当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY期刊下所有文献 > Intermittent claudication: an objective office-based assessment.

Intermittent claudication: an objective office-based assessment.

Abstract：

OBJECTIVES:We sought to compare standard lower extremity vascular laboratory treadmill exercise with the office-based active pedal plantarflexion technique. BACKGROUND:Intermittent claudication is relatively common in elderly patients and is an important predictor of cardiovascular morbidity and mortality. Noninvasive testing using resting and posttreadmill exercise ankle:brachial systolic blood pressure indices is often required to confirm the diagnosis and objectively assess the severity of lower extremity arterial occlusive disease. This is traditionally performed in a formal vascular laboratory setting. METHODS:Fifty consecutive patients (100 lower extremities) with known or suspected intermittent claudication referred for lower extremity treadmill exercise testing were also tested with active pedal plantarflexion using a prospective, randomized crossover design. Supine ankle:brachial systolic blood pressure indices were measured immediately before and after each form of exercise. RESULTS:There was an excellent correlation (r = 0.95, 95% confidence interval 0.93 to 0.97) between mean postexercise ankle:brachial systolic blood pressure indices for treadmill exercise and active pedal plantarflexion. There was no significant difference in outcome based on the order of testing or the severity of arterial occlusive disease. Symptoms of angina or dyspnea occurred in 11 patients (22%) with treadmill exercise versus zero patients with active pedal plantarflexion. CONCLUSIONS:Active pedal plantarflexion is an office-based test that compares favorably with treadmill exercise for the noninvasive, safe, objective and economical assessment of lower extremity arterial occlusive disease.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

McPhail IR,Spittell PC,Weston SA,Bailey KR

doi

10.1016/s0735-1097(01)01120-2

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

1381-5

issue

5

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(01)01120-2

journal_volume

37

pub_type

临床试验,杂志文章,随机对照试验

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY文献大全
  • Higher energy synchronized external direct current cardioversion for refractory atrial fibrillation.

    abstract：OBJECTIVES:We sought to evaluate the safety and efficacy of higher energy synchronized cardioversion in patients with atrial fibrillation refractory to standard energy direct current (DC) cardioversion. BACKGROUND:Standard external electrical cardioversion fails to restore sinus rhythm in 5% to 30% of patients with at...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(99)00463-5

    authors： Saliba W,Juratli N,Chung MK,Niebauer MJ,Erdogan O,Trohman R,Wilkoff BL,Augostini R,Mowrey KA,Nadzam GR,Tchou PJ

    更新日期：1999-12-01 00:00:00

  • Spectrum of clinicopathologic manifestations of arrhythmogenic right ventricular cardiomyopathy/dysplasia: a multicenter study.

    abstract：OBJECTIVES:The aim of the present investigation was to redefine the clinicopathologic profile of arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC), with special reference to disease progression and left ventricular (LV) involvement. BACKGROUND:Long-term follow-up data from clinical studies indicate that...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/s0735-1097(97)00332-x

    authors： Corrado D,Basso C,Thiene G,McKenna WJ,Davies MJ,Fontaliran F,Nava A,Silvestri F,Blomstrom-Lundqvist C,Wlodarska EK,Fontaine G,Camerini F

    更新日期：1997-11-15 00:00:00

  • Precision Medicine in Patients With Resistant Hypertension and Obstructive Sleep Apnea: Blood Pressure Response to Continuous Positive Airway Pressure Treatment.

    abstract：BACKGROUND:In patients with resistant hypertension (RH) and obstructive sleep apnea (OSA), the blood pressure response to continuous positive airway pressure (CPAP) treatment is highly variable and could be associated with differential micro-ribonucleic acid (miRNA) profiles. Currently, no available methods exist to id...

    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.2015.06.1315

    authors： Sánchez-de-la-Torre M,Khalyfa A,Sánchez-de-la-Torre A,Martinez-Alonso M,Martinez-García MÁ,Barceló A,Lloberes P,Campos-Rodriguez F,Capote F,Diaz-de-Atauri MJ,Somoza M,González M,Masa JF,Gozal D,Barbé F,Spanish Sleep Network

    更新日期：2015-09-01 00:00:00

  • Incidence of asymptomatic intracranial embolic events after pulmonary vein isolation: comparison of different atrial fibrillation ablation technologies in a multicenter study.

    abstract：OBJECTIVES:We compared the safety of different devices by screening for subclinical intracranial embolic events after pulmonary vein isolation with either conventional irrigated radiofrequency (RF) or cryoballoon or multielectrode phased RF pulmonary vein ablation catheter (PVAC). BACKGROUND:New devices specifically d...

