Transmyocardial laser revascularisation compared with continued medical therapy for treatment of refractory angina pectoris: a prospective randomised trial. ATLANTIC Investigators. Angina Treatments-Lasers and Normal Therapies in Comparison.
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| Title: | Transmyocardial laser revascularisation compared with continued medical therapy for treatment of refractory angina pectoris: a prospective randomised trial. ATLANTIC Investigators. Angina Treatments-Lasers and Normal Therapies in Comparison. |
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| Authors: | Burkhoff D (AUTHOR), Schmidt S (AUTHOR), Schulman SP (AUTHOR), Myers J (AUTHOR), Resar J (AUTHOR), Becker LC (AUTHOR), Weiss J (AUTHOR), Jones JW (AUTHOR), ATLANTIC Investigators (CORPORATE AUTHOR), Burkhoff, D (AUTHOR), Schmidt, S (AUTHOR), Schulman, S P (AUTHOR), Myers, J (AUTHOR), Resar, J (AUTHOR), Becker, L C (AUTHOR), Weiss, J (AUTHOR), Jones, J W (AUTHOR) |
| Source: | Lancet. 9/11/1999, Vol. 354 Issue 9182, p885-890. 6p. |
| Abstract: | |
| Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 107231741 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Transmyocardial laser revascularisation compared with continued medical therapy for treatment of refractory angina pectoris: a prospective randomised trial. ATLANTIC Investigators. Angina Treatments-Lasers and Normal Therapies in Comparison. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Burkhoff+D%22">Burkhoff D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schmidt+S%22">Schmidt S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schulman+SP%22">Schulman SP</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Myers+J%22">Myers J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Resar+J%22">Resar J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Becker+LC%22">Becker LC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weiss+J%22">Weiss J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jones+JW%22">Jones JW</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22ATLANTIC+Investigators%22">ATLANTIC Investigators</searchLink> (CORPORATE AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burkhoff%2C+D%22">Burkhoff, D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schmidt%2C+S%22">Schmidt, S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schulman%2C+S+P%22">Schulman, S P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Myers%2C+J%22">Myers, J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Resar%2C+J%22">Resar, J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Becker%2C+L+C%22">Becker, L C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weiss%2C+J%22">Weiss, J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jones%2C+J+W%22">Jones, J W</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Lancet%22">Lancet</searchLink>. 9/11/1999, Vol. 354 Issue 9182, p885-890. 6p. – Name: Abstract Label: Abstract Group: Ab Data: <bold>Background: </bold>Transmyocardial revascularisation (TMR) is an operative treatment for refractory angina pectoris when bypass surgery or percutaneous transluminal angioplasty is not indicated. We did a prospective randomised trial to compare TMR with continued medication.<bold>Methods: </bold>We recruited 182 patients from 16 US centres with Canadian Cardiovascular Society Angina (CCSA) score III (38%) or IV (62%), reversible ischaemia, and incomplete response to other therapies. Patients were randomly assigned TMR and continued medication (n=92) or continued medication alone (n=90). Baseline assessments were angina class, exercise tolerance, Seattle angina questionnaire for quality of life, and dipyridamole thallium stress test. We reassessed patients at 3 months, 6 months, and 12 months, with independent masked angina assessment at 12 months.<bold>Findings: </bold>At 12 months, total exercise tolerance increased by a median of 65 s in the TMR group compared with a 46 s decrease in the medication-only group (p<0.0001, median difference 111 s). Independent CCSA score was II or lower in 47.8% in the TMR group compared with 14.3% in the medication-only group (p<0.001). Each Seattle angina questionnaire index increased in the TMR group significantly more than in the medication-only group (p<0.001).<bold>Interpretation: </bold>TMR lowered angina scores, increased exercise tolerance time, and improved patients' perceptions of quality of life. This operative treatment provided clinical benefits in patients with no other therapeutic options. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=107231741 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/s0140-6736(99)08113-1 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 885 Titles: – TitleFull: Transmyocardial laser revascularisation compared with continued medical therapy for treatment of refractory angina pectoris: a prospective randomised trial. ATLANTIC Investigators. Angina Treatments-Lasers and Normal Therapies in Comparison. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Burkhoff D – PersonEntity: Name: NameFull: Schmidt S – PersonEntity: Name: NameFull: Schulman SP – PersonEntity: Name: NameFull: Myers J – PersonEntity: Name: NameFull: Resar J – PersonEntity: Name: NameFull: Becker LC – PersonEntity: Name: NameFull: Weiss J – PersonEntity: Name: NameFull: Jones JW – PersonEntity: Name: NameFull: ATLANTIC Investigators – PersonEntity: Name: NameFull: Burkhoff, D – PersonEntity: Name: NameFull: Schmidt, S – PersonEntity: Name: NameFull: Schulman, S P – PersonEntity: Name: NameFull: Myers, J – PersonEntity: Name: NameFull: Resar, J – PersonEntity: Name: NameFull: Becker, L C – PersonEntity: Name: NameFull: Weiss, J – PersonEntity: Name: NameFull: Jones, J W IsPartOfRelationships: – BibEntity: Dates: – D: 11 M: 09 Text: 9/11/1999 Type: published Y: 1999 Identifiers: – Type: issn-print Value: 01406736 Numbering: – Type: volume Value: 354 – Type: issue Value: 9182 Titles: – TitleFull: Lancet Type: main |
| ResultId | 1 |
