Mitral valve prolapse.

Abstract:

:For half a century the systolic click and late systolic murmur lay dormant as innocent auscultatory curiosities. The thirteen years since Barlow related these phenomena to mitral leaflet prolapse have witnessed an astonishing information explosion. We have sought to bring together the accumulated data in this review. An Historical Perspective traces the evolution from the now abandoned "pericardial" or "extracardiac" phases, through the leafletchordal phase (redundancy), the myocardial phase (segmental left ventricular contraction abnormalities), to the anular phase (dilatation and faulty systolic contraction). Functional Anatomy is dealt with in terms of pathology, pathophysiology, hemodynamics, angiocardiography, echocardiography, and physical and pharmacological interventions. Clinical Manifestations are concerned with prevalence, natural history, symptoms, physical signs, electrocardiographic abnormalities and roentgen fingings. The four Major Complications- sudden death, infective endocarditis, spontaneous rupture of chordae tendineae, and progressive mitral regurgitation- are examined. Associated Cardiac Diseases, i.e., Marfan's syndrome, ostium secundum atrial septal defect and atherosclerotic coronary artery disease, are discussed, and a section on Treatment deals chiefly with prophylaxis for infective endocarditis and the management of arrhythmias and chest pain. A final section on Evolving Information considers etiologic concepts, the nature of left ventricular contration abnormalities, the cause of chest pain, the relationship to Marfan's syndrome and ostium secundum atrial septal defect, and the effect of aging and sex differences on leaflet chordal redundancy.

journal_name

Circulation

journal_title

Circulation

authors

Devereux RB,Perloff JK,Reichek N,Josephson ME

doi

10.1161/01.cir.54.1.3

subject

Has Abstract

pub_date

1976-07-01 00:00:00

pages

3-14

issue

1

eissn

0009-7322

issn

1524-4539

journal_volume

54

pub_type

杂志文章,评审
  • Coronary events after arterial switch operation for transposition of the great arteries.

    abstract:BACKGROUND:Transfer of the coronary arteries is a crucial step during the arterial switch operation (ASO) for transposition of the great arteries. This retrospective study aims to assess the incidence and risk factors of coronary events after ASO and sensitivity of noninvasive tests in the diagnosis of the coronary obs...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000087902.67220.2b

    authors: Legendre A,Losay J,Touchot-Koné A,Serraf A,Belli E,Piot JD,Lambert V,Capderou A,Planche C

    更新日期:2003-09-09 00:00:00

  • Magnetic resonance and echocardiographic imaging of pulmonary artery size throughout stages of Fontan reconstruction.

    abstract:BACKGROUND:Because pulmonary artery size is considered by most investigators to be a major prognosticator of outcome in patients undergoing staged Fontan reconstruction, the objective of the present study was to determine the efficacy of noninvasive measures in determining pulmonary artery size. METHODS AND RESULTS:Th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.6.2927

    authors: Fogel MA,Donofrio MT,Ramaciotti C,Hubbard AM,Weinberg PM

    更新日期:1994-12-01 00:00:00

  • Coronary atherosclerotic wall thickening and vascular reactivity in humans. Elevated high-density lipoprotein levels ameliorate abnormal vasoconstriction in early atherosclerosis.

    abstract:BACKGROUND:Abnormal vascular reactivity represents a fundamental disturbance in vascular biology with the development of atherosclerosis. Because endothelial vasodilator function plays a pivotal role in controlling vasomotor tone, we hypothesized that atherosclerotic wall thickening might directly interfere with defici...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.6.2525

    authors: Zeiher AM,Schächlinger V,Hohnloser SH,Saurbier B,Just H

    更新日期:1994-06-01 00:00:00

  • Unrecognized pulmonary venous desaturation early after Norwood palliation confounds Gp:Gs assessment and compromises oxygen delivery.

    abstract:BACKGROUND:Hemodynamic stability after Norwood palliation often requires manipulation of pulmonary vascular resistance to alter the pulmonary-to-systemic blood flow ratio (Qp:Qs). Qp:Qs is often estimated from arterial saturation (SaO2), a practice based on 2 untested assumptions: constant systemic arteriovenous O2 dif...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.22.2699

    authors: Taeed R,Schwartz SM,Pearl JM,Raake JL,Beekman RH 3rd,Manning PB,Nelson DP

