Late hemodynamic effects of the preserved papillary muscles during mitral valve replacement.

Abstract:

BACKGROUND:The late hemodynamic effects of preserving the papillary muscles during mitral valve replacement have not been evaluated. METHODS AND RESULTS:Sixteen patients who had chronic mitral regurgitation due to myxomatous degeneration were randomized to preservation (Pres group, n = 8) or no preservation (No Pres group, n = 8) of the chordae tendineae and papillary muscles during mitral valve replacement. Rest and exercise nuclear ventriculograms were performed early (3 months) and late (5 years) after surgery. Early after surgery, the No Pres group had lower ejection fractions and stroke work indexes (P < .05 by repeated-measures [rm] ANOVA) than the Pres group did at similar end-diastolic volume indexes. The No Pres group had similar cardiac indexes after exercise because heart rate increased (P < .005 by rm ANOVA). Late after surgery, ejection fraction was greater at similar end-diastolic volume indexes (P < .005 by rm ANCOVA), and preload recruitable stroke work indexes (P < .001 by rm ANCOVA) were better in the Pres group. CONCLUSIONS:Preserving chordal attachments enhanced the late hemodynamic recovery after mitral valve replacement for mitral regurgitation.

journal_name

Circulation

journal_title

Circulation

authors

Komeda M,David TE,Rao V,Sun Z,Weisel RD,Burns RJ

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

II190-4

issue

5 Pt 2

eissn

0009-7322

issn

1524-4539

journal_volume

90

pub_type

临床试验,杂志文章,随机对照试验
  • 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

  • Multitargeted effects of statin-enhanced thrombolytic therapy for stroke with recombinant human tissue-type plasminogen activator in the rat.

    abstract:BACKGROUND:Microvascular dysfunction posttreatment of stroke with recombinant human tissue-type plasminogen activator (rht-PA) constrains the therapeutic window to 3 hours. Statins (3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors) promote vascular thrombolysis and reduce the inflammation response. We therefo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.516757

    authors: Zhang L,Zhang ZG,Ding GL,Jiang Q,Liu X,Meng H,Hozeska A,Zhang C,Li L,Morris D,Zhang RL,Lu M,Chopp M

    更新日期:2005-11-29 00:00:00

  • Distinct downregulation of C-type natriuretic peptide system in human aortic valve stenosis.

    abstract:BACKGROUND:Aortic valve calcification is an actively regulated process that displays hallmarks of atherosclerosis. Natriuretic peptides (A-, B-, and C-type natriuretic peptides [ANP, BNP, and CNP]) have been reported to have a role in the pathogenesis of vascular atherosclerosis, but their expression in aortic valves i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.685743

    authors: Peltonen TO,Taskinen P,Soini Y,Rysä J,Ronkainen J,Ohtonen P,Satta J,Juvonen T,Ruskoaho H,Leskinen H

    更新日期:2007-09-11 00:00:00

  • Simultaneous autologous transplantation of cocultured mesenchymal stem cells and skeletal myoblasts improves ventricular function in a murine model of Chagas disease.

    abstract:BACKGROUND:Cellular transplantation is emerging as a promising strategy for the treatment of postinfarction ventricular dysfunction. Whether its beneficial effects can be extended to other cardiomyopathies remains an unexplored question. We evaluated the histological and functional effects of simultaneous autologous tr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.000646

    authors: Guarita-Souza LC,Carvalho KA,Woitowicz V,Rebelatto C,Senegaglia A,Hansen P,Miyague N,Francisco JC,Olandoski M,Faria-Neto JR,Brofman P

    更新日期:2006-07-04 00:00:00

  • High-resolution magnetic resonance imaging enhanced with superparamagnetic nanoparticles measures macrophage burden in atherosclerosis.

    abstract:BACKGROUND:Macrophages contribute to the progression and acute complications of atherosclerosis. Macrophage imaging may serve as a biomarker to identify subclinical inflamed lesions, to predict future risk, and to aid in the assessment of novel therapies. METHODS AND RESULTS:To test the hypothesis that nanoparticle-en...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.891804

    authors: Morishige K,Kacher DF,Libby P,Josephson L,Ganz P,Weissleder R,Aikawa M

    更新日期:2010-10-26 00:00:00

  • Slow breathing increases arterial baroreflex sensitivity in patients with chronic heart failure.

    abstract:BACKGROUND:It is well established that a depressed baroreflex sensitivity may adversely influence the prognosis in patients with chronic heart failure (CHF) and in those with previous myocardial infarction. METHODS AND RESULTS:We tested whether a slow breathing rate (6 breaths/min) could modify the baroreflex sensitiv...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc0202.103311

    authors: Bernardi L,Porta C,Spicuzza L,Bellwon J,Spadacini G,Frey AW,Yeung LY,Sanderson JE,Pedretti R,Tramarin R