    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.2011.04.010

    authors： Herrera Siklódy C,Deneke T,Hocini M,Lehrmann H,Shin DI,Miyazaki S,Henschke S,Fluegel P,Schiebeling-Römer J,Bansmann PM,Bourdias T,Dousset V,Haïssaguerre M,Arentz T

    更新日期：2011-08-09 00:00:00

  • Ventricular arrhythmias in the absence of structural heart disease.

    abstract：:Ventricular arrhythmia (VA) in structurally normal hearts can be broadly considered under non-life-threatening monomorphic and life-threatening polymorphic rhythms. Monomorphic VA is classified on the basis of site of origin in the heart, and the most common areas are the ventricular outflow tracts and left ventricula...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2012.01.036

    authors： Prystowsky EN,Padanilam BJ,Joshi S,Fogel RI

    更新日期：2012-05-15 00:00:00

  • Effect of endurance exercise training on endothelial function and arterial stiffness in older patients with heart failure and preserved ejection fraction: a randomized, controlled, single-blind trial.

    abstract：OBJECTIVES:The study sought to evaluate the effects of endurance exercise training (ET) on endothelial-dependent flow-mediated arterial dilation (FMD) and carotid artery stiffness, and their potential contributions to the training-related increase in peak exercise oxygen consumption (Vo2) in older patients with heart f...

    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.2013.04.033

    authors： Kitzman DW,Brubaker PH,Herrington DM,Morgan TM,Stewart KP,Hundley WG,Abdelhamed A,Haykowsky MJ

    更新日期：2013-08-13 00:00:00

  • Obstructive sleep apnea: a cardiometabolic risk in obesity and the metabolic syndrome.

    abstract：:Obstructive sleep apnea (OSA) is an underdiagnosed condition characterized by recurrent episodes of obstruction of the upper airway leading to sleep fragmentation and intermittent hypoxia during sleep. Obesity predisposes to OSA, and the prevalence of OSA is increasing worldwide because of the ongoing epidemic of obes...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2013.05.045

    authors： Drager LF,Togeiro SM,Polotsky VY,Lorenzi-Filho G

    更新日期：2013-08-13 00:00:00

  • Preinfarction angina as a major predictor of left ventricular function and long-term prognosis after a first Q wave myocardial infarction.

    abstract：OBJECTIVES:The purpose of this study was to assess the prognostic significance of preinfarction angina after a first Q wave myocardial infarction. Patients with anterior or inferior myocardial infarction were compared. BACKGROUND:The effect of preinfarction angina on prognosis after anterior and inferior myocardial in...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(95)80002-x

    authors： Anzai T,Yoshikawa T,Asakura Y,Abe S,Akaishi M,Mitamura H,Handa S,Ogawa S

    更新日期：1995-08-01 00:00:00

  • Effect of three-dimensional valve shape on the hemodynamics of aortic stenosis: three-dimensional echocardiographic stereolithography and patient studies.

    abstract：OBJECTIVES:This study tested the hypothesis that the impact of a stenotic aortic valve depends not only on the cross-sectional area of its limiting orifice but also on three-dimensional (3D) valve geometry. BACKGROUND:Valve shape can potentially affect the hemodynamic impact of aortic stenosis by altering the ratio of...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(02)02269-6

    authors： Gilon D,Cape EG,Handschumacher MD,Song JK,Solheim J,VanAuker M,King ME,Levine RA

    更新日期：2002-10-16 00:00:00

  • Percutaneous mitral valvuloplasty in surgical high risk patients.

    abstract：:Among 126 consecutive patients undergoing percutaneous mitral valvuloplasty, 34 were judged to be at high risk for surgery on the basis of age greater than 70 years (n = 13), New York Heart Association functional class IV (n = 11), ejection fraction less than or equal to 35% (n = 3), severe pulmonary hypertension (n =...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(10)80098-1

    authors： Lefèvre T,Bonan R,Serra A,Crépeau J,Dyrda I,Petitclerc R,Leclerc Y,Vanderperren O,Waters D

