Exercise-induced ST-segment depression in patients without restenosis after coronary angioplasty. Relation to preprocedural impaired left ventricular function.

Abstract:

BACKGROUND:ST-segment depression during exercise testing is frequently observed in the absence of restenosis after coronary angioplasty. METHODS AND RESULTS:We studied the determinants of this phenomenon in 70 consecutive patients with unstable angina related to a single left anterior descending coronary artery lesion who had successful angioplasty without restenosis (< 50% stenosis by quantitative angiography). We compared preangioplasty clinical, angiographic, and hemodynamic variables in the group with positive (ExT Pos, n = 35; ST depression, 2.3 +/- 0.9 mm) and negative (ExT Neg, n = 35; ST depression, 0.3 +/- 0.5 mm) results on exercise testing at follow-up angiography. At this time, minimal lumen diameter (1.7 +/- 0.4 mm) and mean residual stenosis (34 +/- 11%) in the ExT Pos group were not significantly different from the values (1.9 +/- 0.5 mm, 38 +/- 10%) in the ExT Neg group. Before angioplasty, the ExT Pos group had a lower ejection fraction (63 +/- 8% versus 68 +/- 9%, P < .05), more marked anterior hypokinesis estimated by the extent of anterior wall contraction on quantitative ventriculography (P < .05), and a greater end-systolic volume (30 +/- 11 versus 25 +/- 9 mL/m2, P < .05) than the ExT Neg group. At follow-up angiography, regional anterior wall motion was normal in 68 patients (97%). Anterior hypokinesis before angioplasty was strongly associated (P < .01) with a positive exercise test at control (71% compared with 31% in patients with normal wall motion before angioplasty). CONCLUSIONS:In the absence of significant epicardial stenosis after angioplasty, ST-segment depression is strongly associated with the presence of preprocedural regional ventricular dysfunction that has recovered at follow-up angiography.

journal_name

Circulation

journal_title

Circulation

authors

Beregi JP,Bauters C,McFadden EP,Quandalle P,Bertrand ME,Lablanche JM

doi

10.1161/01.cir.90.1.148

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

148-55

issue

1

eissn

0009-7322

issn

1524-4539

journal_volume

90

pub_type

杂志文章
  • Nifedipine therapy for patients with threatened and acute myocardial infarction: a randomized, double-blind, placebo-controlled comparison.

    abstract::Preliminary clinical and laboratory observations suggest that nifedipine might prevent progression of threatened myocardial infarction by reversing coronary spasm or might limit necrosis during the course of acute myocardial infarction. We screened 3143 patients with ischemic pain of greater than 45 min duration and 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.69.4.740

    authors: Muller JE,Morrison J,Stone PH,Rude RE,Rosner B,Roberts R,Pearle DL,Turi ZG,Schneider JF,Serfas DH

    更新日期:1984-04-01 00:00:00

  • Combining High-Sensitivity Cardiac Troponin I and Cardiac Troponin T in the Early Diagnosis of Acute Myocardial Infarction.

    abstract:BACKGROUND:Combining 2 signals of cardiomyocyte injury, cardiac troponin I (cTnI) and T (cTnT), might overcome some individual pathophysiological and analytical limitations and thereby increase diagnostic accuracy for acute myocardial infarction with a single blood draw. We aimed to evaluate the diagnostic performance ...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.117.032003

    authors: van der Linden N,Wildi K,Twerenbold R,Pickering JW,Than M,Cullen L,Greenslade J,Parsonage W,Nestelberger T,Boeddinghaus J,Badertscher P,Rubini Giménez M,Klinkenberg LJJ,Bekers O,Schöni A,Keller DI,Sabti Z,Puelacher C,

    更新日期:2018-09-04 00:00:00

  • An important complication of Hancock mitral valve replacement in children.

    abstract::Nine children ages 2--15 years have undergone mitral valve replacement (MVR) with Hancock porcine heterograft valves for severe mitral insufficiency. The etiology of the mitral valve disease was rheumatic in two patients, and congenital in seven. Porcine valve sizes ranged from 19--31 mm. Follow-up has been from 1.6 t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.60.2.98

    authors: Kutsche LM,Oyer P,Shumway N,Baum D

    更新日期:1979-08-01 00:00:00

  • Deleting Full Length Titin Versus the Titin M-Band Region Leads to Differential Mechanosignaling and Cardiac Phenotypes.

