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British Heart Journal

(no author information available yet)
[This corrects the article on p. 373 in vol. 74, PMID: 7488449.].
December 1995: British Heart Journal
(no author information available yet)
[This corrects the article on p. 475 in vol. 73, PMID: 7786665.].
December 1995: British Heart Journal
(no author information available yet)
[This corrects the article on p. 386 in vol. 74, PMID: 7488452.].
December 1995: British Heart Journal
M K Davies
No abstract text is available yet for this article.
December 1995: British Heart Journal
N D Masani, D B Northridge, R J Hall
A 48 year old woman presented with angina after an anterior myocardial infarction and was found to be hyperthyroid. Coronary angiography showed a stenosis of the left coronary os and a long, severe stenosis of the left anterior descending artery which was partially relieved by glyceryl trinitrate. Three months later, after radioactive iodine treatment had rendered her euthyroid, repeat coronary angiography showed entirely normal coronary arteries. This unusual case establishes an association between hyperthyroidism and coronary vasospasm resulting in myocardial infarction...
December 1995: British Heart Journal
A Evans
No abstract text is available yet for this article.
December 1995: British Heart Journal
Y Hatai, D G Nykanen, W G Williams, R M Freedom, L N Benson
OBJECTIVES: To review efficacy and safety of endovascular stent implants in children < 1 year of age with congenital heart lesions. DESIGN: Retrospective study of patients in a tertiary care setting. PATIENTS: 26 children (median age of 4.7 months, range 2 days to 1 year) with various vascular obstructive lesions. INTERVENTION: Percutaneous or intraoperative implantation of balloon expandable endovascular stents. RESULTS: Optimal stent placement was obtained in 31 of the 37 deployed implants...
December 1995: British Heart Journal
B D Prendergast, N P Andrews, A Thomas, L Davies, M McCabe, W J Penny
OBJECTIVES: To assess the compliance of invasive cardiologists in the United Kingdom with recently accepted national guidelines on the protection of health care workers and patients from hepatitis B. To determine levels of awareness of the infectivity and prevalence of the virus and current attitudes towards screening of patients before cardiac catheterisation and surgery. DESIGN: Anonymous postal survey by questionnaire from the University Hospital of Wales, Cardiff...
December 1995: British Heart Journal
S H Thomas, A Y Butt, P A Corris, J J Egan, T W Higenbottam, B P Madden, P C Waller
OBJECTIVE: Amphetamine-like appetite suppressants, particularly fenfluramines, have been implicated in the aetiology of primary pulmonary hypertension. At one specialist centre in France 20% of patients with primary pulmonary hypertension had been exposed to fenfluramine. The prevalence of primary pulmonary hypertension associated with fenfluramines and other appetite suppressants in the United Kingdom is unknown. This study was performed to measure prior exposure to appetite suppressants in patients with primary pulmonary hypertension...
December 1995: British Heart Journal
E Oechslin, T Carrel, M Ritter, C Attenhofer, L von Segesser, W Kiowski, M Turina, R Jenni
OBJECTIVE: To determine the prevalence of pseudoaneurysm formation after aortic (left ventricular outflow tract) homograft implantation and to evaluate predisposing factors. METHODS: Echocardiographic data were analysed in 30 patients for evidence of pseudoaneurysm formation after homograft implantation. Pseudoaneurysm was characterised as a perfused echo-free space between the homograft and the native aortic wall communicating with the left ventricular outflow tract...
December 1995: British Heart Journal
T Siminiak, D J O'Gorman, M Shahi, D Hackett, D J Sheridan
BACKGROUND: Polymorphonuclear neutrophils are involved in the development of myocardial injury during ischaemia and reperfusion. Coronary angioplasty has been shown to result in neutrophil activation. This may be a result of contact with ligands expressed by endothelial cells or response to soluble stimuli released from ischaemic tissue into the plasma or both. OBJECTIVE: To investigate plasma mediated neutrophil activation during angioplasty. METHODS AND RESULTS: Plasma samples were collected from the coronary sinus, femoral artery, and femoral vein of 14 patients undergoing angioplasty, before and after the first balloon inflation and at the end of the procedure...
