Abstract：
:Percutaneous coronary interventions have been performed for 20 years. Despite the success and progress of these interventions, abrupt vessel closure has been a dramatic adverse event of coronary interventions. Closure has frequently led to the major complications of death, myocardial infarction, and emergency coronary artery bypass. Because of the fear of this adverse event and its subsequent complications, the applicability of coronary interventions is sometimes limited. The pathologic characteristics of abrupt vessel closure have been recognized as predominantly caused by dissection, with vessel recoil and thrombus formation playing important secondary roles. The recognition of the lesions at risk for abrupt vessel closure has led to a strategy of lesion-specific device therapy to reduce complications. Similarly the role of antiplatelet and antithrombotic therapies have reduced complications. The earliest methods of dealing with abrupt closure was emergency coronary artery bypass surgery with significant rates of morbidity and mortality. With the advent of second-generation devices and techniques, particularly stents, the management of abrupt vessel closure has been simplified and alternatives to emergency coronary bypass are more available. This article will review the history and current status of the prevention and management of abrupt vessel closure and demonstrate that anticipation and management of this complication have been facilitated with reduction of subsequent complications and increased applicability of coronary interventions.
journal_name
Am Heart Jjournal_title
American heart journalauthors
Bergelson BA,Fishman RF,Tommaso CLdoi
10.1016/s0002-8703(97)70069-3subject
Has Abstractpub_date
1997-09-01 00:00:00pages
362-81issue
3eissn
0002-8703issn
1097-6744pii
S0002-8703(97)70069-3journal_volume
134pub_type
杂志文章,评审abstract：BACKGROUND:Although hospital admissions during weekends have been associated with worse quality of care and worse outcomes in some but not all medical conditions, the impact of weekend versus weekday admission and discharge for heart failure (HF) has not been well studied. This study investigates the association of (1)...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2009.06.025
更新日期：2009-09-01 00:00:00
abstract：:To examine the relationship between the improvement of wall motion in infarcted regions after percutaneous transluminal coronary angioplasty (PTCA) and thallium-201 uptake in the delayed image of exercise thallium-201 scintigraphy before PTCA, 14 patients with anterior old myocardial infarction were studied. Exercise ...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(93)90053-c
更新日期：1993-01-01 00:00:00
abstract：:The aim of our study was to compare the outcome of patients with a first acute myocardial infarction (AMI) among three large cohorts of patients hospitalized between 1966 and 1992 in Israel, in view of changes in treatment facilities and investigation methods. Patients with a first AMI constituted 71% of all myocardia...
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：10.1016/0002-8703(95)90351-8
更新日期：1995-09-01 00:00:00
abstract：:Heart failure is associated with a hypercoagulable state. A single-center, randomized, double-blind, placebo-controlled trial was performed to test the hypothesis that warfarin will modify a hypercoagulable state in heart failure. This study included 76 patients with heart failure. At baseline, patients had evidence f...
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(97)70103-0
更新日期：1997-07-01 00:00:00
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
更新日期：2001-07-01 00:00:00
abstract：BACKGROUND:The favorable effects of lowering low-density lipoprotein (LDL)-cholesterol on reducing clinical events in patients with coronary disease have been well established. The mechanisms responsible for this benefit, however, have not been fully understood. This study examined the impact of lipid-lowering therapy ...
