Vasospastic angina mimicking graft failure and spontaneously appearing after left ventriculography.

Abstract:

:A 49-year-old female with significant (75%) left main coronary artery stenosis was initially considered to have developed early obstruction of a saphenous vein graft to the left anterior descending coronary artery, because of recurrent postoperative angina. In a second catheterization study, left ventriculography showed normal contractility of all segments and was immediately followed by the onset of angina and angiographic demonstration of diffuse spasm of the entire left coronary artery system beyond the stenosis. Vasospasm of the left coronary artery before or during ventriculography was unlikely in the absence of regional contractility impairment. The close temporal association between the left ventricular angiogram and the angiographic demonstration of vasospasm suggested a direct cause and effect relationship.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Fournier JA,Hernández C,F-Cortacero JA,Piñero C

doi

10.1002/clc.4960100413

subject

Has Abstract

pub_date

1987-04-01 00:00:00

pages

271-4

issue

4

eissn

0160-9289

issn

1932-8737

journal_volume

10

pub_type

杂志文章
  • Blockade of the renin-angiotensin-aldosterone system in patients with arrhythmogenic right ventricular dysplasia: A double-blind, multicenter, prospective, randomized, genotype-driven study (BRAVE study).

    abstract::Arrhythmogenic right ventricular dysplasia (ARVD) is a rare cardiomyopathy characterized by the progressive replacement of cardiomyocytes by fatty and fibrous tissue in the right ventricle (RV). These infiltrations lead to cardiac electrical instability and ventricular arrhythmia. Current treatment for ARVD is empiric...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/clc.22884

    authors: Morel E,Manati AW,Nony P,Maucort-Boulch D,Bessière F,Cai X,Besseyre des Horts T,Janin A,Moreau A,Chevalier P

    更新日期:2018-03-01 00:00:00

  • Relative efficacy and safety of ticagelor vs clopidogrel as a function of time to invasive management in non-ST-segment elevation acute coronary syndrome in the PLATO trial.

    abstract:BACKGROUND:Guidelines suggest that "upstream" P2Y12 receptor antagonists should be considered in patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS). HYPOTHESIS:Early use of ticagrelor in patients managed with an invasive strategy would be more effective than clopidogrel because of its more rapi...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/clc.22733

    authors: Pollack CV Jr,Davoudi F,Diercks DB,Becker RC,James SK,Lim ST,Schulte PJ,Spinar J,Steg PG,Storey RF,Himmelmann A,Wallentin L,Cannon CP,PLATO Investigators.

    更新日期:2017-06-01 00:00:00

  • Does obesity affect the outcomes in takotsubo cardiomyopathy? Analysis of the Nationwide Inpatient Sample database, 2010-2014.

    abstract:BACKGROUND:Obesity can lead to increased oxidative stress which is one of the proposed mechanisms in the etiopathogenesis of takotsubo cardiomyopathy (TCM). HYPOTHESIS:The presence of obesity adversely impacts clinical outcomes in TCM patients. METHODS:We queried the Nationwide Inpatient Sample database (2010-2014) t...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.22999

    authors: Desai R,Singh S,Baikpour M,Goyal H,Dhoble A,Deshmukh A,Kumar G,Sachdeva R

    更新日期:2018-08-01 00:00:00

  • Losartan and end-organ protection--lessons from the RENAAL study.

    abstract:BACKGROUND:The Reduction in ENdpoints with the Angiotensin Antagonist Losartan (RENAAL) study reported that losartan delayed the progression of renal disease in patients with type 2 diabetes and nephropathy. Diabetic or renally impaired patients are at high cardiovascular risk, a risk potentially increased in patients ...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1002/clc.4960280307

    authors: Kowey PR,Dickson TZ,Zhang Z,Shahinfar S,Brenner BM,RENAAL Investigators.

    更新日期:2005-03-01 00:00:00

  • Prognosis of large, symptomatic pericardial effusion treated by echo-guided percutaneous pericardiocentesis.

    abstract:BACKGROUNDS:The causes and prognosis of pericardial effusion (PE) may be different according to time, region, economy, and hospital. This study was performed to evaluate the etiology, clinical outcome, and prognosis of patients with large, symptomatic PE treated by echo-guided pericardiocentesis at Kangnam St. Mary's H...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20305

    authors: Kil UH,Jung HO,Koh YS,Park HJ,Park CS,Kim PJ,Baek SH,Seung KB,Choi KB

    更新日期:2008-11-01 00:00:00

  • Downregulation of peroxisome proliferator-activated receptor-gamma expression in hypertensive atrial fibrillation.

