Relation of plasma lipoprotein(a) to infarct artery patency in survivors of myocardial infarction.

Abstract:

BACKGROUND:In the minutes to days after myocardial infarction, endogenous lysis of an occlusive coronary arterial thrombus occurs in most subjects. Compared with those in whom thrombolysis does not occur, those with antegrade flow in the infarct artery have improved left ventricular performance, less left ventricular dilatation, and improved survival. This study was performed to assess intrinsic hemostasis and fibrinolysis in survivors of myocardial infarction with or without antegrade perfusion of the infarct artery. METHODS AND RESULTS:In 105 survivors of infarction (75 men, 30 women; age, 30 to 80 years) not given thrombolytic therapy, coronary angiography revealed a patent (group 1, n = 52) or occluded (group 2, n = 53) infarct artery. Plasma concentrations of plasminogen, fibrinogen, tissue plasminogen activator activity, infarct artery. Plasma concentrations of plasminogen, fibrinogen, tissue plasminogen activator activity, plasminogen activator inhibitor activity, cholesterol, triglycerides, and lipoproteins, including lipoprotein(a) (Lp[a]), were measured in blood procured 23 +/- 13 (mean +/- SD) months after infarction. Groups 1 and 2 were similar in age, sex, race, cardioactive medications, infarct artery, extent of coronary artery disease, and left ventricular performance. Of the plasma constituents assayed, the groups were similar except that Lp(a) averaged 18.5 +/- 21.7 mg/dL in group 1 and 49.1 +/- 44.8 mg/dL in group 2 (P < .001). This difference was evident in both Caucasian (n = 65) (P = .009) and African American (n = 40) (P = .01) subjects. CONCLUSIONS:Survivors of myocardial infarction who failed to recanalize the infarct artery have higher plasma Lp(a) concentrations than those with a patent infarct artery. Lp(a) may inhibit intrinsic fibrinolysis.

journal_name

Circulation

journal_title

Circulation

authors

Moliterno DJ,Lange RA,Meidell RS,Willard JE,Leffert CC,Gerard RD,Boerwinkle E,Hobbs HH,Hillis LD

doi

10.1161/01.cir.88.3.935

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

935-40

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

88

pub_type

杂志文章
  • Short-term vasodilator effect of captopril in patients with severe mitral regurgitation is parasympathetically mediated.

    abstract:BACKGROUND:Few data exist regarding the effects of angiotensin converting enzyme inhibitors in patients with regurgitant valvular lesions. We postulated an immediate improvement in cardiac performance with captopril in mitral regurgitation, which, in a hemodynamically compensated group of patients, might be mediated th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.5.2049

    authors: Wisenbaugh T,Essop R,Sareli P

    更新日期:1991-11-01 00:00:00

  • Congenital aneurysms of the left atrium: recognition by cross-sectional echocardiography.

    abstract::The two-dimensional echocardiographic features of three patients with congenital aneurysms of the left atrium are described. The aneurysm arose from the left atrial appendage in two patients and from the posterior left atrial wall in one. The aneurysms were characterized by their origin from an otherwise normal left a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.66.5.1065

    authors: Foale RA,Gibson TC,Guyer DE,Gillam L,King ME,Weyman AE

    更新日期:1982-11-01 00:00:00

  • Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions,

    abstract::Dual antiplatelet therapy with aspirin and a thienopyridine has been shown to reduce cardiac events after coronary stenting. However, many patients and healthcare providers prematurely discontinue dual antiplatelet therapy, which greatly increases the risk of stent thrombosis, myocardial infarction, and death. This ad...

    journal_title:Circulation

    pub_type: 杂志文章,实务指引

    doi:10.1161/CIRCULATIONAHA.106.180944

    authors: Grines CL,Bonow RO,Casey DE Jr,Gardner TJ,Lockhart PB,Moliterno DJ,O'Gara P,Whitlow P,American Heart Association.,American College of Cardiology.,Society for Cardiovascular Angiography and Interventions.,American College of Surgeon

    更新日期:2007-02-13 00:00:00

  • Regional differences in function within noninfarcted myocardium during left ventricular remodeling.

    abstract:BACKGROUND:The mechanisms of ventricular enlargement and dysfunction during postinfarct remodeling remain largely unknown. Although global left ventricular architectural changes after myocardial infarction are well documented, differences in function between adjacent and remote noninfarcted myocardium during left ventr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.3.1279

    authors: Kramer CM,Lima JA,Reichek N,Ferrari VA,Llaneras MR,Palmon LC,Yeh IT,Tallant B,Axel L