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：10.1016/s0002-8703(00)90057-7
更新日期：2000-04-01 00:00:00
abstract：:Cardiac pacing initiated from epicardial or transvenous apical right ventricular electrodes causes asynchronous ventricular contraction. This alters myocardial stress vectors and results in adverse cellular and subcellular changes in the experimental animal. Clinically, such changes may contribute to the adverse hemod...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(91)90195-n
更新日期：1991-03-01 00:00:00
abstract：BACKGROUND:Recent studies suggest that smokers' coronary endothelial function is impaired because of increased oxidative stress, and their coronary flow velocity reserve (CFVR) is reduced. It is uncertain whether oral antioxidant vitamin C restores impaired CFVR in smokers. Recent technological advances in transthoraci...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2004.03.006
更新日期：2004-08-01 00:00:00
abstract：:To assess the role of oxidative stress in exercise intolerance in patients with heart failure, a symptom-limited exercise test was performed with a bicycle ergometer in 12 patients with heart failure and in 7 members of a healthy control group. Level of plasma malondialdehyde, a marker of lipid peroxidation, at rest w...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/s0002-8703(98)70351-5
更新日期：1998-01-01 00:00:00
abstract：:Thiazides produce an average loss of 2 L of extracellular fluid volume, of which about 300 ml is plasma volume, during the first 48 hours of administration, and this reduction is maintained without further loss for as long as the drug is given. Do thiazides lower blood pressure by volume depletion or by direct vasodil...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(83)90116-3
更新日期：1983-07-01 00:00:00
abstract：:Clinical and electrophysiologic characteristics associated with spontaneous and inducible atrial fibrillation and ventricular tachyarrhythmia were assessed in 20 consecutive patients with Wolff-Parkinson-White (WPW) syndrome undergoing surgical division (n = 12) or transcatheter electrical ablation (n = 8) of accessor...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(86)90342-x
更新日期：1986-12-01 00:00:00
abstract：:The antiarrhythmic effects of mexiletine (n = 14) were compared to procainamide (n = 16) by a double-blind parallel protocol in 30 patients (group I) with frequent premature ventricular contractions (PVCs) (greater than 20/hr), and to amiodarone by an open-label sequential approach in 25 patients (mean left ventricula...
journal_title：American heart journal
pub_type： 临床试验,杂志文章
doi：10.1016/0002-8703(85)90186-3
更新日期：1985-11-01 00:00:00
abstract：:A prospective study examining the relationship between psychological distress and ventricular ectopy was conducted with 125 post-myocardial infarction patients equipped with a transtelephonic ECG monitor. Subjects were subsequently grouped according to the occurrence (n = 59) or nonoccurrence (n = 65) of ventricular a...
journal_title：American heart journal
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0002-8703(88)90246-3
更新日期：1988-07-01 00:00:00
abstract：BACKGROUND:We aimed to characterize the clinical and pathologic findings of aortic dissection (AD) over a nearly 60-year period. METHODS:The Jesse E. Edwards Registry of Cardiovascular Disease database was queried for cardiac specimens from autopsies with AD as a diagnosis and compared 2 cohorts: early (1956-1992) and...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2018.11.006
更新日期：2019-03-01 00:00:00
abstract：INTRODUCTION:It has been demonstrated that skin tissue cholesterol (SkinTc) is associated with angiographic disease. Now, we further delineate the relative risk of multivessel disease (>50% stenosis in at least two vessels) in the conjoint presence of high SkinTc and high traditional risk burden. METHODS:Patients sche...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2006.04.027
更新日期：2006-10-01 00:00:00
abstract：:The acute anatomic and valvular consequences of radiofrequency catheter ablation of accessory pathways were evaluated in 62 patients by means of serial echocardiographic examinations. Semiquantitative assessment of valvular incompetence and classification into one of four grades according to the width and the extensio...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(94)90382-4
更新日期：1994-06-01 00:00:00
abstract：:Positive deviance studies combining qualitative and quantitative designs-a mixed-methods approach-can discover strategies to produce exemplary performance. We present the SAMI study, a national positive deviance study to discover hospital strategies associated with lower 30-day hospital risk-standardized mortality rat...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2011.09.004
更新日期：2011-12-01 00:00:00
abstract：:A case of tricuspid atresia with unusual echocardiographic findings is presented. The echocardiogram was successful in defining great artery interrelationships, ventricular looping, and cavity sizes. An echo pattern resembling the motion of a small tricuspid valve was observed; this was proven to be spurious at cathet...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(78)90508-2
更新日期：1978-06-01 00:00:00
abstract：:Giant cell arteritis is a disease of the elderly which is more common than previously recognized. It is important to be aware of this condition because treatment effectively relieves symptoms and prevents serious complications. The disease is suggested when an elderly patient complains of constitutional symptoms, head...
