[Myocardial viability in a single-vessel disease: the role of a dobutamine stress echocardiography].

Abstract:

OBJECTIVE:To investigate a group of patients that have a significant lesion in a single-vessel and to demonstrate whether or not the sensitivity and specificity of a dobutamine stress echocardiography (DSE) was valuable in the evaluation of myocardial viability for these patients. METHODS:Twenty patients who had undergone percutaneous transluminal coronary angioplasty (PTCA) were studied. This group was evaluated 2 to 7 days (3.65 +/- 1.69) before the procedure and 2 to 5 days (4 +/- 0.80) after the procedure with a DSE. Myocardial viability was assessed three months after the procedure using a two dimensional echocardiogram. Twelve patients underwent PTCA on the left anterior descending artery (LAD), 7 on the right coronary artery (RC) and 1 on the circumflex artery (CX). Only one right coronary artery procedure was not 100% successful. RESULTS:From the 340 segments that were studied, 99 (29.18%) demonstrated contractile alterations of which 63 were hypokinetic (63.4%), 28 akinetic (28.28%) and 8 dyskinetic (8.08%). In reference to the segments involved, we obtained a sensitivity of 92.59%, specificity of 84.45%, and accuracy of 88.88% for the DSE. The solitary case of PTCA for the circumflex artery demonstrated 100% sensitivity. The LAD demonstrated a sensitivity of 88.58%, specificity of 95% and accuracy of 90.91%. For the RC segments, sensitivity was 91.30%, specificity 83.33% and accuracy 88.71%. All dyskinetic segments were unviable. The DSE predicted a 91.48% recovery rate for the 63 hypokinetic segments. CONCLUSION:The DSE is an effective test for evaluating myocardial viability in patients with a significant single-vessel disease.

journal_name

Arq Bras Cardiol

authors

Castier MB,Carrinho JR,Carrinho MA,Albanesi Filho FM,Moraes AV,Morcerf FP

doi

10.1590/s0066-782x2005001900005

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

397-402

issue

6

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2005001900005

journal_volume

85

pub_type

杂志文章
  • Atorvastatin Reduces Accumulation of Vascular Smooth Muscle Cells to Inhibit Intimal Hyperplasia via p38 MAPK Pathway Inhibition in a Rat Model of Vein Graft.

    abstract:BACKGROUND:The rate of saphenous vein graft failure one year after coronary artery bypass grafting ranges from 10% to 25%. The aim of this study was to explore whether atorvastatin can reduce accumulation of vascular smooth muscle cells to inhibit intimal hyperplasia via p38 MAPK pathway inhibition. METHODS:Forty-five...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.36660/abc.20190231

    authors: Chu T,Huang M,Zhao Z,Ling F,Cao J,Ge J

    更新日期:2020-10-01 00:00:00

  • Cross-sectional study of treatment strategies on atrial fibrillation.

    abstract:BACKGROUND:Despite the high prevalence and clinical importance of atrial fibrillation (AF), there is no Brazilian study describing the clinical profile of patients with AF and the most used treatment strategy (rhythm control vs. rate control). OBJECTIVE:Assess the most common treatment on AF in an outpatient specializ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2012005000020

    authors: Oliveira LH,Mallmann FB,Botelho FN,Paul LC,Gianotto M,Abt Rde B,Silva NJ,Luize CM,Nogueira FL,Carvalho RS,Paola AA,Cirenza C

    更新日期:2012-03-01 00:00:00

  • [Sudden death and tachycardiomyopathy in a young man with incessant tachycardia].

    abstract::The case of a 19-year-old young man with clinical picture of congestive heart failure and supraventricular tachycardia is reported. Heart failure got better with conventional treatment, but the tachycardia persisted in spite of antiarrhythmic drugs. Echocardiogram showed dilated cardiomyopathy of important degree and ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Afonso MR,França HH

    更新日期:1992-04-01 00:00:00

  • Influence of the elevation of the left ventricular diastolic pressure on the values of the first temporal derivative of the ventricular pressure (dP/dt).

