Acute coronary insufficiency. Review of 46 patients.

Day, L. J.; Thibault, George E.; Sowton, Edgar

doi:10.1136/hrt.39.4.363

Cited by 24 publications

(6 citation statements)

References 31 publications

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“…All patients showed very similar ECG changes that consisted of transient ST-elevation or ST-depression of more than two mm in at least two leads and/or T-wave inversions during or after the angina episodes. These findings are in accordance with other series (Gazes et al, 1973;Day et al, 1977) and are often included as a criterion of unstable angina (Selden et al, 1975;Geha et al, 1976;Hultgren, 1976;Russell et al, 1976;Bodenheimer et al, 1977).…”

Section: Discussionsupporting

confidence: 94%

“…An angiographic mortality of 7 % was reported by Day et al (1977). In their subgroup of patients with pain at rest there were three deaths (21 7%) related to the investigation which was therefore considered hazardous in these patients.…”

Section: Discussionmentioning

confidence: 87%

“…Others (Conti et al, 1973;Geha et al, 1976;Hultgren, 1976) have reported a high incidence of double and triple vessel disease in unstable angina. Day et al (1977) found an average of 2.5 coronary vessels involved per patient, none with left main stem lesion, in their subgroup that continued to have angina at rest. The reason for the different results may be that in our series of angiographied patients, all but one had a very short history of angina.…”

Section: Discussionmentioning

confidence: 96%

“…In a review, Day et al (1977) report 42 patients with acute coronary insufficiency seen during a four-year period. The patients were divided into four subgroups, according to their clinical course and in particular their response to medical therapy in the first 48 hours.…”

Section: Discussionmentioning

confidence: 98%

“…The clinical patterns frequently exist together. In recent years, attempts have been made to identify subgroups of unstable angina with a high risk of AM1 and sudden death (Gazes et al, 1973;Selden et al, 1975;Bertolasi et al, 1976;Day et al, 1977). Therefore, in the present report, a subgroup of unstable angina was studied and defined as continued episodes of angina at rest during 48 hours, despite medical treatment in the coronary care unit (CCU).…”

Section: From the Department Of' Medicine Karolinska Lnstitutet At Hmentioning

confidence: 95%

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A High Risk Subgroup of Patients with Unstable Angina Pectoris Treated Medically or Surgically

Nordlander

Nyquist

1979

Scandinavian Journal of Thoracic and Cardiovascular Surgery

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Among patients consecutively admitted to a coronary care unit (CCU) without a subsequent diagnosis of acute myocardial infarction (AMI), a subgroup fo unstable angina was selected, defined as continued episodes of angina at rest during a 48-hour period, despite medical treatment in the CCU. During a four-year period, 15 patients fulfilled these criteria. Eight patients were medically treated, seven of whom developed an AMI with three subsequent deaths. Six of the infarcts occurred within eight days of admission. In six patients, fulfilling the criteria, surgical treatment was performed. Angiography and surgery in this group were associated with low incidences of myocardial infarction, late infarction and death. In one patient, surgery was declined due to unfavourable anatomical conditions. This patient subsequently developed an AMI and died. It is concluded that the combination of recent onset of angina and continued episodes of angina at rest, despite medical treatment, selects a high risk subgroup of unstable angina. Acute coronary angiography and surgery ought to be considered in this subgroup.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 98%

Section: From the Department Of' Medicine Karolinska Lnstitutet At Hmentioning

confidence: 95%

See 3 more Smart Citations

A High Risk Subgroup of Patients with Unstable Angina Pectoris Treated Medically or Surgically

Nordlander

Nyquist

1979

Scandinavian Journal of Thoracic and Cardiovascular Surgery

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Changing Indications for the Surgical Treatment of Unstable Angina

et al. 1978

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Cardiac Catheterization in Patients With Unstable Angina

Plotnick¹,

Fisher

Carliner

et al. 1980

JAMA

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Among patients with unstable angina pectoris, those with crescendo angina seem to be at high risk for death and myocardial infarction. We reviewed the clinical, arteriographic, and hemodynamic findings in 218 consecutive catheterized patients with unstable angina. Unstable angina was defined as ischemic cardiac pain at rest associated with transient ECG changes but no evidence for acute myocardial infarction. Patients were divided into two groups according to the duration of symptoms: 134 patients with crescendo angina (new, or increasing, rest pain with previous ischemic symptoms present for more than three months) and 84 with recent onset angina (symptoms present for less than three months). Compared with patients with recent onset symptoms, patients with crescendo angina had more extensive coronary disease and lower ejection fractions, which may explain their poor prognosis.

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Acute coronary insufficiency. Review of 46 patients.

Cited by 24 publications

References 31 publications

A High Risk Subgroup of Patients with Unstable Angina Pectoris Treated Medically or Surgically

A High Risk Subgroup of Patients with Unstable Angina Pectoris Treated Medically or Surgically

Changing Indications for the Surgical Treatment of Unstable Angina

Cardiac Catheterization in Patients With Unstable Angina

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