OBJECTIVES We sought to examine completed 10-year survival and event-free survival in patients with stable and unstable angina pectoris treated by coronary balloon angioplasty. BACKGROUND Patients with unstable angina are at increased risk for recurrent acute coronary events. METHODS The study included 208 consecutive patients (133 with stable and 75 with unstable angina pectoris) undergoin...

SUMMARY The effect of exercise-induced myocardial ischemia on cardiopulmonary blood volume was evaluated in patients with coronary artery disease during upright exercise stress testing. Regional pulmonary and cardiac blood volumes were monitored with a multicrystal positron camera positioned over the chest during maximal exercise on a bicycle ergometer. Inhaled carbon monoxide (< 10 ppm) labele...

The implementation of comprehensive coronary care (CCC), including multiple measures involving physical, psychologic, and pharmacologic procedures, together with a new concept of pharmacologic and surgical revascularization, have caused a remarkable improvement in the treatment of coronary patients with angina pectoris. The role of physical training per se is one measure of CCC and one must obs...

BACKGROUND In primary prevention, anticoagulation with warfarin sodium to an international normalized ratio of 1.5 and 75 mg of aspirin per day each reduced the incidence of coronary heart disease (CHD). Effects on the development of angina pectoris and total CHD (resulting from angina, myocardial infarction, and coronary death) have been assessed, particularly in light of recent evidence that ...

OBJECTIVES We sought to evaluate whether coronary collateral flow is clinically relevant for future cardiac ischemic events. BACKGROUND The link between good collateral supply related to less myocardial damage and fewer cardiac events has not been established prospectively beyond doubt. METHODS In 403 patients with stable angina pectoris undergoing percutaneous transluminal coronary angioplasty...

I n the last decade or two, the idea of coronary artery spasm as a factor in the production ofsymptoms has achieved great prominence. The modern story, however, properly begins half a century ago, with the observation of Riseman and Stern’ that the amount of walking that will precipitate angina pectonis in patients is highly reproducible when conditions are standardized with respect to ambient ...

BACKGROUND In the past 10 years, there has been a trend to use more arterial grafts instead of vein grafts for coronary artery bypass graft surgery. Although there are many reports on the short- and mid-term follow-up of patients who underwent arterial revascularization with 1 or 2 arteries, little has been reported on the follow-up of patients with 3-vessel disease who received 3 arteries. M...

OBJECTIVES The objective of this study was to compare the long-term outcome of patients with an isolated high-grade stenosis of the left anterior descending (LAD) coronary artery randomized to percutaneous transluminal coronary angioplasty with stenting (PCI, stenting) or to off-pump coronary artery bypass grafting (surgery). METHODS Patients with an isolated high-grade stenosis (American Col...

Granulomatosis with polyangiitis (GPA) often causes small blood vessel lesions in multiple organs, with less impact on large vessels. We report a case involving not only large blood vessels, but also angina. The computed tomographic angiography of large vessels and vascular ultrasonography of the extremity also suggested great arteries of the body were involved. Further cytoplasmic antineutroph...

INTRODUCTION The Danish National Patient Register (DNPR)is widely used for research and administrative purposes. However, its usability is highly dependent of the validity of the registered data. We therefore aimed to determine the positive predictive value (PPV) of angina pectoris and acute coronary syndrome (ACS) in the DNPR. METHODS We selected a random sample of 500 patients registered wi...