Andrew P. Selwyn
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View article: Equalization of Right- and Left-Sided Intracardiac Pressures
Equalization of Right- and Left-Sided Intracardiac Pressures Open
View article: Comparison of Effects of Rosuvastatin (10 mg) Versus Atorvastatin (40 mg) on Rho Kinase Activity in Caucasian Men With a Previous Atherosclerotic Event
Comparison of Effects of Rosuvastatin (10 mg) Versus Atorvastatin (40 mg) on Rho Kinase Activity in Caucasian Men With a Previous Atherosclerotic Event Open
View article: Improved characterization of atherosclerotic plaques by gadolinium contrast during intravascular magnetic resonance imaging of human arteries
Improved characterization of atherosclerotic plaques by gadolinium contrast during intravascular magnetic resonance imaging of human arteries Open
View article: Characterization of Human Atherosclerotic Plaques by Intravascular Magnetic Resonance Imaging
Characterization of Human Atherosclerotic Plaques by Intravascular Magnetic Resonance Imaging Open
Background— Development and validation of novel imaging modalities to assess the composition of human atherosclerotic plaques will improve the understanding of atheroma evolution and could facilitate evaluation of therapeutic strategies fo…
View article: Circulating Autoantibodies to Oxidized LDL Correlate With Impaired Coronary Endothelial Function After Cardiac Transplantation
Circulating Autoantibodies to Oxidized LDL Correlate With Impaired Coronary Endothelial Function After Cardiac Transplantation Open
Objective— The oxidative modification of low density lipoprotein (LDL) may play a role in the pathogenesis of transplant-associated arteriosclerosis. Oxidized LDL (OxLDL) is immunogenic as well as atherogenic, and the level of autoantibodi…
View article: Coronary Flow Velocity and Disturbed Flow Predict Adverse Clinical Outcome After Coronary Angioplasty
Coronary Flow Velocity and Disturbed Flow Predict Adverse Clinical Outcome After Coronary Angioplasty Open
Objective— Laminar flow becomes disturbed at high velocities, reducing shear stress and augmenting vascular inflammation and proliferation, processes that are pivotal in restenosis and atherogenesis. We hypothesized that disturbed blood fl…
View article: Rescue percutaneous coronary intervention following coronary artery bypass graft—A descriptive analysis of the changing interface between interventional cardiologist and cardiac surgeon
Rescue percutaneous coronary intervention following coronary artery bypass graft—A descriptive analysis of the changing interface between interventional cardiologist and cardiac surgeon Open
Background : Despite decreasing rates of acute and suba‐cute complications of percutaneous coronary intervention (PCI), these procedures are generally only performed in centers where it is possible for failed PCI to be treated by rescue co…
View article: Lack of compensatory enlargement at sites of coronary vasospasm: Identification by ultrasound and successful treatment with stenting
Lack of compensatory enlargement at sites of coronary vasospasm: Identification by ultrasound and successful treatment with stenting Open
The case of a young man with spontaneous vasospasm at two sites in his left anterior descending coronary artery is described. Intravascular ultrasound demonstrated mild eccentric atherosclerosis with smaller total artery cross‐sectional ar…
View article: Plasma α-Tocopherol and Coronary Endothelium-Dependent Vasodilator Function
Plasma α-Tocopherol and Coronary Endothelium-Dependent Vasodilator Function Open
Background —In the presence of atherosclerosis, the coronary endothelial vasomotor response to acetylcholine is frequently abnormal but is variable between patients. We tested the hypothesis that the plasma concentration of α-tocopherol is…
View article: Hemostatic/Fibrinolytic Predictors of Allograft Coronary Artery Disease after Cardiac Transplantation
Hemostatic/Fibrinolytic Predictors of Allograft Coronary Artery Disease after Cardiac Transplantation Open
Allograft coronary artery disease (CAD) remains the leading cause of morbidity and mortality affecting the long-term survival of patients after cardiac transplantation. Because there is increasing evidence that imbalances in hemostatic and…
View article: Accuracy of electronic digital calipers compared with quantitative angiography in measuring coronary arterial diameter.
