983-06-01 00:00:00

pages

1258-67

issue

6

eissn

0009-7322

issn

1524-4539

journal_volume

67

pub_type

杂志文章
  • Benefit of oral anticoagulant over antiplatelet therapy in atrial fibrillation depends on the quality of international normalized ratio control achieved by centers and countries as measured by time in therapeutic range.

    abstract:BACKGROUND:Oral anticoagulation (OAC) therapy is effective in atrial fibrillation but requires vigilance to maintain the international normalized ratio in the therapeutic range. This report examines how differences in time in therapeutic range (TTR) between centers and between countries affect the outcomes of OAC thera...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.107.750000

    authors: Connolly SJ,Pogue J,Eikelboom J,Flaker G,Commerford P,Franzosi MG,Healey JS,Yusuf S,ACTIVE W Investigators.

    更新日期:2008-11-11 00:00:00

  • Weight loss reduces C-reactive protein levels in obese postmenopausal women.

    abstract:BACKGROUND:C-reactive protein (CRP) has been proposed as an independent risk factor for cardiovascular disease and has been positively associated with body weight and body fatness. We examined the hypothesis that weight loss would reduce plasma CRP levels in obese postmenopausal women. METHODS AND RESULTS:In a sample ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc0502.103331

    authors: Tchernof A,Nolan A,Sites CK,Ades PA,Poehlman ET

    更新日期:2002-02-05 00:00:00

  • Enalapril reduces the incidence of diabetes in patients with chronic heart failure: insight from the Studies Of Left Ventricular Dysfunction (SOLVD).

    abstract:BACKGROUND:Diabetes mellitus is a predictor of morbidity and mortality in patients with heart failure. The effect of angiotensin-converting enzyme (ACE) inhibitors on the prevention of diabetes in patients with left ventricular dysfunction is unknown. The aim of this retrospective study was to assess the effect of the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000054611.89228.92

    authors: Vermes E,Ducharme A,Bourassa MG,Lessard M,White M,Tardif JC,Studies Of Left Ventricular Dysfunction.

    更新日期:2003-03-11 00:00:00

  • Dispatcher-assisted cardiopulmonary resuscitation. Validation of efficacy.

    abstract::Dispatcher-delivered telephone instruction in cardiopulmonary resuscitation (CPR) has been proposed to increase rates of bystander CPR in cases of out-of-hospital cardiac arrest. We tested the efficacy of a previously developed CPR message using a recording mannikin in a high stress, simulated cardiac arrest scenario....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.5.1231

    authors: Kellermann AL,Hackman BB,Somes G

    更新日期:1989-11-01 00:00:00

  • Selective upregulation of endothelin B receptor gene expression in severe pulmonary hypertension.

    abstract:BACKGROUND:The pulmonary circulation is an important site for the production and clearance of endothelin (ET)-1, a potent vasoactive and mitogenic peptide. Increased plasma ET-1 levels are observed in pulmonary arterial hypertension (PHT) and may contribute to the regulation of pulmonary vascular resistance, as well as...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc0902.105719

    authors: Bauer M,Wilkens H,Langer F,Schneider SO,Lausberg H,Schäfers HJ

    更新日期:2002-03-05 00:00:00

  • Reduction in cardiovascular events during pravastatin therapy. Pooled analysis of clinical events of the Pravastatin Atherosclerosis Intervention Program.

    abstract:BACKGROUND:It has been documented that the HMG coenzyme A reductase inhibitors, or statins, can decrease cardiovascular events and mortality in patients with clinical coronary disease and moderately to severely elevated lipid levels. Additional data are required to demonstrate a reduction of vascular events in coronary...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析

    doi:10.1161/01.cir.92.9.2419

    authors: Byington RP,Jukema JW,Salonen JT,Pitt B,Bruschke AV,Hoen H,Furberg CD,Mancini GB

    更新日期:1995-11-01 00:00:00

  • Baffle fenestration with subsequent transcatheter closure. Modification of the Fontan operation for patients at increased risk.

