3141. Selective impairment in sympathetic vasomotor control with norepinephrine transporter inhibition.
作者: Jens Tank.;Christoph Schroeder.;Andre Diedrich.;Elke Szczech.;Sebastian Haertter.;Arya M Sharma.;Friedrich C Luft.;Jens Jordan.
来源: Circulation. 2003年107卷23期2949-54页
Norepinephrine transporter (NET) inhibition increases the responsiveness to vasoactive medications and attenuates the response to sympathetic stimuli. The phenomenon may be a result of impaired regulation of sympathetic vasomotor tone.
3142. Intracoronary beta-irradiation with a rhenium-188-filled balloon catheter: a randomized trial in patients with de novo and restenotic lesions.
作者: Martin Höher.;Jochen Wöhrle.;Markus Wohlfrom.;Joachim Kamenz.;Thorsten Nusser.;Olaf C Grebe.;Hartmut Hanke.;Matthias Kochs.;Sven N Reske.;Vinzenz Hombach.;Jörg Kotzerke.
来源: Circulation. 2003年107卷24期3022-7页
Restenosis requiring reintervention is the main limitation of coronary angioplasty. Intracoronary irradiation reduces neointimal proliferation. We studied the efficacy of a self-centering liquid rhenium-188-filled balloon catheter for coronary beta-brachytherapy.
3143. Increased levels of C-reactive protein after oral hormone replacement therapy may not be related to an increased inflammatory response.
作者: Antonello Silvestri.;Otavio Gebara.;Cristiana Vitale.;Mauricio Wajngarten.;Filippo Leonardo.;Josè A F Ramires.;Massimo Fini.;Giuseppe Mercuro.;Giuseppe M C Rosano.
来源: Circulation. 2003年107卷25期3165-9页
It has been suggested that hormone replacement therapy (HRT) in postmenopausal women is associated with an increased inflammatory response that may trigger acute cardiovascular events. This suggestion is mainly based on the finding of elevated C-reactive protein (CRP) levels after HRT. The aim of the present study was to evaluate a broad spectrum of vascular inflammation markers in 389 postmenopausal women with increased cardiovascular risk at baseline and after either 6 months of HRT (126 women) or no HRT (263 women).
3144. Functional changes in coronary microcirculation after valve replacement in patients with aortic stenosis.
作者: Kim Rajappan.;Ornella E Rimoldi.;Paolo G Camici.;Nicholas G Bellenger.;Dudley J Pennell.;Desmond J Sheridan.
来源: Circulation. 2003年107卷25期3170-5页
Increased extravascular compression and reduced diastolic perfusion time (DPT), rather than vascular remodeling, influence coronary microcirculatory dysfunction in aortic stenosis (AS). However, alterations after aortic valve replacement (AVR) remain unclear. The aim of the present study was to quantify changes in transmural perfusion and coronary vasodilator reserve (CVR), a measure of microcirculatory function, after AVR and determine the relative contribution of left ventricular mass (LVM) regression, change in aortic valve area (AVA), and DPT.
3145. Characterization of complicated carotid plaque with magnetic resonance direct thrombus imaging in patients with cerebral ischemia.
作者: Alan R Moody.;Rachael E Murphy.;Paul S Morgan.;Anne L Martel.;G S Delay.;Steve Allder.;Shane T MacSweeney.;William G Tennant.;John Gladman.;John Lowe.;Beverley J Hunt.
来源: Circulation. 2003年107卷24期3047-52页
Thromboembolic disease secondary to complicated carotid atherosclerotic plaque is a major cause of cerebral ischemia. Clinical management relies on the detection of significant (>70%) carotid stenosis. A large proportion of patients suffer irreversible cerebral ischemia as a result of lesser degrees of stenosis. Diagnostic techniques that can identify nonstenotic high-risk plaque would therefore be beneficial. High-risk plaque is defined histologically if it contains hemorrhage/thrombus. Magnetic resonance direct thrombus imaging (MRDTI) is capable of detecting methemoglobin within intraplaque hemorrhage. We assessed this as a marker of complicated plaque and compared its accuracy with histological examination of surgical endarterectomy specimens.
3146. Detection of TIMI-3 flow before mechanical reperfusion with ultrasonic tissue characterization in patients with anterior wall acute myocardial infarction.
作者: Katsuomi Iwakura.;Hiroshi Ito.;Shigeo Kawano.;Atsushi Okamura.;Katsuaki Asano.;Tadashi Kuroda.;Koji Tanaka.;Tohru Masuyama.;Masatsugu Hori.;Kenshi Fujii.