    abstract:BACKGROUND:Titin is a giant elastic protein that spans the half-sarcomere from Z-disk to M-band. It acts as a molecular spring and mechanosensor and has been linked to striated muscle disease. The pathways that govern titin-dependent cardiac growth and contribute to disease are diverse and difficult to dissect. METHOD...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.037588

    authors: Radke MH,Polack C,Methawasin M,Fink C,Granzier HL,Gotthardt M

    更新日期:2019-04-09 00:00:00

  • Effects of continuous positive airway pressure on sleep apnea and ventricular irritability in patients with heart failure.

    abstract:BACKGROUND:Patients with heart failure and systolic dysfunction may develop disordered breathing during sleep. Repeated episodes of apnea and hypopnea may result in desaturation and arousals, which could adversely affect left ventricular function. The purpose of this study was to determine the short-term effects of con...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.4.392

    authors: Javaheri S

    更新日期:2000-02-01 00:00:00

  • Waiting list mortality among children listed for heart transplantation in the United States.

    abstract:BACKGROUND:Children listed for heart transplantation face the highest waiting list mortality in solid-organ transplantation medicine. We examined waiting list mortality since the pediatric heart allocation system was revised in 1999 to determine whether the revised allocation system is prioritizing patients optimally a...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.108.815712

    authors: Almond CSD,Thiagarajan RR,Piercey GE,Gauvreau K,Blume ED,Bastardi HJ,Fynn-Thompson F,Singh TP

    更新日期:2009-02-10 00:00:00

  • Dynamics of right heart flow in patients after Fontan procedure.

    abstract::In seven patients who underwent Fontan procedures but in whom no valves were inserted, dynamics of right heart flow were evaluated with the use of a catheter-tipped velocity transducer, pulsed Doppler echocardiography, and angiocardiography. Right atrial (RA) contraction caused a forward flow to the pulmonary artery (...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.69.2.306

    authors: Nakazawa M,Nakanishi T,Okuda H,Satomi G,Nakae S,Imai Y,Takao A

    更新日期:1984-02-01 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

  • Intensive blood pressure control reduces the risk of cardiovascular events in patients with peripheral arterial disease and type 2 diabetes.

    abstract:BACKGROUND:Peripheral arterial disease (PAD) and diabetes are both associated with a high risk of ischemic events, but the role of intensive blood pressure control in PAD has not been established. METHODS AND RESULTS:The Appropriate Blood Pressure Control in Diabetes study followed 950 subjects with type 2 diabetes fo...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.0000049640.46039.52

    authors: Mehler PS,Coll JR,Estacio R,Esler A,Schrier RW,Hiatt WR

    更新日期:2003-02-11 00:00:00

  • Trends in Mortality From Ischemic Heart Disease and Cerebrovascular Disease in Europe: 1980 to 2009.

    abstract:BACKGROUND:Trends in cardiovascular mortality across Europe demonstrate significant geographical variation, and an understanding of these trends has a central role in global public health. METHODS AND RESULTS:Ischemic heart disease and cerebrovascular disease age-standardized death rates (as per International Classifi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.115.018931

    authors: Hartley A,Marshall DC,Salciccioli JD,Sikkel MB,Maruthappu M,Shalhoub J

    更新日期:2016-05-17 00:00:00

  • Variability of phase shift between blood pressure and heart rate fluctuations: a marker of short-term circulation control.

    abstract:BACKGROUND:We postulated that the variability of the phase shift between blood pressure and heart rate fluctuation near the frequency of 0.10 Hz might be useful in assessing autonomic circulatory control. METHODS AND RESULTS:We tested this hypothesis in 4 groups of subjects: 28 young, healthy individuals; 13 elderly h...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000079222.91910.EE

    authors: Halámek J,Kára T,Jurák P,Soucek M,Francis DP,Davies LC,Shen WK,Coats AJ,Novák M,Nováková Z,Panovský R,Toman J,Sumbera J,Somers VK

    更新日期:2003-07-22 00:00:00

  • Long-term preservation of ischemic myocardium in the dog by hyaluronidase.

    abstract::The administration of hyaluronidase is a promising intervention to protect the ischemic myocardium in man, but evidence of the extent to which it may reduce the ultimate size of an infarct is not well-defined. Hence, open chest, anesthetized dogs were randomized into 10 control dogs which received saline and eight tre...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.2.220

    authors: Kloner RA,Braunwald E,Maroko PR

    更新日期:1978-08-01 00:00:00

  • The durability of porcine xenograft valves and conduits in children.