    更新日期:1993-09-01 00:00:00

  • Antithrombotic effects of thrombolytic agents in a platelet-rich femoral vein thrombosis model in the hamster.

    abstract:BACKGROUND:The extent and mechanism of the antithrombotic properties of fibrin-selective and non-fibrin-selective thrombolytic agents have not yet been established. METHODS AND RESULTS:The antithrombotic, thrombolytic, fibrinogenolytic, and pharmacokinetic properties of the following substances were determined in hams...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.5.1330

    authors: Stassen JM,Nyström A,Hoylaerts M,Collen D

    更新日期:1995-03-01 00:00:00

  • LPA Gene, Ethnicity, and Cardiovascular Events.

    abstract:BACKGROUND:The relationship of LPA single nucleotide polymorphisms (SNPs), apolipoprotein(a) isoforms, and lipoprotein(a) [Lp(a)] levels with major adverse cardiovascular events (MACE) in different ethnic groups is not well known. METHODS:LPA SNPs, apolipoprotein(a) isoforms, Lp(a), and oxidized phospholipids on apoli...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.024611

    authors: Lee SR,Prasad A,Choi YS,Xing C,Clopton P,Witztum JL,Tsimikas S

    更新日期:2017-01-17 00:00:00

  • Influence of acute rejection episodes, HLA matching, and donor/recipient phenotype on the development of 'early' transplant-associated coronary artery disease.

    abstract:BACKGROUND:Transplant-associated coronary artery disease (TxCAD) is the manifestation of chronic rejection in the cardiac allograft. Both immunological and nonimmunological factors contribute to its development. Stratification by the time of development of TxCAD has not been considered previously for an extensive trans...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Hornick P,Smith J,Pomerance A,Mitchell A,Banner N,Rose M,Yacoub M

    更新日期:1997-11-04 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

  • Elevated serum triglyceride levels and long-term mortality in patients with coronary heart disease: the Bezafibrate Infarction Prevention (BIP) Registry.

    abstract:BACKGROUND:The association between elevated blood triglyceride levels and subsequent mortality risk in patients with established coronary heart disease (CHD) has been investigated rarely. The aim of the present study was to investigate this association. METHODS AND RESULTS:We evaluated mortality over a mean follow-up ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.5.475

    authors: Haim M,Benderly M,Brunner D,Behar S,Graff E,Reicher-Reiss H,Goldbourt U

    更新日期:1999-08-03 00:00:00

  • Downregulation of delayed rectifier K(+) currents in dogs with chronic complete atrioventricular block and acquired torsades de pointes.

    abstract:BACKGROUND:Acquired QT prolongation enhances the susceptibility to torsades de pointes (TdP). Clinical and experimental studies indicate ventricular action potential prolongation, increased regional dispersion of repolarization, and early afterdepolarizations as underlying factors. We examined whether K(+)-current alte...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.24.2455

    authors: Volders PG,Sipido KR,Vos MA,Spätjens RL,Leunissen JD,Carmeliet E,Wellens HJ

    更新日期:1999-12-14 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

  • Rosiglitazone and outcomes for patients with diabetes mellitus and coronary artery disease in the Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) trial.

    abstract:BACKGROUND:Rosiglitazone improves glycemic control for patients with type 2 diabetes mellitus, but there remains controversy regarding an observed association with cardiovascular hazard. The cardiovascular effects of rosiglitazone for patients with coronary artery disease remain unknown. METHODS AND RESULTS:To examine...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.112.000678

    authors: Bach RG,Brooks MM,Lombardero M,Genuth S,Donner TW,Garber A,Kennedy L,Monrad ES,Pop-Busui R,Kelsey SF,Frye RL,BARI 2D Investigators.

