The effects of cold and exercise on the cardiovascular system

V Manou-Stathopoulou, CD Goodwin, T Patterson… - Heart, 2015 - heart.bmj.com
Decreased exercise tolerance and worsening of angina symptoms during the winter months
is a well-documented phenomenon among patients with coronary artery disease (CAD). 1 …

Republished:'Warm-up Angina': harnessing the benefits of exercise and myocardial ischaemia

RP Williams, V Manou-Stathopoulou… - Postgraduate …, 2014 - academic.oup.com
The phenomenon of warm-up angina was first noted over 200 years ago. It describes the
curious observation whereby exercise-induced ischaemia on second effort is significantly …

[HTML][HTML] Doppler versus thermodilution-derived coronary microvascular resistance to predict coronary microvascular dysfunction in patients with acute myocardial …

RP Williams, GA de Waard, K De Silva… - The American journal of …, 2018 - Elsevier
Coronary microvascular resistance is increasingly measured as a predictor of clinical
outcomes, but there is no accepted gold-standard measurement. We compared the …

Deleterious effects of cold air inhalation on coronary physiological indices in patients with obstructive coronary artery disease

RP Williams, KN Asrress, M Lumley, S Arri… - Journal of the …, 2018 - Am Heart Assoc
Background Cold air inhalation during exercise increases cardiac mortality, but the
pathophysiology is unclear. During cold and exercise, dual‐sensor intracoronary wires …

Myocardial revascularisation in high-risk subjects

SS Arri, T Patterson, RP Williams, K Moschonas… - Heart, 2018 - heart.bmj.com
The synergistic effect of comorbidity, coronary artery lesion complexity and left ventricular
(LV) systolic function can significantly increase the risk of adverse events at the time of …

Diagnosis and management of chronic heart failure

RP Williams, P Oakeshott - BMJ: British Medical Journal, 2014 - JSTOR
• B-type natriuretic peptide (BNP) or N-terminal pro-B-type natriuretic peptide (NT pro-BNP),
as per NICE guidance to assess likelihood of heart failure:-BNP> 400 pg/mL or NT pro …

Chapter 3 Cardiology

D Holdsworth, RP Williams, N Gall - Medicine for MRCP, 2020 - books.google.com
2. Afterload: MAP against which the LV volume is ejected:• As afterload increases, the
degree of end diastolic stretch of the LV increases, enhancing contractility. Pathologically …

[PDF][PDF] Doppler Versus Thermodilution-Derived Coronary Microvascular

RP Williams, G de Waard, K De Silva, M Lumley - Circulation, 2003 - cyberleninka.org
Coronary microvascular resistance is increasingly measured as a predictor of clinical
outcomes, but there is no accepted gold-standard measurement. We compared the …

Authors' reply to Creagh-Brown

RP Williams, P Oakeshott - BMJ: British Medical Journal …, 2014 - search.proquest.com
Creagh-Brown's point that [beta] blockers should be offered to patients with left ventricular
systolic dysfunction and chronic obstructive pulmonary disease without reversibility on …

Abstract P129: Role of the Autonomic Nervous System in Remote Postconditioning in Humans

RP Williams, MI Okorie, H Gill, JE Deanfield… - 2008 - Am Heart Assoc
Brief periods of ischaemia activate systemic mechanisms that induce whole-body tolerance
to subsequent prolonged and injurious ischaemia. This phenomenon, remote ischaemic …