    abstract::One hundred four patients younger than 20 years of age underwent intracardiac xenograft valve replacement (n = 41) or extracardiac conduit implantation (n = 63). Long-term follow-up averaged 4.5 and 4.3 years, respectively, and cumulative follow-up totaled 344 patient-years (pt-yr). Thirty patients were followed more ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Miller DC,Stinson EB,Oyer PE,Billingham ME,Pitlick PT,Reitz BA,Jamieson SW,Baumgartner WA,Shumway NE

    更新日期:1982-08-01 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

  • Influence of pre-PTCA strategy and initial PTCA result in patients with multivessel disease: the Bypass Angioplasty Revascularization Investigation (BARI).

    abstract:BACKGROUND:In PTCA patients with multivessel coronary artery disease, incomplete revascularization (IR) is the result of both pre-PTCA strategy and initial lesion outcome. The unique contribution of these components on long-term patient outcome is uncertain. METHODS AND RESULTS:From the Bypass Angioplasty Revasculariz...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.9.910

    authors: Kip KE,Bourassa MG,Jacobs AK,Schwartz L,Feit F,Alderman EL,Weiner BH,Weiss MB,Kellett MA Jr,Sharaf BL,Dimas AP,Jones RH,Sopko G,Detre KM

    更新日期:1999-08-31 00:00:00

  • Ultrastructure of Hancock porcine valvular heterografts. Pre- and post-implantation changes.

    abstract::Scanning and transmission electron microscopic studies were made of: 1) 15 glutaraldehyde-treated porcine valvular heterografts that had been implanted in patients for periods of time ranging from 2 days to 76 months; 2) unimplanted, commercially processed porcine aortic valves; and 3) unprocessed porcine aortic valve...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Ferrans VJ,Spray TL,Billingham ME,Roberts WC

    更新日期:1978-09-01 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

  • Discordant secular trends in elevated blood pressure and obesity in children and adolescents in a rapidly developing country.

    abstract:BACKGROUND:The effect of the increasing prevalence of obesity on blood pressure (BP) secular trends is unclear. We analyzed BP and body mass index secular trends between 1998 and 2006 in children and adolescents of the Seychelles, a rapidly developing island state in the African region. METHODS AND RESULTS:School-base...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.796276

    authors: Chiolero A,Paradis G,Madeleine G,Hanley JA,Paccaud F,Bovet P

    更新日期:2009-02-03 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

  • Endothelial cell damage and thrombus formation after partial arterial constriction: relevance to the role of coronary artery spasm in the pathogenesis of myocardial infarction.

    abstract::The left anterior descending coronary artery of four dogs and the right common carotid artery of 15 rabbits were subjected to 40-60% reduction in transluminal diameter for 1 hour by partial ligation with suture thread. Scanning electron microscopic examination of the luminal surface of these vessels revealed endotheli...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.63.3.476

    authors: Gertz SD,Uretsky G,Wajnberg RS,Navot N,Gotsman MS

    更新日期:1981-03-01 00:00:00

  • Excess Cardiovascular Risk in Women Relative to Men Referred for Coronary Angiography Is Associated With Severely Impaired Coronary Flow Reserve, Not Obstructive Disease.

    abstract:BACKGROUND:Cardiovascular disease (CVD) fatality rates are higher for women than for men, yet obstructive coronary artery disease (CAD) is less prevalent in women. Coronary flow reserve (CFR), an integrated measure of large- and small-vessel CAD and myocardial ischemia, identifies patients at risk for CVD death, but is...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.023266

    authors: Taqueti VR,Shaw LJ,Cook NR,Murthy VL,Shah NR,Foster CR,Hainer J,Blankstein R,Dorbala S,Di Carli MF

    更新日期:2017-02-07 00:00:00

  • Prognosis of retrograde dissection from the descending to the ascending aorta.

    abstract:BACKGROUND:Natural history of aortic dissection (AD) with intimal tear in the descending or abdominal aorta and retrograde extension into the ascending aorta (retrograde AD) remains unknown. The purpose of this study was to elucidate medium-term prognosis of patients with retrograde AD. METHODS AND RESULTS:Study popul...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000087424.32901.98

    authors: Kaji S,Akasaka T,Katayama M,Yamamuro A,Yamabe K,Tamita K,Akiyama M,Watanabe N,Tanemoto K,Morioka S,Yoshida K

    更新日期:2003-09-09 00:00:00

  • Prostaglandin E2--mediated relaxation of the ductus arteriosus: effects of gestational age on g protein-coupled receptor expression, signaling, and vasomotor control.