    abstract:BACKGROUND:Numerous evidence has suggested that either hypertension or atrial fibrillation (AF) is associated with systemic inflammation. Peroxisome proliferator-activated receptor-gamma (PPARgamma) has been proved to have anti-inflammatory effects and is implicated as a molecular pathway involved in many cardiovascula...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20566

    authors: Chen X,Bing Z,He J,Jiang L,Luo X,Su Y,Kan B,Huang D,Wei Y

    更新日期:2009-06-01 00:00:00

  • Clinical trial experience around the globe: focus on calcium-channel blockers.

    abstract::Although certain classes of drugs appear to possess benefits apart from their blood-pressure lowering capability, reduction of blood pressure remains the single most important action of antihypertensive therapy. Calcium-channel blockers (CCBs) have long been recognized as potent agents for hypertension therapy. This i...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960261404

    authors: White WB

    更新日期:2003-02-01 00:00:00

  • Dose-ranging study with a new two-chain rt-PA in patients with acute myocardial infarction: a multicenter trial.

    abstract::Tissue-type plasminogen activator (t-PA) derived from a melanoma cell line was first used in patients with acute myocardial infarction in the early 1980s. Recombinant DNA technology then allowed production of large amounts of t-PA. The TIMI-I trial used a two-chain recombinant (rt-PA) product. A predominantly single-c...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/clc.4960160404

    authors: DeWood MA,Kurnik PB,Jolly MK,Jain AC,Khaja F,Gorfinkel HJ,Morris DL,Satler L,LittleJohn J

    更新日期:1993-04-01 00:00:00

  • Late percutaneous coronary intervention prevents left ventricular remodeling and improves clinical outcomes in patients with ST-elevation myocardial infarction.

    abstract:BACKGROUND:The optimal strategy for treating late presenters of ST-elevation myocardial infarction (STEMI) remains uncertain. HYPOTHESIS:percutaneous coronary intervention (PCI) has a favorable effect on left ventricular (LV) remodeling and clinical outcomes in late presenters of STEMI. METHODS:Patients with STEMI wh...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.22356

    authors: Fan Y,Bai X,Chen Y,Shen G,Lu Q,Wan Z,Zhou D,Shen Y,Ma A

    更新日期:2015-02-01 00:00:00

  • ST-segment elevation in lead aVR greater than that in lead V(1) secondary to diffuse myocardial ischemia from prolonged hypotension.

    abstract::The prediction of significant left main or diffuse three-vessel coronary artery disease is crucial in patients presenting with an acute coronary syndrome. ST-segment elevation in aVR has been reported to be associated with left main coronary artery obstruction or severe diffuse coronary artery disease in acute coronar...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.10

    authors: Habibzadeh MR,Ewy GA

    更新日期:2007-05-01 00:00:00

  • Effects of early captopril therapy after myocardial infarction on the incidence of late potentials.

    abstract:BACKGROUND:Late potentials (LP) on signal-averaged electrocardiography (SAECG), recorded 6 to 30 days after an acute myocardial infarction (AMI), identify patients at risk for late arrhythmic events. Angiotensin-converting enzyme (ACE) inhibitors have been shown to reduce ventricular remodeling and cardiovascular morta...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1002/clc.4960230206

    authors: Chiladakis JA,Karapanos G,Agelopoulos G,Alexopoulos D,Manolis AS

    更新日期:2000-02-01 00:00:00

  • Finding the vulnerable plaque.

    abstract::At a recent Transcatheter Therapeutics meeting in San Francisco the PROSPECT Trial was presented by Dr. Greg Stone. Prospect stands for Providing Regional Observations to Study Predictors of Events in the Coronary Tree. This was a natural history study of atherosclerosis using multi-modality intracoronary imaging to p...

    journal_title:Clinical cardiology

    pub_type: 社论

    doi:10.1002/clc.20809

    authors: Conti CR

    更新日期:2010-06-01 00:00:00

  • Influence of exercise training soon after myocardial infarction on regional myocardial perfusion and resting left ventricular function.

    abstract::There is scant information regarding the effect of exercise training begun soon after hospital discharge for myocardial infarction (MI) with respect to subsequent improvement in exercise tolerance, enhancement of regional myocardial perfusion, or left ventricular function. Accordingly, 19 post-MI patients (mean age 53...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960150105

    authors: Beller GA,Murray GC,ErkenBrack SK

    更新日期:1992-01-01 00:00:00

  • A review of the amyloidoses that infiltrate the heart.

