解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::When acute myocardial infarction occurs in patients with hypertension and left ventricular hypertrophy (LVH), the incidence of sudden cardiac death increases markedly. Possible explanations include increased size of the occluded vascular bed secondary to more extensive atherosclerotic coronary vascular disease in the ...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.6.1192
更新日期:1982-06-01 00:00:00
abstract::The results of coronary bypass 5-10 years after operation at the Baylor College of Medicine are reported. The late results demonstrate that good relief of symptoms of angina pectoris persisted in 89% of patients at 10 years of follow-up. An overall annual attrition rate of 3% has been fairly constant through 10 years ...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.7.43
更新日期:1982-06-01 00:00:00
abstract::Intermittent aortic root infusion of a cold solution containing either potassium chloride (KCl) or diltiazem was performed in 32 dogs during a 2-hour aortic clamping. Half of the dogs in each group had a critical stenosis created on the circumflex artery before cardiopulmonary bypass. Global left ventricular (LV) func...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.6.1078
更新日期:1982-06-01 00:00:00
abstract::Expansion (regional dilatation and thinning) of acutely infarcted myocardium in man has been shown to correlate with overall cardiac dilatation and rupture. We studied gross and histopathologic features and the time course of expansion in rats. Infarcts were produced in 84 rats by ligation of the left coronary artery ...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.7.1446
更新日期:1982-06-01 00:00:00
abstract::To investigate whether a fixed external reference system should be used to most accurately describe regional left ventricular wall motion, we used vectors to analyze a simple model of ventricular contraction. If measured in a fixed external reference system, motion of implanted radiopaque midwall markers may contain t...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.7.1518
更新日期:1982-06-01 00:00:00
abstract::We compared the effects of a cardioselective beta-adrenergic blocking drug, metoprolol, with a nonselective beta-adrenergic blocker, propranolol, on the response of 10 normal men to dynamic treadmill exercise. The volunteers underwent a standard graded exercise test to exhaustion while receiving placebo; propranolol, ...
journal_title:Circulation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1161/01.cir.65.5.894
更新日期:1982-05-01 00:00:00
abstract::A new two-dimensional echocardiographic technique was developed to detect peripheral right coronary aneurysms in Kawasaki disease. Because the main stem of the right coronary artery runs along the tricuspid valve ring and the posterior interventricular groove, these regions were examined for coronary aneurysms using t...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.5.956
更新日期:1982-05-01 00:00:00
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
更新日期:1982-04-01 00:00:00
abstract::The present study was performed to determine whether positron emission tomography (PET) performed after i.v. 11C-palmitate permits detection and characterization of nontransmural myocardial infarction. PET was performed after the i.v. injection of 11C-palmitate in 10 normal subjects, 24 patients with initial nontransm...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.4.747
更新日期:1982-04-01 00:00:00
abstract::To assess whether gross pathologic differences exist between hearts with left bundle branch block (LBBB) and left-axis deviation (LAXD) and those with LBBB and a normal frontal plane axis, we examined 70 hearts with LBBB in a series of 1410 sequential dissections (5%). Thirty-two hearts had LAXD and 34 had normal axes...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.3.445
更新日期:1982-03-01 00:00:00
abstract::A lack in prostacyclin (PGI2) production due to atherosclerosis may play a role in the pathophysiology of some of the clinical manifestations of ischemic heart disease and in particular, of coronary vasospasm. We therefore evaluated the effects of i.v. PGI2 in nine patients with variant angina and six normal volunteer...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.3.470
更新日期:1982-03-01 00:00:00
abstract::Left ventricular function was compared in 18 normal sedentary controls (mean age 28 years, range 22 - 34 years) and nine endurance-trained athletes (mean age 19 years, range 15 - 25 years) at rest and during supine bicycle exercise. Gated radionuclide angiocardiograms were performed at rest and at each level of graded...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.3.484
更新日期:1982-03-01 00:00:00
abstract::Real-time cross-sectional echocardiographic studies of the main coronary arteries were performed in 20 normal subjects, 12 patients with patent ductus arteriosus and 14 patients with coronary artery fistula in whom the diagnosis was established by angiography. In 12 patients, the coronary artery that formed the fistul...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.3.600
更新日期:1982-03-01 00:00:00
abstract::This paper provides guidelines for the optimal, rather than minimal, performance of ultrasonic examination of the heart for current clinical applications using conventional echocardiographic equipment. Since the original report of this Inter-Society Commission on Heart Disease Resources Committee in 1975, M-mode echoc...
