Progressive tricuspid valve disease in patients with congenitally corrected transposition of the great arteries.

Abstract:

BACKGROUND:The outcome of patients with corrected transposition of the great arteries (CTGA) is variably affected by associated intracardiac defects, tricuspid valve competence, and systemic right ventricular (RV) function. The relative importance of these factors in long-term outcome has not been evaluated. METHODS AND RESULTS:Since 1958, 40 patients with CTGA were studied to determine risk factors for poor outcome, including age, open heart surgery, tricuspid insufficiency (TI), cardiac rhythm, pulmonary overcirculation, and RV dysfunction. Follow-up ranged from 7 to 36 years (mean 20 years). Intracardiac repair was performed in 21 patients; 19 were unoperated or had closed heart procedures. For the purposes of this study the designation TI(S) refers to at least moderately severe TI as delineated by echocardiogram and/or angiography. TI(s) was the only independently significant factor for death (P=0.01), and in turn, only the presence of a morphologically abnormal TV predicted TI(s)(P=0.03). Twenty-year survival without TI(S)was 93%, but only 49% with TI(S). Poor long-term postoperative outcome was due to TI(S) in all but 1 patient; 20-year survival rates for operated patients with and without TI(s)were 34% and 90%, respectively (P=0.002). Similarly, 20-year survival rates for unoperated patients with and without TI(s)were 60% and 100%, respectively, whether or not attempts to repair the TI were made (P=0.08). CONCLUSIONS:TI(S)represents the major risk factor for CTGA patients; RV dysfunction appears to be almost always secondary to long-standing TI. Decisions related to surgical interventions with or without associated lesions must be strongly influenced by the status of the tricuspid valve.

journal_name

Circulation

journal_title

Circulation

authors

Prieto LR,Hordof AJ,Secic M,Rosenbaum MS,Gersony WM

doi

10.1161/01.cir.98.10.997

subject

Has Abstract

pub_date

1998-09-08 00:00:00

pages

997-1005

issue

10

eissn

0009-7322

issn

1524-4539

journal_volume

98

pub_type

杂志文章
  • Long-term prognostic value of dobutamine-atropine stress echocardiography in 1737 patients with known or suspected coronary artery disease: A single-center experience.

    abstract:BACKGROUND:The purpose of this study was to assess the long-term value of dobutamine-atropine stress echocardiography (DSE) for prediction of late cardiac events in patients with proven or suspected coronary artery disease. METHODS AND RESULTS:Clinical data and DSE results were analyzed in 1734 consecutive patients un...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.99.6.757

    authors: Poldermans D,Fioretti PM,Boersma E,Bax JJ,Thomson IR,Roelandt JR,Simoons ML

    更新日期:1999-02-16 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

  • Firing properties of single muscle vasoconstrictor neurons in the sympathoexcitation associated with congestive heart failure.

    abstract:BACKGROUND:Congestive heart failure (CHF) in humans is associated with a marked sympathoexcitation, including an augmented muscle sympathetic nerve activity (MSNA) in intraneural multiunit recordings. In the present study, single-unit recording was used to evaluate whether the firing properties of individual muscle vas...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.16.1708

    authors: Macefield VG,Rundqvist B,Sverrisdottir YB,Wallin BG,Elam M

    更新日期:1999-10-19 00:00:00

  • Oxidative stress induces NF-kappaB nuclear translocation without degradation of IkappaBalpha.

    abstract:BACKGROUND:Rel/NF-kappaB, an oxidative stress-responsive transcription factor, participates transiently in the control of gene expression. The cellular mechanisms that mediate NF-kappaB activation during ischemia (and during reperfusion in the course of treating ischemia) are not known. METHODS AND RESULTS:To investig...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.suppl_2.ii-361

    authors: Canty TG Jr,Boyle EM Jr,Farr A,Morgan EN,Verrier ED,Pohlman TH

    更新日期:1999-11-09 00:00:00

  • New insights and observations in three-dimensional echocardiographic visualization of ventricular septal defects: experimental and clinical studies.

    abstract:BACKGROUND:The positions, sizes, and shapes of ventricular septal defects (VSDs) can be difficult to assess by 2-dimensional echocardiography (2DE). Volume-rendered 3-dimensional echocardiography (3DE) can provide unique views of VSDs from the left ventricular (LV) side, allowing complete assessment of their circumfere...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.13.1307

    authors: Kardon RE,Cao QL,Masani N,Sugeng L,Supran S,Warner KG,Pandian NG,Marx GR

    更新日期:1998-09-29 00:00:00

  • Arterial stiffness increases with deteriorating glucose tolerance status: the Hoorn Study.

    abstract:BACKGROUND:Type 2 diabetes (DM-2) and impaired glucose metabolism (IGM) are associated with an increased cardiovascular disease risk. In nondiabetic individuals, increased arterial stiffness is an important cause of cardiovascular disease. Associations between DM-2 and IGM and arterial stiffness have not been systemati...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000065222.34933.FC

    authors: Henry RM,Kostense PJ,Spijkerman AM,Dekker JM,Nijpels G,Heine RJ,Kamp O,Westerhof N,Bouter LM,Stehouwer CD,Hoorn Study.

