Search Results
Results 701 - 750 of 926
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Johansen K - - 1991
The infrequent band of 3.2-kb of the apolipoprotein A-I/C-III polymorphic region has previously been found to be associated with coronary artery disease and with hypertriglyceridaemia in Caucasians. We studied the apolipoprotein A-I/C-III gene cluster polymorphism in 97 Saudi Arabians in relation to coronary artery disease. Patients were categorized as being ...
Chiu A W - - 1991
From March to July 1989, a total of 40 patients, who had received coronary catheterization, answered questionnaires concerning sexual potency. In those 30 patients with a diseased coronary artery, only 2 (6.6%) had no erectile dysfunction subjectively. On the contrary, 4 of 10 (40%) patients with angiographically proven normal coronary ...
Sugimura T - - 1991
The coronary artery lesions in Kawasaki disease (KD) are thought to be a possible risk factor for atherosclerosis in the long term from the pathological point of view. Here we report results of a comparative control study to investigate the distensibility of the coronary artery in KD. A total of ...
Fowl R J - - 1991
The results of previous studies have suggested that significant stenosis of the carotid artery occurs in less than 6 per cent of asymptomatic patients. However, some populations studied were not representative of those seen by most vascular surgeons. Accordingly, we examined two cohorts of patients at the Veterans Administration Medical ...
Monreal M - - 1991
Homocystinuria was first described in 1962. The disease affects several systems including the eyes, skeletal and nervous and vascular systems. We present the case of a 28-year old woman who presented with a severe occlusive arteriopathy. Screening for the most usual causes of arterial disease in young patients was negative, ...
Sullivan J M - - 1990
The relationship among postmenopausal estrogen use, coronary stenosis, and survival was examined retrospectively in 2268 women undergoing coronary angiography. The patients were selected for study if their age was 55 years or older at the time of angiography or if they had previously undergone bilateral oophorectomy. Postmenopausal estrogen use in ...
Woo B Y - - 1990
Reverse redistribution (RR) is the apparent worsening of a stress-induced defect or the appearance of a new defect in the myocardium in the delayed thallium images. This has been linked to the presence of coronary artery disease. In this article, we examine the incidence of this phenomenon in our local ...
Watanabe M - - 1990
To evaluate the clinical significance of simple heart rate-adjusted ST segment depression (delta ST/delta HR) in the diagnosis of coronary artery disease, 42 patients with stable exertional angina underwent supine leg exercise testing and cardiac catheterization. During exercise, heart rate, a multilead electrocardiogram, and pulmonary artery wedge pressure were recorded. ...
Lund O - - 1990
The influence of coronary artery disease and bypass grafting on survival after valve replacement for aortic stenosis (1975 to 1986, N = 512) was analyzed. Mean follow-up for 30-day survivors was 5.1 years (0.1 to 12.9 years). A total of 205 patients had coronary angiography performed: 122 did not have ...
Barron K S - - 1990
We studied levels of soluble interleukin-2 receptors (IL-2R) in serial serum samples obtained from 93 patients with Kawasaki syndrome, using a double-antibody "sandwich" enzyme-linked immunosorbent assay technique. Concentrations of soluble IL-2R were significantly increased in Kawasaki syndrome patients in the first 4 weeks of illness when compared with either healthy ...
Gentles T L - - 1990
Records of 34 children diagnosed as having Kawasaki disease in the Auckland region from 1979 to 1988 inclusive were reviewed. Diagnostic and associated features were similar to those reported from North America and Japan. The incidence (average 5.1 per year per 100,000 less than 5 years of age) was similar ...
Brevard S B - - 1990
Kawasaki disease (mucocutaneous lymph node syndrome) is a pathological process seen mostly in children, but has been reported in adults. The late manifestations of the syndrome can include the development of multiple coronary artery aneurysms. This article describes a 27-year-old man with no risk factors for atherosclerotic disease with multiple ...
