A 30 year old man had an acute anterolateral myocardial infarction following which he developed unstable angina requiring percutaneous transluminal coronary angioplasty. He subsequently developed further angina with recurrence of coronary artery lesions that were reversed by intracoronary nitrate. A diagnosis of prinzmetal (vasospastic) angina was made and this had been the apparent cause of hi...

OBJECTIVE To derive a risk score for the combination of death from all causes, myocardial infarction, and disabling stroke in patients with stable symptomatic angina who require treatment for angina and have preserved left ventricular function. DESIGN Multivariate Cox regression analysis of data from a large multicentre trial. SETTING Outpatient cardiology clinics in western Europe, Israel,...

BACKGROUND Identification of patients at risk for progression of coronary stenosis and adverse clinical events while awaiting coronary angioplasty is desirable. OBJECTIVE To determine the standard clinical or angiographic variables, or both, present at initial angiography associated with the development of adverse coronary events (unstable angina, myocardial infarction, and angiographic total...

Among the first 400 patients undergoing saphenous vein coronary artery bypass at Stanford Medical Center, 67 (18%) met criteria for "preinfarction angina". Angina was alleviated and possible myocardial infarction was prevented utilizing these surgical technics. The overall operative mortality rate in the preinfarction angina patients was 10.4%, which contrasted strikingly with a 1.5% operative ...

The first 840 consecutive patients who underwent percutaneous transluminal coronary angioplasty (PTCA) performed in the same institution were retrospectively assessed at an average follow-up period of 25 months after the initial procedure. The study population consisted of 506 patients with stable angina pectoris (group 1) and 334 patients with unstable angina pectoris (group 2). Clinical end p...

Among the first 400 patients undergoing saphenous vein coronary artery bypass at Stanford Medical Center, 67 (18%) met criteria for "preinfarction angina". Angina was alleviated and possible myocardial infarction was prevented utilizing these surgical technics. The overall operative mortality rate in the preinfarction angina patients was 10.4%, which contrasted strikingly with a 1.5% operative ...

OBJECTIVE To ascertain the risk of acute myocardial infarction, invasive cardiac procedures, and mortality among patients with newly diagnosed angina over five years. DESIGN Incident cohort study of patients with primary care data linked to secondary care and mortality data. SETTING 40 primary care practices in Scotland. PARTICIPANTS 1785 patients with a diagnosis of angina as their first...

BACKGROUND Previous studies examining sex-related differences in the treatment of coronary artery disease have focused on patients in hospital. We sought to examine sex-related differences at an earlier point in care--presentation to the emergency department. METHODS We collected data on ambulatory care and hospital admissions for 54,134 patients (44% women) who presented to an emergency depa...

Among the first 400 patients undergoing saphenous vein coronary artery bypass at Stanford Medical Center, 67 (18%) met criteria for "preinfarction angina". Angina was alleviated and possible myocardial infarction was prevented utilizing these surgical technics. The overall operative mortality rate in the preinfarction angina patients was 10.4%, which contrasted strikingly with a 1.5% operative ...