TIMI frame count and adverse events in women with no obstructive coronary disease: a pilot study from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE)
TIMI frame count (TFC) predicts outcomes in patients with obstructive coronary artery disease (CAD); it remains unclear whether TFC predicts outcomes in patients without obstructive CAD. TFC was determined in a sample of women with no obstructive CAD enrolled in the Women's Ischemia Syndrome Ev...
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description | TIMI frame count (TFC) predicts outcomes in patients with obstructive coronary artery disease (CAD); it remains unclear whether TFC predicts outcomes in patients without obstructive CAD.
TFC was determined in a sample of women with no obstructive CAD enrolled in the Women's Ischemia Syndrome Evaluation (WISE) study. Because TFC is known to be higher in the left anterior descending artery (LAD), TFC determined in the LAD was divided by 1.7 to provide a corrected TFC (cTFC).
A total of 298 women, with angiograms suitable for TFC analysis and long-term (6-10 year) follow up data, were included in this sub-study. Their age was 55±11 years, most were white (86%), half had a history of smoking, and half had a history of hypertension. Higher resting cTFC was associated with a higher rate of hospitalization for angina (34% in women with a cTFC >35, 15% in women with a cTFC ≤35, P |
doi_str_mv | 10.1371/journal.pone.0096630 |
format | Article |
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TFC was determined in a sample of women with no obstructive CAD enrolled in the Women's Ischemia Syndrome Evaluation (WISE) study. Because TFC is known to be higher in the left anterior descending artery (LAD), TFC determined in the LAD was divided by 1.7 to provide a corrected TFC (cTFC).
A total of 298 women, with angiograms suitable for TFC analysis and long-term (6-10 year) follow up data, were included in this sub-study. Their age was 55±11 years, most were white (86%), half had a history of smoking, and half had a history of hypertension. Higher resting cTFC was associated with a higher rate of hospitalization for angina (34% in women with a cTFC >35, 15% in women with a cTFC ≤35, P<0.001). cTFC provided independent prediction of hospitalization for angina after adjusting for many baseline characteristics. In this cohort, resting cTFC was not predictive of major events (myocardial infarction, heart failure, stroke, or all-cause death), cardiovascular events, all-cause mortality, or cardiovascular mortality.
In women with signs and symptoms of ischemia but no obstructive CAD, resting cTFC provides independent prediction of hospitalization for angina. Larger studies are required to determine if resting TFC is predictive of major events in patients without obstructive coronary artery disease.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0096630</identifier><identifier>PMID: 24800739</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Angina ; Arteries - physiopathology ; Biology and Life Sciences ; Cardiac patients ; Cardiology ; Cardiovascular disease ; Cardiovascular diseases ; Cerebral infarction ; Clinical outcomes ; Consent ; Coronary artery ; Coronary artery disease ; Coronary Disease - physiopathology ; Coronary heart disease ; Coronary vessels ; Evaluation ; Family medical history ; Female ; Flow velocity ; Heart ; Heart attacks ; Heart diseases ; Hospitalization ; Humans ; Hypertension ; Ischemia ; Laboratories ; Medical imaging ; Medical research ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Mortality ; Myocardial infarction ; Myocardial Infarction - physiopathology ; National Heart, Lung, and Blood Institute (U.S.) ; Patients ; Pilot Projects ; Predictions ; Prognosis ; Public health ; Signs and symptoms ; Smoking ; Streisand, Barbra ; United States ; Women ; Women's Health ; Womens health</subject><ispartof>PloS one, 2014-05, Vol.9 (5), p.e96630</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Petersen et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Petersen et al 2014 Petersen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-1314518de1771a4976d20d4a73a130c3bae3e97a0d54e509563cc11a4421d8cf3</citedby><cites>FETCH-LOGICAL-c692t-1314518de1771a4976d20d4a73a130c3bae3e97a0d54e509563cc11a4421d8cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011756/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011756/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24800739$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Obukhov, Alexander G.</contributor><creatorcontrib>Petersen, John W</creatorcontrib><creatorcontrib>Johnson, B Delia</creatorcontrib><creatorcontrib>Kip, Kevin E</creatorcontrib><creatorcontrib>Anderson, R David</creatorcontrib><creatorcontrib>Handberg, Eileen M</creatorcontrib><creatorcontrib>Sharaf, Barry</creatorcontrib><creatorcontrib>Mehta, Puja K</creatorcontrib><creatorcontrib>Kelsey, Sheryl F</creatorcontrib><creatorcontrib>Merz, C Noel Bairey</creatorcontrib><creatorcontrib>Pepine, Carl J</creatorcontrib><title>TIMI frame count and adverse events in women with no obstructive coronary disease: a pilot study from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE)</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>TIMI frame count (TFC) predicts outcomes in patients with obstructive coronary artery disease (CAD); it remains unclear whether TFC predicts outcomes in patients without obstructive CAD.
