Mortality after 16 years for participants randomized to the Multiple Risk Factor Intervention Trial.

Abstract:

BACKGROUND:A mortality follow-up of 12,866 men was conducted 16 years after randomization to special intervention (SI) or usual care (UC) groups of the Multiple Risk Factor Intervention Trial to assess the long-term effect of cardiovascular risk factor intervention on coronary heart disease (CHD), cardiovascular death (CVD), and total mortality. METHODS AND RESULTS:During the 7-year active-intervention phase of the trial, 6428 of the men were given dietary recommendations to lower blood cholesterol, antihypertensive drugs to lower blood pressure, and counseling for cigarette smoking cessation. The remaining 6438 men were referred to their usual source of medical care. After 16 years, 370 SI and 417 UC men had died from CHD, which represents an 11.4% lower mortality rate for SI versus UC men (95% CI, -23% to 1.9%). Results for total mortality followed a similar pattern; 991 SI and 1050 UC men had died by the end of follow-up (relative difference, -5.7%; 95% CI, -13% to 2.8%). For acute myocardial infarction, a subcategory of CHD, the relative difference was -20.4% (95% CI, -34.4% to -3.4%). Differences between SI and UC men in mortality rates from acute myocardial infarction, CHD, and all causes were greater during the posttrial follow-up period than during the trial. CONCLUSIONS:Results of a 7-year multifactor intervention program aimed at lowering blood pressure and serum cholesterol and at cigarette smoking cessation among high-risk men give additional evidence of a long-term, continuing mortality benefit from the program.

journal_name

Circulation

journal_title

Circulation

authors

doi

10.1161/01.cir.94.5.946

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

946-51

issue

5

eissn

0009-7322

issn

1524-4539

journal_volume

94

pub_type

临床试验,杂志文章,随机对照试验
  • Comparison of total body surface map depolarization patterns of left bundle branch block and normal axis with left bundle branch block and left-axis deviation.

    abstract::Total body surface maps from 15 subjects with left bundle branch block and normal axis (LBBB-NA) and 10 subjects with left bundle branch block and left axis (LBBB-LA) were analyzed and compared with maps from normal subjects. In 19 of the 25 subjects with LBBB, the timing of early upper sternal positivity was similar ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.67.3.660

    authors: Sohi GS,Flowers NC,Horan LG,Sridharan MR,Johnson JC

    更新日期:1983-03-01 00:00:00

  • Diagnostic thresholds for ambulatory blood pressure monitoring based on 10-year cardiovascular risk.

    abstract:BACKGROUND:Current diagnostic thresholds for ambulatory blood pressure (ABP) mainly rely on statistical parameters derived from reference populations. We determined an outcome-driven reference frame for ABP measurement. METHODS AND RESULTS:We performed 24-hour ABP monitoring in 5682 participants (mean age 59.0 years; ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.662254

    authors: Kikuya M,Hansen TW,Thijs L,Björklund-Bodegård K,Kuznetsova T,Ohkubo T,Richart T,Torp-Pedersen C,Lind L,Ibsen H,Imai Y,Staessen JA,International Database on Ambulatory blood pressure monitoring in relation to Cardiovascular Outcom

    更新日期:2007-04-24 00:00:00

  • A controlled clinical trial to assess the effect of a calcium channel blocker on the progression of coronary atherosclerosis.

    abstract::To determine whether calcium channel blockers influence the progression of coronary atherosclerosis, 383 patients age 65 years or less with 5-75% stenoses in at least four coronary artery segments were selected at random within 1 month of coronary arteriography to participate in double-blind therapy with a placebo or ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.82.6.1940

    authors: Waters D,Lespérance J,Francetich M,Causey D,Théroux P,Chiang YK,Hudon G,Lemarbre L,Reitman M,Joyal M

    更新日期:1990-12-01 00:00:00

  • Anisotropic reentry in a perfused 2-dimensional layer of rabbit ventricular myocardium.

