Research Topics
Species | L H OpieSummaryAffiliation: University of Cape Town Country: South Africa Publications
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Publications
H-89, a non-specific inhibitor of protein kinase A, promotes post-ischemic cardiac contractile recovery and reduces infarct sizeSiyanda Makaula
Hatter Institute for Cardiology Research and Servier Heart Failure Laboratory, University of Cape Town Faculty of Health Sciences, South Africa
J Cardiovasc Pharmacol 45:341-7. 2005..PKA-inhibition by H-89 further decreased infarct size beyond preconditioning or forskolin. Despite the reservation that H-89 could be non-selective in its actions, we propose H-89 as a candidate cardioprotective agent...
Controversies in cardiologyLionel H Opie
Hatter Heart Research Institute, Chris Barnard Building, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Observatory, Cape Town 7925, South Africa
Lancet 367:13-4. 2006
Controversies in ventricular remodellingLionel H Opie
Hatter Institute for Heart Research, Cape Heart Centre and Department of Medicine, University of Cape Town Faculty of Health Sciences, Observatory 7925, Cape Town, South Africa
Lancet 367:356-67. 2006....
Signal transducer and activator of transcription 3 is involved in the cardioprotective signalling pathway activated by insulin therapy at reperfusionBritt N Fuglesteg
Dept of Medical Physiology, Faculty of Medicine, University of Tromsø, 9037, Tromsø, Norway
Basic Res Cardiol 103:444-53. 2008..To evaluate the significance of the JAK-STAT pathway in insulin-induced cardioprotection from reperfusion injury...
Metabolic plasticity and the promotion of cardiac protection in ischemia and ischemic preconditioningLionel H Opie
Hatter Institute for Cardiology Research and Medical Research Council Inter University Cape Heart Group, Cape Heart Centre, University of Cape Town Medical School, South Africa
J Mol Cell Cardiol 34:1077-89. 2002..In this review we discuss studies that demonstrate how metabolic plasticity can promote cardioprotection against ischemia and reperfusion injury and highlight areas that require further characterization...
Antihypertensive effects of angiotensin converting enzyme inhibition by lisinopril in post-transplant patientsLionel H Opie
Hypertension Clinic, Department of Medicine, Groote Schuur Hospital and Cape Heart Centre, University of Cape Town, Observatory, South Africa
Am J Hypertens 15:911-6. 2002..The secondary objective was to monitor echocardiographic and hemodynamic end points...
Calcium channel blockers in hypertension: reappraisal after new trials and major meta-analysesL H Opie
Cape Heart Centre, University of Cape Town, South Africa
Am J Hypertens 14:1074-81. 2001..In conclusion, overall CCB are neither better nor worse than conventional therapy, allowing for possible small differences in stroke and MI. The ACE inhibitors may protect better, although data are incomplete...
Enhanced angiotensin II activity in heart failure: reevaluation of the counterregulatory hypothesis of receptor subtypesL H Opie
Hatter Institute and Medical Research Council Inter University Cape Heart Group, University of Cape Town Medical School, Cape Town, South Africa
Circ Res 88:654-8. 2001..In this review, we conclude that the collective evidence does not strongly support a net beneficial effect of AT(2) stimulation in the diseased myocardium...
First line drugs in chronic stable effort angina--the case for newer, longer-acting calcium channel blocking agentsL H Opie
Heart Research Unit and Hatter Institute, Cape Heart Center, University of Cape Town, South Africa
J Am Coll Cardiol 36:1967-71. 2000..The choice of drug should be keyed to the needs and the pathophysiology of the individual patient...
Controversies in stable coronary artery diseaseLionel H Opie
Hatter Institute for Heart Research, Cape Heart Centre and Department of Medicine, University of Cape Town Medical School, Observatory 7925, South Africa
Lancet 367:69-78. 2006..Thus, effort angina needs comprehensive assessment, lifestyle changes, and treatment tailored to the individual patient...