    更新日期：1991-02-01 00:00:00

  • Exercise-induced ST segment depression in the diagnosis of multivessel coronary disease: a meta analysis.

    abstract：:To evaluate the variability in the reported accuracy of the exercise electrocardiogram (ECG) for predicting severe coronary disease, meta analysis was applied to 60 consecutively published reports comparing exercise-induced ST depression with coronary angiographic findings. The 60 reports included 62 distinct study gr...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(89)90388-4

    authors： Detrano R,Gianrossi R,Mulvihill D,Lehmann K,Dubach P,Colombo A,Froelicher V

    更新日期：1989-11-15 00:00:00

  • Arterial remodeling patterns before intervention predict diffuse in-stent restenosis: an intravascular ultrasound study.

    abstract：OBJECTIVES:The aim of this retrospective study was to determine the predictors of diffuse in-stent restenosis (ISR) among the lesions causing the first ISR by intravascular ultrasound (IVUS) studies. BACKGROUND:Although some predictors of diffuse ISR have been reported, parameters on IVUS relating to diffuse ISR are n...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2003.05.009

    authors： Sahara M,Kirigaya H,Oikawa Y,Yajima J,Ogasawara K,Satoh H,Nagashima K,Hara H,Nakatsu Y,Aizawa T

    更新日期：2003-11-19 00:00:00

  • In vivo coronary angioscopy.

    abstract：:The feasibility of in vivo coronary angioscopy was tested utilizing a 1.8 mm angioscope in vessels where blood had been replaced by optically clear liquids, including a new perfluorocarbon emulsion. After trials in postmortem canine and human coronary arteries, in vivo intraluminal visualization was accomplished in th...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(83)80145-4

    authors： Spears JR,Marais HJ,Serur J,Pomerantzeff O,Geyer RP,Sipzener RS,Weintraub R,Thurer R,Paulin S,Gerstin R,Grossman W

    更新日期：1983-05-01 00:00:00

  • Management of ventricular arrhythmias: a trial-based approach.

    abstract：:Sudden cardiac death accounts for approximately 300,000 deaths annually in the U.S., and most of these are secondary to ventricular tachycardia (VT) and fibrillation in patients with coronary artery disease. Most patients with cardiac death die before reaching the hospital, which brought about a tremendous amount of r...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/s0735-1097(99)00273-9

    authors： Welch PJ,Page RL,Hamdan MH

    更新日期：1999-09-01 00:00:00

  • Utility of B-type natriuretic peptide in the diagnosis of congestive heart failure in an urgent-care setting.

    abstract：OBJECTIVES:The goal of this study was to evaluate the utility of a rapid "bedside" technique for measurement of B-type natriuretic peptide (BNP) in the diagnosis of congestive heart failure (CHF) in an urgent-care setting. BACKGROUND:B-type natriuretic peptide is a protein secreted from the cardiac ventricles in respo...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(00)01156-6

    authors： Dao Q,Krishnaswamy P,Kazanegra R,Harrison A,Amirnovin R,Lenert L,Clopton P,Alberto J,Hlavin P,Maisel AS

    更新日期：2001-02-01 00:00:00

  • Hemodynamic effects of nifedipine in primary pulmonary hypertension.

    abstract：:Progressive dyspnea and syncope occurred in a young woman with primary pulmonary hypertension despite therapy with hydralazine. Abnormal pulmonary artery reactivity was documented by an additional increase in pulmonary artery pressure and pulmonary vascular resistance during exercise and after an episode of hydralazin...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(83)80389-1

    authors： Douglas JS Jr

    更新日期：1983-07-01 00:00:00

  • Combination of Circulating Type I Collagen-Related Biomarkers Is Associated With Atrial Fibrillation.

    abstract：BACKGROUND:A combination of circulating biomarkers associated with excessive myocardial collagen type-I cross-linking or CCL+ (i.e., decreased carboxy-terminal telopeptide of collagen type-I to matrix metalloproteinase-1 ratio) and with excessive myocardial collagen type-I deposition or CD+ (i.e., increased carboxy-ter...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2018.12.074

    authors： Ravassa S,Ballesteros G,López B,Ramos P,Bragard J,González A,Moreno MU,Querejeta R,Vives E,García-Bolao I,Díez J

