当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY期刊下所有文献 > The ligament of Marshall: a structural analysis in human hearts with implications for atrial arrhythmias.

The ligament of Marshall: a structural analysis in human hearts with implications for atrial arrhythmias.

Abstract：

OBJECTIVES:We sought to study the anatomy of human ligament of Marshall (LOM). BACKGROUND:Although the LOM has been implicated in the genesis of focal atrial tachyarrhythmias, its gross anatomic and microscopic features in humans hearts have not been completely defined. METHODS:We studied seven postmortem human hearts from five men and two women with a mean age of 52 +/- 26 years. Four did not have any heart disease. One woman had dilated cardiomyopathy, and two men had chronic atrial fibrillation. A block of tissue encompassing the LOM from the coronary sinus (CS) cephalad, between the atrial appendage and left pulmonary veins, was dissected. Serial sections from this tissue were then stained with hematoxylin and eosin, trichrome, and/or tyrosine hydroxylase. RESULTS:The LOM consists of multiple sympathetic nerve fibers, ganglia, blood vessels and multiple myocardial tracts (Marshall Bundles) insulated by fibrofatty tissue. One or more myocardial tracts was inserted directly into the left atrial free wall and CS. The distance between insertion sites was 7.8 +/- 2.5 mm. Nerve fibers, some tyrosine hydroxylase positive, were present within the fibrofatty matrix and within the myocardial tracts. CONCLUSIONS:Human LOM 1) is innervated by sympathetic nerve fibers; 2) is more complex than the LOM in canine hearts; and 3) has multiple myocardial tract insertions into the left atrial free wall and CS, forming a substrate of reentry. Radiofrequency catheter ablation from the CS may fail to reach the free wall insertion.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Kim DT,Lai AC,Hwang C,Fan LT,Karagueuzian HS,Chen PS,Fishbein MC

doi

10.1016/s0735-1097(00)00819-6

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

1324-7

issue

4

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(00)00819-6

journal_volume

36

pub_type

杂志文章

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY文献大全
  • Effect of ischemia and postischemic dysfunction on myocardial uptake of technetium-99m-labeled methoxyisobutyl isonitrile and thallium-201.

    abstract：:The myocardial uptake of a new technetium-99m-labeled myocardial perfusion agent, methoxyisobutyl isonitrile (Tc-99m MIBI), and thallium-201 was correlated with microsphere flow in an open chest canine model of low coronary flow and postischemic dysfunction. Eighteen dogs were given an injection of thallium-201 (0.5 m...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(89)90034-x

    authors： Sinusas AJ,Watson DD,Cannon JM Jr,Beller GA

    更新日期：1989-12-01 00:00:00

  • Left ventricular hypertrophy and morphology in familial hypertrophic cardiomyopathy associated with mutations of the beta-myosin heavy chain gene.

    abstract：OBJECTIVES:The purpose of this study was to determine the spectrum of left ventricular hypertrophy and ventricular morphology in adults with hypertrophic cardiomyopathy due to mutations of the beta-myosin heavy-chain gene. BACKGROUND:Although echocardiography is an important test in diagnosing hypertrophic cardiomyopa...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(93)90055-6

    authors： Solomon SD,Wolff S,Watkins H,Ridker PM,Come P,McKenna WJ,Seidman CE,Lee RT

    更新日期：1993-08-01 00:00:00

  • Phrenic nerve injury after atrial fibrillation catheter ablation: characterization and outcome in a multicenter study.

    abstract：OBJECTIVES:The purpose of this study was to characterize the occurrence of phrenic nerve injury (PNI) and its outcome after radiofrequency (RF) ablation of atrial fibrillation (AF). BACKGROUND:It is recognized that extra-myocardial damage may develop owing to penetration of ablative energy. METHODS:Between 1997 and 2...