来源: Circulation. 2003年107卷25期3159-64页
Spontaneous coronary reperfusion with TIMI-3 flow is associated with favorable clinical outcomes in patients with acute myocardial infarction (AMI). We investigated the ability of analyzing cardiac cycle-dependent variation of myocardial integrated backscatter (IBS) for predicting spontaneous reperfusion in anterior AMI.
3147. Frame count reserve.
The Doppler wire-derived (relative) coronary flow velocity reserve (CVR) that is used to evaluate functional significance of a coronary stenosis is a method performed only by interventional cardiologists. An angiographic method would be useful in the diagnostic catheterization laboratory. For this purpose, we investigated the relation between TIMI frame count reserve (FCR) and CVR.
3148. Prognostic value of plasma von Willebrand factor and soluble P-selectin as indices of endothelial damage and platelet activation in 994 patients with nonvalvular atrial fibrillation.
作者: Dwayne S G Conway.;Lesly A Pearce.;Bernard S P Chin.;Robert G Hart.;Gregory Y H Lip.
来源: Circulation. 2003年107卷25期3141-5页
Abnormal plasma markers of a prothrombotic state have been described in atrial fibrillation (AF), but no such marker has yet been shown to reliably predict future stroke or cardiovascular outcome in AF. We hypothesized that raised plasma levels of von Willebrand factor (vWf, an index of endothelial damage/dysfunction) and/or soluble P-selectin (sP-sel, an index of platelet activation) might predict vascular events in AF.
3149. Randomized, double-blind, placebo-controlled, pilot trial of infliximab, a chimeric monoclonal antibody to tumor necrosis factor-alpha, in patients with moderate-to-severe heart failure: results of the anti-TNF Therapy Against Congestive Heart Failure (ATTACH) trial.
作者: Eugene S Chung.;Milton Packer.;Kim Hung Lo.;Adedigbo A Fasanmade.;James T Willerson.; .
来源: Circulation. 2003年107卷25期3133-40页
Preclinical and preliminary clinical data have suggested that tumor necrosis factor-alpha (TNFalpha) may play a role in the evolution and progression of heart failure and that inhibition of TNFalpha may favorably modify the course of the disease. We evaluated the efficacy and safety of infliximab, a chimeric monoclonal antibody to TNFalpha, in patients with moderate-to-severe heart failure.
3150. Antibody response to chlamydial heat shock protein 60 is strongly associated with acute coronary syndromes.
作者: Luigi M Biasucci.;Giovanna Liuzzo.;Alessandra Ciervo.;Andrea Petrucca.;Maddalena Piro.;Dominick J Angiolillo.;Filippo Crea.;Antonio Cassone.;Attilio Maseri.
来源: Circulation. 2003年107卷24期3015-7页
Heat shock proteins (HSPs) are a family of proteins with immunogenic and proinflammatory properties. Human and Chlamydia pneumoniae (Cp) HSP60 were found in patients with stable coronary disease.
3151. New three-dimensional echocardiographic system using digital radiofrequency data--visualization and quantitative analysis of aortic valve dynamics with high resolution: methods, feasibility, and initial clinical experience.
作者: Michael Handke.;Cosima Jahnke.;Gudrun Heinrichs.;Jörg Schlegel.;Clemens Vos.;Daniel Schmitt.;Christoph Bode.;Annette Geibel.
来源: Circulation. 2003年107卷23期2876-9页
Common 3D systems have only limited spatial and temporal resolution (frame rate of 25 Hz). Thin structures such as cardiac valves are not imaged exactly; rapid movement patterns cannot be precisely recorded. The objective of the present project was to achieve radiofrequency (RF) data transmission to the 3D workstation to improve image resolution.
3152. Intravascular ultrasound analysis of infarct-related and non-infarct-related arteries in patients who presented with an acute myocardial infarction.
作者: Jun-ichi Kotani.;Gary S Mintz.;Marco T Castagna.;Ellen Pinnow.;Chalak O Berzingi.;Anh B Bui.;Augusto D Pichard.;Lowell F Satler.;William O Suddath.;Ron Waksman.;John R Laird.;Kenneth M Kent.;Neil J Weissman.
来源: Circulation. 2003年107卷23期2889-93页
Previous studies have reported diffuse destabilization of atherosclerotic plaques in acute myocardial infarction (AMI).
3153. Differential regurgitation in branch pulmonary arteries after repair of tetralogy of Fallot: a phase-contrast cine magnetic resonance study.
作者: I-Seok Kang.;Andrew N Redington.;Leland N Benson.;Christopher Macgowan.;Emanuela R Valsangiacomo.;Kevin Roman.;Christian J Kellenberger.;Shi-Joon Yoo.