    abstract::Ventricular dysfunction, elevated pulmonary vascular resistance, and residual distal pulmonary artery distortion contribute to early mortality after a Fontan operation; they may be transient or reversible. A baffle fenestration, allowing right-to-left shunting, maintains cardiac output and limits right atrial pressure...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.82.5.1681

    authors: Bridges ND,Lock JE,Castaneda AR

    更新日期:1990-11-01 00:00:00

  • Supravalvular pulmonary stenosis after anatomic correction of transposition of the great arteries: causes and prevention.

    abstract::Twenty-two patients who underwent anatomic correction of transposition of the great arteries at the arterial level at the age of 8 weeks to 14 years were reinvestigated 1-4.6 years (mean 2.0 years) after operation. A Dacron tube was used to bridge the gap between the proximal pulmonary route and the distal pulmonary a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Yacoub MH,Bernhard A,Radley-Smith R,Lange P,Sievers H,Heintzen P

    更新日期:1982-08-01 00:00:00

  • Oral everolimus inhibits in-stent neointimal growth.

    abstract:BACKGROUND:Rapamycin (sirolimus)-eluting stents are associated with reduced restenosis rates in animal studies and initial human trials. The present study evaluated whether orally administered everolimus (a macrolide of the same family as sirolimus) inhibits in-stent neointimal growth in rabbit iliac arteries. METHODS...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000033973.06059.04

    authors: Farb A,John M,Acampado E,Kolodgie FD,Prescott MF,Virmani R

    更新日期:2002-10-29 00:00:00

  • Echocardiographic assessment of left ventricular function in aortic valve disease.

    abstract::Echocardiography was used to study left ventricular size and contraction in 128 patients with isolated aortic valve disease -45 patients with aortic stenosis, 25 with mixed aortic valve disease and 58 with aortic regurgitation. Left ventricular measurements included the end-diastolic internal dimension (LVIDd), mural ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.5.860

    authors: McDonald IG

    更新日期:1976-05-01 00:00:00

  • Time-varying myocardial stress and systolic pressure-stress relationship: role in myocardial-arterial coupling in hypertension.

    abstract:BACKGROUND:Myocardial afterload depends on left ventricular (LV) cavity size, pressure, and wall thickness, all of which change markedly throughout ejection. We assessed the relationship between instantaneous ejection-phase pressure and myocardial stress and the effect of arterial wave reflections on myocardial stress ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.829366

    authors: Chirinos JA,Segers P,Gupta AK,Swillens A,Rietzschel ER,De Buyzere ML,Kirkpatrick JN,Gillebert TC,Wang Y,Keane MG,Townsend R,Ferrari VA,Wiegers SE,St John Sutton M

    更新日期:2009-06-02 00:00:00

  • Epigenetic Reader BRD4 (Bromodomain-Containing Protein 4) Governs Nucleus-Encoded Mitochondrial Transcriptome to Regulate Cardiac Function.

    abstract:BACKGROUND:BET (bromodomain and extraterminal) epigenetic reader proteins, in particular BRD4 (bromodomain-containing protein 4), have emerged as potential therapeutic targets in a number of pathological conditions, including cancer and cardiovascular disease. Small-molecule BET protein inhibitors such as JQ1 have demo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.047239

    authors: Kim SY,Zhang X,Schiattarella GG,Altamirano F,Ramos TAR,French KM,Jiang N,Szweda PA,Evers BM,May HI,Luo X,Li H,Szweda LI,Maracaja-Coutinho V,Lavandero S,Gillette TG,Hill JA

    更新日期:2020-12-15 00:00:00

  • Exercise training stimulates ischemia-induced neovascularization via phosphatidylinositol 3-kinase/Akt-dependent hypoxia-induced factor-1 alpha reactivation in mice of advanced age.

