BACKGROUND Angina is common both before and after myocardial infarction (MI). Whether the change in angina status within the first 30 days after MI is associated with subsequent readmission and angina persistence is unknown. METHODS AND RESULTS We studied 2915 MI patients enrolled at 24 hospitals in the Translational Research Investigating Underlying Disparities in Acute Myocardial Infarction...

© 2009 Mayo Foundation for Medical Education and Research The term acute coronary syndrome (ACS) refers to any group of clinical symptoms compatible with acute myocardial ischemia and covers the spectrum of clinical conditions ranging from unstable angina (UA) to non– ST-segment elevation myocardial infarction (NSTEMI) to ST-segment elevation myocardial infarction (STEMI). Unstable angina and N...

REINFARCTION ANGINA" is a degree of coronary insufficiency intermediate in severity between chronic angina pectoris on the one hand and actual myocardial infarction on the other. The syndrome has been described in some detail during the past 20 years, with considerable emphasis on early diagnosis and efficacy of different forms of therapy because of the high percentage of patients who subsequen...

1. Gluvic ZM, Putnikovic B, Panic M, Stojkovic A, Rasic-Milutinovic Z, Jankovic-Gavrilovic J. Acute coronary syndrome in diclofenac sodiuminduced type I hypersensitivity reaction: Kounis syndrome. Malta Medical Journal 2007: 3; 36-9. 2. Mori E, Ikeda H, Ueno T, Kai H, Haramaki N, Hashino T, et al. Vasospastic angina induced by nonsteroidal anti-inflammatory drugs. Clin Cardiol 1997; 20: 656-8. ...

Four patients with Prinzmetal's variant angina pectoris were subjected to continuous electrocardiographic recording. In three of them several episodes of ST segment elevation unaccompanied by pain were recorded. In one patient, identical electrocardiographic alterations were observed both in presence or in absence of pain, while in the others a good correlation was evident between pain and seve...

Myocardial Infarction To the Editor: Nonocclusive thrombus on preexisting plaques, dynamic obstruction, progressive obstruction, inflammation and/or infection, and secondary unstable angina seem to be the 5 not mutually exclusive causes of the unstable angina syndrome. These were suggested in the excellent editorial by E. Braunwald.1 In this editorial, it was pointed out that vasospastic angina...

A longitudinal population study of 1462 women aged 38-60 was carried out in Gothenburg, Sweden, in 1968-9. In univariate analysis the ratio of waist to hip circumference showed a significant positive association with the 12 year incidence of myocardial infarction, angina pectoris, stroke, and death. The association with incidence of myocardial infarction remained in multivariate analysis and wa...

Coronary artery vasospasm (CAVS) is a clinical entity that can cause angina, but also unstable angina pectoris, acute myocardial infarction, fatal arrhythmias, and sudden death. Although it condition usually controlled with medical treatment, more aggressive treatments may rarely be required. In this case, the patient known diagnosis of CAVS had multiple arrests despite optimal treatment. We ob...

Coronary artery spasm is a recognized cause of myocardial infarction. This report describes a case of myocardial infarction attributed to pure coronary spasm which was halted by a double perfusion with streptokinase and nitroglycerin. Further coronary artery spasm leading to a myocardial infarction could not be avoided several weeks later, although the patient was left on calcium channel blocke...

Prinzmetal angina or vasospastic angina is a clinical phenomenon that is often transient and self-resolving. Clinically it is associated with ST elevations on the electrocardiogram, and initially it may be difficult to differentiate from an acute myocardial infarction. The vasospasm induced in this setting occurs in normal or mildly to moderately diseased vessels and can be triggered by a numbe...