journal_title：American heart journal
pub_type： 杂志文章,评审
doi：10.1016/0002-8703(80)90285-9
更新日期：1980-07-01 00:00:00
abstract：BACKGROUND:Data on left atrial/left atrial appendage (LA/LAA) thrombus resolution after non-vitamin K antagonist (VKA) oral anticoagulant treatment are scarce. The primary objective of X-TRA was to explore the use of rivaroxaban for the resolution of LA/LAA thrombi in patients with nonvalvular atrial fibrillation (AF) ...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2016.05.007
更新日期：2016-08-01 00:00:00
abstract：:To determine whether cholinergic mechanisms contribute to blood pressure responses during arterial baroreflex inhibition and stimulation, we assessed the effects of atropine on pressor and depressor responses during and after release of the Valsalva maneuver, upon administration of intravenous phenylephrine and nitrog...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(84)90837-8
更新日期：1984-05-01 00:00:00
abstract：BACKGROUND:Lipoprotein lipase (LPL) has a prominent role in the metabolism of triglycerides (TGs) and high-density lipoprotein cholesterol (HDL-C) and is a potential interesting target for the development of antiatherogenic treatment. To provide deeper insight into the role of natural variation in this gene, we investi...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2008.10.008
更新日期：2009-02-01 00:00:00
abstract：BACKGROUND:Elevations of creatine kinase-MB (CK-MB) and cardiac troponin T (cTnT) have an uncertain long-term prognostic value after coronary artery bypass graft (CABG) surgery. We aimed to test the hypothesis that CK-MB and cTnT are predictors of long-term survival after CABG and to assess which of these 2 biomarkers ...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2012.05.027
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:Left atrial (LA) volume is a prognostic index in chronic mitral regurgitation (MR). However, little is known about LA function in this setting. We hypothesized that LA dysfunction is related to pulmonary hypertension in chronic MR. METHODS:Seventy-one patients with organic chronic MR who underwent real-time...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2009.05.030
更新日期：2009-08-01 00:00:00
abstract：BACKGROUND:Low-molecular weight heparins have different pharmacokinetic and pharmacodynamic characteristics and may vary in efficacy. We compared the efficacy of enoxaparin with that of tinzaparin in the management of non-ST-segment elevation acute coronary syndromes (NSTACS). METHODS:A total of 438 patients with NSTA...
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(03)00179-0
更新日期：2003-08-01 00:00:00
abstract：:Acute myocardial infarction (MI) patients remain at high risk for recurrent events. Cholesterol efflux, mediated by apolipoprotein A-I, removes excess cholesterol from atherosclerotic plaque and transports it to the liver for excretion. Impaired cholesterol efflux is associated with higher cardiovascular (CV) event ra...
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.2020.10.052
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:The relationship of changes in weight to outcomes in patients after myocardial infarction (MI) is controversial. METHODS:From the ENRICHD trial data, we assessed weight change, and the associations of baseline weight and change at follow-up with outcomes and interactions between psychosocial factors. RESUL...
journal_title：American heart journal
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ahj.2007.10.026
更新日期：2008-03-01 00:00:00
abstract：CLINICAL SCENARIO:A 67-year-old man is referred to your cardiology clinic complaining of worsening angina and dyspnea on exertion. Physical examination reveals a harsh grade IV/VI late-peaking crescendo-decresendo systolic murmur, loudest at the upper sternal border. The aortic closure sound is diminished. Echocardiogr...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/j.ahj.2004.05.031
更新日期：2004-07-01 00:00:00
abstract：BACKGROUND:The effect of raloxifene on aortic elasticity in healthy postmenopausal women is unknown. The purpose of the present study was to examine the effect of raloxifene on aortic elasticity and cardiovascular structure and function in healthy postmenopausal women. METHODS:A randomized, crossover, double-blind, pl...
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.2005.02.020
更新日期：2005-12-01 00:00:00
abstract：:To assess relative capabilities of magnetic resonance (MR) imaging and two-dimensional echocardiography (2DE) for evaluating regional contractile dysfunction in the left ventricle after a myocardial infarction, results from 22 concurrent MR (orthogonal-transaxial, ECG-gated, multiphasic, single-spin echo) and 2DE exam...
journal_title：American heart journal
pub_type： 杂志文章
doi：10.1016/0002-8703(88)90533-9
更新日期：1988-01-01 00:00:00
