Transient ST-segment elevation with postmyocardial infarction angina: prognostic significance

Stenson, Robert E.; Flamm, M.; Zaret, Barry L.; McGowan, Ronald L.

doi:10.1016/0002-8703(75)90150-7

Cited by 48 publications

(12 citation statements)

References 17 publications

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“…The recurrence of angina after sustained myocardial infarction, but still during the hospitalization period, is reported to be between 18% and 57% [23][24][25][26][27][28]. Early postinfarction angina is considered to have a poor short-term and long-term prognosis [23][24][25][26][27].…”

Section: Coronary Angioplasty For Early Postinfarction Anginamentioning

confidence: 99%

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Indications for coronary angioplasty in acute myocardial ischemic syndromes

Feyter

Serruys

Hugenholtz

1988

Cardiovasc Drug Ther

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The role of coronary angioplasty for the treatment of patients with evolving myocardial infarction, unstable angina, and early postinfarction unstable angina is discussed. It has been shown that coronary angioplasty in patients with an evolving myocardial infarction is feasible and can be performed with a high initial success rate. The most beneficial timing of dilatation is still unclear, and acute reocclusion following coronary angioplasty remains a problem. Current data suggest that the left ventricular function is greater improved and peri-infarction ischemia is less with angioplasty when compared with sole thrombolytic treatment. Coronary angioplasty for unstable angina and early post-infarction unstable angina can be performed with a high initial success rate, but at an increased risk of major complications. Thus, coronary angioplasty has nowadays obtained a definitive place in the treatment of acute myocardial ischemic syndromes. Further research is needed to improve the initial and late results of coronary angioplasty, and additional randomized clinical studies are necessary to more accurately define the indications and timing of dilatation in these acutely ill patients.

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Section: Coronary Angioplasty For Early Postinfarction Anginamentioning

confidence: 99%

“…Early postinfarction angina is considered to have a poor short-term and long-term prognosis [23][24][25][26][27]. The incidence of early nonfatal reinfarction in patients with early postinfarction angina ranges between 19% and 34% [23,24].…”

Section: Coronary Angioplasty For Early Postinfarction Anginamentioning

confidence: 99%

Indications for coronary angioplasty in acute myocardial ischemic syndromes

Feyter

Serruys

Hugenholtz

1988

Cardiovasc Drug Ther

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“…Postinfarction angina, of which incidence is as high as 60% in patients with AMI (Marmor et al, 1980;Matthews et al, 1977;Taylor et al, 1980), is one of the poor prognostic signs, since it may result in reinfarction, extension or even death (Alpert and Braunwald, 1980;Baker et al, 1982;Hurst et al, 1978;Mcquary et al, 1955;Matthews et al, 1977;Marmor et al, 1980;Schuster and Bulkley, 1981;Singer et al, 1981;Stenson et al, 1975;Taylor et al, 1980). In a previous autopsy study, 23 % of deaths after myocardial infarction (MI) were due to postinfarction coronary insufficiency (Mcquary et al, 1955).…”

Section: Introductionmentioning

confidence: 99%

“…In a previous autopsy study, 23 % of deaths after myocardial infarction (MI) were due to postinfarction coronary insufficiency (Mcquary et al, 1955). However, only a few charts have described clinical features and prognosis of patients with post infarction angina (Baker et al, 1982;Mcquary et al, 1955;Marmor et aI., 1982;Schuster and Bulkley, 1981;Singer ei al., 1981;Stenson et al, 1975;Taylor et aI., 1980). Through the observation of 536 consecutive patients with AMI, Singer et al (1981) reported that reeunent ischemic pain was of the highest predictive value for severe cardiovascular disturbances such as reinfarction and death.…”

Section: Introductionmentioning

confidence: 99%

“…Schuster and Bulkley (1981) described 40 deaths out of 70 patients (56%) with postinfarction angina in an average follow-up period of six months. According to Stenson's study, the prognosis was the worst in patients who suffered postinfarction angina associated with ST-segment elevations (Stenson et al, 1975). Out of nine patients with these clinical findings, seven sustained reinfarction and three of the seven died of cardiogenic shock, collapse following severe chest pain, or congestive heart failure (Stenson et al, 1975).…”

Section: Introductionmentioning

confidence: 99%

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Clinical characteristics and prognosis of patients with postinfarction angina caused by coronary artery spasm

Koiwaya

Nakagaki

Takeshita

et al. 1984

Clinical Cardiology

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Nitroprusside therapy. Treatment of hypertensive patients with recurrent resting chest pain, ST-segment elevation, and ventricular arrhythmias

Mukherjee¹,

Feldman²,

Helfant³

1976

JAMA: The Journal of the American Medical Association

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Five hypertensive patients with acute myocardial infarction and persistent postinfarction hypertension who experienced severe and recurrent resting chest pain, ST elevations, and severe ventricular arrhythmias refractory to conventional treatment with bed rest, sedation, oxygen inhalation, nitrates, and antiarrhythmic agents received sodium nitroprusside by continuous intravenous infusion, titrated to reduce systolic blood pressure to 100 to 110 mm Hg. Treatment resulted in noticeable improvement in symptoms, reduction in ST elevations, and abolition of ventricular arrhythmias in all five patients. In four patients, cessation of nitroprusside infusion after 48 hours resulted in prompt recurrence of hypertension, chest pain, ST-segment elevations, and ventricular arrhythmias. These were all rapidly reversed following reinstitution of the nitroprusside therapy for seven to eight days, strongly suggesting a cause-and-effect relationship. Nitroprusside infusion in these patients suggests a potentially important use for such therapy in this clinical setting.

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Transient ST-segment elevation with postmyocardial infarction angina: prognostic significance

Cited by 48 publications

References 17 publications

Indications for coronary angioplasty in acute myocardial ischemic syndromes

Indications for coronary angioplasty in acute myocardial ischemic syndromes

Clinical characteristics and prognosis of patients with postinfarction angina caused by coronary artery spasm

Nitroprusside therapy. Treatment of hypertensive patients with recurrent resting chest pain, ST-segment elevation, and ventricular arrhythmias

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