Old antihypertensives and new diabetesLionel H Opie
Hypertension Clinic, Department of Medicine, Groote Schuur Hospital and Hatter Institute, Cape Heart Centre, University of Cape Town Faculty of Health Sciences, Observatory, Cape Town, South Africa
J Hypertens 22:1453-8. 2004..Therefore endothelial changes could help to explain the benefits of 'modern' treatment compared with the defects of conventional therapy...
Preconditioning and metabolic anti-ischaemic agentsLionel H Opie
Hatter Institute for Cardiology Research, University of Cape Town Faculty of Health Sciences, Cape Town, South Africa
Eur Heart J 24:1854-6. 2003..By lessening the oxygen-wasting effects of fatty acids, they are mitochondrial protective and oxygen-sparing. These qualities should help in the therapy of myocardial ischemia and also heart failure...
Angina pectoris: the evolution of conceptsLionel H Opie
Faculty of Health Sciences, University of Cape Town, South Africa
J Cardiovasc Pharmacol Ther 9:S3-9. 2004
Evidence-based evaluation of calcium channel blockers for hypertension: equality of mortality and cardiovascular risk relative to conventional therapyLionel H Opie
Hatter Institute, Department of Medicine, Cape Heart Center, University of Cape Town Medical School, Cape Town, South Africa
J Am Coll Cardiol 39:315-22. 2002....
Hypertension in sub-Saharan African populationsLionel H Opie
Hatter Institute for Cardiology Research, University of Cape Town, Cape Town, South Africa
Circulation 112:3562-8. 2005..Hypertension in sub-Saharan Africa is a widespread problem of immense economic importance because of its high prevalence in urban areas, its frequent underdiagnosis, and the severity of its complications...
The metabolic vicious cycle in heart failureLionel H Opie
Hatter Institute, Department of Medicine, Faculty of Health Sciences, University of Cape Town Medical School, Cape Town, South Africa
Lancet 364:1733-4. 2004
Tedisamil in coronary disease: additional benefits in the therapy of atrial fibrillation?Lionel H Opie
Hatter Institute, Cape Heart Center, University of Cape Town Medical School, South Africa
J Cardiovasc Pharmacol Ther 8:S33-7. 2003..Hence, the double properties of tedisamil as a drug that both inhibits atrial fibrillation and acts in an anti-ischemic mode are an attractive basis for future clinical research...
Glucose delivery is a major determinant of glucose utilisation in the ischemic myocardium with a residual coronary flowL M King
MRC UCT Ischemic Heart Disease Research Unit, UCT Medical School, Observatory, Cape Town, South Africa
Cardiovasc Res 39:381-92. 1998..To resolve this contradiction, we investigated glucose uptake at very low coronary flows in the isolated rat heart model...
Dual activation of STAT-3 and Akt is required during the trigger phase of ischaemic preconditioningNaushaad Suleman
Hatter Cardiovascular Research Institute, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Private Bag 3, 7935 Observatory, South Africa
Cardiovasc Res 79:127-33. 2008..Conversely, we proposed that there would be no such interaction when preconditioning was induced by TNFalpha (TNF-PC)...
Effects of mibefradil, a novel calcium channel blocking agent with T-type activity, in acute experimental myocardial ischemia: maintenance of ventricular fibrillation threshold without inotropic compromiseC A Muller
Medical Research Council Heart Research Group, Cape Heart Centre, University of Cape Town, South Africa
J Am Coll Cardiol 32:268-74. 1998....
Qualities of an ideal beta-adrenoceptor antagonist and comparison of existing agents with a new cardioselective hydrophilic vasodilator beta-adrenoceptor antagonist, celiprololL H Opie
Department of Medicine, University of Cape Town, Observatory, South Africa
Am J Cardiol 61:8C-13C. 1988..Further testing is indicated, particularly in relation to effects on epinephrine-induced hypokalemia, blood lipid profiles, clinical vasodilatory properties and effects on the quality of life, especially in geriatric patients...