    abstract:BACKGROUND:Anisotropy creates nonuniformity in electrical propagation and may contribute to the occurrence of unidirectional conduction block and reentry. We describe the characteristics of reentrant tachycardia in a 2D layer of anisotropic ventricular myocardium. METHODS AND RESULTS:A Langendorff-perfused epicardial ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.21.2650

    authors: Schalij MJ,Boersma L,Huijberts M,Allessie MA

    更新日期:2000-11-21 00:00:00

  • The evolution of chemokine release supports a bimodal mechanism of spinal cord ischemia and reperfusion injury.

    abstract:BACKGROUND:Paraplegia remains a devastating complication of thoracic aortic surgery. The mechanism of the antecedent spinal cord ischemia and reperfusion injury (IR) remains poorly described. IR involves 2 injuries, an initial ischemic insult and subsequent inflammatory amplification of the injury. This mechanism is co...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.080275

    authors: Smith PD,Puskas F,Meng X,Lee JH,Cleveland JC Jr,Weyant MJ,Fullerton DA,Reece TB

    更新日期:2012-09-11 00:00:00

  • Acute effects of nitrates on exercise testing in patients with syndrome X. Clinical and pathophysiological implications.

    abstract:BACKGROUND:Sublingual nitrates are much more effective in relieving angina pectoris in patients with coronary artery disease than in patients with syndrome X, but it is not known whether their effect on exercise tolerance is also different in these two groups of patients. METHODS AND RESULTS:Treadmill exercise testing...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.6.2695

    authors: Lanza GA,Manzoli A,Bia E,Crea F,Maseri A

    更新日期:1994-12-01 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

  • Regulation of spontaneous transient outward potassium currents in human coronary arteries.

    abstract:BACKGROUND:Spontaneous transient outward potassium currents (STOCs) induce myogenic relaxation in small cerebral vessels. We found STOCs in human coronary artery vascular smooth muscle cells (VSMCs) and studied their regulation. METHODS AND RESULTS:K+ currents were recorded in human coronary VSMCs by current- and volt...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.2.503

    authors: Bychkov R,Gollasch M,Ried C,Luft FC,Haller H

    更新日期:1997-01-21 00:00:00

  • Characterization of Myocardial Repolarization Reserve in Adolescent Females With Anorexia Nervosa.

    abstract:BACKGROUND:Patients with anorexia nervosa exhibit abnormal myocardial repolarization and are susceptible to sudden cardiac death. Exercise testing is useful in unmasking QT prolongation in disorders associated with abnormal repolarization. We characterized QT adaptation during exercise in anorexia. METHODS AND RESULTS...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.115.016697

    authors: Padfield GJ,Escudero CA,DeSouza AM,Steinberg C,Gibbs K,Puyat JH,Lam PY,Sanatani S,Sherwin E,Potts JE,Sandor G,Krahn AD

    更新日期:2016-02-09 00:00:00

  • Association between apolipoprotein E alleles and calcific valvular heart disease.

    abstract:BACKGROUND:Studies on apolipoprotein E (apoE) alleles have reported an increased risk of coronary heart disease in patients with the apoE4 allele. Given the risk factor and histological similarities between coronary and calcific valvular heart disease (aortic stenosis [AS] and mitral annular calcification [MAC]), we po...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000097560.96431.3E

    authors: Novaro GM,Sachar R,Pearce GL,Sprecher DL,Griffin BP

    更新日期:2003-10-14 00:00:00

  • Pacing as a Treatment for Reflex-Mediated (Vasovagal, Situational, or Carotid Sinus Hypersensitivity) Syncope: A Systematic Review for the 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American Coll

    abstract:OBJECTIVES:To determine, using systematic review of the biomedical literature, whether pacing reduces risk of recurrent syncope and relevant clinical outcomes among adult patients with reflex-mediated syncope. METHODS:MEDLINE (through PubMed), EMBASE, and the Cochrane Central Register of Controlled Trials (through Oct...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1161/CIR.0000000000000500

    authors: Varosy PD,Chen LY,Miller AL,Noseworthy PA,Slotwiner DJ,Thiruganasambandamoorthy V