journal_title:Circulation
pub_type: 杂志文章,评审
doi:
更新日期:1982-02-01 00:00:00
abstract::To define the role of portable two-dimensional echocardiography (2-D echo) in the immediate diagnosis of acute chest pain syndrome, 80 consecutive patients were studied. Adequate 2-D echo studies were obtained in 65 (81%). Thirty-three patients had clinical evidence of transmural or nontransmural acute myocardial infa...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.2.323
更新日期:1982-02-01 00:00:00
abstract::The long-term results of 414 patients who underwent repair of tetralogy of Fallot between 1967 and 1977 were studied and correlated with the results of others. There were nine late deaths (8-year actuarial survival 95.8%). Six of the deaths wee directly related to the malformation or its treatment. Eight patients (2.4...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.2.403
更新日期:1982-02-01 00:00:00
abstract::Two patients with supraventricular parasystole (one atrioventricular and one auricular) are reported. In both patients, reentrant extrasystoles appeared to occur as the result of Mobitz type I second-degree entrance block. We believe that when a sinus impulse fell soon after the absolute refractory period of the pathw...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.1.208
更新日期:1982-01-01 00:00:00
abstract::Diseases that cause symptoms incompletely relieved by available modes of treatment stimulate search for new therapies. Chronic disease processes, in which interventions are palliative rather than curative provide a particular challenge in determining the value of therapeutic intervention. Management of patients with a...
journal_title:Circulation
pub_type: 临床试验,杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract::The patterns of aortic and tricuspid valve motion in 50 patients with mitral valve prolapse were analyzed by wide-angle, phased-array, two-dimensional echocardiography. Twelve patients (24%) had redundant aortic leaflets bulging into the left ventricular outflow tract during diastole. Eight of 12 patients had aortic r...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.65.1.174
更新日期:1982-01-01 00:00:00
abstract::We assessed factors during an initial episode of ventricular fibrillation that may be predictive of recurrence. Of 141 consecutive patients with acute ischemic heart disease who survived an initial episode of ventricular fibrillation, 41 (29%) had recurrent ventricular fibrillation during hospitalization. The incidenc...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.6.1163
更新日期:1981-12-01 00:00:00
abstract::Many basic concepts of cardiac output and arterial pressure control have changed considerably in the past few years. In general, each tissue controls its own local resistance and blood flow regardless of the level of arterial pressure; the sum of the local flows then determines the venous return and cardiac output. Ho...
journal_title:Circulation
pub_type: 杂志文章,评审
doi:10.1161/01.cir.64.6.1079
更新日期:1981-12-01 00:00:00
abstract::Prenalterol, a beta-adrenergic agonist, was given to nine patients with angiographically proved coronary artery disease. Subjects were studied during chronic beta-adrenergic blockade. The adequacy of blockade was assessed by the exercise heart rate response and by plasma concentrations of blocking agents. After increm...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.6.1135
更新日期:1981-12-01 00:00:00
abstract::We studied the inferior vena cava (IVC) as an index of right-heart function in 111 patients. A two-dimensional echocardiographic sector was used to visualize the IVC, and its M-mode cursor was used to generate a time-motion record of the IVC size and pulsation. Normal subjects had a small presystolic A wave (less than...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.5.1018
更新日期:1981-11-01 00:00:00
abstract::Regional myocardial function and blood flow were determined for 48 hours after permanent occlusion of the left circumflex coronary artery in conscious swine. Systolic wall thickening and end-diastolic wall thickness (EDWTh) were correlated with regional myocardial flow (RMBF) at 15 minutes, 24 and 48 hours after occlu...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.4.699
更新日期:1981-10-01 00:00:00
abstract::We studied 10 obese volunteers, mean age 36.5 +/- 10.3 years, who weighed 123.56 +/- 28.7 g and were 69.96 +/- 22.5 kg overweight. The subjects did not have diabetes, arterial hypertension or signs of cardiac and respiratory failure or disease and all underwent right- and left-heart catheterization. cardiac output and...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.3.477
更新日期:1981-09-01 00:00:00
abstract::The initial myocardial uptake of thallium-201 depends on myocardial blood flow distribution. The phenomenon of delayed thallium redistribution after transiently or chronically altered myocardial perfusion has been described. The net myocardial accumulation of thallium-201 after injection depends upon the net balance b...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.3.610
更新日期:1981-09-01 00:00:00
abstract::Verapamil is extremely effective in the treatment of patients with hypertrophic cardiomyopathy. However, the basic physiologic actions of the drug may lead to serious adverse effects. An appreciation of this and an understanding of when these adverse effects are most likely to occur will minimize the potential of vera...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.3.437
更新日期:1981-09-01 00:00:00
abstract::We determined the pharmacokinetics, efficacy and therapeutic plasma concentration of encainide, a new antiarrhythmic drug that affects His-Purkinje conduction but not ventricular refractoriness. Nine patients with frequent and complex premature ventricular complexes were studied in a 3-day double-blind protocol. Each ...