Hypertension, the changing pattern of drug usageL H Opie
Hatter Institute for Cardiovascular Research, Department of Medicine, Chris Barnard Building, Faculty of Health Sciences, University of Cape Town, Observatory
Cardiovasc J Afr 20:52-6. 2009..In assessing the value of potentially conflicting evidence, attention should be paid to the hierarchy of evidence, which works its way up through 10 steps from isolated case reports to integrated knowledge...
Combination of a calcium antagonist, verapamil, with an angiotensin converting enzyme inhibitor, trandolapril, in experimental myocardial ischemia and reperfusion: antiarrhythmic and hemodynamic effects of chronic oral pretreatmentC A Muller
Medical Research Council Heart Research Group, Cape Heart Centre, University of Cape Town, South Africa
Cardiovasc Drugs Ther 12:449-55. 1998..Thus the addition of the ACE inhibitor trandolapril to the calcium antagonist verapamil resulted in antiarrhythmic activity during ischemia and reperfusion, and produced a better hemodynamic profile...
Current status of safety and efficacy of calcium channel blockers in cardiovascular diseases: a critical analysis based on 100 studiesL H Opie
University of Cape Town, South Africa
Prog Cardiovasc Dis 43:171-96. 2000....
Cardiac metabolism in ischemic heart diseaseL H Opie
Heart Research Unit, Cape Heart Centre, University of Cape Town, Medical School, South Africa
Arch Mal Coeur Vaiss 92:1755-60. 1999..Metabolic therapy acting to protect the ischemic cell deserves more attention...
Calcium channel blockers for hypertension: dissecting the evidence for adverse effectsL H Opie
MRC Unit for Ischaemic Heart Disease, University of Cape Town, South Africa
Am J Hypertens 10:565-77. 1997....
Dinitrophenol, cyclosporin A, and trimetazidine modulate preconditioning in the isolated rat heart: support for a mitochondrial role in cardioprotectionJ Minners
The Hatter Institute for Cardiology Research, Interuniversity Cape Heart Research Group of the Medical Research Council, University of Cape Town Medical School, Observatory, 7925, Cape Town, South Africa
Cardiovasc Res 47:68-73. 2000..We hypothesized that the modulation of mitochondrial homeostasis might confer preconditioning-like cardioprotection...
Comparison of respiratory effects of two cardioselective beta-blockers, celiprolol and atenolol, in asthmatics with mild to moderate hypertensionA I van Zyl
Ischaemic Heart Disease Research Unit, University of Cape Town, South Africa
Chest 95:209-13. 1989..When given acutely, celiprolol appeared to have acute bronchosparing properties, possibly providing a greater margin of respiratory safety than atenolol...
The choice of first-line therapy: rationale for low-dose combinations of an angiotensin converting enzyme inhibitor and a diureticL H Opie
Heart Research Unit, University of Cape Town, Medical School Observatory, South Africa
J Hypertens Suppl 19:S17-21. 2001..The two drug classes may have a synergistic effect on hypertensive target organ disease and blood pressure. Triple therapy with a calcium antagonist may be needed to achieve blood pressure control in more severely hypertensive patients...
TNFalpha is required to confer protection in an in vivo model of classical ischaemic preconditioningGraeme A Deuchar
Hatter Institute for Cardiology Research, Department of Medicine, Cape Heart Centre, Faculty of Health Sciences, University of Cape Town, Observatory 7925, South Africa
Life Sci 80:1686-91. 2007..In addition, exogenous TNFalpha mimics IPC by providing a dose-dependent cardioprotective effect against ischaemia-reperfusion injury in vivo...
Diazoxide-induced respiratory inhibition - a putative mitochondrial K(ATP) channel independent mechanism of pharmacological preconditioningJan Minners
Hatter Institute for Cardiology Research, MRC Inter University Cape Heart Group, University of Cape Town Medical School, Cape Town, South Africa
Mol Cell Biochem 294:11-8. 2007..Collectively these data support the hypothesis that diazoxide-mediated cytoprotection is independent of the conductance of the mK(ATP) channel and rather implicate mitochondrial respiratory inhibition-triggered ROS signaling...
