| Inferior ST-segment elevation following transseptal puncture for balloon mitral valvuloplasty is atropine-responsive. | |
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MedLine Citation:
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PMID: 14699212 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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ST-segment elevation in the inferior leads has been previously described following transseptal puncture for balloon mitral valvuloplasty. The mechanism, however, is obscure, and immediate left and right coronary angiography has not suggested that embolism or vascular spasm is the cause. We hypothesized that a neurally-mediated mechanism was responsible and have since treated 3 further patients with inferior ST-segment elevation following transseptal puncture for balloon valvuloplasty with intravenous atropine, with rapid resolution of ST-segment elevation in each case. |
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Authors:
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David J R Hildick-Smith; Peter F Ludman; Leonard M Shapiro |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 16 ISSN: 1042-3931 ISO Abbreviation: J Invasive Cardiol Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2003-12-30 Completed Date: 2004-02-20 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 1-2 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Papworth Hospital, Cambridgeshire, UK. david.hildick-smith@bsuh.nhs.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Atropine / administration & dosage* Balloon Dilatation / adverse effects*, methods Cohort Studies Coronary Vasospasm / drug therapy, etiology Electrocardiography* Female Follow-Up Studies Humans Male Middle Aged Mitral Valve Stenosis / diagnosis, therapy* Punctures Retrospective Studies Risk Assessment Thromboembolism / diagnosis*, drug therapy, etiology Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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51-55-8/Atropine |
| Comments/Corrections | |
Comment In:
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J Invasive Cardiol. 2004 Jan;16(1):3-4
[PMID:
14699213
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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