The role of transesophageal echocardiography in cardiac donor screening.

Abstract:

:Transthoracic echocardiography has played a useful role in the screening of cardiac transplant donors. However, transthoracic echocardiograms may be suboptimal in many patients on ventilators. The role of transesophageal echocardiography in cardiac donor screening is unknown. Therefore we compared the potential benefit of transesophageal echocardiography combined with transthoracic echocardiography in 24 (16 men and 8 women) consecutive brain-dead patients with a mean age of 29 +/- 9 years (range 16 to 44 years), who were being considered as cardiac transplant donors. Transthoracic echocardiography was performed immediately before or after transesophageal echocardiography. Transthoracic echocardiography was technically difficult in 7 of 24 (29%) patients. Results of transesophageal echocardiography were abnormal in five of the seven patients and demonstrated left (n = 4) and right (n = 3) ventricular wall motion abnormalities and concentric left ventricular hypertrophy (n = 2). The four patients with wall motion abnormalities were eliminated as potential donors. In 16 of 17 patients with technically adequate transthoracic echocardiograms, transesophageal and transthoracic echocardiographic findings agreed and demonstrated normal hearts in 13 patients, left (n = 2) and right (n = 1) ventricular wall motion abnormalities in two patients, and isolated concentric left ventricular hypertrophy in one patient. In 1 of the 17 patients with a technically adequate transthoracic echocardiographic study, a bicuspid aortic valve was demonstrated by transesophageal echocardiography but not diagnosed by transthoracic echocardiography. Overall seven patients were eliminated as cardiac donors on the basis of transesophageal echocardiograms (n = 7), transthoracic echocardiograms (n = 2), or both.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Am Heart J

journal_title

American heart journal

authors

Stoddard MF,Longaker RA

doi

10.1016/0002-8703(93)90758-2

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

1676-81

issue

6

eissn

0002-8703

issn

1097-6744

pii

0002-8703(93)90758-2

journal_volume

125

pub_type

杂志文章
  • Kinetics of LDL subfractions.

    abstract::After injecting 125I- or 131I-labeled lipoproteins, plasma was subjected to discontinuous density gradient centrifugation, which separates low-density lipoproteins (LDL) into three subfractions. Analysis of changes in apolipoprotein B-specific activity with time showed that light LDL is normally the product of interme...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(87)90623-5

    authors: Thompson GR,Teng B,Sniderman AD

    更新日期:1987-02-01 00:00:00

  • The risk of stroke and death in patients with aortic and mitral valve endocarditis.

    abstract:BACKGROUND:Previous studies have generated inconsistent results when attempting to define predictors of stroke and death in patients with endocarditis. We sought to examine the relationship between vegetation 2-dimensional size and stroke in those with infective endocarditis (IE) and to identify differences between aor...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1067/mhj.2001.115790

    authors: Cabell CH,Pond KK,Peterson GE,Durack DT,Corey GR,Anderson DJ,Ryan T,Lukes AS,Sexton DJ

    更新日期:2001-07-01 00:00:00

  • Effect of menopause on plaque morphologic characteristics in coronary atherosclerosis.

    abstract:BACKGROUND:Coronary artery disease in women appears 10 to 15 years later than in men. To test the hypothesis that the effects of estrogen may manifest themselves as histologic differences in coronary plaques, we examined the hearts of premenopausal and postmenopausal women who died suddenly from coronary artery disease...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1067/mhj.2001.109946

    authors: Burke AP,Farb A,Malcom G,Virmani R

    更新日期:2001-02-01 00:00:00

  • Outcomes and cost among Medicare beneficiaries hospitalized for heart failure assigned to accountable care organizations.

    abstract::Little is known about the impact of accountable care organizations (ACO) on hospitalized heart failure (HF) patients, a high-cost and high-risk population. OBJECTIVE:We linked Medicare fee-for-service claims from 2013 to 2015 with data from American Heart Association Get With The Guidelines-HF registry to compare HF ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2020.04.028

    authors: Luo N,Hammill BG,DeVore AD,Xu H,Fonarow GC,Albert NM,Matsouaka RA,Hernandez AF,Yancy C,Mentz RJ