    更新日期:2001-06-05 00:00:00

  • Cardiac epinephrine synthesis. Regulation by a glucocorticoid.

    abstract:BACKGROUND:The heart can synthesize epinephrine. Homogenates of rat heart, which contain the enzymes phenylethanolamine N-methyltransferase (PNMT) and nonspecific N-methyltransferase (NMT), methylate norepinephrine to form epinephrine. The cardiac atrium contains primarily PNMT and the cardiac ventricle contains both P...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.2.891

    authors: Kennedy B,Ziegler MG

    更新日期:1991-08-01 00:00:00

  • Downregulation of c-myc expression by antisense oligonucleotides inhibits proliferation of human smooth muscle cells.

    abstract:BACKGROUND:Proliferation of smooth muscle cells (SMCs) plays an important role in vascular pathobiology, being involved in the development of coronary restenosis and atherosclerosis. The activation of nuclear proto-oncogenes appears to be a final common pathway onto which various mitogenic signals coverage. Accordingly...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.3.1190

    authors: Shi Y,Hutchinson HG,Hall DJ,Zalewski A

    更新日期:1993-09-01 00:00:00

  • Composite graft replacement for the treatment of aneurysms of the ascending aorta associated with aortic valvular disease.

    abstract::Composite graft replacement of the ascending aorta and aortic valve was performed in 78 patients over an 8 1/2-year period. Degenerative lesions of the aortic root in Marfan's syndrome (annuloaortic ectasia) was the indication for operation in 56 cases; the other 22 patients had other causes of aortic root dilatation ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Donaldson RM,Ross DN

    更新日期:1982-08-01 00:00:00

  • Mortality benefits and the implantable cardioverter-defibrillator.

    abstract::The automatic implantable cardioverter-defibrillator (ICD) is highly effective in reducing sudden death rates in patients with life-threatening ventricular tachyarrhythmias. However, the magnitude of the ability of the ICD to improve overall survival is less certain. Data supporting the contention that the ICD prolong...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.89.4.1851

    authors: Sweeney MO,Ruskin JN

    更新日期:1994-04-01 00:00:00

  • Hormonal and hemodynamic profile of an anaphylactic reaction in man.

    abstract::A 28-year-old female undergoing elective total hip replacement experienced an anaphylactic reaction to succinylcholine. Hemodynamics, plasma histamine and catecholamines were measured. The tachycardia experienced during the reaction appeared to be secondary to the sympathoadrenal response rather than a direct chronotr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.63.1.210

    authors: Moss J,Fahmy NR,Sunder N,Beaven MA

    更新日期:1981-01-01 00:00:00

  • Improvement in survival and cardiac metabolism after gene transfer of sarcoplasmic reticulum Ca(2+)-ATPase in a rat model of heart failure.

    abstract:BACKGROUND:In heart failure, sarcoplasmic reticulum (SR) Ca(2+)-ATPase (SERCA2a) activity is decreased, resulting in abnormal calcium handling and contractile dysfunction. We have previously shown that increasing SERCA2a expression by gene transfer improves ventricular function in a rat model of heart failure created b...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3601.095574

    authors: del Monte F,Williams E,Lebeche D,Schmidt U,Rosenzweig A,Gwathmey JK,Lewandowski ED,Hajjar RJ

    更新日期:2001-09-18 00:00:00

  • Realizing the potential of carotid artery stenting: proposed paradigms for patient selection and procedural technique.

    abstract::Carotid artery stenting, compared with carotid endarterectomy, is emerging as an effective and less invasive method of revascularization for extracranial carotid artery stenosis. Carotid stenting is established as the treatment of choice for certain high-risk patient subsets, and ongoing clinical trials are evaluating...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.595512

    authors: Roubin GS,Iyer S,Halkin A,Vitek J,Brennan C

    更新日期:2006-04-25 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

  • Percutaneous coronary excimer laser angioplasty in patients with stable and unstable angina pectoris. Acute results and incidence of restenosis during 6-month follow-up.

    abstract::A clinical study was conducted to evaluate the efficacy and safety of percutaneous coronary excimer laser angioplasty in 60 patients with coronary artery disease. Forty-nine patients had stable exertional angina, and 11 patients had unstable angina despite medical therapy. A novel 1.4-mm diameter catheter with 20 quar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.6.1849

    authors: Karsch KR,Haase KK,Voelker W,Baumbach A,Mauser M,Seipel L

    更新日期:1990-06-01 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

  • Berlin Heart EXCOR pediatric ventricular assist device for bridge to heart transplantation in US children.

