当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY期刊下所有文献 > Mechanism of syncope in patients with positive adenosine triphosphate tests.

Mechanism of syncope in patients with positive adenosine triphosphate tests.

Abstract：

OBJECTIVES:We prospectively evaluated the mechanism of syncope in patients with positive adenosine triphosphate (ATP) tests (defined as the induction of atrioventricular [AV] block with a ventricular pause >/=6 s after an intravenous bolus of 20 mg ATP). BACKGROUND:Patients with unexplained syncope tend to have more positive ATP tests results than those without syncope. METHODS:An implantable loop recorder (ILR) was inserted in 36 ATP-positive patients (69 +/- 10 years; 22 women; median of 6 syncopal episodes); 15 of them also had a positive response to tilt testing. RESULTS:During the follow-up of 18 +/- 9 months, 18 patients (50%) had syncopal recurrence and 16 (44%) had an electrocardiographically documented episode: AV block (n = 3: paroxysmal in 2 and permanent in 1), AV block followed by sinus arrest (n = 1), sinus arrest (n = 5), sinus bradycardia <40 beats/min (n = 2), normal sinus rhythm (n = 2), sinus tachycardia (n = 1), rapid atrial fibrillation (n = 1), and ectopic atrial tachycardia (n = 1). Bradycardia was documented in a total of 11 cases (69%), and a long ventricular pause (4 to 29 s) was present in eight cases (50%). All three patients with ILR-documented AV block had previously had a negative tilt test, whereas seven of eight with ILR-documented sinus bradycardia or sinus arrest had previously had a positive tilt test. CONCLUSIONS:In patients with adenosine-sensitive syncope, the mechanism of syncope is heterogeneous, although bradycardia is the most frequent finding. Adenosine triphosphate-induced AV block predicts AV block as the mechanism of spontaneous syncope in only a few tilt-negative patients.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Donateo P,Brignole M,Menozzi C,Bottoni N,Alboni P,Dinelli M,Del Rosso A,Croci F,Oddone D,Solano A,Puggioni E

doi

10.1016/s0735-1097(02)02621-9

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

93-8

issue

1

eissn

0735-1097

issn

1558-3597

pii

S0735109702026219

journal_volume

41

pub_type

杂志文章

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY文献大全
  • Intrinsic sympathomimetic activity and the effects of beta-adrenergic blocking drugs on vulnerability to ventricular fibrillation.

    abstract：:Beta-adrenergic blocking agents differ considerably in their effects on myocardial excitable properties. The possibility that intrinsic sympathomimetic activity might contribute to such differences has not been adequately explored. This study examined the influence of intrinsic sympathomimetic activity on the electrop...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(83)80047-3

    authors： Raeder EA,Verrier RL,Lown B

    更新日期：1983-06-01 00:00:00

  • Cardiac magnetic resonance imaging findings and the risk of cardiovascular events in patients with recent myocardial infarction or suspected or known coronary artery disease: a systematic review of prognostic studies.

    abstract：:The goal of this study was to review the prognostic value of cardiac magnetic resonance (CMR) imaging findings for future cardiovascular events in patients with a recent myocardial infarction (MI) and patients with suspected or known coronary artery disease (CAD). Although the diagnostic value of CMR findings is estab...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2013.11.048

    authors： El Aidi H,Adams A,Moons KG,Den Ruijter HM,Mali WP,Doevendans PA,Nagel E,Schalla S,Bots ML,Leiner T

    更新日期：2014-03-25 00:00:00

  • Multislice computed tomography and magnetic resonance imaging for the assessment of reperfused acute myocardial infarction.

    abstract：OBJECTIVES:We evaluated the accuracy of in vivo delayed-enhancement multislice computed tomography (DE-MSCT) and delayed-enhancement magnetic resonance imaging (DE-MRI) for the assessment of myocardial infarct size using postmortem triphenyltetrazolium chloride (TTC) pathology as standard of reference. BACKGROUND:The ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2006.02.059

    authors： Baks T,Cademartiri F,Moelker AD,Weustink AC,van Geuns RJ,Mollet NR,Krestin GP,Duncker DJ,de Feyter PJ

    更新日期：2006-07-04 00:00:00

  • Relationship of Alcohol Consumption to All-Cause, Cardiovascular, and Cancer-Related Mortality in U.S. Adults.