    更新日期:2020-08-01 00:00:00

  • Influence of long-acting nitrate therapy on the risk of reinfarction, sudden death, and total mortality in survivors of acute myocardial infarction.

    abstract::The effects of 20 variables that might influence postmyocardial infarction prognosis were assessed retrospectively in 139 patients followed up for an average of 11 months after discharge from San Francisco General Hospital following an acute myocardial infarction. When these variables were analyzed with the use of mul...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(85)90501-0

    authors: Rapaport E

    更新日期:1985-07-01 00:00:00

  • Incidence and clinical outcome of minor surgery in the year after drug-eluting stent implantation: results from the Evaluation of Drug-Eluting Stents and Ischemic Events Registry.

    abstract:BACKGROUND:The aim of the study was to describe the incidence and consequences of minor surgery after drug-eluting stent (DES) implantation. METHODS:The Evaluation of Drug-Eluting Stents and Ischemic Events (EVENT) Registry prospectively enrolled unselected patients undergoing percutaneous coronary intervention at 47 ...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ahj.2010.09.028

    authors: Brilakis ES,Cohen DJ,Kleiman NS,Pencina M,Nassif D,Saucedo J,Piana RN,Banerjee S,Keyes MJ,Yen CH,Berger PB

    更新日期:2011-02-01 00:00:00

  • Vorapaxar in patients with peripheral artery disease and acute coronary syndrome: insights from Thrombin Receptor Antagonist for Clinical Event Reduction in Acute Coronary Syndrome (TRACER).

    abstract:BACKGROUND:In the TRACER trial, vorapaxar, a protease-activated receptor-1 antagonist, plus standard care in non-ST-segment elevation acute coronary syndrome (NSTE ACS) patients did not significantly reduce the primary composite end point but reduced a key secondary end point and significantly increased bleeding. Histo...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2014.06.017

    authors: Jones WS,Tricoci P,Huang Z,Moliterno DJ,Harrington RA,Sinnaeve PR,Strony J,Van de Werf F,White HD,Held C,Armstrong PW,Aylward PE,Chen E,Patel MR,Mahaffey KW

    更新日期:2014-10-01 00:00:00

  • Longer-term impact of cardiology e-consults.

    abstract:AIMS:Cardiac e-consults may be an effective way to deliver value-oriented outpatient cardiology care in an accountable care organization. Initial results of cardiac e-consults have demonstrated high satisfaction among both patients and referring providers, no known adverse events, and low rates of diagnostic testing. N...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2015.11.019

    authors: Wasfy JH,Rao SK,Kalwani N,Chittle MD,Richardson CA,Gallen KM,Isselbacher EM,Kimball AB,Ferris TG

    更新日期:2016-03-01 00:00:00

  • Comparison of 3- versus 6-minute infusions of adenosine in thallium-201 myocardial perfusion imaging.

    abstract::Adenosine thallium stress testing has a demonstrated utility in the detection of coronary artery disease. The optimal dose for diagnostic efficacy with minimal side effects has not been critically evaluated. A randomized 3- and 6-minute infusion of adenosine (140 micrograms/kg/min) was performed in 11 subjects. Subjec...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-8703(07)80015-9

    authors: Villegas BJ,Hendel RC,Dahlberg ST,McSherry BA,Leppo JA

    更新日期:1993-07-01 00:00:00

  • Heart rate and blood pressure responses during sexual activity in normal males.

    abstract::In order to properly advise cardiac patients in the regulation of their sexual activity, more basic physiologic information is needed concerning the cardiovascular effects of sexual intercourse. This study examined the effects of the male's position during sexual intercourse on heart rate and blood pressure responses....