    abstract:PURPOSE:To assess the effects of the elevation of the left-ventricular end-diastolic pressure (LVEDP) on the value of the 1st temporal derivative of the ventricular pressure (dP/dt). METHODS:Nineteen anesthetized dogs were studied. The dogs were mechanically ventilated and underwent thoracotomy with parasympathetic ne...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1999000700004

    authors: Okoshi K,Fioretto JR,Bonatto RC,Tornero MT,Tucci PJ

    更新日期:1999-07-01 00:00:00

  • Recommendations for the Post-Mortem Management of Cardiac Implantable Electronic Devices.

    abstract::The management of cardiac implantable electronic devices after death has become a source of controversy. There are no uniform recommendations for such management in Brazil; practices rely exclusively on institutional protocols and regional custom. When the cadaver is sent for cremation, it is recommended to remove the...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 信件

    doi:10.36660/abc.20200447

    authors: Oliveira JC,Fagundes AA,Alkmim-Teixeira R,Baggio Junior JM,Armaganijan L,d'Avila A,Saad EB,Andrade VS,Moraes LGB,Kuniyoshi R,Rezende AGDS,Pimentel M,Rodrigues TDR,Brito Junior HL,Nadalin E,Pisani CF,Arfelli E,Cintra FD

    更新日期:2020-12-01 00:00:00

  • Is there evidence favoring the use of beta-blockers and dobutamine in acute heart failure?

    abstract::Several studies have reported the benefits of beta-blockers (BB) for patients presenting with systolic heart failure. however, many patients hospitalized as a result of acute heart failure are already using BB and require dobutamine for arterial hypotension and low cardiac output. Therefore, a decision must be made re...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.5935/abc.20130034

    authors: Passos LC,Barbosa AC,Oliveira MG,Santos EG Jr

    更新日期:2013-02-01 00:00:00

  • [Detection of myocardial ischemia during dobutamine stress echocardiography. Correlation with coronary cineangiography].

    abstract:PURPOSE:To detect myocardial ischemia during dobutamine stress echocardiography (DSE). METHODS:Two hundred and seventy one patients were studied; 63 (23%) underwent coronary angiography within a month of DSE. Angiograms were analyzed independently by 3 angiographers, and coronary lesions larger than 50% of luminal occ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Mathias Júnior W,Doya EH,Ribeiro EE,Silva LA,Gasques A,Salvadori RA,Duprat Filho R

    更新日期:1993-04-01 00:00:00

  • Effects of the use of theoretical versus theoretical-practical training on CPR.

    abstract:BACKGROUND:Theoretical knowledge and skill to perform good quality cardiopulmonary resuscitation (CPR) are essential for the survival of patients with sudden death. OBJECTIVE:To determine whether a theoretical course alone is sufficient to promote good quality CPR training and knowledge for health professionals in com...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000104

    authors: Miotto HC,Camargos FR,Ribeiro CV,Goulart EM,Moreira Mda C

    更新日期:2010-09-01 00:00:00

  • [Video-assisted surgery for closure of persistent ductus arteriosus. Study in sheep and initial clinical experience].

    abstract:PURPOSE:The aim of this study was to analyse the effectiveness of patent ductus arteriosus (PDA) closure by the video-assisted thoracic surgery (VATS). METHODS:The technique was utilized in 6 newborn lambs firstly. Three to four small incisions (3 to 10mm) were used in each animal to permit the introduction of lung re...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

    doi:

    authors: Jatene FB,Assad RS,Pêgo-Fernandes P,Jatene MB,Monteiro R,Aiello VD,Rocha e Silva R,Barbero-Marcial M,Jatene AD

    更新日期:1994-12-01 00:00:00

  • Features of the onset of Takayasu's arteritis according to gender.