    更新日期：2019-04-02 00:00:00

  • Computed tomographic analysis of the effects of hyperosmolar mannitol and methylprednisolone on myocardial infarct size.

    abstract：:Using contrast-enhanced computed tomography, the effects of hyperosmolar mannitol and methylprednisolone on experimentally produced myocardial infarcts were evaluated serially over the course of approximately 1 month. Infarct size, initial perfusion defect (jeopardized segment) and noninfarcted muscle mass were determ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,收录出版

    doi：10.1016/s0735-1097(85)80047-4

    authors： Slutsky RA,Murray M

    更新日期：1985-02-01 00:00:00

  • Myocardial redox state predicts in-hospital clinical outcome after cardiac surgery effects of short-term pre-operative statin treatment.

    abstract：OBJECTIVES:The purpose of this study was to evaluate the role of the myocardial redox state in the development of in-hospital complications after cardiac surgery and the effect of statins on the myocardial redox state. BACKGROUND:Statins improve clinical outcome after cardiac surgery, but it is unclear whether they ex...

    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.2011.08.062

    authors： Antoniades C,Demosthenous M,Reilly S,Margaritis M,Zhang MH,Antonopoulos A,Marinou K,Nahar K,Jayaram R,Tousoulis D,Bakogiannis C,Sayeed R,Triantafyllou C,Koumallos N,Psarros C,Miliou A,Stefanadis C,Channon KM,Casadei B

    更新日期：2012-01-03 00:00:00

  • Eicosanoid biosynthesis in patients with stable angina: beneficial effects of very low dose aspirin.

    abstract：OBJECTIVE:We assessed the production of eicosanoids and the effects of very low dose aspirin in patients with stable angina under basal conditions and during rapid atrial pacing. BACKGROUND:Platelet activation occurs in acute ischemic syndromes but is still controversial in stable angina. Very low dose aspirin is know...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章

    doi：10.1016/0735-1097(94)90538-x

    authors： Montalescot G,Maclouf J,Drobinski G,Salloum J,Grosgogeat Y,Thomas D

    更新日期：1994-07-01 00:00:00

  • Instrumentation and physical factors related to visualization of stenotic and regurgitant jets by Doppler color flow mapping.

    abstract：:Major clinical uses of the new Doppler color flow mapping technologies involve the imaging of disturbed flow through cardiac defects or valves. Nevertheless, there is little general understanding of the determinants of flow and of how flow is imaged by these new systems. This review will attempt to relate the hydrodyn...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(88)92621-6

    authors： Sahn DJ

    更新日期：1988-11-01 00:00:00

  • Can nitrogen-13 ammonia kinetic modeling define myocardial viability independent of fluorine-18 fluorodeoxyglucose?

    abstract：OBJECTIVES:The hypothesis of this study was that evaluation of myocardial flow and metabolism using nitrogen-13 (N-13) ammonia kinetic modeling with dynamic positron emission tomographic (PET) imaging could identify regions of myocardial scar and viable myocardium as defined by fluorine-18 fluorodeoxyglucose (F-18 FDG)...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(96)00561-x

    authors： Beanlands RS,deKemp R,Scheffel A,Nahmias C,Garnett ES,Coates G,Johansen HL,Fallen E

    更新日期：1997-03-01 00:00:00

  • The histologic basis of late gadolinium enhancement cardiovascular magnetic resonance in hypertrophic cardiomyopathy.

    abstract：OBJECTIVES:We sought to identify the histologic basis of myocardial late gadolinium enhancement cardiovascular magnetic resonance (CMR) in hypertrophic cardiomyopathy (HCM). BACKGROUND:The histologic basis of late gadolinium CMR in patients with HCM is unknown. METHODS:A 28-year-old male patient with HCM and heart fa...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2004.03.035

    authors： Moon JC,Reed E,Sheppard MN,Elkington AG,Ho SY,Burke M,Petrou M,Pennell DJ

    更新日期：2004-06-16 00:00:00

  • Angerlike behavioral state potentiates myocardial ischemia-induced T-wave alternans in canines.