    更新日期:2002-01-15 00:00:00

  • RR variability in healthy, middle-aged persons compared with patients with chronic coronary heart disease or recent acute myocardial infarction.

    abstract:BACKGROUND:The purpose of this investigation was to establish normal values of RR variability for middle-aged persons and compare them with values found in patients early and late after myocardial infarction. We hypothesized that presence or absence of coronary heart disease, age, and sex (in this order of importance) ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/01.cir.91.7.1936

    authors: Bigger JT Jr,Fleiss JL,Steinman RC,Rolnitzky LM,Schneider WJ,Stein PK

    更新日期:1995-04-01 00:00:00

  • Minnesota ALG. Safe and effective immunosuppression for cardiac transplantation.

    abstract::Fifty-six patients undergoing orthotopic cardiac transplantation were given Minnesota ALG prophylactically or therapeutically for acute cardiac rejection. During a follow-up period of 0-28 months (mean follow-up period, 11.9 months), the actuarial survival for the entire group was 96% and 86% at 30 days and 1 year, re...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Keith FM,Magilligan DJ Jr,Lakier JB,Drost CJ

    更新日期:1988-11-01 00:00:00

  • Limitations and late complications of third-generation automatic cardioverter-defibrillators.

    abstract:BACKGROUND:This study examines the limitations and complex management problems associated with the use of tiered-therapy, implantable cardioverter-defibrillators (ICDs). METHODS AND RESULTS:The study group comprises the first 154 patients undergoing implantation of tiered-therapy ICDs at our institution. Pulse generat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.8.2204

    authors: Nunain SO,Roelke M,Trouton T,Osswald S,Kim YH,Sosa-Suarez G,Brooks DR,McGovern B,Guy M,Torchiana DF

    更新日期:1995-04-15 00:00:00

  • A key role for matrix metalloproteinases and neutral sphingomyelinase-2 in transplant vasculopathy triggered by anti-HLA antibody.

    abstract:BACKGROUND:Outcomes for organ transplantation are constantly improving because of advances in organ preservation, surgical techniques, immune clinical monitoring, and immunosuppressive treatment preventing acute transplant rejection. However, chronic rejection including transplant vasculopathy still limits long-term pa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.021790

    authors: Galvani S,Trayssac M,Augé N,Thiers JC,Calise D,Krell HW,Sallusto F,Kamar N,Rostaing L,Thomsen M,Nègre-Salvayre A,Salvayre R

    更新日期:2011-12-13 00:00:00

  • Increased bioavailability of nitric oxide after lipid-lowering therapy in hypercholesterolemic patients: a randomized, placebo-controlled, double-blind study.

    abstract:BACKGROUND:Impaired endothelium-dependent vasodilation is an early sign of atherosclerosis in hypercholesterolemic patients. We hypothesized that lipid-lowering therapy can improve endothelial function and that this effect is mainly mediated by increased bioavailability of nitric oxide (NO). METHODS AND RESULTS:In a r...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.98.3.211

    authors: John S,Schlaich M,Langenfeld M,Weihprecht H,Schmitz G,Weidinger G,Schmieder RE

    更新日期:1998-07-21 00:00:00

  • Surgery for Aortic Dilatation in Patients With Bicuspid Aortic Valves: A Statement of Clarification From the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

    abstract::Two guidelines from the American College of Cardiology (ACC), the American Heart Association (AHA), and collaborating societies address the risk of aortic dissection in patients with bicuspid aortic valves and severe aortic enlargement: the "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIR.0000000000000331

    authors: 2010 ACCF\/AHA\/AATS\/ACR\/ASA\/SCA\/SCAI\/SIR\/STS\/SVM GUIDELINES FOR THE DIAGNOSIS AND MANAGEMENT OF PATIENTS WITH THORACIC AORTIC DISEASE REPRESENTATIVE MEMBERS*.,Hiratzka LF,Creager MA,Isselbacher EM,Svensson LG,2014 AHA\/ACC Guideline fo

    更新日期:2016-02-16 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

  • Targeting mannose-binding lectin confers long-lasting protection with a surprisingly wide therapeutic window in cerebral ischemia.

    abstract:BACKGROUND:The involvement of the complement system in brain injury has been scarcely investigated. Here, we document the pivotal role of mannose-binding lectin (MBL), one of the recognition molecules of the lectin complement pathway, in brain ischemic injury. METHODS AND RESULTS:Focal cerebral ischemia was induced in...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.112.103051

    authors: Orsini F,Villa P,Parrella S,Zangari R,Zanier ER,Gesuete R,Stravalaci M,Fumagalli S,Ottria R,Reina JJ,Paladini A,Micotti E,Ribeiro-Viana R,Rojo J,Pavlov VI,Stahl GL,Bernardi A,Gobbi M,De Simoni MG