Flores E D - - 1990
Cocaine increases myocardial oxygen demand and paradoxically decreases oxygen supply by reducing coronary blood flow. Such "inappropriate" vasoconstriction also occurs with exercise, which causes intense vasoconstriction of coronary artery segments narrowed by atherosclerosis. This study was done to assess the cocaine-induced change in vasomotor tone of diseased and nondiseased coronary ...
Ratkovec R M - - 1990
Although the etiology of allograft coronary artery disease, a major limiting factor in long-term survival after cardiac transplantation, is poorly understood, it is undoubtedly in part immune mediated and not detected by routine endomyocardial biopsy. Therefore it is possible that withdrawal of maintenance corticosteroids, although providing other short- and long-term ...
Marais A D AD Department of Medicine, University of Cape - - 1990
A black patient with homozygous familial hypercholesterolaemia associated with ischaemic heart disease and a fatal outcome is described. The appearances of the coronary artery and aortic lesions on histological examination at autopsy were identical to those of typical atherosclerosis.
Everson C T - - 1990
Recent trends in the patient population coming for surgical treatment of coronary artery disease have prompted alterations in the type of coronary artery bypass surgery performed. Emphasis is placed on the more widespread use of arterial grafts and revascularization of vessels with extensive distal disease, utilizing endarterectomy techniques, in an ...
Wortham D C - - 1990
A cardiovascular screening protocol was applied prospectively to 1,900 soldiers over 40 years of age to identify individuals with latent coronary artery disease. Primary screening included a cardiovascular history, physical examination, electrocardiogram, serum cholesterol and serum glucose determinations, and calculated Framingham risk index. Seven hundred ninety-six individuals required secondary screening, ...
James T N - - 1990
There is a wide spectrum of abnormalities in the structure of small coronary arteries, with regard both to the portion of the arterial wall involved and to the histologic nature of the disease. A fuller understanding of this spectrum permits more useful interpretation of the pathophysiologic basis for the functional ...
Nishida H - - 1990
A 15-year-old girl with pseudoxanthoma elasticum and associated severe coronary artery disease underwent double coronary artery bypass using left internal mammary artery and saphenous vein. Preoperatively the patient had life-threatening syncope and positive treadmill test results. The postoperative course was uneventful, and the patient has been doing well for 3 ...
Brunckhorst C - - 1990
To determine the relation between presence and severity of coronary artery disease and diastolic filling abnormalities by Doppler echocardiography, recordings of transmitral inflow velocity were made at rest in 90 patients with coronary artery disease and 28 normals. At the time of the Doppler examination, 81 patients with coronary artery ...
Elleder M - - 1990
Fabry's disease was diagnosed in an adult patient as a lipid storage-induced non-obstructive hypertrophic cardiomyopathy. Stable angina pectoris started 15 years before death, was followed by slowly progressive heart failure and repeated pulmonary thromboembolism with death at 63 years. Autopsy disclosed enormous cardiomegaly (1100 g), cardiac storage of ceramide trihexoside ...
Kern M J - - 1990
Noninvasive innovations have advanced the timing and precision of diagnosis of acute dissection or enlarging aortic aneurysm. However, the need to perform coronary arteriography prior to surgical repair in these patients remains a question for many clinicians. This retrospective 10-year (1978 to 1988) review examined data of 54 patients undergoing ...
Hanley P C - - 1990
We employed gated equilibrium radionuclide angiography to measure the ratio of pulmonary blood volume at exercise to PBV at rest. We compared this ratio to more commonly utilized ejection fraction measurements in the detection of coronary artery disease. Sensitivity was assessed in 28 patients with angiographically-proven coronary artery disease. Specificity ...
Younis L T - - 1990
Intravenous dipyridamole is a relative selective coronary vasodilator which, when combined with thallium-201, provides a useful technique to assess myocardial perfusion. The intravenous dipyridamole is administered as an infusion at a rate of 0.14 mg/kg/min for 4 minutes. In the presence of significant coronary artery disease the increase of coronary ...
Semmlow J L - - 1990
The detection of coronary artery disease by noninvasive analysis of isolated diastolic heart sounds is considered. It is based on identifying features associated with turbulent blood flow in partially occluded coronary arteries. The application of two types of parametric spectral analysis-autoregressive methods and eigenvector methods-to identify the additional signal components ...
