| Clinical characteristics of sudden cardiac death in patients with vasospastic angina. | |
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MedLine Citation:
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PMID: 2632824 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Of 383 patients with vasospastic angina who were followed for a period of 3.2 +/- 0.1 years, 9 (2%) died suddenly from cardiac causes. Calcium antagonists had been given to 98% of our patients. Only one patient who died suddenly had a fixed coronary stenosis of 75% or greater. Eight of the 9 patients showed ST segment elevation during anginal attack at rest, and 3 patients showed ST segment elevation at both anterior and inferior leads. Sudden death occurred in 6 of 41 patients (12.5%) who were documented to have multivessel coronary spasm, but in only 3 of 342 patients (1%) who had single vessel spasm (p less than 0.01). Serious arrhythmia occurred during anginal episode in 3 of 9 patients who died suddenly (53%) and in 52 of 374 who did not (14%). These results suggest that the frequency of sudden cardiac death was rather low in Japanese patients with vasospastic angina. The risk of sudden death was increased in patients with multivessel spasm and serious arrhythmia during anginal attacks but not these with fixed coronary stenosis. |
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Authors:
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S Koyanagi; A Takeshita; M Nakamura |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Japanese circulation journal Volume: 53 ISSN: 0047-1828 ISO Abbreviation: Jpn. Circ. J. Publication Date: 1989 Dec |
Date Detail:
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Created Date: 1990-05-18 Completed Date: 1990-05-18 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7806868 Medline TA: Jpn Circ J Country: JAPAN |
Other Details:
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Languages: eng Pagination: 1541-5 Citation Subset: IM |
Affiliation:
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Research Institute of Angiocardiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angina Pectoris, Variant / drug therapy, mortality* Arrhythmias, Cardiac / complications Calcium Channel Blockers / therapeutic use Death, Sudden / epidemiology, etiology* Female Follow-Up Studies Humans Incidence Japan / epidemiology Male Middle Aged Risk Factors |
| Chemical | |
Reg. No./Substance:
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0/Calcium Channel Blockers |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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