Streptokinase was infused into the ischemia-related coronary artery at a rate of 1000-2000 U/min for 15-95 minutes in 29 patients with acute myocardial infarction(AMI group) and in five patients with unstable angina pectoris (UAP group). Reopening of the completely obstructed vessel or increase of diameter at the site of subtotal lesions occurred in 22 AMI patients within 15-90 minutes of strep...

A 64-year-old man was admitted with unstable angina pectoris. He had been followed-up at outpatient clinics for mild to moderate aortic regurgitation and bicuspid aortic valve. He developed complete atrioventricular block (AVB) and underwent permanent pacemaker implantation 9 years previously. Cardiac catheterization showed severe stenosis at the left main trunk, as well as unexpected unrupture...

The pathogenesis of angina pectoris in patients with left ventricular hypertrophy secondary to arterial hypertension and with normal coronary arteries remains uncertain. We measured coronary blood flow (argon method) in 12 control subjects and in 16 patients with arterial hypertension at rest and after intravenous administration of dipyridamole (0.5 mg/kg). In the patients with arterial hyperte...

Identification of a characteristic morphology of a coronary stenosis likely to result in myocardial infarction would facilitate the prospective evaluation of infarct prevention strategies and identification of high-risk patients. We postulated that coronary lesions associated with recent myocardial infarction or unstable angina would have an angiographic morphology suggesting disruption of an a...

BACKGROUND Both iatrogenic coronary artery stenosis early after aortic valve replacement and pseudonormalization of inverted T-waves in acute ischemia are rare but well-recognized findings which coincide in this case. CASE PRESENTATION 10 weeks after aortic valve replacement, a 58-year-old male patient was readmitted with recent onset of unstable angina pectoris. Electrocardiography showed in...

T has been shown for about the last hundred years that nitroglycerin is one of the most favorable drugs for anginal attack. Many authors have found the increase of coronary blood flow following the use of this drug and therefore have believed for some time that the mechanism by which this drug acts upon anginal attack was due to the coronary dilating effect. However, since our previous reports1...

PATIENT Male, 73 FINAL DIAGNOSIS: Coronary artery thrombosis Symptoms: Angina pectoris • short of breath MEDICATION - Clinical Procedure: CABG Specialty: Cardiology. OBJECTIVE Management of emergency care. BACKGROUND Intra-operative formation of a thrombus in the right heart is rare and might be unrecognized. However, it can be associated with severe consequences, including pulmonary embo...

PURPOSE Data comparing the clinical benefits of medical treatment with those of percutaneous coronary intervention (PCI) in an elderly population with angina pectoris are limited. Therefore, we evaluated the efficacy of elective PCI versus optimal medical treatment (OMT) in elderly patients (between 75 and 84 years old) with angina pectoris. MATERIALS AND METHODS One hundred seventy-seven pat...

Background and Objectives:Plasma adiponectin, which decreases the progression of atherosclerosis and insulin resistance, as well as suppressing lipid accumulation in macrophages, is decreased in patients with acute myocardial infarction and unstable angina pectoris; however, the correlation between plasma adiponectin and vasospastic angina pectoris (VAP) remains to be verified. We compared the ...

Asthma is a chronic inflammatory disorder of the airways related to the obstruction of reversible airflow. Asthma presents as recurrent attacks of cough and dyspnea. Poor control causes recurrent admissions to the ICU, and mortality is related to poor drug compliance and follow-up. Angina pectoris is a syndrome of recurrent chest discomfort related to myocardial ischemia. The presence of these ...