    abstract:BACKGROUND:Exercise stimulates the vascular response in pathological conditions, including ischemia; however, the molecular mechanisms by which exercise improves the impaired hypoxia-induced factor (HIF)-1 alpha-mediated response to hypoxia associated with aging are poorly understood. Here, we report that swimming trai...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.909218

    authors: Cheng XW,Kuzuya M,Kim W,Song H,Hu L,Inoue A,Nakamura K,Di Q,Sasaki T,Tsuzuki M,Shi GP,Okumura K,Murohara T

    更新日期:2010-08-17 00:00:00

  • Urinary bisphenol A concentration and risk of future coronary artery disease in apparently healthy men and women.

    abstract:BACKGROUND:The endocrine-disrupting chemical bisphenol A (BPA) is widely used in food and beverage packaging. Higher urinary BPA concentrations were cross-sectionally associated with heart disease in National Health and Nutrition Examination Survey (NHANES) 2003-2004 and NHANES 2005-2006, independent of traditional ris...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.069153

    authors: Melzer D,Osborne NJ,Henley WE,Cipelli R,Young A,Money C,McCormack P,Luben R,Khaw KT,Wareham NJ,Galloway TS

    更新日期:2012-03-27 00:00:00

  • Endothelial progenitor cell vascular endothelial growth factor gene transfer for vascular regeneration.

    abstract:BACKGROUND:Previous studies have established that bone marrow-derived endothelial progenitor cells (EPCs) are present in the systemic circulation. In the current study, we investigated the hypothesis that gene transfer can be used to achieve phenotypic modulation of EPCs. METHODS AND RESULTS:In vitro, ex vivo murine v...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc0602.103673

    authors: Iwaguro H,Yamaguchi J,Kalka C,Murasawa S,Masuda H,Hayashi S,Silver M,Li T,Isner JM,Asahara T

    更新日期:2002-02-12 00:00:00

  • Clearance of tissue plasminogen activator (TPA) and TPA/plasminogen activator inhibitor type 1 (PAI-1) complex: relationship to elevated TPA antigen in patients with high PAI-1 activity levels.

    abstract:BACKGROUND:To evaluate the effect of plasminogen activator inhibitor type 1 (PAI-1) levels on the clearance of total tissue plasminogen activator (TPA) antigen, we studied the clearance of active TPA and TPA/PAI-1 complex in subjects with low (181+/-109 pmol/L; n=7) and high (1166+/-322 pmol/L; n=4) baseline active PAI...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.3.761

    authors: Chandler WL,Alessi MC,Aillaud MF,Henderson P,Vague P,Juhan-Vague I

    更新日期:1997-08-05 00:00:00

  • Sudden death in patients evaluated for ischemic heart disease.

    abstract::Data from 981 patients evaluated for ischemic heart disease with coronary angiography were reviewed to identify variables predictive of sudden death and duration from onset of symptoms to death. During the period of follow-up, 113 patients died. Of these deaths, 99 were classified as cardiovascular. Forty percent occu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Oberman A,Ray M,Turner ME,Barnes G,Grooms C

    更新日期:1975-12-01 00:00:00

  • Arteriographic evidence of coronary arterial spasm in acute myocardial infarction.

    abstract::Coronary arteriography was performed before and after the intracoronary injection of nitroglycerin to determine the presence or absence of spasm in patients within the first 12 hours of acute myocardial infarction. Coronary arterial spasm was demonstrated in six of fifteen (40%) acute myocardial infarctions associated...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.3.366

    authors: Oliva PB,Breckinridge JC

    更新日期:1977-09-01 00:00:00

  • Contribution of myocardium responsible for ventricular tachycardia to abnormalities detected by analysis of signal-averaged ECGs.

    abstract:BACKGROUND:Current methods of signal-averaged ECG analysis interrogate the terminal 40 msec of the QRS complex and/or the ST segment and have a low positive-predictive accuracy for detecting vulnerability to sustained ventricular tachycardia (VT). The extent to which abnormalities detected during these ECG intervals ar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.6.1888

    authors: Hood MA,Pogwizd SM,Peirick J,Cain ME

    更新日期:1992-12-01 00:00:00

  • Prognostic significance of microvascular obstruction by magnetic resonance imaging in patients with acute myocardial infarction.