journal_title:Circulation
pub_type: 临床试验,杂志文章
doi:10.1161/01.cir.64.2.290
更新日期:1981-08-01 00:00:00
abstract::The acute coronary hemodynamic and metabolic effects of intravenous dipyridamole were studied in 13 patients. Total left ventricular (LV), anterior (supplied by the left anterior descending coronary artery) and inferior (supplied by circumflex and right coronary arteries) regional flows and metabolic responses were as...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.2.333
更新日期:1981-08-01 00:00:00
abstract::Contracture and collapse often complicate dissection and excision of blood vessels for grafting. Subsequent forceful redilatation and leak checking with cold saline almost always lead to partial or total denudation of endothelium, which increases the risk of early occlusion by thrombi or late occlusion by fibrocellula...
journal_title:Circulation
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract::From 1962-1977, 99 patients, mean age 65 +/- 0.5 years (range 60-81 years) underwent valve replacement for severe calcific aortic valve stenosis. Ninety-three percent of the patients were in New York Heart Association functional class III or IV. The aortic valve gradient was 76 +/- 3 mm Hg and the aortic valve area in...
journal_title:Circulation
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract::While continuing a study of immunologic and virologic aspects of the postpericardiotomy syndrome (PPS) in infants and children, we undertook a companion study in adults. Whereas the incidence in 119 children was 27.8%, as is usual for our hospital, the incidence in 142 adults was 17.6%. Most of the operations (95 of 1...
journal_title:Circulation
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract::In patients treated with sulfinpyrazone, an apparent reduction in the incidence of sudden death and presumed ventricular fibrillation has been reported. Using an intact animal model without microcirculatory thrombosis, we studied the effects of sulfinpyrazone on ischemic myocardium in 58 anesthetized dogs divided into...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.1.13
更新日期:1981-07-01 00:00:00
abstract::Exit block from a parasystolic focus is recognized when automatic discharges fail to become manifest during the excitable phase of the ventricular cycle. In the present study, an apparently complete exit block and a persistently concealed ventricular parasystole (VP) resulted from an exit refractory period (ExRP) long...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.1.199
更新日期:1981-07-01 00:00:00
abstract::Fifty patients who presented with angina pectoris were studied to examine the disturbances of regional myocardial perfusion during stress. Each patient underwent 16-point precordial mapping of the ECG during an exercise test, and coronary and left ventricular angiography. Regional myocardial perfusion was assessed usi...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.64.1.83
更新日期:1981-07-01 00:00:00
abstract::The linearity and sensitivity of the end-systolic pressure-volume (P-Ves) relation to the inotropic state of the left ventricle were investigated in 11 patients with coronary heart disease and one patient with congestive cardiomyopathy. To minimize autonomic reflex responses, propranolol, 0.15 mg/kg, and atropine, 1 m...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.63.6.1216
更新日期:1981-06-01 00:00:00
abstract::To define the prevalence, frequency and characteristics of premature ventricular complexes (PVCs) in adults free of recognizable heart disease, we performed 24-hour ambulatory electrocardiography on 101 subjects (51 men and 50 women, mean age 48.8 years) in whom physical examination, chest x-ray, ECG, echocardiogram, ...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.63.6.1351
更新日期:1981-06-01 00:00:00
abstract::Numerous criteria for the diagnosis of inferior wall myocardial infarction by electrocardiogram (ECG) and vectorcardiogram (VCG) have been published, but they have not been subjected to a systematic, independent evaluation. Accordingly, we studied 146 patients undergoing cardiac catheterization; 63 were normal and 83 ...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.63.5.1025
更新日期:1981-05-01 00:00:00
abstract::Contrast M-mode and two-dimensional ultrasonography of the inferior vena cava were performed in 65 patients with various acquired and congenital cardiac disorders. After saline was injected into a peripheral arm vein, the inferior vena cava was visualized by both methods in 60 patients (92%). The M-mode approach was b...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.63.5.1100
更新日期:1981-05-01 00:00:00
abstract::The quantitative approaches to the assessment of regional left ventricular (LV) function described in the preceding paper were applied in a well-defined population of patients with coronary artery disease. Two groups were chosen by electrocardiographic and angiographic criteria: group 1 had infarction and regional wal...
journal_title:Circulation
pub_type: 杂志文章
doi:10.1161/01.cir.63.4.761
更新日期:1981-04-01 00:00:00