- - 1989
clinicians should emphasize the primary prevention of coronary artery disease by periodically screening for high blood pressure and high serum cholesterol and by routinely investigating behavioral risk factors for coronary artery disease, such as tobacco use, dietary fat and cholesterol intake, and inadequate physical activity. Secondary prevention of coronary artery ...
Cullen S - - 1989
Thirteen patients with Kawasaki disease were reviewed. The average age at presentation was 31 months (range: 6 weeks to 8 years). Mean follow up was 36 months, with a range of 5 to 53 months. Cardiovascular manifestations were present in 9 patients. These comprised pericarditis with myocarditis (2), pericardial effusion ...
Johnson D E - - 1989
Coronary artery morphologic features of 61 human cardiac allografts of short- and long-term survival were correlated with coexisting myocardial pathologic findings and cause of death. On the basis of distribution of coronary lesions, allografts were divided into two broad groups: those with fibrous or atherosclerotic lesions confined to the proximal ...
Friedman M - - 1989
A general review of type A behavior and its possible relation to clinical coronary artery disease, hypertension and migraine is given. The humoral and lipid derangements initiated by type A behavior are described as well as the possible pathophysiologic phenomena this behavior effects leading to accentuation and hastening of the ...
Bogren H G - - 1989
Regional compliance of the ascending aorta, aortic arch, and the descending aorta was measured in 70 normal subjects at varying ages, in 17 patients with coronary artery disease (10 coronary artery disease patients, 3 with syndrome X), and in 13 trained athletes using magnetic resonance imaging. Ascending aortic compliance was ...
Meyer R A - - 1989
Two-dimensional echocardiography is the pinion of diagnostic procedures utilized to characterize the coronary arteries in Kawasaki disease. This article demonstrates the usual plans of interrogation used to systematically image the segments of the coronary arterial tree. It illustrates aneurysm formation in patients of various ages, the development of thrombosis in ...
Newburger J W - - 1989
Kawasaki syndrome is a leading cause of pediatric acquired heart disease in the United States. Coronary artery aneurysms or ectasia develop in approximately 15 to 25 per cent of affected children; treatment with intravenous gamma globulin in the acute phase reduces this risk three- to five-fold. Angiographic resolution occurs in ...
Picano E - - 1989
Dipyridamole was first introduced as an antianginal, coronary vasodilator agent. It was soon found that this drug could not prevent effort ischaemia; on the contrary, given intravenously, it could frequently induce ischaemia in the presence of coronary artery stenosis. This property was exploited for the diagnosis of coronary artery disease. ...
Sox H C HC - - 1989
PURPOSE: To predict the effects of using exercise testing to screen healthy persons for coronary artery disease. DATA IDENTIFICATION: The publications of the Coronary Artery Surgery Study were the principal sources of data for the cost-effectiveness analysis; we also used data from the Veterans Administration Cooperative Study of stable angina ...
Vade A - - 1989
Use of computerized tomography (CT) in the diagnosis of arterial calcification of infancy, including coronary obstructive disease, has not been previously reported. We were able to demonstrate by CT scan the abnormal arteries present in this disease. The calcified arteries in this infant, who died of bowel infarction at three ...
Kiat H - - 1989
To compare stress/rest technetium 99m methoxy isobutyl isonitrile (Tc-MIBI) with stress redistribution thallium 201(T1-201) myocardial perfusion imaging, 36 patients were studied by single photon emission computerized tomography (SPECT) and planar methods. For SPECT, overall sensitivities for identification of patients with coronary artery disease were 93% (14/15) by Tc-MIBI and 80% ...
Karpanou E A - - 1988
To assess the role of arterial hypertension in the development of coronary collateral circulation in relation to coronary artery disease, severity and left ventricular function, we studied 433 men with angiographically documented coronary artery disease. Of these, 122 showed disease in one vessel, 157 showed disease in two vessels and ...