    abstract：BACKGROUND:Previous studies have revealed inconsistent findings regarding the association of light to moderate alcohol consumption with cardiovascular disease (CVD) and cancer mortality. OBJECTIVES:The aim of this study was to examine the association between alcohol consumption and risk of mortality from all causes, c...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jacc.2017.06.054

    authors： Xi B,Veeranki SP,Zhao M,Ma C,Yan Y,Mi J

    更新日期：2017-08-22 00:00:00

  • Intracardiac phased-array imaging: methods and initial clinical experience with high resolution, under blood visualization: initial experience with intracardiac phased-array ultrasound.

    abstract：OBJECTIVES:This study was designed to test the feasibility of high-resolution phased-array intracardiac imaging. BACKGROUND:Intracardiac echocardiographic imaging of the heart during interventional electrophysiologic (EP) procedures has been limited by inadequate ultrasound penetration and absence of Doppler hemodynam...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0735-1097(01)01764-8

    authors： Packer DL,Stevens CL,Curley MG,Bruce CJ,Miller FA,Khandheria BK,Oh JK,Sinak LJ,Seward JB

    更新日期：2002-02-06 00:00:00

  • Short-term endothelin receptor blockade with tezosentan has both immediate and long-term beneficial effects in rats with myocardial infarction.

    abstract：OBJECTIVES:We investigated the effects of short-term tezosentan treatment on cardiac function, pulmonary edema and long-term evolution of heart failure (HF) in a rat model of myocardial infarction (MI). BACKGROUND:Endothelin (ET) may play a major role in the progression from MI to HF. Tezosentan is a new dual ET(A)/ET...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(01)01692-8

    authors： Clozel M,Qiu C,Qiu CS,Hess P,Clozel JP

    更新日期：2002-01-02 00:00:00

  • Carotid artery stenting in acute stroke.

    abstract：OBJECTIVES:The purpose of this study is to demonstrate the technical success of carotid artery stenting in acute extracranial internal carotid artery (ICA) occlusion as well as the benefit in clinical outcome. BACKGROUND:Stroke caused by acute occlusion of the ICA is associated with a significant level of morbidity an...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2011.08.044

    authors： Papanagiotou P,Roth C,Walter S,Behnke S,Grunwald IQ,Viera J,Politi M,Körner H,Kostopoulos P,Haass A,Fassbender K,Reith W

    更新日期：2011-11-29 00:00:00

  • Single-Staged Compared With Multi-Staged PCI in Multivessel NSTEMI Patients: The SMILE Trial.

    abstract：BACKGROUND:A lack of clarity exists about the role of complete coronary revascularization in patients presenting with non-ST-segment elevation myocardial infarction. OBJECTIVES:The aim of our study was to compare long-term outcomes in terms of major adverse cardiovascular and cerebrovascular events of 2 different comp...

    journal_title：Journal of the American College of Cardiology

    pub_type： 评论,杂志文章

    doi：10.1016/j.jacc.2015.10.082

    authors： Sardella G,Lucisano L,Garbo R,Pennacchi M,Cavallo E,Stio RE,Calcagno S,Ugo F,Boccuzzi G,Fedele F,Mancone M

    更新日期：2016-01-26 00:00:00

  • Focal atrial tachycardia arising from the mitral annulus: electrocardiographic and electrophysiologic characterization.

    abstract：OBJECTIVES:The study was done to characterize the electrocardiographic and electrophysiologic features of focal atrial tachycardia originating at the mitral annulus (MA). BACKGROUND:Though the majority of left atrial tachycardias originate around the ostia of the pulmonary veins, only isolated reports have described f...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(03)00484-4

    authors： Kistler PM,Sanders P,Hussin A,Morton JB,Vohra JK,Sparks PB,Kalman JM

    更新日期：2003-06-18 00:00:00

  • Serial analysis of electrically induced ventricular arrhythmias in a canine model of myocardial infarction.

    abstract：:To determine the rate of induction, specificity and evolution of electrically induced postmyocardial infarction ventricular arrhythmias, 10 dogs that underwent a sham operation and 20 dogs with experimental transmural apical myocardial infarction underwent serial closed chest electrophysiologic studies with programmed...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(85)80010-3

    authors： Garan H,Ruskin JN,McGovern B,Grant G

    更新日期：1985-05-01 00:00:00

  • Multimarker prediction of coronary heart disease risk: the Women's Health Initiative.