    更新日期:2017-08-01 00:00:00

  • Antibodies against the fibrin beta-chain amino-terminus detect active canine venous thrombi.

    abstract:BACKGROUND:This study was performed to determine whether antibodies against the amino-terminus of the beta-chain of fibrin (anti-beta) could noninvasively distinguish actively enlarging thrombi from thrombi stabilized with anticoagulants. METHODS AND RESULTS:Dogs with unilateral femoral vein thrombi were allocated int...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.9.3173

    authors: Morris TA,Marsh JJ,Konopka R,Pedersen CA,Chiles PG,Fagnani R,Hagan M,Moser KM

    更新日期:1997-11-04 00:00:00

  • Cardiac mortality is higher around Christmas and New Year's than at any other time: the holidays as a risk factor for death.

    abstract:BACKGROUND:Research published in Circulation has shown that cardiac mortality is highest during December and January. We investigated whether some of this spike could be ascribed to the Christmas/New Year's holidays rather than to climatic factors. METHODS AND RESULTS:We fitted a locally weighted polynomial regression...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.CIR.0000151424.02045.F7

    authors: Phillips DP,Jarvinen JR,Abramson IS,Phillips RR

    更新日期:2004-12-21 00:00:00

  • Effect of doxazosin gastrointestinal therapeutic system as third-line antihypertensive therapy on blood pressure and lipids in the Anglo-Scandinavian Cardiac Outcomes Trial.

    abstract:BACKGROUND:The role of doxazosin in treatment of hypertension remains controversial. METHODS AND RESULTS:We evaluated the effects on blood pressure (BP) and biochemical parameters of doxazosin GITS (gastrointestinal therapeutic system) as a third-line antihypertensive agent among 10,069 participants in the Anglo-Scand...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.107.737957

    authors: Chapman N,Chang CL,Dahlöf B,Sever PS,Wedel H,Poulter NR,ASCOT Investigators.

    更新日期:2008-07-01 00:00:00

  • The clinical significance of bundle branch block complicating acute myocardial infarction. 2. Indications for temporary and permanent pacemaker insertion.

    abstract::The indication for prophylactic temporary and permanent pacing during acute myocardial infarction (MI) complicated by bundle branch block is high risk of progression via a Type II pattern to second or third degree (high degree) AV block during hospitalization or follow-up. In this study, determinants of high degree AV...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.4.689

    authors: Hindman MC,Wagner GS,JaRo M,Atkins JM,Scheinman MM,DeSanctis RW,Hutter AH Jr,Yeatman L,Rubenfire M,Pujura C,Rubin M,Morris JJ

    更新日期:1978-10-01 00:00:00

  • Magnesium content of serum, circulating mononuclear cells, skeletal muscle, and myocardium in congestive heart failure.

    abstract::Deranged magnesium concentrations in serum and cardiovascular structures have been implicated in the pathophysiology of hypertension, ischemic heart disease, arrhythmias, and sudden death. This study was conducted to determine the status and interrelation of serum and tissue concentrations of magnesium in patients wit...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.3.573

    authors: Ralston MA,Murnane MR,Kelley RE,Altschuld RA,Unverferth DV,Leier CV

    更新日期:1989-09-01 00:00:00

  • Clinical Outcomes and Cost-Effectiveness of Fractional Flow Reserve-Guided Percutaneous Coronary Intervention in Patients With Stable Coronary Artery Disease: Three-Year Follow-Up of the FAME 2 Trial (Fractional Flow Reserve Versus Angiography for Multive

    abstract:BACKGROUND:Previous studies found that percutaneous coronary intervention (PCI) does not improve outcome compared with medical therapy (MT) in patients with stable coronary artery disease, but PCI was guided by angiography alone. FAME 2 trial (Fractional Flow Reserve Versus Angiography for Multivessel Evaluation) compa...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.117.031907

    authors: Fearon WF,Nishi T,De Bruyne B,Boothroyd DB,Barbato E,Tonino P,Jüni P,Pijls NHJ,Hlatky MA,FAME 2 Trial Investigators.