Efficacy and tolerability of nisoldipine coat-core formulation in the treatment of essential hypertension: The South African Multicenter ANCHOR Study. Ambulatory Nisoldipine Coat-Core Hypertension Outpatient Response (ANCHOR) InvestigatorsL H Opie
Heart Research Unit and Hypertension Clinic, University of Cape Town Medical School, South Africa
Am J Hypertens 10:250-60. 1997..In conclusion, once-daily nisoldipine CC at doses of 10 to 30 mg was an effective and well tolerated antihypertensive agent, providing 24-h control of blood pressure without any increase in heart rate...
TNF? protects cardiac mitochondria independently of its cell surface receptorsLydia Lacerda
Cardioprotection Group, Hatter Cardiovascular Research Institute, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory 7925, Cape Town, South Africa
Basic Res Cardiol 105:751-62. 2010..This effect appears to be independent of its cell surface receptors, but is likely to be mediated by ROS and sphingolipids...
Effect of losartan versus candesartan on uric acid, renal function, and fibrinogen in patients with hypertension and hyperuricemia associated with diureticsBrian L Rayner
Division of Hypertension, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa
Am J Hypertens 19:208-13. 2006..Hyperuricemia may counter benefits of blood pressure (BP) reduction, although this is controversial...
Beta-blockade should not be among several choices for initial therapy of hypertensionLionel H Opie
Hypertension Clinic, Department of Medicine, Groote Schuur Hospital and Hatter Institute, Cape Heart Centre, University of Cape Town Faculty of Health Sciences, Observatory, Cape Town, 7925, South Africa
J Hypertens 26:161-3. 2008
Ceramide attenuates hypoxic cell death via reactive oxygen species signalingSandrine Lecour
Hatter Institute for Cardiology Research, University of Cape Town, South Africa
J Cardiovasc Pharmacol 47:158-63. 2006..Collectively, these data demonstrate that ceramide induces a cell survival program through ROS signaling activated, in part, via cyclooxygenase and the mitochondrial respiratory chain...
Pharmacological preconditioning with tumor necrosis factor-alpha activates signal transducer and activator of transcription-3 at reperfusion without involving classic prosurvival kinases (Akt and extracellular signal-regulated kinase)Sandrine Lecour
Department of Medicine, Hatter Institute for Cardiology Research, Cape Heart Centre, Faculty of Health Sciences, University of Cape Town, South Africa
Circulation 112:3911-8. 2005....
Ethanolamine is a novel STAT-3 dependent cardioprotective agentRoisin F Kelly
Hatter Cardiovascular Research Institute, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Basic Res Cardiol 105:763-70. 2010..75 ± 0.08 vs. Etn 1.50 ± 0.09 arbitrary units; P < 0.05]. Our findings suggest a novel cardioprotective role for ethanolamine against I/R injury via activation of STAT-3...
Ceramide-induced preconditioning involves reactive oxygen speciesSandrine Lecour
Hatter Institute for Cardiology Research, Department of Medicine, University of Cape Town Medical School, Cape Town, South Africa
Life Sci 78:1702-6. 2006..Ceramide is known to generate reactive oxygen species (ROS) in cells. Since mechanisms triggering the ceramide-induced cardioprotection remain unknown, we investigated the role of ROS in the genesis of this protective mechanism...
Acute myocardial infarction and diabetesLionel H Opie
Hatter Cardiovascular Research Institute, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Observatory, Cape Town 7925, South Africa
Lancet 370:634-5. 2007
The red wine hypothesis: from concepts to protective signalling moleculesLionel H Opie
Department of Medicine, Faculty of Health Sciences, Hatter Cardiovascular Research Institute, University of Cape Town, Private Bag 3, Observatory, South Africa
Eur Heart J 28:1683-93. 2007..Mechanistic feasibility strengthens the case for prospective therapeutic trials of alcohol vs. red wine vs. resveratrol, for example in those with heart failure...