TFC was determined in a sample of women with no obstructive CAD enrolled in the Women's Ischemia Syndrome Evaluation (WISE) study. Because TFC is known to be higher in the left anterior descending artery (LAD), TFC determined in the LAD was divided by 1.7 to provide a corrected TFC (cTFC).
A total of 298 women, with angiograms suitable for TFC analysis and long-term (6-10 year) follow up data, were included in this sub-study. Their age was 55±11 years, most were white (86%), half had a history of smoking, and half had a history of hypertension. Higher resting cTFC was associated with a higher rate of hospitalization for angina (34% in women with a cTFC >35, 15% in women with a cTFC ≤35, P<0.001). cTFC provided independent prediction of hospitalization for angina after adjusting for many baseline characteristics. In this cohort, resting cTFC was not predictive of major events (myocardial infarction, heart failure, stroke, or all-cause death), cardiovascular events, all-cause mortality, or cardiovascular mortality.
In women with signs and symptoms of ischemia but no obstructive CAD, resting cTFC provides independent prediction of hospitalization for angina. Larger studies are required to determine if resting TFC is predictive of major events in patients without obstructive coronary artery disease.</description><subject>Analysis</subject><subject>Angina</subject><subject>Arteries - physiopathology</subject><subject>Biology and Life Sciences</subject><subject>Cardiac patients</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cerebral infarction</subject><subject>Clinical outcomes</subject><subject>Consent</subject><subject>Coronary artery</subject><subject>Coronary artery disease</subject><subject>Coronary Disease - physiopathology</subject><subject>Coronary heart disease</subject><subject>Coronary vessels</subject><subject>Evaluation</subject><subject>Family medical history</subject><subject>Female</subject><subject>Flow velocity</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Heart diseases</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Ischemia</subject><subject>Laboratories</subject><subject>Medical imaging</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - physiopathology</subject><subject>National Heart, Lung, and Blood Institute (U.S.)</subject><subject>Patients</subject><subject>Pilot Projects</subject><subject>Predictions</subject><subject>Prognosis</subject><subject>Public health</subject><subject>Signs and symptoms</subject><subject>Smoking</subject><subject>Streisand, Barbra</subject><subject>United States</subject><subject>Women</subject><subject>Women's Health</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11rFDEUhgdRbK3-A9FAQduLXfM1X14ItVQ7UC3Yai9DNjmzmzKTrElmtT_I_2mm3Zau9EIGZkLmed_zkZwse0nwlLCSvLt0g7eymy6dhSnGdVEw_CjbJjWjk4Ji9vjeeit7FsIlxjmriuJptkV5hXHJ6u3sz3nzpUGtlz0g5QYbkbQaSb0CHwDBCmwMyFj0y_WQ3iYukHXIzUL0g4pmNaq8s9JfIW0CyADvkURL07mIQhz0VfJ2PYoLQF-PTz42k5DyDc6DRhej5duAmqAW0BuJzq6sTjCgo5XsBhmNs2jvojk72n-ePWllF-DF-ruTff90dH54PDk5_dwcHpxMVFHTOCGM8JxUGkhZEsnrstAUay5LJgnDis0kMKhLiXXOIcd1XjClSCI5JbpSLdvJXt_4LjsXxLrDQZCcEk5pUeFENDeEdvJSLL3pU-nCSSOuN5yfC-mjUR0IUJQDrbCkM84ZtDNV1RWmVCs1K3NJk9eHdbRh1oNWqddedhumm3-sWYi5WwmOCSlT8jvZ3trAu58DhCh6ExR0nbTghuu8x6RrOsba_Qd9uLo1NZepAGNbl-Kq0VQccFKVuCQVS9T0ASo9Oh2jStexNWl_Q7C_IUhMhN9xLocQRHP27f_Z0x-b7Jt77AJkFxfBdcN4c8ImyG9A5V0IHtq7JhMsxmm67YYYp0mspynJXt0_oDvR7fiwv4bNGoU</recordid><startdate>20140506</startdate><enddate>20140506</enddate><creator>Petersen, John W</creator><creator>Johnson, B Delia</creator><creator>Kip, Kevin E</creator><creator>Anderson, R David</creator><creator>Handberg, Eileen M</creator><creator>Sharaf, Barry</creator><creator>Mehta, Puja K</creator><creator>Kelsey, Sheryl F</creator><creator>Merz, C Noel Bairey</creator><creator>Pepine, Carl J</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20140506</creationdate><title>TIMI frame count and adverse events in women with no obstructive coronary disease: a pilot study from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE)</title><author>Petersen, John W ; Johnson, B Delia ; Kip, Kevin E ; Anderson, R David ; Handberg, Eileen M ; Sharaf, Barry ; Mehta, Puja K ; Kelsey, Sheryl F ; Merz, C Noel Bairey ; Pepine, Carl