    abstract:BACKGROUND:The extent of microvascular obstruction during acute coronary occlusion may determine the eventual magnitude of myocardial damage and thus, patient prognosis after infarction. By contrast-enhanced MRI, regions of profound microvascular obstruction at the infarct core are hypoenhanced and correspond to greate...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.8.765

    authors: Wu KC,Zerhouni EA,Judd RM,Lugo-Olivieri CH,Barouch LA,Schulman SP,Blumenthal RS,Lima JA

    更新日期:1998-03-03 00:00:00

  • p27kip1-838C>A single nucleotide polymorphism is associated with restenosis risk after coronary stenting and modulates p27kip1 promoter activity.

    abstract:BACKGROUND:The cyclin-dependent kinase inhibitor p27(kip1) is a key regulator of smooth muscle cell and leukocyte proliferation in vascular disease, including in-stent restenosis. We therefore hypothesized that common genetic variations or single nucleotide polymorphisms in p27(kip1) may serve as a useful tool in risk ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.842179

    authors: van Tiel CM,Bonta PI,Rittersma SZ,Beijk MA,Bradley EJ,Klous AM,Koch KT,Baas F,Jukema JW,Pons D,Sampietro ML,Pannekoek H,de Winter RJ,de Vries CJ

    更新日期:2009-08-25 00:00:00

  • Noninvasive measurement of myocardial activity concentrations and perfusion defect sizes in rats with a new small-animal positron emission tomograph.

    abstract:BACKGROUND:We explored the feasibility of measuring regional tracer activity concentrations and flow defects in myocardium of rats with a high spatial resolution small-animal PET system (microPET). METHODS AND RESULTS:Myocardial images were obtained after intravenous (18)F-fluorodeoxyglucose (18FDG) in 11 normal rats ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000020221.28996.78

    authors: Kudo T,Fukuchi K,Annala AJ,Chatziioannou AF,Allada V,Dahlbom M,Tai YC,Inubushi M,Huang SC,Cherry SR,Phelps ME,Schelbert HR

    更新日期:2002-07-02 00:00:00

  • Generation of functional murine cardiac myocytes from induced pluripotent stem cells.

    abstract:BACKGROUND:The recent breakthrough in the generation of induced pluripotent stem (iPS) cells, which are almost indistinguishable from embryonic stem (ES) cells, facilitates the generation of murine disease- and human patient-specific stem cell lines. The aim of this study was to characterize the cardiac differentiation...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.778795

    authors: Mauritz C,Schwanke K,Reppel M,Neef S,Katsirntaki K,Maier LS,Nguemo F,Menke S,Haustein M,Hescheler J,Hasenfuss G,Martin U

    更新日期:2008-07-29 00:00:00

  • Mechanism of atrial sounds in atrial fibrillation. Phonoechocardiographic correlation. Report of a case.

    abstract::Audible atrial sounds were noted in a patient with congestive cardiomyopathy and atrial fibrillation with slow ventricular rate. Oscillatory motion of similar periodicity as fibrillation waves in the ECG and the sounds in the phonocardiogram was demonstrated in aortic and left ventricular walls, mitral, tricuspid and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.3.569

    authors: Bamrah VS,Hughes CV,Tristani FE

    更新日期:1976-03-01 00:00:00

  • Five-year clinical and angiographic outcomes of a randomized comparison of sirolimus-eluting and paclitaxel-eluting stents: results of the Sirolimus-Eluting Versus Paclitaxel-Eluting Stents for Coronary Revascularization LATE trial.