    更新日期:2018-01-30 00:00:00

  • Role of Rho-associated kinase in neointima formation after vascular injury.

    abstract:BACKGROUND:The Rho/Rho-associated kinase (Rho-kinase) system is implicated in various cellular functions, including migration, proliferation, and apoptosis. Because a possible role of the system is suggested in neointima formation after vascular injury, we sought to examine whether a new specific Rho-kinase inhibitor, ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.2.284

    authors: Shibata R,Kai H,Seki Y,Kato S,Morimatsu M,Kaibuchi K,Imaizumi T

    更新日期:2001-01-16 00:00:00

  • Randomized trial of atorvastatin for reduction of postoperative atrial fibrillation in patients undergoing cardiac surgery: results of the ARMYDA-3 (Atorvastatin for Reduction of MYocardial Dysrhythmia After cardiac surgery) study.

    abstract:BACKGROUND:Atrial fibrillation (AF) after cardiac surgery is associated with increased risk of complications, length of stay, and cost of care. Observational evidence suggests that patients who have undergone previous statin therapy have a lower incidence of postoperative AF. We tested this observation in a randomized,...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.106.621763

    authors: Patti G,Chello M,Candura D,Pasceri V,D'Ambrosio A,Covino E,Di Sciascio G

    更新日期:2006-10-03 00:00:00

  • Significance of a fragmented QRS complex versus a Q wave in patients with coronary artery disease.

    abstract:BACKGROUND:Q waves on a 12-lead ECG are markers of a prior myocardial infarction (MI). However, they may regress or even disappear over time, and there is no specific ECG sign of a non-Q-wave MI. Fragmented QRS complexes (fQRSs), which include various RSR' patterns, without a typical bundle-branch block are markers of ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.595892

    authors: Das MK,Khan B,Jacob S,Kumar A,Mahenthiran J

    更新日期:2006-05-30 00:00:00

  • Impact of controlled pericardial drainage on critical cardiac tamponade with acute type A aortic dissection.

    abstract:BACKGROUND:Cardiac tamponade is associated with fatal outcomes for patients with acute type A aortic dissection, and the presence of cardiac tamponade should prompt urgent aortic repair. However, treatment of the patient with critical cardiac tamponade who cannot survive until surgery remains unclear. We analyzed our e...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.111.082685

    authors: Hayashi T,Tsukube T,Yamashita T,Haraguchi T,Matsukawa R,Kozawa S,Ogawa K,Okita Y

    更新日期:2012-09-11 00:00:00

  • Altered cardiovascular and neurohumoral responses to head-up tilt after heart-lung transplantation.

    abstract::Heart-lung transplantation results in afferent and efferent denervation of the transplanted organs including interruption of the central connections from the low-pressure receptors in the atria and pulmonary veins. We investigated whether the cardiovascular and neurohumoral responses to the postural stimulus of head-u...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.82.3.863

    authors: Banner NR,Williams TD,Patel N,Chalmers J,Lightman SL,Yacoub MH

    更新日期:1990-09-01 00:00:00

  • Limitation of infarct expansion and ventricular remodeling by late reperfusion. Study of time course and mechanism in a rat model.

    abstract:BACKGROUND:Reperfusion of acutely infarcted myocardium may be beneficial in limiting infarct expansion and ventricular remodeling even if established after the time that salvage of ischemic myocardium is possible. METHODS AND RESULTS:To examine the permanency, time course, and mechanism of this effect of late reperfus...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.6.2872

    authors: Boyle MP,Weisman HF

    更新日期:1993-12-01 00:00:00

  • Fractional Flow Reserve and Quality-of-Life Improvement After Percutaneous Coronary Intervention in Patients With Stable Coronary Artery Disease.