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(76)80106-8

    authors: Nemec ED,Mansfield L,Kennedy JW

    更新日期:1976-09-01 00:00:00

  • Adherence to practice guidelines: the role of specialty society guidelines.

    abstract:BACKGROUND:Physician adherence to guidelines is often poor, but the reasons have not been completely studied. We investigated whether physician adherence to guidelines for percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) varied by source, development methods, or the exten...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1067/mhj.2003.35

    authors: Leape LL,Weissman JS,Schneider EC,Piana RN,Gatsonis C,Epstein AM

    更新日期:2003-01-01 00:00:00

  • Rationale and design of a multicenter randomized trial to compare the graft patency between no-touch vein harvesting technique and conventional approach in coronary artery bypass graft surgery.

    abstract:BACKGROUND:Vein graft failure is a crucial challenge in coronary artery bypass graft (CABG) surgery. Previous studies have suggested a patency benefit of the No-Touch vein harvesting technique, but only with small sample sizes. MATERIALS AND METHODS:This study is a prospective, multicenter randomized clinical trial wi...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/j.ahj.2018.11.011

    authors: Wang X,Tian M,Zheng Z,Gao H,Wang Y,Wang L,Hu S

    更新日期:2019-04-01 00:00:00

  • Aspirin and Tranexamic Acid for Coronary Artery Surgery (ATACAS) Trial: rationale and design.

    abstract:BACKGROUND:Despite some concern that recent aspirin ingestion increases blood loss after coronary artery surgery, there is some evidence that this may reduce thrombotic complications. In contrast, antifibrinolytic drugs can reduce blood loss in this setting, but there is concern that they may increase thrombotic compli...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2007.10.003

    authors: Myles PS,Smith J,Knight J,Cooper DJ,Silbert B,McNeil J,Esmore DS,Buxton B,Krum H,Forbes A,Tonkin A,ATACAS Trial Group.

    更新日期:2008-02-01 00:00:00

  • Management and immediate outcome of patients with intracoronary thrombus during percutaneous transluminal coronary angioplasty.

    abstract::A retrospective analysis of our experience with intraprocedural thrombus complicating percutaneous transluminal coronary angioplasty (PTCA) was undertaken. Of 983 PTCA procedures reviewed, 62 (6.3%) were complicated by thrombus. Patients were managed conservatively (group I, n = 18), with redilation (group II, n = 17)...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(92)90912-f

    authors: Vaitkus PT,Herrmann HC,Laskey WK

    更新日期:1992-07-01 00:00:00

  • Acute myocardial infarction: survey of urban and rural hospital mortality.

    abstract::Mortality rates for acute myocardial infarction (AMI) in the province of Manitoba were studied by a retrospective, randomized survey of urban and rural hospital records. Urban hospitals had formal coronary care unit (CCU). Selected rural hospitals lacked CCUs but usually possessed portable monitoring and defibrillatio...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(83)90277-6

    authors: Morris AL,Nernberg V,Roos NP,Henteleff P,Roos L Jr

    更新日期:1983-01-01 00:00:00

  • Pathophysiologic significance of free and conjugated dopamines in congestive heart failure.

    abstract::sulfoconjugated dopamine constitutes the major portion of circulating or excreted dopamine, but its physiologic significance is still unknown. To test whether conjugated dopamine serves as a source of free dopamine in response to acute stress, plasma concentrations of free and conjugated dopamine were measured during ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(94)90671-8

    authors: Nakaya Y,Katayama T,Nomura M,Ishimura Y,Ohuchi T,Oka M,Yamamoto M,Mizobuchi S

    更新日期:1994-03-01 00:00:00

  • Implantable cardioverter defibrillator: use in patients with no symptoms and at high risk.

    abstract::Twenty-seven patients with asymptomatic, nonsustained ventricular tachycardia whose evaluation suggested they were at high risk for sustained ventricular arrhythmias were treated with implantable cardioverter defibrillators. The option of conventional therapy (including the option of no therapy) was presented to each ...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0002-8703(96)90051-4

    authors: Levine JH,Waller T,Hoch D,Greenberg S,Goldberger J,Kadish A

    更新日期:1996-01-01 00:00:00

  • Effects of the thromboxane synthetase inhibitor and receptor antagonist terbogrel in patients with primary pulmonary hypertension.

    abstract:BACKGROUND:Circulating mediators, including thromboxane A2, the vasoconstrictor, platelet aggregant, and smooth muscle mitogen, may contribute to the progression of vascular narrowing in primary pulmonary hypertension (PPH). METHODS:To further understand the contribution of thromboxane and to provide novel therapy for...