    更新日期:2003-04-29 00:00:00

  • Exercise training in patients with chronic heart failure delays ventilatory anaerobic threshold and improves submaximal exercise performance.

    abstract::We have recently demonstrated that exercise training can induce important hemodynamic and metabolic adaptations in patients with chronic heart failure due to severe left ventricular dysfunction. This study examines the accompanying changes in submaximal exercise performance and the ventilatory response to exercise in ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.2.324

    authors: Sullivan MJ,Higginbotham MB,Cobb FR

    更新日期:1989-02-01 00:00:00

  • Noninvasive quantitative evaluation of the morphology of the major pulmonary artery branches in cyanotic congenital heart disease. Angiocardiographic and echocardiographic correlative study.

    abstract:BACKGROUND:Precise noninvasive evaluation of pulmonary artery (PA) morphology is extremely important for medical and surgical management of patients with cyanotic heart disease. In this study, the accuracy of two-dimensional echocardiography combined with color Doppler flow mapping to assess the size, stenosis, and atr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.3.1306

    authors: Hiraishi S,Misawa H,Hirota H,Agata Y,Horiguchi Y,Fujino N,Yi LH,Yashiro K,Nakae S,Kawada M

    更新日期:1994-03-01 00:00:00

  • Technetium-99m stannous pyrophosphate myocardial scintigraphy. Reliability and limitations in assessment of acute myocardial infarction.

    abstract::Two hundred-three patients had -echnetium 99m (stannous) pyrophosphate myocardial scintigrams for the evaluation of chest pain and suspected acute myocardial infarction. In addition to routine imaging at 60--90 minutes after injection of the radio-pharmaceutical, the blood pool was imaged immediately in each patient f...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.2.192

    authors: Cowley MJ,Mantle JA,Rogers WJ,Russel RO Jr,Rackley CE,Logic JR

    更新日期:1977-08-01 00:00:00

  • Percutaneous transluminal coronary angioplasty reverses vasoconstriction of stenotic coronary arteries in hypertensive patients.

    abstract:BACKGROUND:Endothelial dysfunction of coronary arteries with impaired vasodilation has been reported in patients with arterial hypertension. However, the effect of dynamic exercise on coronary vasomotion of a stenotic vessel segment before and after PTCA has not yet been evaluated in these patients. METHODS AND RESULT...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.12.1192

    authors: Frielingsdorf J,Kaufmann P,Suter T,Hug R,Hess OM

    更新日期:1998-09-22 00:00:00

  • Surgery for Aortic Dilatation in Patients With Bicuspid Aortic Valves: A Statement of Clarification From the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

    abstract::Two guidelines from the American College of Cardiology (ACC), the American Heart Association (AHA), and collaborating societies address the risk of aortic dissection in patients with bicuspid aortic valves and severe aortic enlargement: the "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIR.0000000000000331

    authors: 2010 ACCF\/AHA\/AATS\/ACR\/ASA\/SCA\/SCAI\/SIR\/STS\/SVM GUIDELINES FOR THE DIAGNOSIS AND MANAGEMENT OF PATIENTS WITH THORACIC AORTIC DISEASE REPRESENTATIVE MEMBERS*.,Hiratzka LF,Creager MA,Isselbacher EM,Svensson LG,2014 AHA\/ACC Guideline fo

    更新日期:2016-02-16 00:00:00

  • Plasma endothelin in chronic heart failure.

    abstract:BACKGROUND:Endothelins are recently characterized vasoconstrictor peptides. As chronic heart failure (CHF) is characterized by peripheral arteriolar and renal vasoconstriction, we have measured venous plasma endothelin-like immunoreactivity ("endothelin") in patients with this syndrome. METHODS AND RESULTS:Compared wi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.85.4.1374

    authors: McMurray JJ,Ray SG,Abdullah I,Dargie HJ,Morton JJ

    更新日期:1992-04-01 00:00:00

  • Randomized trial of acupuncture to lower blood pressure.