    abstract:BACKGROUND:Whether the benefit in quality of life (QOL) after percutaneous coronary intervention depends on the severity of the stenosis as determined by fractional flow reserve (FFR) remains unknown. This study sought to investigate the relationship between FFR values and improvement in QOL. METHODS:From the FAME 1 a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.035263

    authors: Nishi T,Piroth Z,De Bruyne B,Jagic N,Möbius-Winkler S,Kobayashi Y,Derimay F,Fournier S,Barbato E,Tonino P,Jüni P,Pijls NHJ,Fearon WF

    更新日期:2018-10-23 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

  • Peroxisome proliferator-activated receptor gamma activators downregulate angiotensin II type 1 receptor in vascular smooth muscle cells.

    abstract:BACKGROUND:Peroxisome proliferator-activated receptor gamma (PPARgamma) activators, such as troglitazone (Tro), not only improve insulin resistance but also suppress the neointimal formation after balloon injury. However, the precise mechanisms have not been determined. Angiotensin II (Ang II) plays crucial roles in th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.15.1834

    authors: Takeda K,Ichiki T,Tokunou T,Funakoshi Y,Iino N,Hirano K,Kanaide H,Takeshita A

    更新日期:2000-10-10 00:00:00

  • Effects of diastolic transseptal pressure gradient on ventricular septal position and motion.

    abstract::Despite the clinical prevalence of paradoxic interventricular septal (IVS) motion, its pathogenesis remains unclear. To assess the influence of the end-diastolic transseptal pressure gradient, we studied eight open-chest dogs during right ventricular (RV) volume loading (induced by opening a Dacron shunt between the p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.6.1304

    authors: Kingma I,Tyberg JV,Smith ER

    更新日期:1983-12-01 00:00:00

  • In vivo induction of endothelial apoptosis leads to vessel thrombosis and endothelial denudation: a clue to the understanding of the mechanisms of thrombotic plaque erosion.

    abstract:BACKGROUND:The mechanisms of thrombosis on plaque erosion are poorly understood. We examined the potential role of endothelial apoptosis in endothelial erosion and vessel thrombosis. METHODS AND RESULTS:Segments of New Zealand White rabbit femoral arteries were temporarily isolated in vivo. One artery was incubated wi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000130172.62481.90

    authors: Durand E,Scoazec A,Lafont A,Boddaert J,Al Hajzen A,Addad F,Mirshahi M,Desnos M,Tedgui A,Mallat Z

    更新日期:2004-06-01 00:00:00

  • Endothelium-dependent dilatation is impaired in young healthy subjects with a family history of premature coronary disease.

    abstract:BACKGROUND:A family history of premature coronary artery disease (CAD) in a first-degree relative is an independent risk factor for coronary disease. Both genetic and environmental influences are likely to be responsible and may interact, but their relative importance is unclear. METHODS AND RESULTS:We studied endothe...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.10.3378

    authors: Clarkson P,Celermajer DS,Powe AJ,Donald AE,Henry RM,Deanfield JE

    更新日期:1997-11-18 00:00:00

  • Infarct tissue heterogeneity by magnetic resonance imaging identifies enhanced cardiac arrhythmia susceptibility in patients with left ventricular dysfunction.

    abstract:BACKGROUND:The extent of the peri-infarct zone by magnetic resonance imaging (MRI) has been related to all-cause mortality in patients with coronary artery disease. This relationship may result from arrhythmogenesis in the infarct border. However, the relationship between tissue heterogeneity in the infarct periphery a...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/CIRCULATIONAHA.106.653568

    authors: Schmidt A,Azevedo CF,Cheng A,Gupta SN,Bluemke DA,Foo TK,Gerstenblith G,Weiss RG,Marbán E,Tomaselli GF,Lima JA,Wu KC

    更新日期:2007-04-17 00:00:00