    abstract:BACKGROUND:In the preterm newborn, a patent ductus arteriosus is in large part a result of the increased sensitivity of the immature ductus to prostaglandin E2 (PGE2). PGE2 acts through 3 G protein-coupled receptors (EP2, EP3, and EP4) that activate both adenyl cyclase and K(ATP) channels. We explored these pathways to...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000145159.16637.5D

    authors: Waleh N,Kajino H,Marrache AM,Ginzinger D,Roman C,Seidner SR,Moss TJ,Fouron JC,Vazquez-Tello A,Chemtob S,Clyman RI

    更新日期:2004-10-19 00:00:00

  • Interindividual heterogeneity in the hypoxic regulation of VEGF: significance for the development of the coronary artery collateral circulation.

    abstract:BACKGROUND:The coronary artery collateral circulation may be beneficial in protecting against myocardial ischemia and necrosis. However, there is a tremendous interindividual variability in the degree of new collateral formation in patients with coronary artery disease. The basis for this interindividual heterogeneity ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.5.547

    authors: Schultz A,Lavie L,Hochberg I,Beyar R,Stone T,Skorecki K,Lavie P,Roguin A,Levy AP

    更新日期:1999-08-03 00:00:00

  • The abnormal exercise electrocardiogram in apparently healthy men: a predictor of angina pectoris as an initial coronary event during long-term follow-up.

    abstract::A group of 916 apparently healthy men between the ages of 27 and 55 years (mean 37) were followed up with serial medical and exercise test evaluations for a period of 8 to 15 years (mean 12.7) to determine (1) the prevalence and specific types of new coronary events observed in subjects with and without abnormal ST se...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.70.4.547

    authors: McHenry PL,O'Donnell J,Morris SN,Jordan JJ

    更新日期:1984-10-01 00:00:00

  • Hyperkalemia enhances the effect of adenosine on IK,ADO in rabbit isolated AV nodal myocytes and on AV nodal conduction in guinea pig isolated heart.

    abstract:BACKGROUND:The atrioventricular (AV) node is insensitive to changes in extracellular potassium concentration, [K+]o, because of the absence of the inward rectifier potassium current (IK1). However, we propose that in the presence of adenosine, elevated [K+]o should increase the adenosine-activated inward rectifier pota...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.2.312

    authors: Martynyuk AE,Morey TE,Belardinelli L,Dennis DM

    更新日期:1999-01-19 00:00:00

  • Long-term use of nicotine gum is associated with hyperinsulinemia and insulin resistance.

    abstract:BACKGROUND:Insulin sensitivity and cardiovascular risk profile were examined in 20 healthy, nonobese, middle-aged men who were long-term users of nicotine-containing chewing gum and in 20 matched control subjects who did not use nicotine. METHODS AND RESULTS:Long-term use of nicotine-containing chewing gum was associa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.5.878

    authors: Eliasson B,Taskinen MR,Smith U

    更新日期:1996-09-01 00:00:00

  • Myocardial protection through cold cardioplegia with potassium or diltiazem. Experimental evidence that diltiazem provides better protection even when coronary flow is impaired by a critical stenosis.

    abstract::Intermittent aortic root infusion of a cold solution containing either potassium chloride (KCl) or diltiazem was performed in 32 dogs during a 2-hour aortic clamping. Half of the dogs in each group had a critical stenosis created on the circumflex artery before cardiopulmonary bypass. Global left ventricular (LV) func...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.6.1078

    authors: Vouhé PR,Hélias J,Robert P,Grondin CM

    更新日期:1982-06-01 00:00:00

  • Interlesion dependence of the risk for restenosis in patients with coronary stent placement in in multiple lesions.

    abstract:BACKGROUND:Little is known about the behavior with regard to restenosis of multiple lesions within the same patient treated with intracoronary stenting. Our objective was to test the hypothesis that there is an intrapatient dependence of restenosis between lesions. METHODS AND RESULTS:Quantitative analysis was carried...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.24.2396

    authors: Kastrati A,Schömig A,Elezi S,Schühlen H,Wilhelm M,Dirschinger J

    更新日期:1998-06-23 00:00:00

  • Cardioplegic solutions for myocardial preservation: analysis of hypothermic arrest, potassium arrest, and procaine arrest.

    abstract::Separate effects of perfusion hypothermia, potassium arrest, and procaine arrest were studied in 150 hearts using the isolated rat heart preparation. Aortic flow rate (AFR), coronary flow rate (CFR), and heart rate (HR) were measured before and after ischemic periods of 90 to 300 min. Prior to the ischemic period, the...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Harlan BJ,Ross D,Macmanus Q,Knight R,Luber J,Starr A

    更新日期:1978-09-01 00:00:00