    abstract:BACKGROUND:Although there are various published epidemiological studies regarding Takayasu's arteritis (TA), none have analyzed the influence of gender on the clinical and laboratory manifestations or vascular alterations at disease onset. OBJECTIVES:To analyze the influence of gender on clinical and laboratory manife...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20130180

    authors: Mont'Alverne AR,Paula LE,Shinjo SK

    更新日期:2013-10-01 00:00:00

  • Effect of penicillin G every three weeks on oral microflora by penicillin resistant Viridans Streptococci.

    abstract:BACKGROUND:Benzathine penicillin G every 3 weeks is the standard protocol for secondary prophylaxis for recurrent rheumatic fever. OBJECTIVE:Assess the effect of Benzathine penicillin G on Streptococcus sanguinis and Streptococcus oralis in patients with cardiac valvular disease due to rheumatic fever receiving second...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2012005000038

    authors: Aguiar AA,Sampaio RO,Sampaio JL,Spina GS,Neves RS,Moreira LF,Grinberg M

    更新日期:2012-05-01 00:00:00

  • [Effect of dopamine in dopaminergic doses on pulmonary circulation of dogs in normoxia and hypoxia].

    abstract:PURPOSE:To study if dopamine in dopaminergic doses (1.5 and 4.0 micrograms/kg/min) had some effect on the pulmonary vasoconstriction mechanism, and if in those doses the drug had some action on systemic and pulmonary hemodynamic variables, as well as in the pulmonary gas exchange. METHODS:Seventeen normal mongrel dogs...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: de Araújo FG,Romaldini H,Bogossian M,Afonso JE,Uehara C

    更新日期:1995-09-01 00:00:00

  • Prevention of Sudden Cardiac Death in Hypertrophic Cardiomyopathy: What has Changed in The Guidelines?

    abstract:BACKGROUND:The new European Society of Cardiology guidelines for hypertrophic cardiomyopathy (HCM) define the estimation of sudden cardiac death (SCD) risk as an integral part of clinical management. An implantable cardioverter defibrillator (ICD) is recommended (class IIa) when the risk is ≥ 6%. OBJECTIVES:To compare...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20180099

    authors: Reis L,Teixeira R,Fernandes A,Almeida I,Madeira M,Silva J,Botelho A,Pais J,Nascimento J,Gonçalves L

    更新日期:2018-06-01 00:00:00

  • Efficacy, Safety, and Performance of Isolated Left vs. Right Ventricular Pacing in Patients with Bradyarrhythmias: A Randomized Controlled Trial.

    abstract:BACKGROUND:Considering the potential deleterious effects of right ventricular (RV) pacing, the hypothesis of this study is that isolated left ventricular (LV) pacing through the coronary sinus is safe and may provide better clinical and echocardiographic benefits to patients with bradyarrhythmias and normal ventricular...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,随机对照试验

    doi:10.5935/abc.20180275

    authors: Crevelari ES,Silva KRD,Albertini CMM,Vieira MLC,Martinelli Filho M,Costa R

    更新日期:2019-04-01 00:00:00

  • Variability among cardiologists in the management of patients under secondary prevention of ischemic heart disease.

    abstract:OBJECTIVE:To compare the management of patients with ischemic heart disease being followed up in a general cardiology outpatient clinic with that of patients being followed up in an outpatient clinic specific for ischemic heart disease, emphasizing the lipid profile and the pharmacological treatment prescribed. METHOD...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2004001500005

    authors: Stein R,Alboim C,Campos C,Mello RB,Rosito GA,Polanczyk CA

    更新日期:2004-09-01 00:00:00

  • [Cor triatriatum].

    abstract::A 16-year-old patient was evaluated for congestive heart failure and pulmonary hypertension, suggesting mitral valve stenosis. A left atrial membrane with a 4 mm orifice was seen in echocardiography and angiography, and a diagnosis of cor triatriatum was made. The membrane was successfully removed by surgery. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Wüsthof AR,Sacomani CA,Rossetti FT,Benacchio M,Rivetti LA,Franken RA

    更新日期:1991-09-01 00:00:00

  • [Cardiovascular diseases observed during follow-up of a group of patients with undetermined form of Chagas' disease].

