Abstract：
:The purpose of this study was to evaluate feasibility, safety, and efficacy of implantation of unsheathed Palmaz-Schatz coronary stents via the radial artery. Anticoagulation after coronary stenting has the hazard of vascular complications if large-bore guiding catheters are introduced via the femoral artery. Such complications have serious local sequelae, are associated with suboptimal anticoagulation, and prolong hospitalization. By combining 6F guiding catheters and low-profile dilatation catheters with bare Palmaz-Schatz stents, smaller vessels such as the radial artery can be selected as the entry site. It is postulated that no major puncture site-related complications occur because hemostasis is easily achieved and no veins and nerves are near the radial artery. With double blood supply to the hand, radial artery occlusion is well tolerated. Twenty-five bare Palmaz-Schatz stents were implanted via the radial artery through 6F guiding catheters in 20 consecutive patients for venous bypass graft stenosis (n = 9; 45%), native coronary artery restenosis (n = 7; 35%) and suboptimal transradial artery PTCA (n = 4; 20%). Immediately after stent implantation and assessment of the result by means of computerized quantitative coronary analysis, the arterial sheath was withdrawn followed by intense anticoagulation and free ambulation of the patient. Radial artery function and anatomy were assessed by two-dimensional and Doppler ultrasound examination. Lesions (n = 24) were of type A (n = 13; 54%), B (n = 6; 25%) and C (n = 5; 21%). The reference diameter of the stented segments was 3.2 +/- 0.5 mm (2.2 to 4.2 mm).(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Am Heart Jjournal_title
American heart journalauthors
Kiemeneij F,Laarman GJdoi
10.1016/0002-8703(94)90023-xsubject
Has Abstractpub_date
1994-07-01 00:00:00pages
167-74issue
1eissn
0002-8703issn
1097-6744pii
0002-8703(94)90023-Xjournal_volume
128pub_type
杂志文章abstract：BACKGROUND:Heart failure (HF) remains a major public health issue. Data on long-term trends in the incidence of HF and survival after its onset are limited. METHODS:A prospective cohort study conducted between 1985 and 2004 in 21,906 participants of the Physicians' Health Study I who were alive and free of HF on Janua...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2007.07.004
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Health care utilization patterns and associated costs of congenital heart disease (CHD) in young adulthood are not well understood. METHODS:California State Inpatient Databases 2005 to 2009 were used to conduct a retrospective study on inpatient admissions of CHD patients 10 to 29 years old (n = 7,419) and ...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2014.08.006
更新日期：2014-12-01 00:00:00
abstract：:Myocarditis Disease Unit (MDU) is a functional multidisciplinary network designed to offer multidisciplinary assistance to patients with myocarditis. More than 300 patients coming from the whole Country are currently followed up at a specialized multidisciplinary outpatient clinic. Following the pandemic outbreak of t...
journal_title：American heart journal
pub_type： 信件
doi：10.1016/j.ahj.2020.07.015
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:Stroke prevention in anticoagulation-naïve patients with atrial fibrillation undergoing cardioversion has not been systematically studied. OBJECTIVE:To determine outcomes in anticoagulation-naïve patients (defined as those receiving an anticoagulant for <48 hours during the index episode of atrial fibrillat...
journal_title：American heart journal
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ahj.2016.06.008
更新日期：2016-09-01 00:00:00
abstract：:The objective of this investigation was to assess the acute and long-term outcome after coronary angioplasty in patients undergoing chronic hemodialysis. Previous studies have suggested a high incidence of restenosis after coronary angioplasty performed in patients with renal failure. Medical discharge abstracts for 8...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(94)90476-6
更新日期：1994-08-01 00:00:00
abstract：:Controlled versus uncontrolled reperfusion of ischemic myocardium after experimental coronary artery occlusion was studied to determine the effect on regional ventricular wall motion and associated biochemical alterations. Fourteen pigs underwent coronary artery occlusion for 1 hour followed by 2 hours of reperfusion....