    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:10.1067/mhj.2002.121806

    authors: Langleben D,Christman BW,Barst RJ,Dias VC,Galiè N,Higenbottam TW,Kneussl M,Korducki L,Naeije R,Riedel A,Simonneau G,Hirsch AM,Rich S,Robbins IM,Oudiz R,McGoon MD,Badesch DB,Levy RD,Mehta S,Seeger W,Solèr M

    更新日期:2002-05-01 00:00:00

  • Chlamydia pneumoniae infection and atherosclerotic coronary disease.

    abstract:BACKGROUND:Previous works have suggested an association between Chlamydia pneumoniae infection and coronary heart disease. We evaluated the prevalence of C. pneumoniae infection in patients with acute myocardial infarction (AMI) and coronary heart disease (CHD). METHODS AND RESULTS:Ninety-eight patients with AMI, 80 p...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(99)70371-6

    authors: Sessa R,Di Pietro M,Santino I,del Piano M,Varveri A,Dagianti A,Penco M

    更新日期:1999-06-01 00:00:00

  • Heart failure disease management in an indigent population.

    abstract:BACKGROUND:Multidisciplinary disease management programs (MDMP) have demonstrated reduced hospitalizations in motivated pretransplant heart failure populations, but little is known about their effectiveness in largely indigent patients who are not transplant candidates. METHODS AND RESULTS:We studied 35 patients with ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1067/mhj.2001.111956

    authors: O'Connell AM,Crawford MH,Abrams J

    更新日期:2001-02-01 00:00:00

  • Metabolic considerations in the choice of therapy for the patient with hypertension.

    abstract::The objective of treating patients with hypertension is not simply to reduce blood pressure but rather to prevent the associated morbidity and mortality. Recent assessments of clinical trials have shown that while the risk of stroke is consistently lower with antihypertensive therapy, the same degree of success has no...

    journal_title:American heart journal

    pub_type: 杂志文章,评审

    doi:10.1016/0002-8703(91)90451-m

    authors: Black HR

    更新日期:1991-02-01 00:00:00

  • The association between early ventricular arrhythmias, renin-angiotensin-aldosterone system antagonism, and mortality in patients with ST-segment-elevation myocardial infarction: Insights from Global Use of Strategies to Open coronary arteries (GUSTO) V.

    abstract:BACKGROUND:The long-term prognostic significance of early (<48 hours) ventricular fibrillation (VF) or sustained ventricular tachycardia (VT) in patients with an acute myocardial infarction remains controversial. Emerging data suggest that some of the benefit of renin-angiotensin-aldosterone system (RAAS) antagonism ma...

    journal_title:American heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ahj.2009.05.023

    authors: Askari AT,Shishehbor MH,Kaminski MA,Riley MJ,Hsu A,Lincoff AM,GUSTO-V Investigators.

    更新日期:2009-08-01 00:00:00

  • The effect of Aliskiren on exercise capacity in older patients with heart failure and preserved ejection fraction: A randomized, placebo-controlled, double-blind trial.

    abstract::In older patients (70 ± 7 years) with chronic well-compensated heart failure with preserved ejection and controlled blood pressure, 6 months treatment with aliskiren (direct renin inhibitor) showed non-significant trends for modest improvements in peak exercise oxygen consumption (14.9 ± 0.2 mL kg-1 min-1 versus 14.4 ...

    journal_title:American heart journal

    pub_type: 信件

    doi:10.1016/j.ahj.2018.03.019

    authors: Upadhya B,Brubaker PH,Morgan TM,Eggebeen JD,Jao GT,Stewart KP,Kitzman DW

    更新日期:2018-07-01 00:00:00

  • Validation of pressure-volume data obtained in patients by initial transit radionuclide angiocardiography.

