Retrograde coronary artery flow in aortic valve disease.

Abstract:

:Retrograde coronary artery flow was observed angiographically in 43 patients with aortic stenosis and/or regurgitation. In the 24 patients with pure or predominant aortic stenosis, retrograde flow was seen in all 24 during end-systole. In the eight patients with pure aortic regurgitation, retrograde flow was seen mainly during end-diastole (6/8). Among the 11 patients with stenosis and regurgitation, retrograde flow was both end-systolic and enddiastolic. Dominant left coronary arteries were seen in 13 patients; 13 showed retrograde flow in the dominant arteries. Dominant right coronary arteries were seen in 25 patients: all 25 showed retrograde flow equally in the right and left coronary. Five of the 43 patients could not be evaluated for dominance because of coronary artery occlusions. The severity of retrograde flow did not correlate with usual clinical, hemodynamic or tension-stress parameters: angina, electrocardiographic abnormality, end-diastolic pressure or volume, end-systolic pressure or volume, ejection fraction, severity of aortic regurgitation, peak or mean valve gradient, aortic valve area, myocardial tension and stress calculations, or DPTI:SPTI. In summary, retrograde coronary artery flow was seen in all 43 patients with severe aortic valve disease. The time in the cardiac cycle when retrograde flow occurred was related to the type of valve disease. Retrograde flow was seen mainly in the coronary arteries supplying the left ventricle and may result from increased regional myocardial stresses.

journal_name

Circulation

journal_title

Circulation

authors

Carroll RJ,Falsetti HL

doi

10.1161/01.cir.54.3.494

subject

Has Abstract

pub_date

1976-09-01 00:00:00

pages

494-9

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

54

pub_type

杂志文章
  • Lumen loss in transplant coronary artery disease is a biphasic process involving early intimal thickening and late constrictive remodeling: results from a 5-year serial intravascular ultrasound study.

    abstract:BACKGROUND:Coronary artery disease is the major cause of late cardiac allograft failure. However, few data exist regarding the natural history of changes in intimal and external elastic membrane (EEM) areas after heart transplantation. METHODS AND RESULTS:In 38 transplant recipients, serial intravascular ultrasound ex...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3101.093867

    authors: Tsutsui H,Ziada KM,Schoenhagen P,Iyisoy A,Magyar WA,Crowe TD,Klingensmith JD,Vince DG,Rincon G,Hobbs RE,Yamagishi M,Nissen SE,Tuzcu EM

    更新日期:2001-08-07 00:00:00

  • Evidence Supporting the Existence of a Distinct Obese Phenotype of Heart Failure With Preserved Ejection Fraction.

    abstract:BACKGROUND:Heart failure (HF) with preserved ejection fraction (HFpEF) is a heterogeneous syndrome. Phenotyping patients into pathophysiologically homogeneous groups may enable better targeting of treatment. Obesity is common in HFpEF and has many cardiovascular effects, suggesting that it may be a viable candidate for...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.026807

    authors: Obokata M,Reddy YNV,Pislaru SV,Melenovsky V,Borlaug BA

    更新日期:2017-07-04 00:00:00

  • Thallium 201 kinetics in stunned myocardium characterized by severe postischemic systolic dysfunction.

    abstract::The hypothesis tested in this study was that despite the presence of severe postischemic myocardial dysfunction ("stunning"), the extraction and subsequent intracellular washout of thallium 201 should be preserved as long as irreversible sarcolemmal membrane injury was avoided. To produce myocardial stunning, 19 open-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.5.1622

    authors: Moore CA,Cannon J,Watson DD,Kaul S,Beller GA

    更新日期:1990-05-01 00:00:00

  • Introduction to the Analysis of Survival Data in the Presence of Competing Risks.

    abstract::Competing risks occur frequently in the analysis of survival data. A competing risk is an event whose occurrence precludes the occurrence of the primary event of interest. In a study examining time to death attributable to cardiovascular causes, death attributable to noncardiovascular causes is a competing risk. When ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.115.017719

    authors: Austin PC,Lee DS,Fine JP

    更新日期:2016-02-09 00:00:00

  • Overexpression of thioredoxin-1 in transgenic mice attenuates adriamycin-induced cardiotoxicity.

    abstract:BACKGROUND:Adriamycin (ADR) is an anticancer drug known to cause severe cardiac toxicity by generating free radicals. We investigated the role of a redox-regulating molecule, thioredoxin-1 (TRX1), in ADR-induced cardiotoxicity. METHODS AND RESULTS:The in vitro study showed that TRX1 was dose-dependently increased conc...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000027817.55925.b4

    authors: Shioji K,Kishimoto C,Nakamura H,Masutani H,Yuan Z,Oka S,Yodoi J

    更新日期:2002-09-10 00:00:00

  • Genotype-phenotype correlations in hypertrophic cardiomyopathy. Insights provided by comparisons of kindreds with distinct and identical beta-myosin heavy chain gene mutations.