Accuracy of electronic digital calipers compared with quantitative angiography in measuring coronary arterial diameter. Open
BACKGROUND Quantitative angiography is the accepted method for measuring coronary luminal diameter. Electronic digital calipers have been used to assess arterial diameters in vasomotor function studies and after interventional procedures. …
View article: Functional significance of intimal thickening as detected by intravascular ultrasound early and late after cardiac transplantation.
Functional significance of intimal thickening as detected by intravascular ultrasound early and late after cardiac transplantation. Open
BACKGROUND Detection of transplant coronary disease remains difficult. Both intravascular ultrasound (IVUS) imaging and functional coronary vasomotion studies have been used to evaluate this process. However, the time course of intimal thi…
View article: Myocardial Revascularization Before Repair of an Aortic Aneurysm
Myocardial Revascularization Before Repair of an Aortic Aneurysm Open
View article: Loss of the coronary microvascular response to acetylcholine in cardiac transplant patients.
Loss of the coronary microvascular response to acetylcholine in cardiac transplant patients. Open
BACKGROUND The coronary arteries of transplanted hearts frequently develop accelerated diffuse arteriosclerosis. The effects of this disease on resistance vessel function are unknown. METHODS AND RESULTS To investigate the integrity of end…
View article: Epicardial coronary artery responses to acetylcholine are impaired in hypertensive patients.
Epicardial coronary artery responses to acetylcholine are impaired in hypertensive patients. Open
Hypertension is a risk factor for coronary atherosclerosis possibly via an adverse effect on the vascular endothelium. Endothelium-mediated relaxation is impaired in animal models of hypertension. However, the effects of hypertension on hu…
View article: Patients with evidence of coronary endothelial dysfunction as assessed by acetylcholine infusion demonstrate marked increase in sensitivity to constrictor effects of catecholamines.
Patients with evidence of coronary endothelial dysfunction as assessed by acetylcholine infusion demonstrate marked increase in sensitivity to constrictor effects of catecholamines. Open
BACKGROUND Studies in patients undergoing cardiac catheterization have demonstrated that normal coronary arteries dilate and atherosclerotic arteries constrict in response to exercise and the cold pressor test, but the mechanisms are unkno…
View article: The Effect of Atherosclerosis on the Vasomotor Response of Coronary Arteries to Mental Stress
The Effect of Atherosclerosis on the Vasomotor Response of Coronary Arteries to Mental Stress Open
Atherosclerosis disturbs the normal vasomotor response (no change or dilation) of large coronary arteries to mental stress; in patients with atherosclerosis paradoxical constriction occurs during mental stress, particularly at points of st…
View article: Loss of flow-mediated endothelium-dependent dilation occurs early in the development of atherosclerosis.
Loss of flow-mediated endothelium-dependent dilation occurs early in the development of atherosclerosis. Open
BACKGROUND Healthy arteries exhibit endothelium-dependent dilation in response to both local acetylcholine and increased blood flow. In humans, clinically overt coronary artery disease is characterized by loss of dilation to both acetylcho…
View article: Effects of asymptomatic ischemia on long-term prognosis in chronic stable coronary disease.
Effects of asymptomatic ischemia on long-term prognosis in chronic stable coronary disease. Open
BACKGROUND Ischemia on ambulatory electrocardiographic monitoring has been shown to adversely affect short-term prognoses in patients with unstable angina, after myocardial infarction, and with chronic stable angina. METHODS AND RESULTS In…
View article: Relations between heart rate, ischemia, and drug therapy during daily life in patients with coronary artery disease.
Relations between heart rate, ischemia, and drug therapy during daily life in patients with coronary artery disease. Open
BACKGROUND Previous studies have shown that little if any increase in heart rate occurs 1 minute before the onset of ischemia in ambulant patients with coronary artery disease. This study tested the hypothesis that there are characteristic…
View article: Coronary atherosclerosis is associated with left ventricular dysfunction and dilatation in aortic stenosis.