    更新日期:2013-08-20 00:00:00

  • Antithrombotic therapy for deep arterial injury by angioplasty. Efficacy of common platelet inhibition compared with thrombin inhibition in pigs.

    abstract:BACKGROUND:Platelet-thrombus formation is a complication of arterial wall deep injury by balloon angioplasty that may lead to acute arterial occlusion and may contribute to restenosis. METHODS AND RESULTS:Because common platelet-inhibitor drugs with a heparin bolus (100 units/kg) may be effective in inhibiting platele...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.2.814

    authors: Lam JY,Chesebro JH,Steele PM,Heras M,Webster MW,Badimon L,Fuster V

    更新日期:1991-08-01 00:00:00

  • Acute effects of continuous positive airway pressure on cardiac sympathetic tone in congestive heart failure.

    abstract:BACKGROUND:Depressed ventricular performance and neurohormonal activation are key pathophysiological features of congestive heart failure (CHF). Although angiotensin-converting enzyme inhibitors and beta-adrenoceptor blockers exert beneficial effects in CHF, mortality remains unacceptably high, and the development of f...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.103.19.2336

    authors: Kaye DM,Mansfield D,Aggarwal A,Naughton MT,Esler MD

    更新日期:2001-05-15 00:00:00

  • Exercise testing in patients with microvascular angina.

    abstract::The widespread use of exercise testing for the detection of myocardial ischemia in patients suspected of having coronary artery disease led to the detection of ischemic changes in many subjects who subsequently were found to have angiographically normal epicardial vessels--the false positive response. Such a result is...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Epstein SE,Cannon RO 3rd,Bonow RO

    更新日期:1991-05-01 00:00:00

  • Aneurysm of the membraous septum in ventricular septal defect.

    abstract::An aneurysm of the membranous septum was found frequently in patients with ventricular septal defect; although appearance at catheterization during infancy was not common, aneurysms were detected in about half of the patients older than 2 years of age. A significant decrease in the left-to-right shunt occurred with th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Nugent EW,Freedom RM,Rowe RD,Wagner HR,Rees JK

    更新日期:1977-08-01 00:00:00

  • Management of thoracoabdominal malperfusion in aortic dissection.

    abstract::Malperfusion of the thoracoabdominal aorta or its branches is a common complication of aortic dissection, often with a fatal outcome. Since 1985 we saw thoracoabdominal malperfusion in 13 patients with aortic dissection. During repair of an acute type A aortic dissection, the intimal flap was fenestrated in three case...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Laas J,Heinemann M,Schaefers HJ,Daniel W,Borst HG

    更新日期:1991-11-01 00:00:00

  • Left ventricular contractility predicts how the end-diastolic pressure-volume relation shifts during pacing-induced ischemia in dogs.

    abstract:BACKGROUND:Two types of ischemia, pacing-induced and coronary occlusion-induced, have different effects on left ventricular diastolic properties. During pacing-induced ischemia, the diastolic pressure-volume relation is said to shift upward, whereas during coronary occlusion, it is said to shift rightward or downward. ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.9.2423

    authors: Takano H,Glantz SA

    更新日期:1995-05-01 00:00:00

  • Long-term evolution and prognostic stratification of biopsy-proven active myocarditis.

    abstract:BACKGROUND:Active myocarditis is characterized by large heterogeneity of clinical presentation and evolution. This study describes the characteristics and the long-term evolution of a large sample of patients with biopsy-proven active myocarditis, looking for accessible and valid early predictors of long-term prognosis...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.003092

    authors: Anzini M,Merlo M,Sabbadini G,Barbati G,Finocchiaro G,Pinamonti B,Salvi A,Perkan A,Di Lenarda A,Bussani R,Bartunek J,Sinagra G

    更新日期:2013-11-26 00:00:00

  • Cardiomyocyte-specific overexpression of human stem cell factor improves cardiac function and survival after myocardial infarction in mice.

    abstract:BACKGROUND:Soluble stem cell factor (SCF) has been shown to mobilize bone marrow stem cells and improve cardiac repair after myocardial infarction (MI). However, the effect of membrane-associated SCF on cardiac remodeling after MI is not known. The present study investigated the effects of cardiomyocyte-specific overex...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.839068

    authors: Xiang FL,Lu X,Hammoud L,Zhu P,Chidiac P,Robbins J,Feng Q

    更新日期:2009-09-22 00:00:00

  • Magnetic resonance imaging assessment of the severity of mitral regurgitation. Comparison with invasive techniques.

    abstract:BACKGROUND:In the patient with mitral regurgitation who is being considered for valvular surgery, cardiac catheterization is usually performed to quantify the severity of regurgitation and to determine its influence on left ventricular volumes and systolic function. Magnetic resonance imaging (MRI) potentially provides...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.5.1151

    authors: Hundley WG,Li HF,Willard JE,Landau C,Lange RA,Meshack BM,Hillis LD,Peshock RM

    更新日期:1995-09-01 00:00:00

  • Predictors of disease course in patients with acute myocarditis.