    abstract:BACKGROUND:We have previously described two distinct mutations in the beta-myosin heavy chain gene with markedly different clinical presentations and outcome: The 908Leu-->Val mutation was associated with a low disease penetrance and a benign prognosis. In contrast, the 403Arg-->Gln mutation in a Caucasian kindred was ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.1.22

    authors: Fananapazir L,Epstein ND

    更新日期:1994-01-01 00:00:00

  • Significance of chronic bifascicular block without apparent organic heart disease.

    abstract::Eighty-six of 452 patients (19%) with chronic bifascicular block were found to have no clinically apparent associated organic heart disease (OHD) and were defined as having primary conduction disease (PCD). Comparison of patients with PCD and OHD revealed a significantly lower incidence of the following clinical varia...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.60.1.33

    authors: Dhingra RC,Wyndham C,Bauernfeind R,Denes P,Wu D,Swiryn S,Rosen KM

    更新日期:1979-07-01 00:00:00

  • Current perspectives on statins.

    abstract::Statins (HMG-CoA reductase inhibitors) are used widely for the treatment of hypercholesterolemia. They inhibit HMG-CoA reductase competitively, reduce LDL levels more than other cholesterol-lowering drugs, and lower triglyceride levels in hypertriglyceridemic patients. Statins are well tolerated and have an excellent ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.101.2.207

    authors: Maron DJ,Fazio S,Linton MF

    更新日期:2000-01-18 00:00:00

  • Electrophysiologic effects of dipyridamole on atrioventricular nodal conduction and supraventricular tachycardia. Role of endogenous adenosine.

    abstract::Exogenous adenosine has been shown to have potent electrophysiologic effects and antiarrhythmic properties within the atrioventricular (AV) node. Endogenous adenosine, a nucleoside with an increased release signaled by ischemia and hypoxia, is not believed to exert significant effects during homeostatic conditions. Re...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.6.1536

    authors: Lerman BB,Wesley RC,Belardinelli L

    更新日期:1989-12-01 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

  • Effects of operation on left atrial size and the occurence of atrial fibrillation in patients with hypertrophic subaortic stenosis.

    abstract::The relation between left atrial size and atrial fibrillation was examined in 37 patients who had left ventriculomyotomy and myectomy at the National Heart and Lung Institute. Atrial fibrillation was present in 11 of 27 (41%) patients with an echocardiographically measured left atrial dimension greater than 45 mm. No ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.1.178

    authors: Watson DC,Henry WL,Epstein SE,Morrow AG

    更新日期:1977-01-01 00:00:00

  • Developmental endothelial locus-1 (Del-1) mediates clearance of platelet microparticles by the endothelium.

    abstract:BACKGROUND:Phosphatidylserine-expressing microparticles circulate in blood with a short half-life of <10 minutes. We tested the role of an endothelium-derived phosphatidylserine-binding opsonin, developmental endothelial locus-1 (Del-1), in the uptake of platelet microparticles. METHODS AND RESULTS:Cultured human umbi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.068833

    authors: Dasgupta SK,Le A,Chavakis T,Rumbaut RE,Thiagarajan P

    更新日期:2012-04-03 00:00:00

  • Minimally invasive coronary artery bypass grafting: dual-center experience in 450 consecutive patients.

    abstract:BACKGROUND:Minimally invasive coronary artery bypass grafting (MICS CABG) is a novel coronary operation that does not require infrastructure and is potentially available to all cardiac surgeons. It aims at decreasing the invasiveness of conventional CABG while preserving the applicability and durability of surgical rev...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.840041

    authors: McGinn JT Jr,Usman S,Lapierre H,Pothula VR,Mesana TG,Ruel M

    更新日期:2009-09-15 00:00:00

  • Hemodynamic effects of labetalol, an alpha and beta adrenergic blocking agent, in hypertensive subjects.

    abstract::Labetalol was administered to six hypertensive subjects in increasing doses for seven days. A decrease in both supine and standing arterial pressure and heart rate was observed with no change in cardiac output and few side effects. Exercise tolerance was unaltered by the drug, but the heart rate and arterial pressure ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.55.2.370

    authors: Mehta J,Cohn JN

    更新日期:1977-02-01 00:00:00

  • Time-series analysis of heart rate variability during submaximal exercise. Evidence for reduced cardiac vagal tone in animals susceptible to ventricular fibrillation.