Ischaemic postconditioning protects against reperfusion injury via the SAFE pathwayLydia Lacerda
Hatter Cardiovascular Research Institute, Cardioprotection Group, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Observatory 7925, Cape Town, South Africa
Cardiovasc Res 84:201-8. 2009....
The adrenergic-fatty acid load in heart failureLionel H Opie
Hatter Cardiovascular Research Institute, Department of Medicine, University of Cape Town, South Africa
J Am Coll Cardiol 54:1637-46. 2009..Other future therapies may include malonyl-coenzyme A regulators to inhibit fatty acid oxidation, fish oil omega-3, and activators of protein kinase C-epsilon...
Metabolic syndromeLionel H Opie
Cape Heart Center, Hatter Institute and Department of Medicine, University of Cape Town Medical School, Observatory, Cape Town 7925, South Africa
Circulation 115:e32-5. 2007
The chest radiograph. A useful investigation in the evaluation of hypertensive patientsBrian L Rayner
Division of Hypertension, University of Cape Town, Cape Town, South Africa
Am J Hypertens 17:507-10. 2004..The aim of our study was to determine the usefulness of the chest radiograph in the assessment of target organ damage in hypertensive patients...
Principles of combination therapy for hypertension: what we learn from the HOT and other studies--a personal point of viewL H Opie
Medical Research Council Heart Research Group, Cape Heart Centre, University of Cape Town, South Africa
Cardiovasc Drugs Ther 12:425-9. 1998..To achieve such low levels requires combination therapy in the majority. Combination therapy is set to become standard practice in the management of hypertension, so that it is now appropriate to consider the principles involved...
A role for the RISK pathway and K(ATP) channels in pre- and post-conditioning induced by levosimendan in the isolated guinea pig heartE F Du Toit
Department of Biomedical Sciences, Faculty of Health Sciences, University of Stellenbosch, Western Cape, South Africa
Br J Pharmacol 154:41-50. 2008....
Diuretic downsides--but in low doses they still seem among the best authenticated antihypertensivesL H Opie
Heart Research Unit, Cape Heart Centre, University of Cape Town Medical School, South Africa
Cardiovasc Drugs Ther 14:407-9. 2000..Thus, it is argued, low- but not high-dose diuretics retain their primacy in the ranking of antihypertensive therapy...
Endothelin release during ischaemia and reperfusion of isolated perfused rat heartsF Brunner
Department of Medicine, Groote Schuur Hospital, South Africa
J Mol Cell Cardiol 24:1291-305. 1992....
Genetic depletion of cardiac myocyte STAT-3 abolishes classical preconditioningRobert M Smith
Hatter Institute for Cardiology Research, Faculty of Health Sciences, University of Cape Town Observatory, Cape Heart Centre, Chris Barnard Building, Cape Town 7925, South Africa
Cardiovasc Res 63:611-6. 2004..To evaluate the functional requirement of signal transducer and activator of transcription-3 (STAT-3) in cardiac myocyte tolerance to ischemia (I) and in classical preconditioning...
Identification of a novel role for sphingolipid signaling in TNF alpha and ischemic preconditioning mediated cardioprotectionSandrine Lecour
Hatter Institute for Cardiology Research, MRC Inter-University Cape Heart Group, University of Cape Town Medical School, South Africa
J Mol Cell Cardiol 34:509-18. 2002..In conclusion, TNF alpha activates preconditioning-like tolerance against infarction and contractile dysfunction. This cardioprotection is mediated, in part, via activation of novel sphingolipid signaling intermediates...
[Sphingolipid signaling: a potential pathway for TNF-alpha induced preconditioning]S Lecour
Hatter Institute for Cardiology Research, MRC Inter University Cape Heart Group, Chris Barnard Building, University of Cape Town Medical School, Cape Town 7925, Afrique du Sud
Ann Cardiol Angeiol (Paris) 52:363-9. 2003..Moreover, new studies have given the evidence that the exploration of cytokine-activated sphingolipid signalling pathways may enhance our understanding of the preconditioning program...