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(89)90723-0
更新日期：1989-03-01 00:00:00
abstract：:The conducting tissue of the heart was studied in 25 human cases of Chagas' myocarditis with a method which employs complete serial sections mounted on continuous transparent plastic tape. The pathological changes were correlated with electrocardiographic findings. The inflammation of the acute phase of Chagas' myocar...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(78)90362-9
更新日期：1978-03-01 00:00:00
abstract：BACKGROUND:Patients with diabetes have an increased incidence and severity of ischemic heart disease, which leads to an increased requirement for coronary revascularization. Comparative information regarding mode of revascularization--coronary artery bypass graft surgery surgery (CABG) or percutaneous coronary interven...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2004.07.001
更新日期：2005-01-01 00:00:00
abstract：:This study uses echocardiography to characterize the pattern of left ventricular hypertrophy in a new hypertensive heart failure-prone rat strain designated SHHF/Mcc-cp (SHHF). M-mode echocardiograms of the left ventricle in nine 10- to 12-month old SHHF rats and nine age-matched spontaneously hypertensive rats (SHR) ...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(95)90081-0
更新日期：1995-10-01 00:00:00
abstract：BACKGROUND:This study investigates whether pioglitazone reduces neointimal hyperplasia after coronary stenting in nondiabetic patients with metabolic syndrome (MS) using intravascular ultrasound (IVUS). Pioglitazone, a novel insulin-sensitizing thiazolidinedione, has been shown to reduce neointimal hyperplasia after co...
journal_title：American heart journal
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ahj.2007.02.022
更新日期：2007-05-01 00:00:00
abstract：BACKGROUND:This study was designed to investigate the efficacy of alteplase double-bolus dosing compared with the front-loaded 90-minute infusion regimen in patients with acute myocardial infarction. Recent pilot studies have suggested that bolus dosing may provide improved efficacy in establishing early, complete, and...
journal_title：American heart journal
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0002-8703(98)70024-9
更新日期：1998-10-01 00:00:00
abstract：:Quinidine binding was studied in 15 survivors of prehospital cardiac arrest and was compared to 18 normal individuals and 20 patients with coronary artery disease. The unbound quinidine fraction was 6.3 +/- 2.8% in the survivors of prehospital cardiac arrest, a value significantly lower than normal individuals (unboun...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(84)90312-0
更新日期：1984-04-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to assess whether pharmacologic preconditioning by exogenous or endogenous adenosine prevents the deterioration of hemodynamic function and left ventricular performance during percutaneous transluminal coronary angioplasty (PTCA). Ischemic preconditioning renders the heart more ...
journal_title：American heart journal
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1067/mhj.2000.110287
更新日期：2000-11-01 00:00:00
abstract：BACKGROUND:Strenuous exercise can be a major trigger for coronary thrombosis and it enhances platelet aggregation. METHODS:We evaluated the effect of antiplatelet therapy on shear stress-induced platelet aggregation (SIPA), in addition to agonist-induced aggregation, before and immediately after ergometer exercise in ...
journal_title：American heart journal
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1067/mhj.2001.116485
更新日期：2001-08-01 00:00:00
abstract：:Twenty-six patients with Ebstein's anomaly were classified into three types according to their clinical features, heart catheterization data, angiocardiographic and anatomical findings which were obtained on surgery or autopsy. The hemodynamics in each type were discussed. 1. Tricuspid Stenosis Dominant Type. Eight pa...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(78)90458-1
更新日期：1978-02-01 00:00:00
abstract：OBJECTIVES:We used virtual histology-intravascular ultrasound (VH-IVUS) to investigate the characteristics of culprit lesions in acute coronary syndromes (ACS). BACKGROUND:Autopsy studies of patients who died of ACS have shown that culprit atheromatous plaques almost always contain a large lipid-necrotic core covered ...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2012.12.011
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Controversy remains regarding whether gender differences exist in clinical management after exercise treadmill testing (ETT). METHODS:We studied 7,506 patients (49.8% women) without documented coronary heart disease referred for ETT from July 2001 to June 2004 in a community-based setting. We assessed the r...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2008.03.022
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to estimate the cost-effectiveness of beta-blocker therapy with either metoprolol or carvedilol in addition to conventional therapy for patients with heart failure (HF) in Canada. DESIGN:A Markov simulation was used to estimate the costs and life expectancy for treating patients...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1067/mhj.2001.116479