    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.2006.02.050

    authors： Sacher F,Monahan KH,Thomas SP,Davidson N,Adragao P,Sanders P,Hocini M,Takahashi Y,Rotter M,Rostock T,Hsu LF,Clémenty J,Haïssaguerre M,Ross DL,Packer DL,Jaïs P

    更新日期：2006-06-20 00:00:00

  • Revascularization of chronic hibernating myocardium stimulates myocyte proliferation and partially reverses chronic adaptations to ischemia.

    abstract：BACKGROUND:The time course and extent of recovery after revascularization of viable dysfunctional myocardium are variable. Although fibrosis is a major determinant, myocyte structural and molecular remodeling may also play important roles. OBJECTIVES:This study sought to determine whether persistent myocyte loss and/o...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2014.11.040

    authors： Page BJ,Banas MD,Suzuki G,Weil BR,Young RF,Fallavollita JA,Palka BA,Canty JM Jr

    更新日期：2015-02-24 00:00:00

  • Atrioventricular block complicating amiodarone-induced hypothyroidism in a patient with pre-excitation and rate-dependent bilateral bundle branch block.

    abstract：:As a clinical entity atrioventricular (AV) block due to hypothyroidism is rare. Such a case induced by hypothyroidism complicating long-term therapy with amiodarone in a 45 year old woman with pre-excitation is presented. Electrophysiologic data obtained before and during thyroxine replacement therapy showed that hypo...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(86)80279-0

    authors： Mangiardi L,Gaita F,Brun S,Presbitero P,Nademanee K,Singh BN

    更新日期：1986-01-01 00:00:00

  • Technetium 99m sestamibi myocardial perfusion imaging predicts clinical outcome in the community outpatient setting. The Nuclear Utility in the Community (NUC) Study.

    abstract：OBJECTIVES:The purpose of this study was to evaluate the prognostic value of community-based myocardial perfusion imaging (MPI) and to assess the incremental value of individual components of (99m)Tc-sestamibi single photon emission computed tomography (SPECT). BACKGROUND:Although the most rapid growth of MPI has been...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2003.07.041

    authors： Thomas GS,Miyamoto MI,Morello AP 3rd,Majmundar H,Thomas JJ,Sampson CH,Hachamovitch R,Shaw LJ

    更新日期：2004-01-21 00:00:00

  • Acute and nine-month clinical outcomes after "suboptimal" coronary stenting: results from the STent Anti-thrombotic Regimen Study (STARS) registry.

    abstract：OBJECTIVES:This registry collected the 30-day and 9-month clinical outcomes of patients whose coronary stent implantation was suboptimal, and compared them with the cohort of patients with "optimal" stenting in the randomized portion of the STent Anti-thrombotic Regimen Study (STARS) trial. BACKGROUND:Although "optima...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1016/s0735-1097(99)00271-5

    authors： Cutlip DE,Leon MB,Ho KK,Gordon PC,Giambartolomei A,Diver DJ,Lasorda DM,Williams DO,Fitzpatrick MM,Desjardin A,Popma JJ,Kuntz RE,Baim DS

    更新日期：1999-09-01 00:00:00

  • Heart-type fatty acid-binding protein predicts long-term mortality and re-infarction in consecutive patients with suspected acute coronary syndrome who are troponin-negative.

    abstract：OBJECTIVES:The purpose of this study was to establish the prognostic value of measuring heart fatty acid-binding protein (H-FABP) in patients with suspected acute coronary syndrome (ACS) (in particular, low- to intermediate-risk patients), in addition to troponin measured with the latest third-generation troponin assay...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2009.12.062

    authors： Viswanathan K,Kilcullen N,Morrell C,Thistlethwaite SJ,Sivananthan MU,Hassan TB,Barth JH,Hall AS

    更新日期：2010-06-08 00:00:00

  • The renal patient with coronary artery disease: current concepts and dilemmas.

    abstract：:The patient with chronic kidney disease and coronary artery disease (CAD) presents special challenges. This report reviews the scope of the challenge, the hostile internal milieu predisposing to CAD and cardiac events, management issues, unresolved dilemmas, and the need for randomized trials to allow for evidence-bas...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2004.06.058

    authors： Gupta R,Birnbaum Y,Uretsky BF

    更新日期：2004-10-06 00:00:00

  • Non-high-density lipoprotein cholesterol versus apolipoprotein B in cardiovascular risk stratification: do the math.

