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 RESULTS:Coronary vasomotion of a normal and a stenotic vessel segment was studied in 39 patients with coronary artery disease during supine bicycle exercise before and 9+/-3 months after PTCA. Luminal area changes were determined by biplane quantitative coronary arteriography. There were 21 normotensive and 18 hypertensive patients who did not differ with regard to clinical characteristics. Percent area stenosis decreased after PTCA from 90% to 39% (P<0.001) in normotensive and from 86% to 33% (P<0.001) in hypertensive patients. Exercise-induced vasomotion of the normal vessel segment was significantly different between normotensives and hypertensives before (+19% versus +1%, P<0.01) and after (+16% versus +3%, P<0.01) PTCA. In contrast, stenotic vessel segments showed vasoconstriction in both normotensive and hypertensive patients (Deltaexercise, -11% versus - 20%, P=NS), which was reversed after PTCA (+3% versus +2%, P=NS). CONCLUSIONS:Normal coronary arteries show reduced vasodilation during exercise in hypertensive patients that may be explained by the presence of endothelial dysfunction. Stenotic vessels demonstrate paradoxical vasoconstriction during exercise in both normotensive and hypertensive patients. PTCA reverses vasoconstriction by elimination of the flow-limiting stenosis and prevention of coronary stenosis narrowing during exercise in normotensive and hypertensive patients.

journal_name

Circulation

journal_title

Circulation

authors

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

doi

10.1161/01.cir.98.12.1192

subject

Has Abstract

pub_date

1998-09-22 00:00:00

pages

1192-7

issue

12

eissn

0009-7322

issn

1524-4539

journal_volume

98

pub_type

杂志文章
  • Minnesota ALG. Safe and effective immunosuppression for cardiac transplantation.

    abstract::Fifty-six patients undergoing orthotopic cardiac transplantation were given Minnesota ALG prophylactically or therapeutically for acute cardiac rejection. During a follow-up period of 0-28 months (mean follow-up period, 11.9 months), the actuarial survival for the entire group was 96% and 86% at 30 days and 1 year, re...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Keith FM,Magilligan DJ Jr,Lakier JB,Drost CJ

    更新日期:1988-11-01 00:00:00

  • Coronary bypass surgery in chronic stable angina.

    abstract::Over the last 20 years, operative mortality has decreased and late survival has improved for patients with chronic stable angina who have coronary artery bypass surgery. However, this favorable trend may not continue because the operation is now extended to elderly and high-risk patients. The most powerful predictors ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Gersh BJ,Califf RM,Loop FD,Akins CW,Pryor DB,Takaro TC

    更新日期:1989-06-01 00:00:00

  • Physical training improves endothelial function in patients with chronic heart failure.

    abstract:BACKGROUND:Chronic heart failure is associated with endothelial dysfunction including impaired endothelium-mediated, flow-dependent dilation (FDD). Since endothelial function is thought to play an important role in coordinating tissue perfusion and modulating arterial compliance, interventions to improve endothelial dy...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.2.210

    authors: Hornig B,Maier V,Drexler H

    更新日期:1996-01-15 00:00:00

  • Pulmonary atresia with intact ventricular septum and ventriculocoronary communications: surgical significance.

    abstract::The first stage of a repair of pulmonary atresia with intact ventricular septum (type I) was attempted in a 2-day-old infant. At surgery, decompression of the hypertensive small right ventricle was followed by a sudden loss of myocardial contractility and death. Postmortem examination revealed a fistula with a large o...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.4.805

    authors: O'Connor WN,Cottrill CM,Johnson GL,Noonan JA,Todd EP

    更新日期:1982-04-01 00:00:00

  • The epidemiology of plasma high-density lipoprotein cholesterol levels. The Lipid Research Clinics Program Prevalence Study. Summary.

    abstract::Correlates of high-density lipoprotein (HDL) cholesterol levels were studied in 4756 white males and females ages 20-59 years examined during a population survey conducted by 10 North American Lipid Research Clinics. Multivariable analysis was used to assess the relation of social, demographic, physical and behavioral...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Heiss G,Johnson NJ,Reiland S,Davis CE,Tyroler HA