更新日期：2001-09-01 00:00:00
abstract：BACKGROUND:Although the prognostic power of heart rate variability (HRV) at rest has been demonstrated, the prognostic potential of exercise-induced HRV has not been investigated. We aimed to evaluate the prognostic power of exercise-induced HRV during and after standard exercise testing. METHODS:Time- and frequency-d...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2006.11.001
更新日期：2007-02-01 00:00:00
abstract：:Currently available internal cardiac defibrillators use a uniphasic, truncated exponential waveform morphology of about 6 msec in duration at an energy level of 23 to 33 joules. To determine if improved defibrillation could be achieved with a different waveform morphology, we implanted 4.5 cm2 titanium patches to the ...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(89)90187-7
更新日期：1989-08-01 00:00:00
abstract：:The safety and therapeutic benefits of percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery, the left circumflex coronary artery or both were assessed in 61 patients with chronic (greater than 3 months) occlusion of the right coronary artery. Recanalization of the right corona...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(91)90994-s
更新日期：1991-08-01 00:00:00
abstract：:To assess the effects of standard therapeutic interventions on the total ischemic burden, 86 patients with stable angina underwent 48 hours of ambulatory ST segment monitoring and treadmill exercise testing before and at a mean of 10 weeks after coronary artery bypass surgery (CABG) (group 1, N = 46) or percutaneous t...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(92)90495-h
更新日期：1992-03-01 00:00:00
abstract：BACKGROUND:We compared efficacy and safety of short- (3 or 6 months) versus long-term (≥12 months) dual antiplatelet therapy (DAPT) after drug-eluting stent (DES) implantation, according to the presence of chronic kidney disease (CKD). METHODS:Patient-level pooled analysis was performed with 7242 patients (87.2% with ...
journal_title：American heart journal
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ahj.2017.11.013
更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:Statins are effective in the prevention of coronary events and the treatment of acute coronary syndromes. However, their efficacy and safety in patients with heart failure (HF) are unknown. In this review, we discuss the evidence for the efficacy and safety of statin therapy in patients with HF. METHODS:We ...
journal_title：American heart journal
pub_type： 杂志文章,评审
doi：10.1016/j.ahj.2005.09.008
更新日期：2006-07-01 00:00:00
abstract：:Endocarditis is a rare manifestation of disseminated Histoplasma capsulatum infection. A 22-year-old man presented with a seven month history of fever, weight loss, and progressive aortic insufficiency. The diagnosis of H. capsulatum was suggested by a diagnostic rise in complement fixation titers and positive echocar...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(80)90630-4
更新日期：1980-06-01 00:00:00
abstract：:To assess the role of oxidative stress in exercise intolerance in patients with heart failure, a symptom-limited exercise test was performed with a bicycle ergometer in 12 patients with heart failure and in 7 members of a healthy control group. Level of plasma malondialdehyde, a marker of lipid peroxidation, at rest w...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/s0002-8703(98)70351-5
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Erythropoietin mitigates myocardial damage and improves ventricular performance after experimental ischemic injury. This study assessed safety and efficacy markers relevant to the biological activity of recombinant human erythropoietin (rHuEpo) in patients with acute myocardial infarction (MI). METHODS:We c...
journal_title：American heart journal
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ahj.2009.06.032
更新日期：2009-12-01 00:00:00
abstract：BACKGROUND:Glycoprotein (GP) IIb/IIIa antagonists have become a mainstay for the treatment of acute coronary syndromes. Yet, they have rarely been evaluated under relevant pathophysiologic conditions, for example, high shear rates in the presence of physiologic calcium concentrations. We compared the efficacy of eptifi...
journal_title：American heart journal
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.ahj.2003.11.003
更新日期：2004-04-01 00:00:00
abstract：:Meta-analyses of major outcome trials have demonstrated that the benefits of antihypertensive treatment for reduction of the incidence of stroke are entirely consistent with the benefits predicted from epidemiologic data; however, there remains a shortfall in the expected reduction of the incidence of coronary heart d...
journal_title：American heart journal
pub_type： 杂志文章,评审
doi：
更新日期：1996-07-01 00:00:00
abstract：BACKGROUND:Few studies have investigated the clinical advantages of surgical correction with the morphologic left ventricle (MLV) instead of the morphologic right ventricle as a systemic ventricle (SV) in patients with congenital heart disease. METHODS:Twenty-four healthy control subjects (group A1), 6 patients with i...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/s0002-8703(99)70381-9
更新日期：1999-06-01 00:00:00