    abstract:PURPOSE:The aim of this study was to evaluate the cardiovascular outcome in patients with the undetermined form of Chagas' disease and whether or not it is related to the infectious disease in the long-term. METHODS:One hundred and sixty patients were prospectively followed-up at three month intervals for up to 177 mo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x1998000700005

    authors: Ianni BM,Mady C,Arteaga E,Fernandes F

    更新日期:1998-07-01 00:00:00

  • Effects of added salt reduction on central and peripheral blood pressure.

    abstract:BACKGROUND:Although the effects of salt intake reduction on casual blood pressure have been extensively studied in hypertensive individuals, data on reductions of added salt on arterial stiffness in both normotensive and prehypertensive subjects are scarce. OBJECTIVE:To evaluate the effects of progressive reduction in...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

    doi:10.36660/abc.20180426

    authors: Arantes AC,Sousa ALL,Vitorino PVO,Jardim PCBV,Jardim TSV,Rezende JM,Lelis ES,Rodrigues RB,Coca A,Barroso WKS

    更新日期:2020-05-01 00:00:00

  • Successful reversal of pulmonary hypertension in Eisenmenger complex.

    abstract::We present a case of a 19-year old female with systemic pulmonary artery (PA) pressure due to a congenital ventricular septal defect (VSD) and atrial septal defect (ASD). She was pink at rest and cyanotic on exercise. Lung biopsy revealed grade IV pulmonary vascular changes. As a preliminary step PA was banded to incr...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Batista RJ,Santos JL,Takeshita N,Eocchino L,Lima PN,Goehr M,Cunha MA,Kawaguchi AT,Salerno TA

    更新日期:1997-04-01 00:00:00

  • Systemic Arterial Hypertension in Patients Exposed to Cesium-137 in Goiânia-GO: Prevalence Study.

    abstract:Background::Systemic Arterial Hypertension (SAH) in the Brazilian population, in populations not exposed to Césio-137, presents a prevalence of 28% nationwide. However, in the group of radioactivity victims, these values are unknown. Objective::To analyze the prevalence of hypertension in patients exposed to Cesium-13...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20170062

    authors: Rodrigues JVR,Pinto MM,Figueredo RMP,Lima H,Souto R,Sacchetim SC

    更新日期:2017-01-01 00:00:00

  • Knowledge about the Disease and the Practice of Physical Activity in Children and Adolescents with Congenital Heart Disease.

    abstract:BACKGROUND:Knowledge about the disease itself can be important for self-care in patients with several problems and comprehends information about the diagnosis up to the most important clinical implications. OBJECTIVE:To identify the level of knowledge of children and adolescents with congenital heart disease (CHD) abo...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.36660/abc.20180417

    authors: Campos EFL,Perin L,Assmann M,Lucchese F,Pellanda LC

    更新日期:2020-06-01 00:00:00

  • Permanent pacemaker implantation in a pregnant woman with rheumatic mitral valve disease.

    abstract::We describe a rare case of permanent pacemaker implantation in a pregnant woman with rheumatic mitral valve disease previously undergoing percutaneous balloon valvuloplasty. She presented symptomatic advanced atrioventricular block of non-reversible cause and manifest in the third trimester of gestation. ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2009000500017

    authors: Esper RB,Furtado RH,Tarasoutchi F,Spina GS,Grinberg M,Avila WS

    更新日期:2009-05-01 00:00:00

  • Evaluation of cardiopulmonary fitness in individuals with hemiparesis after cerebrovascular accident.

    abstract:BACKGROUND:Due to the hemiparesis, the assessment of cardiorespiratory fitness on individuals after cerebrovascular accident (CVA), using exercise tests with conventional protocols, has become a challenge. OBJECTIVE:Perform cardiopulmonary test (CPT) in hemiparetic patients to a pre-participation evaluation aimed at a...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2011005000001

    authors: Ovando AC,Michaelsen SM,Carvalho Td,Herber V

    更新日期:2011-02-01 00:00:00

  • [Current insights into the modern treatment of decompensated heart failure].

