Abstract:
:We studied the prevalence and clinical significance of transient U wave inversion in 43 patients with variant angina. Twenty-four patients (group A) had ST segment elevation in the anterolateral and 19 patients (group B) had this finding in the inferoposterior leads of the ECG during spontaneous angina. In none of these patients was U wave inversion present on the resting 12-lead ECG in the absence of anginal attack. During anginal attacks, U wave inversion developed in association with ST segment elevation in 16 patients (66.7%) of group A but in no patient of group B. To exclude the possibility that a transient rise of systolic blood pressure during angina caused U wave inversion, treadmill exercise testing was done in the 16 patients after the discontinuation of antianginal drugs. In 12 of the 16 patients, exercise testing did not produce angina or U wave inversion despite a marked elevation of systolic blood pressure. These results indicate that transient U wave inversion frequently develops with anterolateral ischemia but not with inferoposterior ischemia during attacks of variant angina. It is likely that transient U wave inversion was caused by myocardial ischemia but not by a rise of blood pressure during angina.
journal_name
Am Heart Jjournal_title
American heart journalauthors
Matsuguchi T,Koiwaya Y,Nakagaki O,Takeshita A,Nakamura Mdoi
10.1016/0002-8703(84)90452-6subject
Has Abstractpub_date
1984-10-01 00:00:00pages
899-904issue
4 Pt 1eissn
0002-8703issn
1097-6744pii
0002-8703(84)90452-6journal_volume
108pub_type
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pub_type: 杂志文章,评审
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更新日期:2006-10-01 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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更新日期:1993-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0002-8703(91)90529-q
更新日期:1991-09-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2004-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0002-8703(98)70014-6
更新日期:1998-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0002-8703(99)70463-1
更新日期:1999-01-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
doi:10.1016/0002-8703(80)90117-9
更新日期:1980-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:1987-06-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2005-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:1996-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-06-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章,多中心研究
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更新日期:2005-10-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2016-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:1995-05-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
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更新日期:2006-03-01 00:00:00
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,评审
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更新日期:1996-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-09-01 00:00:00