    abstract::Periodic fluctuations in the R-R interval have been used as noninvasive measures of cardiac autonomic tone. For example, a reduced heart rate variability has been shown to correlate with an increased mortality in patients recovering from myocardial infarction. The effects that physiologic perturbations such as exercis...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.1.146

    authors: Billman GE,Hoskins RS

    更新日期:1989-07-01 00:00:00

  • Recent progress in understanding apolipoprotein B.

    abstract::For the past 5 years, investigators from many different laboratories have contributed to a greatly increased understanding of two very important lipid-carrying proteins in plasma--apo B-100 and apo B-48. Apo B-100, an extremely large protein composed of 4,536 amino acids, is synthesized by the liver and is crucial for...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.82.5.1574

    authors: Young SG

    更新日期:1990-11-01 00:00:00

  • Acetylcholine release in human heart atrium: influence of muscarinic autoreceptors, diabetes, and age.

    abstract:BACKGROUND:An imbalance of sympathetic and parasympathetic drive to the heart is an important risk factor for cardiac death in patients with coronary heart disease, diabetes, and renal insufficiency. The amount of neurotransmitter released from peripheral autonomic nerves is modulated by presynaptic receptor systems. I...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.12.1638

    authors: Oberhauser V,Schwertfeger E,Rutz T,Beyersdorf F,Rump LC

    更新日期:2001-03-27 00:00:00

  • Effects of tissue plasminogen activator and a comparison of early invasive and conservative strategies in unstable angina and non-Q-wave myocardial infarction. Results of the TIMI IIIB Trial. Thrombolysis in Myocardial Ischemia.

    abstract:BACKGROUND:Although coronary thrombosis plays a critical role in the pathogenesis of unstable angina and non-Q-wave myocardial infarction (NQMI), the effects of thrombolytic therapy in these disorders is not clear. Also, the role of routine early coronary arteriography followed by revascularization has not been establi...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.cir.89.4.1545

    authors:

    更新日期:1994-04-01 00:00:00

  • Re-entrant ventricular arrhythmias in the late myocardial infarction period. 2. Patterns of initiation and termination of re-entry.

    abstract::The electrophysiologic mechanisms for the initiation and termination of re-entrant ventricular arrhythmias (RVA) were critically analyzed in dogs 3-7 days following ligation of the anterior descending coronary artery, utilizing direct recordings of the re-entrant pathway (RP) from the epicardial surface of the infarct...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.5.702

    authors: El-Sherif N,Hope RR,Scherlag BJ,Lazzara R

    更新日期:1977-05-01 00:00:00

  • Female mice lacking estrogen receptor beta display prolonged ventricular repolarization and reduced ventricular automaticity after myocardial infarction.

    abstract:BACKGROUND:Major gender-based differences in the incidence of ventricular tachyarrhythmia after myocardial infarction have been shown in humans. Although the underlying mechanisms are unclear, earlier studies suggest that estrogen receptor-mediated effects play a major role in this process. METHODS AND RESULTS:We exam...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000164262.08004.BB

    authors: Korte T,Fuchs M,Arkudas A,Geertz S,Meyer R,Gardiwal A,Klein G,Niehaus M,Krust A,Chambon P,Drexler H,Fink K,Grohé C

    更新日期:2005-05-10 00:00:00

  • Endovascular therapies for peripheral arterial disease: an evidence-based review.

    abstract::Peripheral arterial disease is one manifestation of systemic atherosclerosis. The prevalence of peripheral arterial disease increases with the age of the population. It is important to remember the significant association of coincident coronary artery disease, which is the major cause of mortality in these patients. R...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.106.621391

    authors: White CJ,Gray WA

    更新日期:2007-11-06 00:00:00

  • Characterization of the cardiomyopathy in infants of diabetic mothers.

    abstract::A transient form of hypertrophic cardiomyopathy has been previously described in infants of diabetic mothers (IDMs). The purpose of this study was to determine the incidence, natural history and pathologic features of this cardiomyopathy in symptomatic and asymptomatic IDMs. We studied 47 IDMs for evidence of cardiomy...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.61.2.441

    authors: Gutgesell HP,Speer ME,Rosenberg HS

    更新日期:1980-02-01 00:00:00

  • Efficacy of long detection interval implantable cardioverter-defibrillator settings in secondary prevention population: data from the Avoid Delivering Therapies for Nonsustained Arrhythmias in ICD Patients III (ADVANCE III) trial.

    abstract:BACKGROUND:Three trials demonstrated recently that a long detection window reduces implantable cardioverter-defibrillator (ICD) therapy in primary prevention patients. Avoid Delivering Therapies for Nonsustained Arrhythmias in ICD Patients III (ADVANCE III) was the only trial that enrolled both primary and secondary pr...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.114.009468

    authors: Kloppe A,Proclemer A,Arenal A,Lunati M,Martìnez Ferrer JB,Hersi A,Gulaj M,Wijffels MC,Santi E,Manotta L,Mangoni L,Gasparini M