来源: Circulation. 2003年107卷23期2938-43页
The importance of pulmonary regurgitation (PR) after repair of tetralogy of Fallot (TOF) is increasingly recognized, but little is known regarding its underlying mechanisms. This phase-contrast cine magnetic resonance (PC MR) study was performed to evaluate the relative contribution of each lung to total regurgitant volume.
3154. Regional remodeling as the cause of late stent malapposition.
Late stent malapposition (LSM) is only detected if intravascular ultrasound (IVUS) is performed at implantation and follow-up. We used a novel "regional" IVUS analysis to assess the mechanism of LSM.
3155. Distal myocardial protection during percutaneous coronary intervention with an intracoronary beta-blocker.
作者: Fen Wei Wang.;Abdulfatah Osman.;Javier Otero.;George A Stouffer.;Sergio Waxman.;Adnan Afzal.;Angelo Anzuini.;Barry F Uretsky.
来源: Circulation. 2003年107卷23期2914-9页
Experimental studies have demonstrated that intravenous beta-blocker administration before coronary artery occlusion significantly reduces myocardial injury. Clinical studies have shown that intracoronary (IC) propranolol administration before percutaneous coronary intervention (PCI) delays myocardial ischemia. The present study tested the hypothesis that IC propranolol treatment protects ischemic myocardium from myocardial damage and reduces the incidence of myocardial infarction (MI) and short-term adverse outcomes after PCI.
3156. Interferon-beta treatment eliminates cardiotropic viruses and improves left ventricular function in patients with myocardial persistence of viral genomes and left ventricular dysfunction.
作者: Uwe Kühl.;Matthias Pauschinger.;Peter Lothar Schwimmbeck.;Bettina Seeberg.;Conny Lober.;Michel Noutsias.;Wolfgang Poller.;Heinz-Peter Schultheiss.
来源: Circulation. 2003年107卷22期2793-8页
Viral infections are important causes of myocarditis and may induce cardiac dysfunction and finally lead to dilated cardiomyopathy. We investigated whether interferon (IFN)-beta therapy is safe and may achieve virus clearance and prevent deterioration of left ventricular (LV) function in patients with myocardial virus persistence.
3157. B-type natriuretic peptides and ejection fraction for prognosis after myocardial infarction.
作者: A Mark Richards.;M Gary Nicholls.;Eric A Espiner.;John G Lainchbury.;Richard W Troughton.;John Elliott.;Christopher Frampton.;John Turner.;Ian G Crozier.;Timothy G Yandle.
来源: Circulation. 2003年107卷22期2786-92页
A recent landmark report has demonstrated that plasma B-type natriuretic peptide (BNP) measured in acute coronary syndromes independently predicts mortality, heart failure, and new myocardial infarction. After acute cardiac injury, left ventricular ejection fraction (LVEF) is also of prognostic significance and plays a major role in determining the therapeutic response.
3158. Restoration of endothelial function by increasing high-density lipoprotein in subjects with isolated low high-density lipoprotein.
作者: Radjesh J Bisoendial.;G Kees Hovingh.;Johannes H M Levels.;Peter G Lerch.;Irmgard Andresen.;Michael R Hayden.;John J P Kastelein.;Erik S G Stroes.
来源: Circulation. 2003年107卷23期2944-8页
Loss-of-function mutations in the ATP-binding cassette (ABCA)-1 gene locus are the underlying cause for familial hypoalphalipoproteinemia, providing a human isolated low-HDL model. In these familial hypoalphalipoproteinemia subjects, we evaluated the impact of isolated low HDL on endothelial function and the vascular effects of an acute increase in HDL.
3159. Risks of using internal thoracic artery grafts in patients in chronic hemodialysis via upper extremity arteriovenous fistula.
作者: Mario Gaudino.;Michele Serricchio.;Nicola Luciani.;Stefania Giungi.;Andrea Salica.;Roberto Pola.;Paolo Pola.;Giovanna Luciani.;Gianfederico Possati.
来源: Circulation. 2003年107卷21期2653-5页
In patients in chronic hemodialysis via upper extremity arteriovenous fistula in whom ipsilateral internal thoracic artery graft was used for myocardial revascularization, hemodynamic interference between the fistula and the graft during dialysis can be hypothesized.
3160. Combined steroid treatment for congenital heart surgery improves oxygen delivery and reduces postbypass inflammatory mediator expression.
作者: Valerie A Schroeder.;Jeffery M Pearl.;Steven M Schwartz.;Thomas P Shanley.;Peter B Manning.;David P Nelson.
来源: Circulation. 2003年107卷22期2823-8页
Steroid administration during cardiopulmonary bypass is thought to improve cardiopulmonary function by modulating bypass-related inflammation. This study was designed to compare preoperative and intraoperative methylprednisolone (MP) to intraoperative MP alone with respect to postbypass inflammation and clinical outcome.
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