    abstract：OBJECTIVES:The aim of this study was to investigate whether multiple biomarkers contribute to improved coronary heart disease (CHD) risk prediction in post-menopausal women compared with assessment using traditional risk factors (TRFs) only. BACKGROUND:The utility of newer biomarkers remains uncertain when added to pr...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2009.12.047

    authors： Kim HC,Greenland P,Rossouw JE,Manson JE,Cochrane BB,Lasser NL,Limacher MC,Lloyd-Jones DM,Margolis KL,Robinson JG

    更新日期：2010-05-11 00:00:00

  • Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment.

    abstract：:Thirteen patients with tuberculous pericarditis (12 men and 1 woman aged 13 to 70 years [mean 41]) were identified in a group of 294 patients consecutively admitted for primary acute pericardial disease. The diagnosis was made by the following studies: sputum culture (n = 4), culture of pericardial fluid obtained by p...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(88)90203-3

    authors： Sagristà-Sauleda J,Permanyer-Miralda G,Soler-Soler J

    更新日期：1988-04-01 00:00:00

  • Familial dilated cardiomyopathy: cardiac abnormalities are common in asymptomatic relatives and may represent early disease.

    abstract：OBJECTIVES:This study sought to determine whether early disease is identifiable in asymptomatic relatives of patients with dilated cardiomyopathy (DCM) by means of noninvasive cardiologic assessment. BACKGROUND:DCM is diagnosed on the basis of advanced heart failure, where cardiac dilation and impaired contractility a...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(97)00433-6

    authors： Baig MK,Goldman JH,Caforio AL,Coonar AS,Keeling PJ,McKenna WJ

    更新日期：1998-01-01 00:00:00

  • Comparison of double kissing crush versus Culotte stenting for unprotected distal left main bifurcation lesions: results from a multicenter, randomized, prospective DKCRUSH-III study.

    abstract：OBJECTIVES:The study aimed to investigate the difference in major adverse cardiac event (MACE) at 1-year after double kissing (DK) crush versus Culotte stenting for unprotected left main coronary artery (UPLMCA) distal bifurcation lesions. BACKGROUND:DK crush and Culotte stenting were reported to be effective for trea...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2013.01.023

    authors： Chen SL,Xu B,Han YL,Sheiban I,Zhang JJ,Ye F,Kwan TW,Paiboon C,Zhou YJ,Lv SZ,Dangas GD,Xu YW,Wen SY,Hong L,Zhang RY,Wang HC,Jiang TM,Wang Y,Chen F,Yuan ZY,Li WM,Leon MB

    更新日期：2013-04-09 00:00:00

  • Ergonovine maleate testing during cardiac catheterization: a 10-year perspective in 3,447 patients without significant coronary artery disease or Prinzmetal's variant angina.

    abstract：:The utility of ergonovine testing for coronary artery spasm was assessed in 3,447 patients with angiographically insignificant (less than 50% diameter stenosis) or no coronary artery disease. No patients clinically had Prinzmetal's variant angina. Overall, 4% had a positive ergonovine test result, defined by spasm cau...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(92)90145-d

    authors： Harding MB,Leithe ME,Mark DB,Nelson CL,Harrison JK,Hermiller JB,Davidson CJ,Pryor DB,Bashore TM

    更新日期：1992-07-01 00:00:00

  • Complications of inappropriate use of spironolactone in heart failure: when an old medicine spirals out of new guidelines.

    abstract：OBJECTIVES:This study was designed to investigate the appropriateness and complications of the use of spironolactone for heart failure (HF) in clinical practice. BACKGROUND:Spironolactone was reported by one prospective randomized trial to decrease morbidity and mortality in patients with New York Heart Association (N...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,评论,杂志文章,随机对照试验

    doi：10.1016/s0735-1097(02)02694-3

    authors： Bozkurt B,Agoston I,Knowlton AA

    更新日期：2003-01-15 00:00:00

  • Mechanism and location of atrial flutter in transplanted hearts: observations during transient entrainment from distant sites.

    abstract：OBJECTIVES:This study was designed to elucidate the location and mechanism of typical atrial flutter in the transplanted heart. BACKGROUND:Although the F wave morphology in atrial flutter is similar in nontransplanted and transplanted hearts, the surgical incision needed for the atrial anastomosis may create a distinc...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(97)00186-1

    authors： Arenal A,Almendral J,Muñoz R,Villacastín J,Merino JL,Palomo J,García Robles JA,Peinado R,Delcán JL