    更新日期:1980-11-01 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

  • Direct evidence for a crucial role of the arterial wall in control of atherosclerosis susceptibility.

    abstract:BACKGROUND:Inbred mouse strains C57BL/6J (B6) and C3H/HeJ (C3H) exhibit marked differences in atherosclerosis susceptibility. We sought to determine whether the difference in atherosclerosis susceptibility resides at the level of arterial walls. METHODS AND RESULTS:Thoracic aortic segments from 8-week-old female B6 an...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.640185

    authors: Pei H,Wang Y,Miyoshi T,Zhang Z,Matsumoto AH,Helm GA,Tellides G,Shi W

    更新日期:2006-11-28 00:00:00

  • Prolyl hydroxylase domain protein 2 plays a critical role in diet-induced obesity and glucose intolerance.

    abstract:BACKGROUND:Recent studies suggest that the oxygen-sensing pathway consisting of transcription factor hypoxia-inducible factor and prolyl hydroxylase domain proteins (PHDs) plays a critical role in glucose metabolism. However, the role of adipocyte PHD in the development of obesity has not been clarified. We examined wh...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.001742

    authors: Matsuura H,Ichiki T,Inoue E,Nomura M,Miyazaki R,Hashimoto T,Ikeda J,Takayanagi R,Fong GH,Sunagawa K

    更新日期:2013-05-28 00:00:00

  • Prospective study of a self-report type A scale and risk of coronary heart disease: test of the MMPI-2 type A scale.

    abstract:BACKGROUND:Several methods exist by which to assess type A behavior (TAB). Although the videotaped clinical interview is regarded as the "gold standard," self-report measures have also proved useful in assessing TAB in large population studies. The purpose of this study was to examine prospectively the relationship of ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.5.405

    authors: Kawachi I,Sparrow D,Kubzansky LD,Spiro A 3rd,Vokonas PS,Weiss ST

    更新日期:1998-08-04 00:00:00

  • Total cavopulmonary connection flow with functional left pulmonary artery stenosis: angioplasty and fenestration in vitro.

    abstract:BACKGROUND:In our multicenter study of the total cavopulmonary connection (TCPC), a cohort of patients with long-segment left pulmonary artery (LPA) stenosis was observed (35%). The clinically recognized detrimental effects of LPA stenosis motivated a computational fluid dynamic simulation study within 3-dimensional pa...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.104.530931

    authors: Pekkan K,Kitajima HD,de Zelicourt D,Forbess JM,Parks WJ,Fogel MA,Sharma S,Kanter KR,Frakes D,Yoganathan AP

    更新日期:2005-11-22 00:00:00

  • Coronary arterial spasm and Prinzmetal's variant form of angina induced by hyperventilation and Tris-buffer infusion.

    abstract::Vigorous hyperventilation was induced for five minutes immediately after a five-minute infusion of 100 ml of Tris-buffer (pH 10) in nine patients with Prinzmetal's variant angina. In eight of the patients, chest pain with ischemic changes in the electrocardiogram occurred during this procedure or within five minutes a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.1.56

    authors: Yasue H,Nagao M,Omote S,Takizawa A,Miwa K,Tanaka S

    更新日期:1978-07-01 00:00:00

  • Two-year follow-up after catheter-based radiotherapy to inhibit coronary restenosis.

    abstract:BACKGROUND:Although early trials indicate the treatment of restenosis with radiation therapy is safe and effective, the long-term impact of this new technology has been questioned. The possibility of late untoward consequences, such as aneurysm formation, perforation, and accelerated vascular disease, is of significant...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.99.2.243

    authors: Teirstein PS,Massullo V,Jani S,Russo RJ,Cloutier DA,Schatz RA,Guarneri EM,Steuterman S,Sirkin K,Norman S,Tripuraneni P