    abstract:BACKGROUND:Recent data suggest that the Berlin Heart EXCOR Pediatric ventricular assist device is superior to extracorporeal membrane oxygenation for bridge to heart transplantation. Published data are limited to 1 in 4 children who received the device as part of the US clinical trial. We analyzed outcomes for all US c...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.112.000685

    authors: Almond CS,Morales DL,Blackstone EH,Turrentine MW,Imamura M,Massicotte MP,Jordan LC,Devaney EJ,Ravishankar C,Kanter KR,Holman W,Kroslowitz R,Tjossem C,Thuita L,Cohen GA,Buchholz H,St Louis JD,Nguyen K,Niebler RA,Walt

    更新日期:2013-04-23 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

  • Recommendations for the Implementation of Telehealth in Cardiovascular and Stroke Care: A Policy Statement From the American Heart Association.

    abstract::The aim of this policy statement is to provide a comprehensive review of the scientific evidence evaluating the use of telemedicine in cardiovascular and stroke care and to provide consensus policy suggestions. We evaluate the effectiveness of telehealth in advancing healthcare quality, identify legal and regulatory b...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIR.0000000000000475

    authors: Schwamm LH,Chumbler N,Brown E,Fonarow GC,Berube D,Nystrom K,Suter R,Zavala M,Polsky D,Radhakrishnan K,Lacktman N,Horton K,Malcarney MB,Halamka J,Tiner AC,American Heart Association Advocacy Coordinating Committee.

    更新日期:2017-02-14 00:00:00

  • Contrast M-mode ultrasonography of the inferior vena cava.

    abstract::Contrast M-mode and two-dimensional ultrasonography of the inferior vena cava were performed in 65 patients with various acquired and congenital cardiac disorders. After saline was injected into a peripheral arm vein, the inferior vena cava was visualized by both methods in 60 patients (92%). The M-mode approach was b...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.63.5.1100

    authors: Wise NK,Myers S,Fraker TD,Stewart JA,Kisslo JA

    更新日期:1981-05-01 00:00:00

  • Enhancement of the force-frequency effect on myocardial contractility by adrenergic stimulation in conscious dogs.

    abstract:BACKGROUND:The influence of changes in heart rate on myocardial contractility (the force-frequency effect) differs under various experimental conditions, including the anesthetized versus the conscious state. METHODS AND RESULTS:To assess the influence of beta-adrenergic stimulation on force-frequency effects on myoca...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.2.572

    authors: Kambayashi M,Miura T,Oh BH,Rockman HA,Murata K,Ross J Jr

    更新日期:1992-08-01 00:00:00

  • Efficacy of antiarrhythmic drugs in patients with arrhythmogenic right ventricular disease. Results in patients with inducible and noninducible ventricular tachycardia.

    abstract:BACKGROUND:Ventricular tachyarrhythmias are the major clinical manifestation of arrhythmogenic right ventricular disease. Although antiarrhythmic therapy has been widely advocated, there is only limited information available on the efficacy of antiarrhythmic drugs in these patients. METHODS AND RESULTS:The short- and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.1.29

    authors: Wichter T,Borggrefe M,Haverkamp W,Chen X,Breithardt G

    更新日期:1992-07-01 00:00:00

  • Intraoperative detection of myocardial ischemia in high-risk patients: electrocardiography versus two-dimensional transesophageal echocardiography.

    abstract::Because acute segmental wall motion abnormalities (SWMAs) of the left ventricle are highly sensitive and specific indicators of myocardial ischemia, this study compared the incidence and significance of ischemia, as detected by two-dimensional transesophageal echocardiography and surface electrocardiography, during an...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.72.5.1015

    authors: Smith JS,Cahalan MK,Benefiel DJ,Byrd BF,Lurz FW,Shapiro WA,Roizen MF,Bouchard A,Schiller NB

    更新日期:1985-11-01 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

  • Late reperfusion for acute myocardial infarction limits the dilatation of left ventricle without the reduction of infarct size.

