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1. |
Ultrasound Finding of a Mobile Atheroma in the Common Carotid Artery |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 105-105
Felix Schlachetzki,
Thilo Hoelscher,
Max Lange,
Piotr Kasprzak,
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ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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2. |
Simple Index for Prediction of Cardiac Risk in Stable Patients Undergoing Nonurgent Major Noncardiac Surgery: What About the More Severely Compromised Patients? |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 106-106
Thomas Lee,
Edward Marcantonio,
Carol Mangione,
Eric Thomas,
Carisi Polanczyk,
E. Cook,
David Sugarbaker,
Magruder Donaldson,
Robert Poss,
Kalon Ho,
Lynn Ludwig,
Alex Pedan,
Lee Goldman,
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ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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3. |
Left Ventricular Performance in Ischemic Right Ventricular Dysfunction |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 107-107
Carl Brookes,
Andrew Redington,
Paul White,
Paul Oldershaw,
Hanne Ravn,
Ulla Moeldrup,
Skejby Sygehus,
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ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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4. |
sFlt-1, a Potential Antagonist for Exogenous VEGF |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 108-108
Timothy Henry,
Brian Annex,
Thomas Zioncheck,
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ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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5. |
Acute Platelet Inhibition With Abciximab Does Not Reduce In-Stent Restenosis |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 110-110
Iqbal Malik,
Michael Poullis,
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ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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6. |
CirculationElectronic PagesOctober 10, 2000 |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 1741-1741
James Willerson,
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ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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7. |
Secondary Prevention Antibiotic Treatment Trials for Coronary Artery Disease |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 1742-1742
J. Grayston,
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ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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8. |
Functional Effect of the C242T Polymorphism in the NAD(P)H Oxidase p22phox Gene on Vascular Superoxide Production in Atherosclerosis |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 1744-1747
Tomasz Guzik,
Nick West,
Edward Black,
Denise McDonald,
Chandi Ratnatunga,
Ravi Pillai,
Keith Channon,
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摘要:
BackgroundIncreased superoxide anion production increases oxidative stress and reduces nitric oxide bioactivity in vascular disease states. NAD(P)H oxidase is an important source of superoxide in human blood vessels, and some studies suggest a possible association between polymorphisms in the NAD(P)H oxidaseCYBAgene and atherosclerosis; however, no functional data address this hypothesis. We examined the relationships between theCYBAC242T polymorphism and direct measurements of superoxide production in human blood vessels.Methods and ResultsVascular NAD(P)H oxidase activity was determined in human saphenous veins obtained from 110 patients with coronary artery disease and identified risk factors. Immunoblotting, reverse-transcription polymerase chain reaction, and DNA sequencing showed that p22phox protein, mRNA, and 242C/T allelic variants are expressed in human blood vessels. Vascular superoxide production, both basal and NADH-stimulated, was highly variable between patients, but the presence of theCYBA242T allele was associated with significantly reduced vascular NAD(P)H oxidase activity, independent of other clinical risk factors for atherosclerosis.ConclusionsAssociation of theCYBA242T allele with reduced NAD(P)H oxidase activity in human blood vessels suggests that genetic variation in NAD(P)H oxidase components may play a significant role in modulating superoxide production in human atherosclerosis.
ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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9. |
Long-Term Effects of Cholesterol Lowering and Angiotensin-Converting Enzyme Inhibition on Coronary AtherosclerosisThe Simvastatin/Enalapril Coronary Atherosclerosis Trial (SCAT) |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 1748-1754
Koon Teo,
Jeffrey Burton,
Christopher Buller,
Sylvain Plante,
Diane Catellier,
Wayne Tymchak,
Vladimir Dzavik,
Dylan Taylor,
Shinji Yokoyama,
Terrence Montague,
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摘要:
BackgroundThis long-term, multicenter, randomized, double-blind, placebo-controlled, 2×2 factorial, angiographic trial evaluated the effects of cholesterol lowering and angiotensin-converting enzyme inhibition on coronary atherosclerosis in normocholesterolemic patients.Methods and ResultsThere were a total of 460 patients: 230 received simvastatin and 230, a simvastatin placebo, and 229 received enalapril and 231, an enalapril placebo (some subjects received both drugs and some received a double placebo). Mean baseline measurements were as follows: cholesterol level, 5.20 mmol/L; triglyceride level, 1.82 mmol/L; HDL, 0.99 mmol/L; and LDL, 3.36 mmol/L. Average follow-up was 47.8 months. Changes in quantitative coronary angiographic measures between simvastatin and placebo, respectively, were as follows: mean diameters, −0.07 versus −0.14 mm (P=0.004); minimum diameters, −0.09 versus −0.16 mm (P=0.0001); and percent diameter stenosis, 1.67% versus 3.83% (P=0.0003). These benefits were not observed in patients on enalapril when compared with placebo. No additional benefits were seen in the group receiving both drugs. Simvastatin patients had less need for percutaneous transluminal coronary angioplasty (8 versus 21 events;P=0.020), and fewer enalapril patients experienced the combined end point of death/myocardial infarction/stroke (16 versus 30;P=0.043) than their respective placebo patients.ConclusionsThis trial extends the observation of the beneficial angiographic effects of lipid-lowering therapy to normocholesterolemic patients. The implications of the neutral angiographic effects of angiotensin-converting enzyme inhibition are uncertain, but they deserve further investigation in light of the positive clinical benefits suggested here and seen elsewhere.
ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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10. |
Randomized Secondary Prevention Trial of Azithromycin in Patients With Coronary Artery DiseasePrimary Clinical Results of the ACADEMIC Study |
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Circulation: Journal of the American Heart Association,
Volume 102,
Issue 15,
2000,
Page 1755-1760
Joseph Muhlestein,
Jeffrey Anderson,
John Carlquist,
Kirti Salunkhe,
Benjamin Horne,
Robert Pearson,
T. Bunch,
Ann Allen,
Sanjeev Trehan,
Cindy Nielson,
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PDF (56KB)
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摘要:
BackgroundChlamydia pneumoniaeis associated with coronary artery disease (CAD), although its causal role is uncertain. A small preliminary study reported a >50% reduction in ischemic events by azithromycin, an antibiotic effective againstC pneumoniae, in seropositive CAD patients. We tested this prospectively in a larger, randomized, double-blind study.Methods and ResultsCAD patients (n=302) seropositive toC pneumoniae(IgG titers ≥1:16) were randomized to placebo or azithromycin 500 mg/d for 3 days and then 500 mg/wk for 3 months. The primary clinical end point included cardiovascular death, resuscitated cardiac arrest, nonfatal myocardial infarction (MI), stroke, unstable angina, and unplanned coronary revascularization at 2 years. Treatment groups were balanced, and azithromycin was generally well tolerated. During the trial, 47 first primary events occurred (cardiovascular death, 9; resuscitated cardiac arrest, 1; MI, 11; stroke, 3; unstable angina, 4; and unplanned coronary revascularization, 19), with 22 events in the azithromycin group and 25 in the placebo group. There was no significant difference in the 1 primary end point between the 2 groups (hazard ratio for azithromycin, 0.89; 95% CI, 0.51 to 1.61;P=0.74). Events included 9 versus 7 occurring within 6 months and 13 versus 18 between 6 and 24 months in the azithromycin and placebo groups, respectively.ConclusionsThis study suggests that antibiotic therapy with azithromycin is not associated with marked early reductions (≥50%) in ischemic events as suggested by an initial published report. However, a clinically worthwhile benefit (ie, 20% to 30%) is still possible, although it may be delayed. Larger (several thousand patient), longer-term (≥3 to 5 years) antibiotic studies are therefore indicated.
ISSN:0009-7322
出版商:OVID
年代:2000
数据来源: OVID
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