    更新日期:1999-01-19 00:00:00

  • Understanding the coronary heart disease versus total cardiovascular mortality paradox: a method to enhance the comparability of cardiovascular death statistics in the United States.

    abstract:BACKGROUND:Coronary heart disease (CHD) represents the largest share of cardiovascular disease in the United States, but there are conspicuous discrepancies between CHD and total cardiovascular death rates across the states, possibly due in part to variations in physician assignment of causes of death. Our aim was to i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.595777

    authors: Murray CJ,Kulkarni SC,Ezzati M

    更新日期:2006-05-02 00:00:00

  • The influence of left ventricular stroke volume on aortic root motion: an echocardiographic study.

    abstract::Aortic root motion was studied in 24 normal volunteers at rest and during the Valsalva maneuver, isometric exercise, and amyl nitrite inhalation. In addition root motion was correlated with the stroke volumes determined at cardiac catheterization in 24 patients. The root has distinct systolic movement, the amplitude a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.6.947

    authors: Pratt RC,Parisi AF,Harrington JJ,Sasahara AA

    更新日期:1976-06-01 00:00:00

  • Congestive heart failure alters receptor-dependent cAMP-mediated relaxation of canine pulmonary arteries.

    abstract:BACKGROUND:Alterations in myocardial function and systemic vascular tone are well documented in congestive heart failure (CHF), but little information is available on the effects of CHF on pulmonary vessels. We examined the mechanisms of tone regulation of canine pulmonary arteries during pacing-induced CHF. METHODS A...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.5.1722

    authors: Mathew R,Wang J,Gewitz MH,Hintze TH,Wolin MS

    更新日期:1993-05-01 00:00:00

  • Cyclic elevation of intrathoracic pressure can close the mitral valve during cardiac arrest in dogs.

    abstract::Mitral valve closure during cardiopulmonary resuscitation may result from direct cardiac compression. An alternative hypothesis is that with a rise in intrathoracic pressure, mitral valve closure can occur but may be influenced by whether the lungs are inflated or deflated. To test this hypothesis, we placed a large-b...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.78.3.754

    authors: Halperin HR,Weiss JL,Guerci AD,Chandra N,Tsitlik JE,Brower R,Beattie C,Wurmb E,Cadden J,Weisfeldt ML

    更新日期:1988-09-01 00:00:00

  • Chlamydia pneumoniae-specific circulating immune complexes in patients with chronic coronary heart disease.

    abstract:BACKGROUND:An association of chronic Chlamydia pneumoniae infection to coronary heart disease has been suggested recently. In a recent study, we demonstrated circulating immune complexes containing chlamydial genus-specific lipopolysaccharide in patients with coronary heart disease. The objective of the present study w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.4.1130

    authors: Linnanmäki E,Leinonen M,Mattila K,Nieminen MS,Valtonen V,Saikku P

    更新日期:1993-04-01 00:00:00

  • Deficiency of Prebiotic Fiber and Insufficient Signaling Through Gut Metabolite-Sensing Receptors Leads to Cardiovascular Disease.

    abstract:BACKGROUND:High blood pressure (BP) continues to be a major, poorly controlled but modifiable risk factor for cardiovascular death. Among key Western lifestyle factors, a diet poor in fiber is associated with prevalence of high BP. The impact of lack of prebiotic fiber and the associated mechanisms that lead to higher ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.043081

    authors: Kaye DM,Shihata WA,Jama HA,Tsyganov K,Ziemann M,Kiriazis H,Horlock D,Vijay A,Giam B,Vinh A,Johnson C,Fiedler A,Donner D,Snelson M,Coughlan MT,Phillips S,Du XJ,El-Osta A,Drummond G,Lambert GW,Spector TD,Valdes AM

    更新日期:2020-04-28 00:00:00

  • Accuracy of volume measurement by conductance catheter in isolated, ejecting canine hearts.