    abstract::In order to validate the measurement of pressure-volume loops and stroke work in humans, simultaneous digital subtraction ventriculography (DSA) and first-pass radionuclide angiocardiography (RNA) coupled with high-fidelity micromanometer left ventricular pressure measurements were undertaken in 34 patients, mean age ...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(89)90234-2

    authors: Harpole DH,Skelton TN,Davidson CJ,Jones RH,Bashore TM

    更新日期:1989-11-01 00:00:00

  • Cardiac rehabilitation participation predicts lower rehospitalization costs.

    abstract::The effect of participation in cardiac rehabilitation on medical costs was determined by measuring hospitalization charges for cardiac admissions over a 3-year period in 580 post-coronary event patients (58% after coronary bypass surgery, 42% after myocardial infarction), of whom 230 entered a cardiac rehabilitation p...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(92)90696-s

    authors: Ades PA,Huang D,Weaver SO

    更新日期:1992-04-01 00:00:00

  • The ω-3 Fatty Acids for Prevention of Post-Operative Atrial Fibrillation trial--rationale and design.

    abstract::Postoperative atrial fibrillation/flutter (PoAF) commonly complicates cardiac surgery, occurring in 25% to 60% of patients. Postoperative atrial fibrillation/flutter is associated with significant morbidity, higher long-term mortality, and increased health care costs. Novel preventive therapies are clearly needed. In ...

    journal_title:American heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ahj.2011.03.035

    authors: Mozaffarian D,Marchioli R,Gardner T,Ferrazzi P,O'Gara P,Latini R,Libby P,Lombardi F,Macchia A,Page R,Santini M,Tavazzi L,Tognoni G

    更新日期:2011-07-01 00:00:00

  • Atrial T(Ta) wave and atrial gradient in patients with A-V block.

    abstract::The P and the Ta waves of two patient groups with A-V block were magnified with a direct-current amplifier and recorded at a high paper speed. In Group A patients (those without serious cardiovascular complications except A-V block) the P and the Ta waves were recorded in the opposite direction in every lead and there...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/s0002-8703(76)80533-9

    authors: Hayashi H,Okajima M,Yamada K

    更新日期:1976-06-01 00:00:00

  • Comparison of effects of isometric and supine bicycle exercise on left ventricular performance in patients with aortic regurgitation and normal ejection fraction at rest.

    abstract::The effects of handgrip and supine bicycle exercise on hemodynamics and left ventricular (LV) performance were compared in 25 patients with moderate to severe aortic regurgitation (AR) and normal LV ejection fraction at rest (greater than or equal to 50%) and in 10 control subjects. In both groups, heart rate, systoli...

    journal_title:American heart journal

    pub_type: 杂志文章

    doi:10.1016/0002-8703(85)90355-2

    authors: Shen WF,Fletcher PJ,Roubin GS,Choong CY,Hutton BF,Harris PJ,Kelly DT

    更新日期:1985-06-01 00:00:00

  • Vasodilatation with felodipine in chronic asymptomatic aortic regurgitation.

    abstract:BACKGROUND:Afterload reduction decreases volume overload on the left ventricle and may thereby delay the need for valve replacement in chronic asymptomatic aortic regurgitation. The aims of this randomized double-blind, placebo-controlled trial were to examine short- and long-term hemodynamic effects of felodipine in c...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-8703(00)90046-2

    authors: Søndergaard L,Aldershvile J,Hildebrandt P,Kelbaek H,Ståhlberg F,Thomsen C

    更新日期:2000-04-01 00:00:00

  • Rupture of the interventricular septum complicating acute myocardial infarction: a multicenter analysis of clinical findings and outcome.

    abstract::Acute ventricular septal rupture in the setting of acute myocardial infarction continues to present clinicians with a difficult therapeutic dilemma. The role of surgical intervention and its timing remains unresolved. A collaborative study from three institutions was undertaken to examine various clinical outcomes in ...

    journal_title:American heart journal

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/0002-8703(88)90458-9

    authors: Held AC,Cole PL,Lipton B,Gore JM,Antman EM,Hockman JS,Corrao J,Goldberg RJ,Alpert JS

    更新日期:1988-11-01 00:00:00