    abstract:BACKGROUND:Long-term comparative data of first-generation drug-eluting stents are scarce. We investigated clinical and angiographic outcomes of sirolimus-eluting (SES) and paclitaxel-eluting stents (PES) at 5 years as part of the Sirolimus-Eluting Versus Paclitaxel-Eluting Stents for Coronary Revascularization (SIRTAX)...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.110.004762

    authors: Räber L,Wohlwend L,Wigger M,Togni M,Wandel S,Wenaweser P,Cook S,Moschovitis A,Vogel R,Kalesan B,Seiler C,Eberli F,Lüscher TF,Meier B,Jüni P,Windecker S

    更新日期:2011-06-21 00:00:00

  • Distribution, morphology, and neurochemistry of endocardial and epicardial nerve terminal arborizations in the human heart.

    abstract:BACKGROUND:The heart contains a variety of morphologically distinct nerve terminals known to influence cardiac function. Little is known about the distribution, morphology, and neurochemistry of these terminals in the human heart. METHODS AND RESULTS:We examined the entire endocardial and epicardial surfaces of infant...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.8.2343

    authors: Marron K,Wharton J,Sheppard MN,Fagan D,Royston D,Kuhn DM,de Leval MR,Whitehead BF,Anderson RH,Polak JM

    更新日期:1995-10-15 00:00:00

  • Rapid-response extracorporeal membrane oxygenation to support cardiopulmonary resuscitation in children with cardiac disease.

    abstract:BACKGROUND:Survival of children with in-hospital cardiac arrest that does not respond to conventional cardiopulmonary resuscitation (CPR) is poor. We report on survival and early neurological outcomes of children with heart disease supported with rapid-response extracorporeal membrane oxygenation (ECMO) to aid cardiopu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.928390

    authors: Kane DA,Thiagarajan RR,Wypij D,Scheurer MA,Fynn-Thompson F,Emani S,del Nido PJ,Betit P,Laussen PC

    更新日期:2010-09-14 00:00:00

  • Mutations of the cardiac ryanodine receptor (RyR2) gene in familial polymorphic ventricular tachycardia.

    abstract:BACKGROUND:Familial polymorphic ventricular tachycardia is an autosomal-dominant, inherited disease with a relatively early onset and a mortality rate of approximately 30% by the age of 30 years. Phenotypically, it is characterized by salvoes of bidirectional and polymorphic ventricular tachycardias in response to vigo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.4.485

    authors: Laitinen PJ,Brown KM,Piippo K,Swan H,Devaney JM,Brahmbhatt B,Donarum EA,Marino M,Tiso N,Viitasalo M,Toivonen L,Stephan DA,Kontula K

    更新日期:2001-01-30 00:00:00

  • Renal insufficiency and heart failure: prognostic and therapeutic implications from a prospective cohort study.

    abstract:BACKGROUND:The prevalence, prognostic import, and impact of renal insufficiency on the benefits of ACE inhibitors and beta-blockers in community-dwelling patients with heart failure are uncertain. METHODS AND RESULTS:We analyzed data from a prospective cohort of 754 patients with heart failure who had ejection fractio...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000116764.53225.A9

    authors: McAlister FA,Ezekowitz J,Tonelli M,Armstrong PW

    更新日期:2004-03-02 00:00:00

  • Overexpression of functionally coupled cyclooxygenase-2 and prostaglandin E synthase in symptomatic atherosclerotic plaques as a basis of prostaglandin E(2)-dependent plaque instability.

    abstract:BACKGROUND:Studies have implicated a role for prostaglandin (PG) E(2)-dependent matrix metalloproteinase (MMP) biosynthesis in the rupture of atherosclerotic plaque. Cyclooxygenase-2 (COX-2) and PGE synthase (PGES) are coregulated in nucleated cells by inflammatory stimuli. The aim of this study was to characterize the...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3401.093152

    authors: Cipollone F,Prontera C,Pini B,Marini M,Fazia M,De Cesare D,Iezzi A,Ucchino S,Boccoli G,Saba V,Chiarelli F,Cuccurullo F,Mezzetti A

    更新日期:2001-08-21 00:00:00