    abstract:BACKGROUND:Arterial hypertension is a prime cause of morbidity and mortality in the general population. Pharmacological treatment has limitations resulting from drug side effects, costs, and patient compliance. Thus, we investigated whether traditional Chinese medicine acupuncture is able to lower blood pressure. METH...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.106.661140

    authors: Flachskampf FA,Gallasch J,Gefeller O,Gan J,Mao J,Pfahlberg AB,Wortmann A,Klinghammer L,Pflederer W,Daniel WG

    更新日期:2007-06-19 00:00:00

  • Smoking is associated with epicardial coronary endothelial dysfunction and elevated white blood cell count in patients with chest pain and early coronary artery disease.

    abstract:BACKGROUND:Smoking is a major risk factor for cardiovascular events. One of the potential mechanisms may be related to both coronary endothelial dysfunction and increased inflammatory response. The present study was designed to test the hypothesis that smoking is associated with epicardial coronary endothelial dysfunct...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.641654

    authors: Lavi S,Prasad A,Yang EH,Mathew V,Simari RD,Rihal CS,Lerman LO,Lerman A

    更新日期:2007-05-22 00:00:00

  • Increased left ventricular emptying at maximal exercise after reduction in afterload.

    abstract::Twelve healthy men were studied by M mode echocardiography during exercise to investigate the effect of afterload reduction on left ventricular function at maximal exertion. They performed two maximal exercise bicycle tests 4 hr apart while in the semisupine position and were given 20 mg nifedipine sublingually 30 min...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.69.3.492

    authors: Andersen K,Vik-Mo H

    更新日期:1984-03-01 00:00:00

  • Fibrinopeptide A and platelet factor levels in unstable angina pectoris.

    abstract::Fibrinopeptide A, platelet factor 4, beta-thromboglobulin, thromboxane B2, and 6-keto-prostaglandin F1 alpha were estimated by radioimmunoassay on venous plasma samples taken within 48 hr of admission from 16 consecutive patients with unstable angina and 15 patients with stable angina matched for clinical variables. T...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.75.1.156

    authors: Théroux P,Latour JG,Léger-Gauthier C,De Lara J

    更新日期:1987-01-01 00:00:00

  • Quantification of extracellular and intracellular adenosine production: understanding the transmembranous concentration gradient.

    abstract:BACKGROUND:Inhibitors of adenosine membrane transport cause vasodilation and enhance the plasma adenosine concentration. However, it is unclear why the plasma adenosine concentration rises rather than falls when membrane transport is inhibited. We tested the hypothesis that the cytosolic adenosine concentration exceeds...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.15.2041

    authors: Deussen A,Stappert M,Schäfer S,Kelm M

    更新日期:1999-04-20 00:00:00

  • Diagnostic value of pericardial biopsy: improvement with extensive sampling enabled by pericardioscopy.

    abstract:BACKGROUND:The clinical significance of pericardial biopsy is controversial. The aim of this study was to assess the feasibility and diagnostic value of 3 approaches to pericardial biopsy: fluoroscopic control and standard sampling, pericardioscopy guidance with standard sampling, and pericardioscopy guidance with exte...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.0000051366.97361.ea

    authors: Seferović PM,Ristić AD,Maksimović R,Tatić V,Ostojić M,Kanjuh V

    更新日期:2003-02-25 00:00:00

  • Novel associations between bioavailable estradiol and adipokines in elderly women with different phenotypes of obesity: implications for atherogenesis.

    abstract:BACKGROUND:Peripheral adiposity confers protection against diabetes and atherosclerosis in elderly women. The underlying mechanisms, however, remain to be elucidated. METHODS AND RESULTS:On the basis on dual-energy X-ray absorptiometry measurements of central fat mass (CFM) and peripheral fat mass (PFM), we identified...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000144470.55149.E5

    authors: Tankó LB,Bruun JM,Alexandersen P,Bagger YZ,Richelsen B,Christiansen C,Larsen PJ

    更新日期:2004-10-12 00:00:00

  • Late thrombosis of saphenous vein coronary bypass grafts related to risk factors.

    abstract::In 72% of 143 patients undergoing a second coronary bypass grafting, mural or occlusive late thrombosis was observed histologically in 69% of 173 resected grafts. Late thrombosis was particularly prevalent in atherosclerotic grafts (80.2% vs. 40.4% in nonatherosclerotic grafts) and was always noted in 16 grafts with a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Solymoss BC,Nadeau P,Millette D,Campeau L

    更新日期:1988-09-01 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

  • Relationship between repeated measures of hemodynamics, muscle sympathetic nerve activity, and their spectral oscillations.

    abstract:BACKGROUND:We determined the intraclass correlation coefficients (ICC) of repeated measures of the mean levels and variability of RR and muscle sympathetic nerve activity (MSNA) in 7 normal subjects. We examined whether spontaneous fluctuations in RR and MSNA over repeated measurements were mirrored by changes in spect...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.12.4326

    authors: van de Borne P,Montano N,Zimmerman B,Pagani M,Somers VK

    更新日期:1997-12-16 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

  • Influence of implantable cardioverter-defibrillators on the long-term prognosis of survivors of out-of-hospital cardiac arrest.