Decreased rates of release of atrial natriuretic peptide from isolated hearts from aging hypertensive ratsL H Opie
Ischaemic Heart Disease Research Unit, Medical Research Council, Cape Town, South Africa
Am J Hypertens 5:748-53. 1992..Therefore, in rats with genetic hypertension, there is an impairment of release of ANP from the isolated heart in response to left atrial distention...
Myocardial stunning--we do not know the mechanism nor is there "overwhelming evidence" for a major role of free radicalsL H Opie
University of Cape Town Medical School, South Africa
Basic Res Cardiol 93:152-5. 1998....
AMPK activation represses the human gene promoter of the cardiac isoform of acetyl-CoA carboxylase: Role of nuclear respiratory factor-1Tasneem Adam
Hatter Cardiovascular Research Institute, Faculty of Health Sciences, University of Cape Town, Observatory 7925, South Africa
Biochem Biophys Res Commun 398:495-9. 2010..2% (p<0.001 vs. control). This study demonstrates that NRF-1 is a novel transcriptional inhibitor of the human ACCbeta gene promoter in the mammalian heart. Our data extends AMPK regulation of ACCbeta to the transcriptional level...
The neuroendocrinology of congestive heart failureLionel H Opie
Cape Heart Centre, Department of Medicine, University of Cape Town, South Africa
Cardiovasc J S Afr 13:171-8. 2002..Current therapies of heart failure are largely based on inhibition of the neuroendocrine response...
Errors: incompetence, ineptitude or failureLionel H Opie
Hatter Institute, Faculty of Health Sciences, University of Cape Town, Observatory 7925, South Africa
Lancet 362:731. 2003
Letter by Opie and Selker regarding article, "Reperfusion starts in the ambulance"Lionel H Opie
Circulation 114:e640; author reply e641. 2006
Introduction to JMCC symposium on myocardial energy metabolism in health and diseaseGary D Lopaschuk
Cardiovascular Research Group, University of Alberta-Faculty of Med./Dentist, 423 Heritage Medical Research Centre, Edmonton, AB, T6G 2S2, Canada
J Mol Cell Cardiol 34:1075-6. 2002
A challenge to the metabolic approach to myocardial ischaemiaCarl S Apstein
Cardiac Muscle Research Laboratory, Boston University School of Medicine, Boston, MA, USA
Eur Heart J 26:956-9. 2005....
Metabolic management of acute myocardial infarction comes to the fore and extends beyond control of hyperglycemiaLionel H Opie
Circulation 117:2172-7. 2008
Diabetic nephropathy: can renoprotection be extrapolated to cardiovascular protection?Lionel H Opie
Circulation 106:643-5. 2002
Free fatty acid depletion acutely decreases cardiac work and efficiency in cardiomyopathic heart failureHelena Tuunanen
Turku PET Centre, Turku, Finland
Circulation 114:2130-7. 2006..Thus, failing hearts are unexpectedly more dependent than healthy hearts on FFA availability. We propose that both glucose and fatty acid oxidation are required for optimal function of the failing heart...
Metabolic therapy for heart failureM Faadiel Essop
Eur Heart J 25:1765-8. 2004
How strong is the evidence for use of beta-blockers as first-line therapy for hypertension? Systematic review and meta-analysisHazel A Bradley
School of Public Health, University of the Western Cape, South Africa
J Hypertens 24:2131-41. 2006..Compared with diuretics, they had similar outcomes, but were less well tolerated. Hence beta-blockers are generally suboptimal first-line antihypertensive drugs...