    更新日期:2012-09-18 00:00:00

  • Persantine-aspirin reinfarction study. Design, methods and baseline results. By the persantine-aspirin reinfarction study research group.

    abstract::The Persantine-Aspirin Reinfarction Study (PARIS) was a randomized, controlled, double-blind study of dipyridamole (Persantine) and aspirin in secondary prevention of coronary heart disease. Two thousand twenty-six men and women with myocardial infarction (MI) documented by electrocardiographic findings, clinical hist...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors:

    更新日期:1980-09-01 00:00:00

  • Circulating microemboli in patients after aortic valve replacement with pulmonary autografts and mechanical valve prostheses.

    abstract:BACKGROUND:The pulmonary autograft procedure (Ross) is now considered the gold standard for aortic valve replacement. One of its advantages is the freedom from macroemboli without anticoagulation. Whether this holds true for circulating microemboli, detectable as high-intensity transient Doppler signals (HITS), has not...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.6.1843

    authors: Nötzold A,Droste DW,Hagedorn G,Berndt S,Kaps M,Graf B,Sievers HH

    更新日期:1997-09-16 00:00:00

  • Interleukin-17 and interferon-gamma are produced concomitantly by human coronary artery-infiltrating T cells and act synergistically on vascular smooth muscle cells.

    abstract:BACKGROUND:Atherosclerosis is an inflammatory disease in which interferon (IFN)-gamma, the signature cytokine of Th1 cells, plays a central role. We investigated whether interleukin (IL)-17, the signature cytokine of Th17 cells, is also associated with human coronary atherosclerosis. METHODS AND RESULTS:Circulating IL...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.827618

    authors: Eid RE,Rao DA,Zhou J,Lo SF,Ranjbaran H,Gallo A,Sokol SI,Pfau S,Pober JS,Tellides G

    更新日期:2009-03-17 00:00:00

  • Influence of racial disparities in procedure use on functional status outcomes among patients with coronary artery disease.

    abstract:BACKGROUND:Although black cardiac patients receive fewer revascularization procedures than whites, it is unclear whether this has a detrimental impact on outcomes. The objective of our study was to compare 6-month functional status and angina outcomes among blacks and whites with documented coronary disease and to asse...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000157731.66268.E1

    authors: Kaul P,Lytle BL,Spertus JA,DeLong ER,Peterson ED

    更新日期:2005-03-15 00:00:00

  • 17 beta-Estradiol inhibits flow- and acute hypoxia-induced prostacyclin release from perfused endocardial endothelial cells.

    abstract:BACKGROUND:Because of the marked difference in the incidence and severity of cardiovascular diseases between men and premenopausal women, several groups have studied the effect of sex steroids, particularly estrogen, on vascular endothelial prostacyclin (PGI2) release. No previous studies have addressed the effect of e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.5.2519

    authors: Redmond EM,Cherian MN,Wetzel RC

    更新日期:1994-11-01 00:00:00

  • Radiofrequency catheter ablation of atrial flutter. Further insights into the various types of isthmus block: application to ablation during sinus rhythm.

    abstract:BACKGROUND:Radiofrequency ablation of type 1 atrial flutter (AF1) has recently evolved toward an anatomically guided procedure directed to isthmuses at the lower part of the right atrium (RA). However, different types of block at these isthmuses may be observed and potentially correlated with different late outcomes. I...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.94.12.3204

    authors: Poty H,Saoudi N,Nair M,Anselme F,Letac B

    更新日期:1996-12-15 00:00:00

  • Costs and benefits of targeted screening for causes of sudden cardiac death in children and adolescents.

    abstract:BACKGROUND:Sudden cardiac death in children is a rare but devastating event. Experts have debated the merits of community-based screening programs using an ECG and targeting 2 potential high-risk groups: school-aged children initiating stimulant medications to treat attention-deficit/hyperactivity disorder and adolesce...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.087940

    authors: Leslie LK,Cohen JT,Newburger JW,Alexander ME,Wong JB,Sherwin ED,Rodday AM,Parsons SK,Triedman JK

    更新日期:2012-05-29 00:00:00

  • Inherited Thoracic Aortic Disease: New Insights and Translational Targets.

    abstract::Inherited thoracic aortopathies denote a group of congenital conditions that predispose to disease of the thoracic aorta. Aortic wall weakness and abnormal aortic hemodynamic profiles predispose these patients to dilatation of the thoracic aorta, which is generally silent but can precipitate aortic dissection or ruptu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.043756

    authors: Fletcher AJ,Syed MBJ,Aitman TJ,Newby DE,Walker NL

    更新日期:2020-05-12 00:00:00

  • Noninvasive quantitation of valvular regurgitation by gated equilibrium radionuclide angiography.