    abstract:BACKGROUND:While previous clinical studies have shown a possible beneficial effect of the reperfusion performed at a relatively late phase of acute myocardial infarction ("late reperfusion") in preventing left ventricular enlargement, the mechanism has not been clarified. METHODS AND RESULTS:Of 89 patients with an ini...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.88.6.2565

    authors: Hirayama A,Adachi T,Asada S,Mishima M,Nanto S,Kusuoka H,Yamamoto K,Matsumura Y,Hori M,Inoue M

    更新日期:1993-12-01 00:00:00

  • Temporal trends in event rates after Q-wave myocardial infarction: the Framingham Heart Study.

    abstract:BACKGROUND:Short-term (<30 day) mortality after Q-wave myocardial infarction (MI) has declined over the decades, but it is unclear if rates of long-term sequelae after Q-wave MI have improved. METHODS AND RESULTS:In 546 Framingham Heart Study subjects (388 men with a mean age of 60 years; 158 women with a mean age of ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.100.20.2054

    authors: Guidry UC,Evans JC,Larson MG,Wilson PW,Murabito JM,Levy D

    更新日期:1999-11-16 00:00:00

  • Dietary Cholesterol and Cardiovascular Risk: A Science Advisory From the American Heart Association.

    abstract::The elimination of specific dietary cholesterol target recommendations in recent guidelines has raised questions about its role with respect to cardiovascular disease. This advisory was developed after a review of human studies on the relationship of dietary cholesterol with blood lipids, lipoproteins, and cardiovascu...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析

    doi:10.1161/CIR.0000000000000743

    authors: Carson JAS,Lichtenstein AH,Anderson CAM,Appel LJ,Kris-Etherton PM,Meyer KA,Petersen K,Polonsky T,Van Horn L,American Heart Association Nutrition Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Arteriosclero

    更新日期:2020-01-21 00:00:00

  • Genetic--epidemiologic study of early-onset ischemic heart disease.

    abstract::A genetic-epidemiologic study was undertaken of a white Colorado population of 207 patients who had a myocardial infarction before age 55 years. Nineteen independent variables were compared between the 207 cases and 621 controls, matched 3:1. The highest risk ratios were associated with a positive family history for i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.61.3.503

    authors: Nora JJ,Lortscher RH,Spangler RD,Nora AH,Kimberling WJ

    更新日期:1980-03-01 00:00:00

  • Akkermansia Muciniphila Protects Against Atherosclerosis by Preventing Metabolic Endotoxemia-Induced Inflammation in Apoe-/- Mice.

    abstract:BACKGROUND:Altered composition of the gut microbiota is involved in both the onset and progression of obesity and diabetes mellitus. However, the link between gut microbiota and obesity-related cardiovascular complications has not been explored. The present study was designed to investigate the role of Akkermansia muci...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.115.019645

    authors: Li J,Lin S,Vanhoutte PM,Woo CW,Xu A

    更新日期:2016-06-14 00:00:00

  • Absence of lethal reperfusion injury after 3 hours of reperfusion. A study in a single-canine-heart model of ischemia-reperfusion.

    abstract:BACKGROUND:Whether reperfusion can cause necrosis of previously viable myocytes (lethal reperfusion injury) remains controversial. Numerous studies examined the ability of various agents to prevent or limit reperfusion injury, but the results were contradictory. In a single-canine-heart model of ischemia-reperfusion, w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.12.2989

    authors: Zahger D,Yano J,Chaux A,Fishbein MC,Ganz W

    更新日期:1995-06-15 00:00:00

  • Mortality and cardiovascular risk across the ankle-arm index spectrum: results from the Cardiovascular Health Study.

    abstract:BACKGROUND:A low ankle-arm index (AAI) is a strong predictor of mortality and cardiovascular events. A high AAI also appears to be associated with higher mortality risk in select populations. However, mortality and cardiovascular risk across the AAI spectrum have not been described in a more broadly defined population....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.570903

    authors: O'Hare AM,Katz R,Shlipak MG,Cushman M,Newman AB

    更新日期:2006-01-24 00:00:00

  • The association between urinary sodium excretion and blood pressure in children.

    abstract::This study explored the association between sodium excretion and blood pressure (BP). A new method was used to minimize the measurement error introduced by the large intrinsic variability of 24-hour sodium excretion. The ratio of intra- to interindividual variation was used to estimate the number of measurements neede...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.62.1.97

    authors: Cooper R,Soltero I,Liu K,Berkson D,Levinson S,Stamler J

    更新日期:1980-07-01 00:00:00