Snyder H E - - 1988
"Redo" operations for coronary artery disease have become commonplace. One of the major complications that occurs is perioperative infarction due to embolization of atheromatous material from diseased veins into the distal coronary arteries. Because of this, we began using retrograde coronary sinus perfusion (RCSP) for delivery of cardioplegia to prevent ...
Small M - - 1988
Basal plasmin and thrombin activity in plasma were assessed by radioimmunoassay of the fibrinogen derivatives containing the sequence B beta 15-42 and of fibrinopeptide A respectively in a cross sectional controlled study of men with coronary artery disease. Compared with healthy controls (n = 33) men with angiographically defined coronary ...
Rowley A H - - 1988
Previous studies have demonstrated the efficacy of intravenous gamma globulin in the prevention of coronary artery abnormalities in Kawasaki disease. We retrospectively reviewed our single-hospital experience with patients in whom Kawasaki disease was diagnosed from January 1979 to July 1987. Only 3 of 68 (4%) patients treated with intravenous gamma ...
Fujiwara T - - 1988
Coronary arteries in six children who had Kawasaki disease but lacked coronary arterial aneurysms were examined. Four children died of myocarditis at the acute stage, and two children died of bacterial sepsis or as a result of an occurrence during cineangiography at the healed stage. Twenty-one children without Kawasaki disease ...
Kang S S - - 1988
Thermostability of lymphocyte methylenetetrahydrofolate reductase (MTHFR) was determined in 21 patients aged less than 50 years with proven coronary artery disease, and in 21 age- and sex-matched controls without clinical evidence of vascular disease. The mean +/- SD of residual activity after heat inactivation at 46 degrees C for five ...
Kuecherer H - - 1988
This study was performed investigate and to investigate the influence of age on left ventricular diastolic filling parameters, as assessed by pulsed Doppler echocardiography. The study population consisted of 67 normal healthy subjects (Group I, age 15-66 years) and 117 patients (Group II, age 24-79 years), with angiographically proven coronary ...
Borges-Neto S - - 1988
The objective of this investigation was to determine whether analysis of thallium-201 images as detected by quantitative single photon emission computed tomography after a single high oral dose of dipyridamole (300 mg) would accurately detect the presence of coronary artery disease and the anatomic location of the individual stenosis. Analyses ...
Schwartz A N - - 1988
Forty patients with impotence were evaluated by means of nonselective angiography after intracorporal papaverine injection. The penile arterial network was visualized in 39 patients (97%). The technique was technically simple, and there were no complications. The most common sites of arterial disease were the arteries at the base of the ...
Herold B C - - 1988
Cryoprecipitates are postulated to play a role in the pathogenesis of several vasculitis illnesses and infectious diseases. To investigate the presence of cryoprecipitates in Kawasaki syndrome, we studied sera from 25 children with acute Kawasaki syndrome. None of the subjects was treated with intravenous gamma-globulin. Cryoprecipitates were detectable in sera ...
Gould L A - - 1988
The cardiointegram is a noninvasive technique for the analysis of the electrical signals of the heart obtained by a transformation of the voltage versus time format by a series of integrations. The stress thallium perfusion study is a widely used test for the detection of coronary artery disease. In order ...
Huovinen K - - 1988
Autopsy findings from 170 non-smoking and mentally retarded women aged 12-51 years were analysed for any epidemiological association between the use of peroral lynestrenol for inducing therapeutic amenorrhea (TA) and arterial disease. Eighty-six women had received lynestrenol continuously for an average of 81 months (range 2-220 months) and the other ...
Hill J A - - 1988
Silent myocardial ischemia is increasingly recognized as a common phenomenon in a variety of people with coronary artery disease. The natural history is poorly understood, but available data suggest that silent ischemia adversely affects prognosis in all groups studied. Based on this information, we believe that efforts should be directed ...
Lamb A S - - 1987
A 26-year old white male with Prader-Willi syndrome (PWS) and non-insulin-dependent diabetes mellitus presented with asymptomatic bilateral lower limb swelling. An electrocardiogram was consistent with an inferior wall myocardial infarction of unknown age and a graded exercise test using the Bruce protocol was consistent with inferolateral ischemia. Subsequent cardiac catheterization ...
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