Coronary atherosclerosis is associated with left ventricular dysfunction and dilatation in aortic stenosis. Open
Patients with aortic stenosis develop widely variable patterns of left ventricular hypertrophy and dysfunction. We postulated that coronary atherosclerosis (CAD) may be associated with impaired left ventricular function and chamber dilatat…
View article: Early evidence of endothelial vasodilator dysfunction at coronary branch points.
Early evidence of endothelial vasodilator dysfunction at coronary branch points. Open
Intracoronary acetylcholine produces endothelium-dependent dilation of normal coronary arteries and paradoxical constriction of atherosclerotic vessels. Regional differences in endothelium-dependent vasomotion, however, have not been studi…
View article: Paradoxical narrowing of atherosclerotic coronary arteries induced by increases in heart rate.
Paradoxical narrowing of atherosclerotic coronary arteries induced by increases in heart rate. Open
Vasodilation in normal and vasoconstriction in atherosclerotic coronary arteries have been observed in response to complex stimuli such as exercise and the cold pressor test. To study a single parameter that changes during these activities…
View article: Coronary vasomotor response to acetylcholine relates to risk factors for coronary artery disease.
Coronary vasomotor response to acetylcholine relates to risk factors for coronary artery disease. Open
In animals, acetylcholine dilates normal arteries and produces vasoconstriction in the presence of hypercholesterolemia, hypertension, or atherosclerosis, reflecting endothelial cell dysfunction. In patients with angiographically smooth co…
View article: Reflex increase in blood pressure during the intracoronary administration of adenosine in man.
Reflex increase in blood pressure during the intracoronary administration of adenosine in man. Open
Infusion of adenosine (0.022-2.2 mg/min) into the left anterior descending (LAD) coronary artery of 26 patients produced a dose-dependent increase in blood pressure without a change in heart rate. At adenosine 2.2 mg/min, systolic pressure…
View article: Atherosclerosis influences the vasomotor response of epicardial coronary arteries to exercise.
Atherosclerosis influences the vasomotor response of epicardial coronary arteries to exercise. Open
We studied the vasomotion of epicardial coronary arteries during exercise and tested the hypotheses that abnormal vasoconstriction is related to the presence of atherosclerosis and may be related to endothelial dilator dysfunction. During …
View article: Responses of coronary arteries of cardiac transplant patients to acetylcholine.
Responses of coronary arteries of cardiac transplant patients to acetylcholine. Open
Accelerated coronary atherosclerosis is a major cause of graft failure after heart transplantation. Graft atherosclerosis is typically diffuse and difficult to detect even with coronary arteriography. Recently, acetylcholine was shown to d…
View article: Dilation of normal and constriction of atherosclerotic coronary arteries caused by the cold pressor test.
Dilation of normal and constriction of atherosclerotic coronary arteries caused by the cold pressor test. Open
Increased vascular constriction has been observed at the site of atherosclerotic lesions, suggesting an association between atherosclerosis and altered vascular tone. While atherosclerosis may increase sensitivity to exogenous vasoconstric…
View article: Circadian variation of transient myocardial ischemia in patients with coronary artery disease.
Circadian variation of transient myocardial ischemia in patients with coronary artery disease. Open
To examine whether a significant circadian variation of transient myocardial ischemia exists and to better understand the character of such variation, 32 patients with chronic stable symptoms of coronary artery disease underwent one or mor…
View article: Value of the intracoronary electrocardiogram to monitor myocardial ischemia during percutaneous transluminal coronary angioplasty.
Value of the intracoronary electrocardiogram to monitor myocardial ischemia during percutaneous transluminal coronary angioplasty. Open
To enhance detection of ischemia during percutaneous transluminal coronary angioplasty (PTCA), unipolar intracoronary electrocardiograms (ECGs) were recorded during PTCA in 25 patients from the tips of guidewires positioned distal to steno…