    abstract：:With the emergence of new lipid risk markers and a growing cardiometabolic risk burden in the United States, there is a need to better integrate residual risk into cardiovascular disease (CVD) risk stratification. In anticipation of the Adult Treatment Panel IV (ATP IV) guidelines from the National Cholesterol Educati...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2011.05.009

    authors： Ramjee V,Sperling LS,Jacobson TA

    更新日期：2011-07-26 00:00:00

  • Characteristics, management, and outcomes of 5,557 patients age > or =90 years with acute coronary syndromes: results from the CRUSADE Initiative.

    abstract：OBJECTIVES:The goal of this work was to explore the treatment and outcomes of patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) age > or =90 years. BACKGROUND:The elderly are often excluded from clinical trials of NSTE-ACS and are underrepresented in clinical registries. METHODS:We used data ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2007.01.066

    authors： Skolnick AH,Alexander KP,Chen AY,Roe MT,Pollack CV Jr,Ohman EM,Rumsfeld JS,Gibler WB,Peterson ED,Cohen DJ

    更新日期：2007-05-01 00:00:00

  • The worldwide environment of cardiovascular disease: prevalence, diagnosis, therapy, and policy issues: a report from the American College of Cardiology.

    abstract：:The environment in which the field of cardiology finds itself has been rapidly changing. This supplement, an expansion of a report created for the Board of Trustees, is intended to provide a timely snapshot of the socio-economic, political, and scientific aspects of this environment as it applies to practice both in t...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2012.11.002

    authors： Laslett LJ,Alagona P Jr,Clark BA 3rd,Drozda JP Jr,Saldivar F,Wilson SR,Poe C,Hart M

    更新日期：2012-12-25 00:00:00

  • Subcutaneous administration of brain natriuretic peptide in experimental heart failure.

    abstract：OBJECTIVES:The objective of this investigation was to define for the first time the cardiorenal and humoral actions of repeated short-term administration of subcutaneous (SQ) brain natriuretic peptide (BNP) administration during the evolution of experimental heart failure. BACKGROUND:The rationale of this study was ba...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(00)00911-6

    authors： Chen HH,Grantham JA,Schirger JA,Jougasaki M,Redfield MM,Burnett JC Jr

    更新日期：2000-11-01 00:00:00

  • Lysis of plasminogen activator-resistant platelet-rich coronary artery thrombus with combined bolus injection of recombinant tissue-type plasminogen activator and antiplatelet GPIIb/IIIa antibody.

    abstract：:Resistance of coronary occlusive thrombus to thrombolytic therapy, found in some patients with acute myocardial infarction, may be due to the presence of platelet-rich coronary clot. Reperfusion therapy in such patients may require the development and evaluation of alternative strategies in animal models. Therefore, p...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(90)90327-l

    authors： Yasuda T,Gold HK,Leinbach RC,Saito T,Guerrero JL,Jang IK,Holt R,Fallon JT,Collen D

    更新日期：1990-12-01 00:00:00

  • Incidence, Characteristics, Predictors, and Outcomes of Surgical Explantation After Transcatheter Aortic Valve Replacement.

    abstract：BACKGROUND:Currently, there is a paucity of information on surgical explantation after transcatheter aortic valve replacement (TAVR). OBJECTIVES:The purpose of this study was to examine the incidence, patient characteristics, predictors, and outcomes of surgical explantation after TAVR using a population-based, nation...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2020.08.048

    authors： Hirji SA,Percy ED,McGurk S,Malarczyk A,Harloff MT,Yazdchi F,Sabe AA,Bapat VN,Tang GHL,Bhatt DL,Thourani VH,Leon MB,O'Gara P,Shah PB,Kaneko T

    更新日期：2020-10-20 00:00:00

  • Impact of mechanical unloading on microvasculature and associated central remodeling features of the failing human heart.