    abstract::We evaluated the accuracy of the recently reported technique of estimating intraventricular volume by measurement of intracavitary electrical conductance in six isolated, ejecting, canine left ventricles. Left ventricular volumes were measured directly by a previously validated servosystem that employed an electrocond...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.72.2.440

    authors: Burkhoff D,van der Velde E,Kass D,Baan J,Maughan WL,Sagawa K

    更新日期:1985-08-01 00:00:00

  • Molecular imaging of angiogenesis in early-stage atherosclerosis with alpha(v)beta3-integrin-targeted nanoparticles.

    abstract:BACKGROUND:Angiogenesis is a critical feature of plaque development in atherosclerosis and might play a key role in both the initiation and later rupture of plaques that lead to myocardial infarction and stroke. The precursory molecular or cellular events that initiate plaque growth and that ultimately contribute to pl...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000093185.16083.95

    authors: Winter PM,Morawski AM,Caruthers SD,Fuhrhop RW,Zhang H,Williams TA,Allen JS,Lacy EK,Robertson JD,Lanza GM,Wickline SA

    更新日期:2003-11-04 00:00:00

  • Carotid plaque echolucency increases the risk of stroke in carotid stenting: the Imaging in Carotid Angioplasty and Risk of Stroke (ICAROS) study.

    abstract:BACKGROUND:Carotid artery stenting (CAS) has recently emerged as a potential alternative to carotid endarterectomy. Cerebral embolization is the most devastating complication of CAS, and the echogenicity of carotid plaque has been indicated as one of the risk factors involved. This is the first study to analyze the rol...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000138103.91187.E3

    authors: Biasi GM,Froio A,Diethrich EB,Deleo G,Galimberti S,Mingazzini P,Nicolaides AN,Griffin M,Raithel D,Reid DB,Valsecchi MG

    更新日期:2004-08-10 00:00:00

  • Effects of propranolol and nifedipine on exercise-induced attack in patients variant angina: assessment by exercise thallium-201 myocardial scintigraphy with quantitative rotational tomography.

    abstract::To examine the effects of propranolol and nifedipine on exercise-induced attack in patients with variant angina, exercise 201Tl myocardial scintigraphy with quantitative analysis by emission-computed tomography was performed in 20 patients with variant angina after oral propranolol (80 mg), nifedipine (20 mg), and pla...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.74.2.374

    authors: Kugiyama K,Yasue H,Horio Y,Morikami Y,Fujii H,Koga Y,Kojima A,Takahashi M

    更新日期:1986-08-01 00:00:00

  • Coronary morphologic and clinical determinants of procedural outcome with angioplasty for multivessel coronary disease. Implications for patient selection. Multivessel Angioplasty Prognosis Study Group.

    abstract::To assess the likelihood of procedural success in patients with multivessel coronary disease undergoing percutaneous coronary angioplasty, 350 consecutive patients (1,100 stenoses) from four clinical sites were evaluated. Eighteen variables characterizing the severity and morphology of each stenosis and 18 patient-rel...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.82.4.1193

    authors: Ellis SG,Vandormael MG,Cowley MJ,DiSciascio G,Deligonul U,Topol EJ,Bulle TM

    更新日期:1990-10-01 00:00:00

  • MicroRNA-494 targeting both proapoptotic and antiapoptotic proteins protects against ischemia/reperfusion-induced cardiac injury.

    abstract:BACKGROUND:MicroRNAs (miRs) participate in many cardiac pathophysiological processes, including ischemia/reperfusion (I/R)-induced cardiac injury. Recently, we and others observed that miR-494 was downregulated in murine I/R-injured and human infarcted hearts. However, the functional consequence of miR-494 in response ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.964684

    authors: Wang X,Zhang X,Ren XP,Chen J,Liu H,Yang J,Medvedovic M,Hu Z,Fan GC

    更新日期:2010-09-28 00:00:00

  • Longitudinal analysis of fibroblast growth factor expression after transplantation and association with severity of cardiac allograft vasculopathy.