December 1995: British Heart Journal
J C Kaski, P M Elliott, O Salomone, K Dickinson, D Gordon, C Hann, D W Holt
BACKGROUND: Some patients with angina pectoris and normal coronary arteriograms have reduced coronary flow reserve and abnormal endothelium dependent vasodilator responses. Endothelin-1 (ET-1), a potent vasoconstrictor, is an important modulator of microvascular function and may also have algogenic properties. METHOD: Plasma ET-1 was measured in peripheral venous blood in 40 patients (30 women) (mean (SD) age 56 (8) years) with angina and normal coronary arteriograms and 21 normal controls (17 women) (mean (SD) age 53 (7) years)...
December 1995: British Heart Journal
N Ishizaka, Y Ishizaka, Y Ikari, T Isshiki, T Tamura, H Suma, T Yamaguchi
OBJECTIVE: To estimate the initial outcome and incidence of restenosis of angioplasty of internal mammary artery grafts in a retrospective study. METHODS: The study population consisted of 46 patients (48 lesions) who underwent first balloon angioplasty within the internal mammary artery graft. Most (37/48) were at the distal anastomosis. A few (8/48) were in the graft body. Six patients with the evidence of angiographic restenosis underwent a second angioplasty...
December 1995: British Heart Journal
A Tamura, H Kataoka, K Nagase, Y Mikuriya, M Nasu
OBJECTIVES: To clarify the genesis and clinical significance of inferior ST elevation during acute anterior myocardial infarction. PATIENTS AND DESIGN: A total of 106 patients with first acute anterior myocardial infarction (< or = 6 h) were divided into two groups according to the presence (group A, n = 12) or absence (group B, n = 94) of ST elevation of > or = 1 mm in at least two of the inferior leads on the admission electrocardiogram. RESULTS: On admission electrocardiograms, group A had a smaller summed ST deviation in the lateral limb leads than group B...
December 1995: British Heart Journal
J S Skinner, C J Albers, J Goudevenos, C Fraser, O Odemuyiwa, R J Hall, P C Adams
OBJECTIVE: To determine the long-term prognosis of patients after a myocardial infarction (MI) at a young age. DESIGN: Prospective cohort study of patients aged 55 years or less suffering a myocardial infarction. SETTING: A single coronary care unit admitting patients from the community. PATIENTS: 255 consecutive patients (210 men) aged 55 years or less admitted between 1981 and 1985 after acute MI. Twenty four patients died in hospital or within 3 months of infarction and 11 were lost to further follow up after discharge...
December 1995: British Heart Journal
E Eeckhout, G van Melle, J C Stauffer, P Vogt, L Kappenberger, J J Goy
OBJECTIVES: To develop a statistical model to assess the risk of early closure and restenosis on the basis of the information available at the time of stent implantation. DESIGN: An exploratory forward, stepwise multivariate logistic regression for each adverse event and multivariate polychotomous analysis for both events. SETTING: Tertiary referral centre for interventional treatment of coronary artery disease. PATIENTS: 243 consecutive, successful stenting procedures between 1986 and 1993 with the Wallstent, the Palmaz-Schatz and Wiktor stents with analysis of clinical, procedural, and angiographic variables...
December 1995: British Heart Journal
O M Jolobe
No abstract text is available yet for this article.
November 1995: British Heart Journal
A Hollman
No abstract text is available yet for this article.
November 1995: British Heart Journal
V K Mehan, E B Sideris, B Meier
An atrial septal aneurysm may be associated with a patent foramen ovale. When paradoxical emboli result, the shunt must be closed and the atrial septal aneurysm excised. A reversed buttoned occluder device was successfully used for the transcatheter treatment of this condition.
November 1995: British Heart Journal
S Dubrey, A Pollak, M Skinner, R H Falk
Thrombus formation in the left atrium is rare in patients in sinus rhythm. In three patients with extensive cardiac amyloidosis transthoracic echocardiography showed large atrial thrombi in or protruding into the body of the left atrium during sinus rhythm. Doppler studies showed no A wave on mitral inflow. Severe atrial and ventricular infiltration by amyloid may have resulted in mechanical atrial standstill with resultant thrombus formation. These findings suggest that patients with severe cardiac amyloidosis may require anticoagulation when atrial function is impaired...
November 1995: British Heart Journal
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