    abstract：OBJECTIVES:This study investigates alterations in myocardial microvasculature, fibrosis, and hypertrophy before and after mechanical unloading of the failing human heart. BACKGROUND:Recent studies demonstrated the pathophysiologic importance and significant mechanistic links among microvasculature, fibrosis, and hyper...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/j.jacc.2010.04.019

    authors： Drakos SG,Kfoury AG,Hammond EH,Reid BB,Revelo MP,Rasmusson BY,Whitehead KJ,Salama ME,Selzman CH,Stehlik J,Clayson SE,Bristow MR,Renlund DG,Li DY

    更新日期：2010-07-27 00:00:00

  • Comparison of Different Bone Marrow-Derived Stem Cell Approaches in Reperfused STEMI. A Multicenter, Prospective, Randomized, Open-Labeled TECAM Trial.

    abstract：BACKGROUND:Stem cell-based therapy has emerged as a potential therapy in acute myocardial infarction (AMI). Although various approaches have been studied, intracoronary injection of bone marrow autologous mononuclear cells (BMMC) and the ability of granulocyte colony-stimulating factor (G-CSF) to mobilize endogenous ce...

    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.2015.03.563

    authors： San Roman JA,Sánchez PL,Villa A,Sanz-Ruiz R,Fernandez-Santos ME,Gimeno F,Ramos B,Arnold R,Serrador A,Gutiérrez H,Martin-Herrero F,Rollán MJ,Fernández-Vázquez F,López-Messa J,Ancillo P,Pérez-Ojeda G,Fernández-Avilés F

    更新日期：2015-06-09 00:00:00

  • Adoption and effectiveness of internal mammary artery grafting in coronary artery bypass surgery among Medicare beneficiaries.

    abstract：OBJECTIVES:The aim of this study was to assess the pattern of the adoption of internal mammary artery (IMA) grafting in the United States, test its association with clinical outcomes, and assess whether its effectiveness differs in key clinical subgroups. BACKGROUND:The effect of IMA grafting on major clinical outcome...

    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.2013.08.1632

    authors： Hlatky MA,Boothroyd DB,Reitz BA,Shilane DA,Baker LC,Go AS

    更新日期：2014-01-07 00:00:00

  • Intracoronary stents: will they fulfill their promise as an adjunct to angioplasty?

    abstract：:Coronary angioplasty as it is now performed has several limitations, including abrupt early arterial closure and delayed restenosis. To obviate these problems and to enhance the safety of the technique, several intracoronary stenting devices have been developed and are under investigation. This report reviews the scie...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/0735-1097(89)90323-9

    authors： Ellis SG,Topol EJ

    更新日期：1989-05-01 00:00:00

  • High dose heparin as pretreatment for primary angioplasty in acute myocardial infarction: the Heparin in Early Patency (HEAP) randomized trial.

    abstract：OBJECTIVES:In the Heparin in Early Patency (HEAP) pilot study a beneficial effect of high-dose heparin on early patency in acute myocardial infarction (MI) was observed in a matched-control study. BACKGROUND:High dose bolus intravenous injection of heparin may achieve lysis of coronary thrombi and could enhance early ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0735-1097(99)00597-5

    authors： Liem A,Zijlstra F,Ottervanger JP,Hoorntje JC,Suryapranata H,de Boer MJ,Verheugt FW

    更新日期：2000-03-01 00:00:00

  • The patient with heart disease and the cardiovascular physician and surgeon: 1958-1983.

    abstract：:The patient with heart disease and the physician providing cardiovascular health care have experienced dramatic change since the American College of Cardiology first published its journal 25 years ago. During the decade before 1958, cardiology and cardiovascular surgery emerged as specialties. Surgery by closed techni...

    journal_title：Journal of the American College of Cardiology

    pub_type： 历史文章,杂志文章

    doi：10.1016/s0735-1097(83)80005-9

    authors： Weinberg SL

    更新日期：1983-01-01 00:00:00

  • Right coronary artery-pulmonary artery arteriovenous fistula secondary to open heart surgery.