J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-1314518de1771a4976d20d4a73a130c3bae3e97a0d54e509563cc11a4421d8cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Analysis</topic><topic>Angina</topic><topic>Arteries - physiopathology</topic><topic>Biology and Life Sciences</topic><topic>Cardiac patients</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cerebral infarction</topic><topic>Clinical outcomes</topic><topic>Consent</topic><topic>Coronary artery</topic><topic>Coronary artery disease</topic><topic>Coronary Disease - physiopathology</topic><topic>Coronary heart disease</topic><topic>Coronary vessels</topic><topic>Evaluation</topic><topic>Family medical history</topic><topic>Female</topic><topic>Flow velocity</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Heart diseases</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Ischemia</topic><topic>Laboratories</topic><topic>Medical imaging</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petersen, John W</au><au>Johnson, B Delia</au><au>Kip, Kevin E</au><au>Anderson, R David</au><au>Handberg, Eileen M</au><au>Sharaf, Barry</au><au>Mehta, Puja K</au><au>Kelsey, Sheryl F</au><au>Merz, C Noel Bairey</au><au>Pepine, Carl J</au><au>Obukhov, Alexander G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>TIMI frame count and adverse events in women with no obstructive coronary disease: a pilot study from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE)</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-05-06</date><risdate>2014</risdate><volume>9</volume><issue>5</issue><spage>e96630</spage><pages>e96630-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>TIMI frame count (TFC) predicts outcomes in patients with obstructive coronary artery disease (CAD); it remains unclear whether TFC predicts outcomes in patients without obstructive CAD.
TFC was determined in a sample of women with no obstructive CAD enrolled in the Women's Ischemia Syndrome Evaluation (WISE) study. Because TFC is known to be higher in the left anterior descending artery (LAD), TFC determined in the LAD was divided by 1.7 to provide a corrected TFC (cTFC).
A total of 298 women, with angiograms suitable for TFC analysis and long-term (6-10 year) follow up data, were included in this sub-study. Their age was 55±11 years, most were white (86%), half had a history of smoking, and half had a history of hypertension. Higher resting cTFC was associated with a higher rate of hospitalization for angina (34% in women with a cTFC >35, 15% in women with a cTFC ≤35, P<0.001). cTFC provided independent prediction of hospitalization for angina after adjusting for many baseline characteristics. In this cohort, resting cTFC was not predictive of major events (myocardial infarction, heart failure, stroke, or all-cause death), cardiovascular events, all-cause mortality, or cardiovascular mortality.
In women with signs and symptoms of ischemia but no obstructive CAD, resting cTFC provides independent prediction of hospitalization for angina. Larger studies are required to determine if resting TFC is predictive of major events in patients without obstructive coronary artery disease.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24800739</pmid><doi>10.1371/journal.pone.0096630</doi><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Analysis Angina Arteries - physiopathology Biology and Life Sciences Cardiac patients Cardiology Cardiovascular disease Cardiovascular diseases Cerebral infarction Clinical outcomes Consent Coronary artery Coronary artery disease Coronary Disease - physiopathology Coronary heart disease Coronary vessels Evaluation Family medical history Female Flow velocity Heart Heart attacks Heart diseases Hospitalization Humans Hypertension Ischemia Laboratories Medical imaging Medical research Medicine Medicine and Health Sciences Middle Aged Mortality Myocardial infarction Myocardial Infarction - physiopathology National Heart, Lung, and Blood Institute (U.S.) Patients Pilot Projects Predictions Prognosis Public health Signs and symptoms Smoking Streisand, Barbra United States Women Women's Health Womens health |
title | TIMI frame count and adverse events in women with no obstructive coronary disease: a pilot study from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE) |
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