    abstract::Primary amyloidosis, systemic senile amyloidosis, isolated atrial amyloidosis, and transthyretin isoleucine 122 amyloidosis frequently involve the heart. Amyloid fibrils infiltrate the myocardium, impairing ventricular contraction and relaxation. The clinical manifestations of cardiac infiltration in these disorders a...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960210804

    authors: McCarthy RE 3rd,Kasper EK

    更新日期:1998-08-01 00:00:00

  • Partial fatty acid oxidation (pFOX) inhibition: a new therapy for chronic stable angina.

    abstract::During myocardial ischemia, fatty acids are the principal source of energy, increasing myocardial oxygen consumption and making a decrease in coronary blood flow less well tolerated. Increasing glucose oxidation during myocardial ischemia may improve cardiac efficiency. The pFOX inhibitors have the potential to accomp...

    journal_title:Clinical cardiology

    pub_type: 社论

    doi:10.1002/clc.4960260402

    authors: Conti CR

    更新日期:2003-04-01 00:00:00

  • Management of myocardial infarction patients with an occluded infarct-related artery.

    abstract::Based on the foregoing data it is not unreasonable to hypothesize that restoration of flow in the infarct-related artery at a later date might decrease mortality. If that is the case, then a strong argument can be made for coronary angiography in patients surviving acute myocardial infarction. Of course, the ideal way...

    journal_title:Clinical cardiology

    pub_type: 社论

    doi:10.1002/clc.4960170405

    authors:

    更新日期:1994-04-01 00:00:00

  • Arrhythmogenic right ventricular cardiomyopathy: a survey of the investigations at the University of Padua.

    abstract::The purpose of this paper is to review the history of the clinico-pathologic investigations performed at the University of Padua on an old morbid entity ("parchment heart"), which, in the 1960s, led to the clinical description of the disease, in the 1980s to the revival of the scientific interest, and in the mid 1990s...

    journal_title:Clinical cardiology

    pub_type: 历史文章,杂志文章

    doi:10.1002/clc.4960200406

    authors: Basso C,Thiene G,Nava A,Dalla Volta S

    更新日期:1997-04-01 00:00:00

  • Thrombolytic agents: balancing cost, efficacy, and side effects.

    abstract::Balancing the benefits, risks, and cost of thrombolytic treatment is a complex issue which depends considerably upon the variable threat of the thrombus to organ physiology and patient survival. For example, after deep vein thrombosis (DVT), the major risk is long-term disability due to the postphlebitic syndrome, whi...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:

    authors: Marder VJ

    更新日期:1990-04-01 00:00:00

  • Pathophysiology in malignant hypertension: with special reference to the renin-angiotensin system.

    abstract::Pathophysiology of malignant hypertension, of which underlying disease was essential hypertension (EHT) in 33 cases and chronic glomerulonephritis (CGN) in 26 cases, was studied with reference to the renin-angiotensin system. Plasma renin activity (PRA) was significantly higher in the EHT than in the CGN group, and an...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960100911

    authors: Kawazoe N,Eto T,Abe I,Takishita S,Ueno M,Kobayashi K,Uezono K,Muratani H,Kimura Y,Tomita Y

    更新日期:1987-09-01 00:00:00

  • Combined use of warfarin and oral P2Y12 inhibitors in patients with atrial fibrillation and acute coronary syndrome.

    abstract:BACKGROUND:Although atrial fibrillation (AF) occurs frequently in patients hospitalized with acute coronary syndrome (ACS), strategies for prevention of thromboembolic complications are poorly characterized. HYPOTHESIS:We sought to examine exposure to warfarin and P2Y12 inhibitors and clinical outcomes among patients ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22231

    authors: Jones WS,Mi X,Patel MR,Mills R,Hernandez AF,Curtis LH

    更新日期:2014-03-01 00:00:00

  • Rationale and design of the Drug-Eluting Stents vs Bare-Metal Stents in Saphenous Vein Graft Angioplasty (DIVA) Trial.

    abstract::VA Cooperative Studies Program #571 (DIVA) was designed to evaluate the efficacy of drug-eluting stents (DES) for reducing aortocoronary saphenous vein bypass graft (SVG) failure when compared with bare-metal stents (BMS) in participants undergoing stenting of de novo SVG lesions. Participants undergoing clinically in...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/clc.22763

    authors: Brilakis ES,Banerjee S,Edson R,Shunk K,Goldman S,Holmes DR Jr,Bhatt DL,Rao SV,Smith MW,Sather M,Colling C,Kar B,Nielsen L,Conner T,Wagner T,Rangan BV,Ventura B,Lu Y,Holodniy M,Shih MC

    更新日期:2017-11-01 00:00:00

  • Isolated left ventricular abnormal trabeculation in adults is associated with neuromuscular disorders.