    更新日期：1997-08-01 00:00:00

  • Multiparametric cardiovascular magnetic resonance assessment of cardiac allograft vasculopathy.

    abstract：OBJECTIVES:This study sought to evaluate the diagnostic performance of multiparametric cardiovascular magnetic resonance (CMR) for detecting cardiac allograft vasculopathy (CAV) using contemporary invasive epicardial artery and microvascular assessment techniques as reference standards, and to compare the performance o...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jacc.2013.07.119

    authors： Miller CA,Sarma J,Naish JH,Yonan N,Williams SG,Shaw SM,Clark D,Pearce K,Stout M,Potluri R,Borg A,Coutts G,Chowdhary S,McCann GP,Parker GJ,Ray SG,Schmitt M

    更新日期：2014-03-04 00:00:00

  • Elevated plasma beta-endorphin levels in patients with congestive heart failure.

    abstract：:Recent experimental studies show that the opioid system is important to the pathophysiology of cardiovascular impairment in congestive heart failure. Plasma beta-endorphin levels were measured in 37 patients with congestive heart failure and compared with those of 21 age- and gender-matched normal subjects. The relati...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(91)90703-c

    authors： Kawashima S,Fukutake N,Nishian K,Asakuma S,Iwasaki T

    更新日期：1991-01-01 00:00:00

  • Computed tomographic angiography characteristics of atherosclerotic plaques subsequently resulting in acute coronary syndrome.

    abstract：OBJECTIVES:In a computed tomographic (CT) angiography study, we identified the characteristics of atherosclerotic lesions that were associated with subsequent development of acute coronary syndrome (ACS). BACKGROUND:The CT characteristics of culprit lesions in ACS include positive vessel remodeling (PR) and low-attenu...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2009.02.068

    authors： Motoyama S,Sarai M,Harigaya H,Anno H,Inoue K,Hara T,Naruse H,Ishii J,Hishida H,Wong ND,Virmani R,Kondo T,Ozaki Y,Narula J

    更新日期：2009-06-30 00:00:00

  • Sildenafil stops progressive chamber, cellular, and molecular remodeling and improves calcium handling and function in hearts with pre-existing advanced hypertrophy caused by pressure overload.

    abstract：OBJECTIVE:This study sought to test the efficacy of phosphodiesterase type 5A (PDE5A) inhibition for treating advanced hypertrophy/remodeling caused by pressure overload, and to elucidate cellular and molecular mechanisms for this response. BACKGROUND:Sildenafil (SIL) inhibits cyclic guanosine monophosphate-specific P...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2008.08.069

    authors： Nagayama T,Hsu S,Zhang M,Koitabashi N,Bedja D,Gabrielson KL,Takimoto E,Kass DA

    更新日期：2009-01-13 00:00:00

  • Influenza Vaccination to Reduce Cardiovascular Morbidity and Mortality in Patients With COVID-19: JACC State-of-the-Art Review.

    abstract：:Viral respiratory infections are risk factors for cardiovascular disease (CVD). Underlying CVD is also associated with an increased risk of complications following viral respiratory infections, including increased morbidity, mortality, and health care utilization. Globally, these phenomena are observed with seasonal i...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2020.08.028

    authors： Behrouzi B,Araujo Campoverde MV,Liang K,Talbot HK,Bogoch II,McGeer A,Fröbert O,Loeb M,Vardeny O,Solomon SD,Udell JA

    更新日期：2020-10-13 00:00:00

  • Cellular, but not direct, adenoviral delivery of vascular endothelial growth factor results in improved left ventricular function and neovascularization in dilated ischemic cardiomyopathy.

    abstract：OBJECTIVES:We sought to compare the effects on angiogenesis and left ventricular (LV) function of adenoviral vascular endothelial growth factor-165 (AdVEGF-165) gene delivery by direct injection of AdVEGF-165 to the transplantation of skeletal myoblasts (SKMB) transfected with AdVEGF-165 in a rat model of ischemic card...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2003.12.045

    authors： Askari A,Unzek S,Goldman CK,Ellis SG,Thomas JD,DiCorleto PE,Topol EJ,Penn MS