    abstract：OBJECTIVES:The main goal of this study was to determine whether induction of an angerlike state can result in significant levels of T-wave alternans, a marker of electrical instability, in the normal and ischemic heart. BACKGROUND:Outbursts of anger have been implicated in the occurrence of myocardial infarction and s...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(01)01196-2

    authors： Kovach JA,Nearing BD,Verrier RL

    更新日期：2001-05-01 00:00:00

  • Electrophysiologic effects of sodium channel blockade on anisotropic conduction and conduction block in canine myocardium: preferential slowing of longitudinal conduction by flecainide versus disopyramide or lidocaine.

    abstract：OBJECTIVES:The purpose of this study was to determine the effects of sodium channel blockade on anisotropic excitation propagation in the intact canine left ventricle. BACKGROUND:Anisotropic ventricular conduction- electric conductivity dependent on the myocardial fiber direction-is one of the important mechanisms of ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(97)82543-0

    authors： Kondo T,Yamaki M,Kubota I,Tachibana H,Tomoike H

    更新日期：1997-06-01 00:00:00

  • Selective functional exhaustion of hematopoietic progenitor cells in the bone marrow of patients with postinfarction heart failure.

    abstract：OBJECTIVES:This study investigated whether reduced levels of circulating endothelial progenitors cells (EPCs) in chronic heart failure (CHF) are secondary to an exhaustion of hematopoietic stem cells (HSCs) in the bone marrow or to reduced mobilization. BACKGROUND:Circulating EPCs presumably originate from bone marrow...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2007.01.095

    authors： Kissel CK,Lehmann R,Assmus B,Aicher A,Honold J,Fischer-Rasokat U,Heeschen C,Spyridopoulos I,Dimmeler S,Zeiher AM

    更新日期：2007-06-19 00:00:00

  • Transmural dispersion of myofiber mechanics: implications for electrical heterogeneity in vivo.

    abstract：OBJECTIVES:We investigated whether transmural mechanics could yield insight into the transmural electrical sequence. BACKGROUND:Although the concept of transmural dispersion of repolarization has helped explain a variety of arrhythmias, its presence in vivo is still disputable. METHODS:We studied the time course of t...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2006.07.074

    authors： Ashikaga H,Coppola BA,Hopenfeld B,Leifer ES,McVeigh ER,Omens JH

    更新日期：2007-02-27 00:00:00

  • Pulmonary artery growth after palliation of congenital heart disease with duct-dependent pulmonary circulation: arterial duct stenting versus surgical shunt.

    abstract：OBJECTIVES:The aim of this study was to compare the pulmonary artery (PA) growth after arterial duct (AD) stenting versus modified Blalock-Taussig shunt (MBTS) in neonates with congenital heart disease with duct-dependent pulmonary circulation (CHD-DPC). BACKGROUND:Arterial duct stenting is increasingly deemed a relia...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2009.07.043

    authors： Santoro G,Capozzi G,Caianiello G,Palladino MT,Marrone C,Farina G,Russo MG,Calabrò R

    更新日期：2009-12-01 00:00:00

  • Randomized trials of directional coronary atherectomy: implications for clinical practice and future investigation.

    abstract：OBJECTIVES:This study compared and contrasted the randomized trials of directional atherectomy and coronary angioplasty for de novo native coronary artery lesions. BACKGROUND:The results of two randomized trials, the Coronary Angioplasty Versus Excisional Atherectomy Trial (CAVEAT) and the Canadian Coronary Atherectom...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/0735-1097(94)90300-x

    authors： Holmes DR Jr,Topol EJ,Adelman AG,Cohen EA,Califf RM

    更新日期：1994-08-01 00:00:00

  • Benefit of late coronary reperfusion on ventricular morphology and function after myocardial infarction.

    abstract：OBJECTIVES:This study was designed to examine the relation between the timing and adequacy of perfusion of the infarct bed and changes in ventricular size and the extent of abnormal wall motion after acute myocardial infarction. METHODS:A validated echocardiographic mapping technique was used to measure the left ventr...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(93)90101-6

    authors： Nidorf SM,Siu SC,Galambos G,Weyman AE,Picard MH

    更新日期：1993-03-01 00:00:00