    abstract：:A patient is described who underwent atrial septal defect repair at age 12 and presented 16 years later with angina. Coronary angiography revealed a right coronary artery to pulmonary artery fistula that had developed at the site of the previous thoracotomy. This is the first report of an acquired fistula of this type...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(85)80509-x

    authors： Rothschild AH,Adatepe MH,Magovern GJ,Rothschild MA,Joyner CR

    更新日期：1985-10-01 00:00:00

  • The changing face of heart transplantation.

    abstract：:It has been 40 years since the first human-to-human heart transplant performed in South Africa by Christiaan Barnard in December 1967. This achievement did not come as a surprise to the medical community but was the result of many years of early pioneering experimental work by Alexis Carrel, Frank Mann, Norman Shumway...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2008.05.020

    authors： Hunt SA,Haddad F

    更新日期：2008-08-19 00:00:00

  • Quality of care for atrial fibrillation among patients hospitalized for heart failure.

    abstract：OBJECTIVES:This study sought to examine quality of care and warfarin use at discharge in patients with atrial fibrillation (AF) and heart failure (HF). BACKGROUND:Atrial fibrillation is common in HF, and national guidelines recommend discharge on warfarin for stroke prophylaxis. However, the frequency and factors asso...

    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.2009.04.091

    authors： Piccini JP,Hernandez AF,Zhao X,Patel MR,Lewis WR,Peterson ED,Fonarow GC,Get With The Guidelines Steering Committee and Hospitals.

    更新日期：2009-09-29 00:00:00

  • Diagnostic and prognostic stratification in the emergency department using urinary biomarkers of nephron damage: a multicenter prospective cohort study.

    abstract：OBJECTIVES:This study aimed to determine the diagnostic and prognostic value of urinary biomarkers of intrinsic acute kidney injury (AKI) when patients were triaged in the emergency department. BACKGROUND:Intrinsic AKI is associated with nephron injury and results in poor clinical outcomes. Several urinary biomarkers ...

    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.2011.10.854

    authors： Nickolas TL,Schmidt-Ott KM,Canetta P,Forster C,Singer E,Sise M,Elger A,Maarouf O,Sola-Del Valle DA,O'Rourke M,Sherman E,Lee P,Geara A,Imus P,Guddati A,Polland A,Rahman W,Elitok S,Malik N,Giglio J,El-Sayegh S,Dev

    更新日期：2012-01-17 00:00:00

  • Predictors of inducible sustained ventricular tachyarrhythmias in patients with coronary artery disease.

    abstract：:To determine predictors of inducible sustained ventricular tachycardia or fibrillation by programmed electrical stimulation in patients with coronary artery disease and ventricular tachyarrhythmias, 14 clinical and angiographic variables were analyzed in 60 consecutive patients. All patients had angiographically docum...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(89)90605-0

    authors： Vorperian VR,Gittelsohn AM,Veltri EP

    更新日期：1989-03-01 00:00:00

  • 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

  • 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

  • Alterations in intravascular volume affect the relation between right ventricular diastolic collapse and the hemodynamic severity of cardiac tamponade.

    abstract：:Right ventricular diastolic collapse has been demonstrated to be a sensitive and specific sign of cardiac tamponade. Because the shape and position of the right ventricular wall are related to the relative pressures within the pericardial space and the right ventricular chamber, the usefulness of right ventricular dia...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(85)80309-0

    authors： Klopfenstein HS,Cogswell TL,Bernath GA,Wann LS,Tipton RK,Hoffmann RG,Brooks HL

    更新日期：1985-11-01 00:00:00

  • Sustained ventricular tachyarrhythmias within 2 months of acute myocardial infarction: results of medical and surgical therapy in patients resuscitated from the initial episode.

    abstract：:Sustained ventricular tachycardia or fibrillation that develops during the early recovery period after acute myocardial infarction is a common clinical problem whose management remains controversial. Fifty-three patients who survived an initial episode of sustained ventricular tachycardia or fibrillation occurring bet...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(85)80479-4

    authors： DiMarco JP,Lerman BB,Kron IL,Sellers TD

    更新日期：1985-10-01 00:00:00