Cost-effectiveness analysis of hypertension guidelines in South Africa: absolute risk versus blood pressure levelThomas A Gaziano
Division of Social Medicine and Health Inequalities, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
Circulation 112:3569-76. 2005..Guidelines based on blood pressure level for initiation of treatment of hypertension may be too costly compared with an approach based on absolute cardiovascular disease (CVD) risk, especially in developing countries...
Angiotensin receptor blockers and myocardial infarction: direct comparative studies are neededLionel H Opie
BMJ 330:1270; author reply 1270-1. 2005
Myocardial perfusion in type 2 diabetes with left ventricular hypertrophy: normalisation by acute angiotensin-converting enzyme inhibitionBirger Hesse
Department of Clinical Physiology and Nuclear Medicine, KF 4011, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen, Denmark
Eur J Nucl Med Mol Imaging 31:362-8. 2004..It is concluded that acute ACE inhibition with perindoprilat improves maximal achieved myocardial perfusion in non-hypertensive patients with diabetes and LVH...
Controversies in hypertensionNorman M Kaplan
University of Texas Southwestern Medical Center, Dallas, TX, USA
Lancet 367:168-76. 2006..We provide the background for these controversies, followed by some opinions on how to guide practitioners to offer more effective management of hypertension...
Controversies in atrial fibrillationStanley Nattel
Department of Medicine and Research Centre, Montreal Heart Institute, University of Montreal, Montreal, Quebec H1T 1C8, Canada
Lancet 367:262-72. 2006..The background of every controversy is reviewed and our opinions expressed. Here, we hope to inform physicians about the most important controversies in this specialty and stimulate investigators to address unresolved issues...
Cellular basis for therapeutic choices in heart failureLionel H Opie
Circulation 110:2559-61. 2004
Cardiovascular disease prevention with a multidrug regimen in the developing world: a cost-effectiveness analysisThomas A Gaziano
Division of Cardiovascular Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02120, USA
Lancet 368:679-86. 2006..We therefore aimed to establish whether use of evidence-based multidrug regimens for patients at high risk for cardiovascular disease would be cost-effective in low-income and middle-income countries...
Beta-blockers and the treatment of hypertension: it is time to move onCharles Shey Wiysonge
Cardiovasc J Afr 18:351-2. 2007
Postconditioning: a simple, clinically applicable procedure to improve revascularization in acute myocardial infarctionJakob Vinten-Johansen
Circulation 112:2085-8. 2005
HIV/AIDS in South AfricaLionel H Opie
Lancet 366:291. 2005
What vitamins should I be taking?Lionel H Opie
N Engl J Med 346:1914-6; author reply 1914-6. 2002
Heart disease in AfricaLionel H Opie
Lancet 368:449-50. 2006
Trimetazidine, a metabolic modulator, has cardiac and extracardiac benefits in idiopathic dilated cardiomyopathyHelena Tuunanen
Turku PET Centre, PO Box 52, FI 20521 Turku, Finland
Circulation 118:1250-8. 2008..However, FFA oxidation remains unmeasured in humans. We investigated the effects of trimetazidine on cardiac perfusion, efficiency of work, and FFA oxidation in idiopathic dilated cardiomyopathy...
Glucose-insulin-potassium therapy in patients with STEMILionel H Opie
JAMA 299:2385-6; author reply 2387-8. 2008
Postconditioning for protection of the infarcting heartDerek M Yellon
The Hatter Cardiovascular Institute, University College of London Hospital and Medical School, London WC1E 6DB, UK
Lancet 367:456-8. 2006
A new mutation, R563Q, of the beta subunit of the epithelial sodium channel associated with low-renin, low-aldosterone hypertensionBrian L Rayner
Departments of aMedicine and bLaboratory Medicine, Groote Schuur Hospital and University of Cape Town, South Africa
J Hypertens 21:921-6. 2003..To determine the relationship between R563Q, a mutation of the renal epithelial sodium channel, and hypertension...
Medicine and conflictLionel H Opie
Lancet 361:1130. 2003
Cardiovascular disease in sub-Saharan AfricaLionel H Opie
Circulation 112:3536-40. 2005