    更新日期:2014-07-22 00:00:00

  • Extent of clinical improvement after surgical treatment of hypertrophic obstructive cardiomyopathy.

    abstract:BACKGROUND:A subgroup of patients with hypertrophic obstructive cardiomyopathy remain severely symptomatic despite optimal medical therapy. Septal myectomy reduces or eliminates left ventricular outflow obstruction and produces marked symptomatic improvement. With the recent advent of alternative methods for treatment ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.3.467

    authors: McCully RB,Nishimura RA,Tajik AJ,Schaff HV,Danielson GK

    更新日期:1996-08-01 00:00:00

  • Canadian implantable defibrillator study (CIDS) : a randomized trial of the implantable cardioverter defibrillator against amiodarone.

    abstract:BACKGROUND:Patients surviving ventricular fibrillation (VF) or sustained ventricular tachycardia (VT) are at a high risk of death due to a recurrence of arrhythmia. The implantable cardioverter defibrillator (ICD) terminates VT or VF, but it is not known whether this device prolongs life in these patients compared with...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.101.11.1297

    authors: Connolly SJ,Gent M,Roberts RS,Dorian P,Roy D,Sheldon RS,Mitchell LB,Green MS,Klein GJ,O'Brien B

    更新日期:2000-03-21 00:00:00

  • Metalloproteinase inhibition reduces constrictive arterial remodeling after balloon angioplasty: a study in the atherosclerotic Yucatan micropig.

    abstract:BACKGROUND:Arterial remodeling after balloon angioplasty has been recognized as a major determinant of restenosis. Perturbation of collagen metabolism might be important. After balloon injury, matrix metalloproteinase (MMP) expression is upregulated. We investigated the effect of Batimastat, a nonspecific MMP inhibitor...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.25.2962

    authors: de Smet BJ,de Kleijn D,Hanemaaijer R,Verheijen JH,Robertus L,van Der Helm YJ,Borst C,Post MJ

    更新日期:2000-06-27 00:00:00

  • Norepinephrine precursor therapy in neurogenic orthostatic hypotension.

    abstract:BACKGROUND:In patients with neurogenic orthostatic hypotension (NOH), the availability of the sympathetic neurotransmitter norepinephrine (NE) in the synaptic cleft is insufficient to maintain blood pressure while in the standing posture. METHODS AND RESULTS:We determined the effect of oral administration of the synth...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000083721.49847.D7

    authors: Kaufmann H,Saadia D,Voustianiouk A,Goldstein DS,Holmes C,Yahr MD,Nardin R,Freeman R

    更新日期:2003-08-12 00:00:00

  • Trans-fatty acids intake and risk of myocardial infarction.

    abstract:BACKGROUND:Concern that trans-fatty acids formed in the partial hydrogenation of vegetable oils may increase the risk of coronary disease has existed for several decades, but direct evidence on this relation in humans is limited. METHODS AND RESULTS:With a case-control design, we studied the association between intake...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.1.94

    authors: Ascherio A,Hennekens CH,Buring JE,Master C,Stampfer MJ,Willett WC

    更新日期:1994-01-01 00:00:00

  • Radiofrequency catheter ablation of left lateral accessory pathways via the coronary sinus.

    abstract:BACKGROUND:The purpose of this study was to describe a new technique for catheter ablation of left lateral accessory pathways (APs) by radiofrequency energy applied at the epicardium through the coronary sinus wall using a unipolar configuration. METHODS AND RESULTS:In an overall group of 212 patients with left latera...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.5.1464

    authors: Haissaguerre M,Gaita F,Fischer B,Egloff P,Lemetayer P,Warin JF

    更新日期:1992-11-01 00:00:00

  • Lower Risk of Heart Failure and Death in Patients Initiated on Sodium-Glucose Cotransporter-2 Inhibitors Versus Other Glucose-Lowering Drugs: The CVD-REAL Study (Comparative Effectiveness of Cardiovascular Outcomes in New Users of Sodium-Glucose Cotranspo

    abstract:BACKGROUND:Reduction in cardiovascular death and hospitalization for heart failure (HHF) was recently reported with the sodium-glucose cotransporter-2 inhibitor (SGLT-2i) empagliflozin in patients with type 2 diabetes mellitus who have atherosclerotic cardiovascular disease. We compared HHF and death in patients newly ...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.117.029190

    authors: Kosiborod M,Cavender MA,Fu AZ,Wilding JP,Khunti K,Holl RW,Norhammar A,Birkeland KI,Jørgensen ME,Thuresson M,Arya N,Bodegård J,Hammar N,Fenici P,CVD-REAL Investigators and Study Group*.

    更新日期:2017-07-18 00:00:00