    更新日期：2004-05-19 00:00:00

  • The implanted defibrillator: relation of defibrillating lead configuration and clinical variables to defibrillation threshold.

    abstract：:Forty-two defibrillating lead systems for the automatic implantable defibrillator were implanted and tested in 41 patients. Two basic lead configurations were used: 1) spring-patch, consisting of a transvenous superior vena cava spring electrode as the anode and an apical or left lateral ventricular patch electrode (e...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(85)80219-9

    authors： Troup PJ,Chapman PD,Olinger GN,Kleinman LH

    更新日期：1985-12-01 00:00:00

  • Initial energy setting, outcome and efficiency in direct current cardioversion of atrial fibrillation and flutter.

    abstract：OBJECTIVES:The purpose of this study was to design a more efficient protocol for the electrical cardioversion of atrial arrhythmias. BACKGROUND:Guidelines for electrical cardioversion of atrial arrhythmias recommend starting with low energy shocks, which are often ineffective. METHODS:We recorded the sequence of shoc...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(01)01540-6

    authors： Gallagher MM,Guo XH,Poloniecki JD,Guan Yap Y,Ward D,Camm AJ

    更新日期：2001-11-01 00:00:00

  • The SLCO1B1*5 genetic variant is associated with statin-induced side effects.

    abstract：OBJECTIVES:We sought to identify single nucleotide polymorphisms associated with mild statin-induced side effects. BACKGROUND:Statin-induced side effects can interfere with therapy. Single nucleotide polymorphisms in cytochrome P450 enzymes impair statin metabolism; the reduced function SLCO1B1*5 allele impairs statin...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jacc.2009.04.053

    authors： Voora D,Shah SH,Spasojevic I,Ali S,Reed CR,Salisbury BA,Ginsburg GS

    更新日期：2009-10-20 00:00:00

  • Exercise-induced U-wave alterations as a marker of well-developed and well-functioning collateral vessels in patients with effort angina.

    abstract：OBJECTIVES:We sought to determine whether exercise-induced U-wave alterations are observed in association with well-developed and well-functioning collateral vessels. BACKGROUND:Although exercise-induced electrocardiographic (ECG) U-wave alterations including negative and prominent U waves have been established as a m...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(99)00394-0

    authors： Miwa K,Nakagawa K,Hirai T,Inoue H

    更新日期：2000-03-01 00:00:00

  • Cholesterol-lowering interventions and stroke: insights from a meta-analysis of randomized controlled trials.

    abstract：OBJECTIVES:This meta-analysis was performed to determine the effects of various cholesterol-lowering treatments on the risk of stroke and its relationship with the extent of cholesterol lowering. BACKGROUND:Statins reduce the incidence of stroke, and it has been proposed that such effect is independent of cholesterol ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.jacc.2009.07.062

    authors： De Caterina R,Scarano M,Marfisi R,Lucisano G,Palma F,Tatasciore A,Marchioli R

    更新日期：2010-01-19 00:00:00

  • Limited usefulness of exercise testing and thallium scintigraphy in evaluation of ambulatory patients several months after recovery from an acute coronary event: implications for management of stable coronary heart disease. Multicenter Myocardial Ischemia

    abstract：OBJECTIVES:This study evaluated the value of noninvasive testing to predict cardiac events in patients with stable coronary disease after hospital admission (and risk stratification) for an acute coronary event. BACKGROUND:Exercise testing with thallium perfusion imaging identifies patients with obstructive coronary a...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/0735-1097(94)90109-0

    authors： Krone RJ,Gregory JJ,Freedland KE,Kleiger RE,Wackers FJ,Bodenheimer MM,Benhorin J,Schwartz RG,Parker JO,Van Voorhees L

    更新日期：1994-11-01 00:00:00

  • Pulse pressure amplification a mechanical biomarker of cardiovascular risk.

    abstract：OBJECTIVES:The aim of this study was to determine whether the carotid/brachial (C/B) ratio is an independent predictor of cardiovascular (CV) risk. BACKGROUND:Brachial and carotid pulse pressure (PP) are independent predictors of CV risk, mainly in elderly patients. Because PP is physiologically lower at the brachial ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2009.09.061

    authors： Benetos A,Thomas F,Joly L,Blacher J,Pannier B,Labat C,Salvi P,Smulyan H,Safar ME

    更新日期：2010-03-09 00:00:00