    abstract:BACKGROUND:Isolated left ventricular abnormal trabeculation (ILVAT) is defined as > 3 coarse trabeculations of the left ventricular wall, apically to the papillary muscles, in hearts without congenital malformations. HYPOTHESIS:The aims of the study were to assess by echocardiography the prevalence of ILVAT, to confir...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960220212

    authors: Stöllberger C,Finsterer J,Valentin A,Blazek G,Tscholakoff D

    更新日期:1999-02-01 00:00:00

  • Association of left atrial myocardial function with left ventricular diastolic dysfunction in subjects with preserved systolic function: a strain rate imaging study.

    abstract:BACKGROUND:The purpose of this study was to investigate the relationship between left atrial (LA) myocardial function and left ventricular (LV) diastolic dysfunction in subjects with preserved LV ejection fraction (LVEF). METHODS:The study included a group of 118 hypertensive patients and normal subjects. LV diastolic...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20784

    authors: Guan Z,Zhang D,Huang R,Zhang F,Wang Q,Guo S

    更新日期:2010-10-01 00:00:00

  • Heparin effect on plasma fibrinogen in the thrombophilic syndrome.

    abstract::The effects of heparin were studied in a group of 42 patients with preinfarction angina (PA) and acute myocardial infarction (AMI) whose plasma fibrinogen was increased. Plasma fibrinogen was measured by the turbidimetric method in timol turbidimetric units. Statistically significant results proved that heparin reduce...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960060504

    authors: Ruggiero HA,Castellanos H,Caprissi LF,de Caprissi ES,Ruggiero LH

    更新日期:1983-05-01 00:00:00

  • Current trends in admissions and outcomes of cardiac diseases in Ghana.

    abstract::Cardiovascular diseases (CVDs) pose a major burden in Africa, but data on temporal trends in disease burden are lacking. We assessed trends in CVD admissions and outcomes in central Ghana using a retrospective analysis of data from January 2004 to December 2015 among patients admitted to the medical wards of a tertiar...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22753

    authors: Appiah LT,Sarfo FS,Agyemang C,Tweneboah HO,Appiah NABA,Bedu-Addo G,Opare-Sem O

    更新日期:2017-10-01 00:00:00

  • High-energy catheter ablation of cardiac arrhythmias: an outmoded technique in the 1990s.

    abstract::Catheter ablation has become an accepted technique for creating complete heart block in patients with drug refractory supraventricular tachycardias. However, it remains experimental for other indications, such as ablation of accessory pathway or ventricular tachycardia. The use of high energy defibrillator discharges ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960140712

    authors: Cunningham D

    更新日期:1991-07-01 00:00:00

  • Acute hemodynamic and arrhythmogenic effects of high-dose intravenous salbutamol in patients with chronic left ventricular dysfunction.

    abstract::The short-term hemodynamic and possible arrhythmogenic effects of intravenous salbutamol at a dose of 30 or 60 micrograms/min were evaluated in 14 patients with severe chronic left ventricular dysfunction using equilibrium radionuclide angiocardiography and electrocardiographic monitoring. Salbutamol infusions at a do...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960130708

    authors: Rotstein Z,Battler A,Rath S,Perek J,Eldar M

    更新日期:1990-07-01 00:00:00

  • Aortic dissection in childhood and adolescence: an analysis of occurrences over a 10-year interval in New York State.

    abstract:BACKGROUND:Rarely occurring in the pediatric and adolescent population, aortic dissection is a condition with many predisposing factors. Previous studies have suggested that congenital cardiovascular disorders are the most common predisposing conditions. Trauma-associated aortic dissection is considered a rare occurren...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20383

    authors: Fikar CR,Fikar R

    更新日期:2009-06-01 00:00:00

  • Evaluation of flecainide acetate in rapid atrial fibrillation complicating Wolff-Parkinson-White syndrome.

    abstract::Flecainide is reported to be effective in patients with paroxysmal tachycardias, but its effect on rapid ventricular response over accessory atrioventricular pathway during atrial fibrillation is not known. The influence of flecainide on various electrophysiological properties of the accessory pathway with special emp...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960080603

    authors: Kappenberger LJ,Fromer MA,Shenasa M,Gloor HO

    更新日期:1985-06-01 00:00:00

  • Nicardipine, a new calcium channel blocker: role for vascular selectivity.

    abstract::Calcium channel blockers are important drugs for the treatment of chronic stable angina. However, negative inotropic and dromotropic effects may limit their usefulness in patients with atrioventricular conduction abnormalities or left ventricular dysfunction. A new generation of calcium channel blockers will soon be a...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,评审

    doi:10.1002/clc.4960120503

    authors: Pepine C

    更新日期:1989-05-01 00:00:00