    abstract::Treatment of DHF is a challenge even for the experienced physician. Advances in research have brought new treatment options that are helping change paradigms. The available evidence suggests that new drugs like levosimendan and nesiritide will assume relevant positions as alternatives or complements to treatment with ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x2006001600022

    authors: Vilas-Boas F,Follath F

    更新日期:2006-09-01 00:00:00

  • Heart rate recovery after treadmill electrocardiographic exercise stress test and 24-hour heart rate variability in healthy individuals.

    abstract:BACKGROUND:Heart rate recovery after treadmill electrocardiographic exercise stress test is modulated by the autonomic nervous system. Analysis of heart rate variability can provide useful information about autonomic control of the cardiovascular system. OBJECTIVE:The aim of the study was to test the hypothesis of ass...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2008000600005

    authors: Antelmi I,Chuang EY,Grupi CJ,Latorre Mdo R,Mansur AJ

    更新日期:2008-06-01 00:00:00

  • Value of left atrial diameter with CHA2DS2-VASc score in predicting left atrial/left atrial appendage thrombosis in non-valvular atrial fibrillation.

    abstract:BACKGROUND:Atrial fibrillation is the most common persistent arrhythmia, and is the main factor that leads to thromboembolism. OBJECTIVE:To investigate the value of left atrial diameter combined with CHA2DS2-VASc score in predicting left atrial/left atrial appendage thrombosis in non-valvular atrial fibrillation. MET...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.36660/abc.20190492

    authors: Zhang Y,Yuan YQ

    更新日期:2021-01-18 00:00:00

  • Effects of aerobic and anaerobic exercise on cardiac risk variables in overweight adults.

    abstract:BACKGROUND:Aerobic exercise is an important ally in the fight against cardiovascular risk factors. However, the effects of high-intensity exercise on these factors are still poorly known. OBJECTIVE:To compare the effects of aerobic and anaerobic exercise protocols on cardiac risk factors. METHODS:22 individuals with ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s0066-782x2008001600003

    authors: Moreira MM,Souza HP,Schwingel PA,Sá CK,Zoppi CC

    更新日期:2008-10-01 00:00:00

  • Diagnosis and therapeutics of pulmonary arteriovenous fistula in childhood. Case report and review of the literature.

    abstract::We report the case of a 3-year-old female patient, who, since birth, had cyanosis difficult to explain with usual diagnostic tests. The only findings on physical examination were cyanosis and clubbing of her fingers. Chest computerized tomography showed images of excessive attenuation in the right lung, which resemble...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x2001000900008

    authors: Gianisella RB,Rossi Filho RI,Zielinsky P

    更新日期:2001-09-01 00:00:00

  • Quantification of DNA Damage in Different Tissues in Rats with Heart Failure.

    abstract:BACKGROUND:Chronic heart failure (CHF) is a complex syndrome which comprises structural and functional alterations in the heart in maintaining the adequate blood demand to all tissues. Few investigations sought to evaluate oxidative DNA damage in CHF. OBJECTIVE:To quantify the DNA damage using the comet assay in left ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.36660/abc.20180198

    authors: Stefani GP,Nunes RB,Rossato DD,Hentschke VS,Domenico MD,Lago PD,Rhoden CR

    更新日期:2020-02-01 00:00:00

  • Heart Transplantation for Peripartum Cardiomyopathy: A Single-Center Experience.

    abstract:BACKGROUND:Peripartum cardiomyopathy is an idiopathic disorder defined by the occurrence of acute heart failure during late pregnancy or post-partum period in the absence of any other definable cause. Its clinical course is variable and severe cases might require heart transplantation. OBJECTIVE:To investigate long-te...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20180014

    authors: Bouabdallaoui N,Demondion P,Maréchaux S,Varnous S,Lebreton G,Mouquet F,Leprince P

    更新日期:2018-02-01 00:00:00