    abstract::R-wave synchronous equilbrium radionuclide angiography (RNA) is a noninvasive method that provides time-activity curve count information proportional to ventricular volumes and is used for relative volume comparisons within the left or right ventricle to derive the ejection fraction. Comparison of the ventricular coun...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.62.5.1089

    authors: Sorensen SG,O'Rourke RA,Chaudhuri TK

    更新日期:1980-11-01 00:00:00

  • Regional in vivo and in vitro characterization of autonomic innervation in cardiomyopathic human heart.

    abstract:BACKGROUND:In contrast to healthy volunteers, regional differences of cardiac autonomic innervation have been described through the use of C11-hydroxyephedrine positron emission tomography (HED-PET) in the left ventricles of patients with dilated cardiomyopathy. The goal of the present study was to correlate HED-PET im...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.2.174

    authors: Ungerer M,Hartmann F,Karoglan M,Chlistalla A,Ziegler S,Richardt G,Overbeck M,Meisner H,Schömig A,Schwaiger M

    更新日期:1998-01-20 00:00:00

  • Impaired endothelium-dependent vasodilation of coronary resistance vessels is associated with exercise-induced myocardial ischemia.

    abstract:BACKGROUND:The release of endothelium-derived relaxing factors has been shown experimentally to be of pivotal importance for the maintenance of coronary blood flow during increased demand. In humans with coronary atherosclerosis, endothelial vasodilator dysfunction is not confined only to epicardial conductance vessels...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.9.2345

    authors: Zeiher AM,Krause T,Schächinger V,Minners J,Moser E

    更新日期:1995-05-01 00:00:00

  • High-volume continuous hemofiltration during cardiopulmonary bypass attenuates pulmonary dysfunction in neonatal lambs after deep hypothermic circulatory arrest.

    abstract:BACKGROUND:Cardiopulmonary bypass (CPB) induces an inflammatory reaction that activates neutrophils and releases free radicals in tissue. Ischemia-reperfusion further aggravates inflammation. Hemofiltration (HF) could potentially remove inflammatory mediators and reduce injury. This study assessed the effect of continu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Nagashima M,Shin'oka T,Nollert G,Shum-Tim D,Rader CM,Mayer JE Jr

    更新日期:1998-11-10 00:00:00

  • Protective effect of propylthiouracil independent of its hypothyroid effect on atherogenesis in cholesterol-fed rabbits: PTEN induction and inhibition of vascular smooth muscle cell proliferation and migration.

    abstract:BACKGROUND:Propylthiouracil (PTU) is used to treat hyperthyroid patients by its hypothyroid effect. PTU also is found to have potent antioxidant and immunosuppressive effects. These findings suggest that PTU may play a role in the prevention of atherosclerosis. METHODS AND RESULTS:This study evaluates the effect of PT...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000140764.15398.F3

    authors: Chen WJ,Lin KH,Lai YJ,Yang SH,Pang JH

    更新日期:2004-09-07 00:00:00

  • Myocardial inotropic responses to aggregating platelets and modulation by the endocardium.

    abstract::Ventricular mural thrombi complicate many cardiac diseases. The endocardial endothelium can modulate the mechanical performance of subjacent myocardium and mediate responses to certain physiopharmacologic agents. We studied the effects of aggregating platelets on the contractile performance of isolated cardiac muscle....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.6.1315

    authors: Shah AM,Meulemans AL,Brutsaert DL

    更新日期:1989-06-01 00:00:00

  • Physical training improves endothelial function in patients with chronic heart failure.

    abstract:BACKGROUND:Chronic heart failure is associated with endothelial dysfunction including impaired endothelium-mediated, flow-dependent dilation (FDD). Since endothelial function is thought to play an important role in coordinating tissue perfusion and modulating arterial compliance, interventions to improve endothelial dy...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.2.210

    authors: Hornig B,Maier V,Drexler H

    更新日期:1996-01-15 00:00:00

  • Progressive tricuspid valve disease in patients with congenitally corrected transposition of the great arteries.

    abstract:BACKGROUND:The outcome of patients with corrected transposition of the great arteries (CTGA) is variably affected by associated intracardiac defects, tricuspid valve competence, and systemic right ventricular (RV) function. The relative importance of these factors in long-term outcome has not been evaluated. METHODS A...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.10.997

    authors: Prieto LR,Hordof AJ,Secic M,Rosenbaum MS,Gersony WM

    更新日期:1998-09-08 00:00:00