    abstract:BACKGROUND:Survivors of out-of-hospital cardiac arrest not associated with acute myocardial infarction are at high risk for recurrent cardiac arrest and sudden cardiac death. The impact of the implantable cardioverter-defibrillator on long-term prognosis in these patients is uncertain. METHODS AND RESULTS:Three hundre...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.3.1083

    authors: Powell AC,Fuchs T,Finkelstein DM,Garan H,Cannom DS,McGovern BA,Kelly E,Vlahakes GJ,Torchiana DF,Ruskin JN

    更新日期:1993-09-01 00:00:00

  • Ranolazine stimulates glucose oxidation in normoxic, ischemic, and reperfused ischemic rat hearts.

    abstract:BACKGROUND:Ranolazine is a novel antianginal agent that may reduce symptoms without affecting hemodynamics and has shown cardiac antiischemic effects in in vivo and in vitro models. In one study it increased active pyruvate dehydrogenase (PDHa). Other agents that increase PDHa and so increase glucose and decrease fatty...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.1.135

    authors: McCormack JG,Barr RL,Wolff AA,Lopaschuk GD

    更新日期:1996-01-01 00:00:00

  • Tissue Doppler imaging differentiates physiological from pathological pressure-overload left ventricular hypertrophy in rats.

    abstract:BACKGROUND:The myocardial velocity gradient (MVG) is a recent index of regional myocardial function derived from endocardial and epicardial velocities obtained by tissue Doppler imaging (TDI). This index might be useful for discriminating between physiological and pathological left ventricular hypertrophy (LVH) and for...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000012943.91101.d7

    authors: Derumeaux G,Mulder P,Richard V,Chagraoui A,Nafeh C,Bauer F,Henry JP,Thuillez C

    更新日期:2002-04-02 00:00:00

  • Two-dimensional echocardiography in experimental coronary stenosis. I. Sensitivity and specificity in detecting transient myocardial dyskinesis: comparison with sonomicrometers.

    abstract::The purpose of this study was to assess the sensitivity and specificity of two-dimensional echocardiography in detecting ischemia-induced transient myocardial dyskinesis. We prepared an open-chest dog model of severe coronary stenosis (90% reduction of circumflex coronary artery diameter) and induced ischemia by acute...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.66.3.597

    authors: Pandian NG,Kerber RE

    更新日期:1982-09-01 00:00:00

  • Inositol 1, 4, 5-trisphosphate receptors and human left ventricular myocytes.

    abstract:BACKGROUND:Little is known about the function of inositol 1,4,5-trisphosphate receptors (IP3Rs) in the adult heart experimentally. Moreover, whether these Ca(2+) release channels are present and play a critical role in human cardiomyocytes remains to be defined. IP3Rs may be activated after Gαq-protein-coupled receptor...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.002764

    authors: Signore S,Sorrentino A,Ferreira-Martins J,Kannappan R,Shafaie M,Del Ben F,Isobe K,Arranto C,Wybieralska E,Webster A,Sanada F,Ogórek B,Zheng H,Liu X,Del Monte F,D'Alessandro DA,Wunimenghe O,Michler RE,Hosoda T,Goichb

    更新日期:2013-09-17 00:00:00

  • Mapping of atrial activation with a noncontact, multielectrode catheter in dogs.

    abstract:BACKGROUND:Endocardial mapping of sustained arrhythmias has traditionally been performed with a roving diagnostic catheter. Although this approach is adequate for many tachyarrhythmias, it has limitations. The purpose of this study was to evaluate a novel noncontact mapping system for assessing atrial tachyarrhythmias....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.14.1906

    authors: Kadish A,Hauck J,Pederson B,Beatty G,Gornick C

    更新日期:1999-04-13 00:00:00

  • Predictors of outcomes in low-flow, low-gradient aortic stenosis: results of the multicenter TOPAS Study.

    abstract:BACKGROUND:Patients with low-flow, low-gradient aortic stenosis have a poor prognosis with conservative therapy but a high operative mortality if treated surgically. Recently, we proposed a new index of aortic stenosis severity derived from dobutamine stress echocardiography, the projected aortic valve area at a normal...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.107.757427

    authors: Clavel MA,Fuchs C,Burwash IG,Mundigler G,Dumesnil JG,Baumgartner H,Bergler-Klein J,Beanlands RS,Mathieu P,Magne J,Pibarot P

    更新日期:2008-09-30 00:00:00