    abstract:BACKGROUND:Clinical manifestations of acute myocarditis, with distinct onset, vary from asymptomatic to fatal. The predictors of the course of the disease in patients with acute myocarditis at initial presentation have not yet been established. In this study, we examined the predictive values of various parameters in t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.23.2829

    authors: Fuse K,Kodama M,Okura Y,Ito M,Hirono S,Kato K,Hanawa H,Aizawa Y

    更新日期:2000-12-05 00:00:00

  • External noninvasive temporary cardiac pacing: clinical trials.

    abstract::An external cardiac pacemaker-monitor has been developed that provides safe, effective noninvasive ventricular stimulation that is well tolerated in conscious patients and allows clear recognition of electrocardiographic response. The noninvasive temporary pacemaker (NTP) has now been applied in 134 patients in five h...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.71.5.937

    authors: Zoll PM,Zoll RH,Falk RH,Clinton JE,Eitel DR,Antman EM

    更新日期:1985-05-01 00:00:00

  • Contributory mechanisms for the beneficial effects of myocyte preconditioning during cardioplegic arrest.

    abstract:BACKGROUND:Preconditioning protects the myocardium from ischemia and may be a potent means of endogenous cardioprotection during cardioplegic arrest and rewarming. However, fundamental mechanisms that potentially contribute to the beneficial effects of preconditioning during cardioplegic arrest and rewarming remain unc...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: O SJ,Zellner JL,Cox MH,Hebbar L,Brothers TE,Mukherjee R,Tempel GE,Dorman BH,Crawford FA Jr,Spinale FG

    更新日期:1996-11-01 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

  • Influence of pyruvate on contractile performance and Ca(2+) cycling in isolated failing human myocardium.

    abstract:BACKGROUND:Application of pyruvate was shown to improve contractile function in isolated animal myocardium and hemodynamics in patients with congestive heart failure. We assessed the influence of pyruvate on systolic and diastolic myocardial function and its subcellular mode of action in isolated myocardium from end-st...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc0202.102238

    authors: Hasenfuss G,Maier LS,Hermann HP,Lüers C,Hünlich M,Zeitz O,Janssen PM,Pieske B

    更新日期:2002-01-15 00:00:00

  • Preconditioning with ischemia: a delay of lethal cell injury in ischemic myocardium.

    abstract::We have previously shown that a brief episode of ischemia slows the rate of ATP depletion during subsequent ischemic episodes. Additionally, intermittent reperfusion may be beneficial to the myocardium by washing out catabolites that have accumulated during ischemia. Thus, we proposed that multiple brief ischemic epis...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.5.1124

    authors: Murry CE,Jennings RB,Reimer KA

    更新日期:1986-11-01 00:00:00

  • Regular aerobic exercise augments endothelium-dependent vascular relaxation in normotensive as well as hypertensive subjects: role of endothelium-derived nitric oxide.

    abstract:BACKGROUND:Several nonpharmacological interventions, including exercise, are recommended in primary prevention of hypertension and other cardiovascular diseases in which the pathogenetic role of endothelial dysfunction has been suggested. We studied the effects of long-term aerobic exercise on endothelial function in p...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.100.11.1194

    authors: Higashi Y,Sasaki S,Kurisu S,Yoshimizu A,Sasaki N,Matsuura H,Kajiyama G,Oshima T

    更新日期:1999-09-14 00:00:00

  • Development of short-term myocardial hibernation. Its limitation by the severity of ischemia and inotropic stimulation.

    abstract:BACKGROUND:Short-term hibernating myocardium is characterized by a decrease in contractile function in proportion to the reduced myocardial blood flow. Myocardial creatine phosphate content, initially decreased during the first minutes of ischemia, returns to near-control values, the ischemia-induced net lactate produc...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.2.684

    authors: Schulz R,Rose J,Martin C,Brodde OE,Heusch G

    更新日期:1993-08-01 00:00:00

  • Ischemia-induced interleukin-8 release after human heart transplantation. A potential role for endothelial cells.

    abstract:BACKGROUND:Interleukin-8 (IL-8) secreted from endothelial cells is a powerful neutrophil chemoattractant and activator. We hypothesized that human endothelial cells deprived of oxygen would secrete IL-8, which might translate into elevated IL-8 production after cardiac ischemia. Furthermore, we hypothesized that corona...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.92.9.428

    authors: Oz MC,Liao H,Naka Y,Seldomridge A,Becker DN,Michler RE,Smith CR,Rose EA,Stern DM,Pinsky DJ

    更新日期:1995-11-01 00:00:00