    abstract:BACKGROUND:Vascular smooth muscle cell growth factors are postulated to contribute to cardiac allograft vasculopathy (CAV). Few data quantitatively address the timing, location, or stimuli for growth factor expression and relationship to CAV. METHODS AND RESULTS:Acidic fibroblast growth factor (aFGF) mRNA expression w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.100.24.2396

    authors: Miller GG,Davis SF,Atkinson JB,Chomsky DB,Pedroso P,Reddy VS,Drinkwater DC,Zhao XM,Pierson RN

    更新日期:1999-12-14 00:00:00

  • Preoperative selection of patients with severely impaired left ventricular function for coronary revascularization. Role of low-dose dobutamine echocardiography and exercise-redistribution-reinjection thallium SPECT.

    abstract:BACKGROUND:Both thallium imaging and low-dose dobutamine echocardiography have been proposed to predict the reversibility of left ventricular (LV) dysfunction in patients with coronary disease. The present study was designed to evaluate whether the use of these techniques during the preoperative assessment of coronary ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.9.37

    authors: Vanoverschelde JL,Gerber BL,D'Hondt AM,De Kock M,Dion R,Wijns W,Melin JA

    更新日期:1995-11-01 00:00:00

  • Vectorcardiographic criteria for the diagnosis of anterior myocardial infarction.

    abstract::Frank lead vectorcardiograms (VCG) from four carefully selected patient subgroups (226 patients) were analyzed to develop optimal criteria for the diagnosis of anterior myocardial infarction. Specificity was evaluated using 100 healthy volunteers under age 30 and 80 patients with normal left ventriculogram and normal ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.2.229

    authors: Starr JW,Wagner GS,Draffin RM,Reed JB,Walston A 2nd,Behar VS

    更新日期:1976-02-01 00:00:00

  • First chronic platelet glycoprotein IIb/IIIa integrin blockade. A randomized, placebo-controlled pilot study of xemilofiban in unstable angina with percutaneous coronary interventions.

    abstract:BACKGROUND:Clinical studies have demonstrated the efficacy of intravenous administration of agents that block platelet glycoprotein IIb/IIIa receptors in the setting of percutaneous coronary revascularization. Although the optimal duration of treatment has not been determined, more prolonged receptor blockade has been ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.96.1.76

    authors: Simpfendorfer C,Kottke-Marchant K,Lowrie M,Anders RJ,Burns DM,Miller DP,Cove CS,DeFranco AC,Ellis SG,Moliterno DJ,Raymond RE,Sutton JM,Topol EJ

    更新日期:1997-07-01 00:00:00

  • CD137 is expressed in human atherosclerosis and promotes development of plaque inflammation in hypercholesterolemic mice.

    abstract:BACKGROUND:Atherosclerosis is a multifactorial disease in which inflammatory processes play an important role. Inflammation underlies lesion evolution at all stages, from establishment to plaque rupture and thrombosis. Costimulatory molecules of the tumor necrosis factor superfamily such as CD40/CD40L and OX40/OX40L ha...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.699173

    authors: Olofsson PS,Söderström LA,Wågsäter D,Sheikine Y,Ocaya P,Lang F,Rabu C,Chen L,Rudling M,Aukrust P,Hedin U,Paulsson-Berne G,Sirsjö A,Hansson GK

    更新日期:2008-03-11 00:00:00

  • Novel small leucine-rich repeat protein podocan is a negative regulator of migration and proliferation of smooth muscle cells, modulates neointima formation, and is expressed in human atheroma.

    abstract:BACKGROUND:Smooth muscle cell (SMC) migration and proliferation critically influence the clinical course of vascular disease. We tested the effect of the novel small leucine-rich repeat protein podocan on SMC migration and proliferation using a podocan-deficient mouse in combination with a model of arterial injury and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.004634

    authors: Hutter R,Huang L,Speidl WS,Giannarelli C,Trubin P,Bauriedel G,Klotman ME,Fuster V,Badimon JJ,Klotman PE

    更新日期:2013-11-26 00:00:00