Document Detail


Multivessel variant angina after a radical nephrectomy operation.
MedLine Citation:
PMID:  18548153     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of multivessel variant angina after an open radical nephrectomy operation (RNO) is presented. A 52-year-old man was admitted to the coronary care unit with recurrent chest pain and dynamic ST-T wave changes on electrocardiogram early after an RNO. The first diagnosis of the clinical condition was non-ST segment elevation acute coronary syndrome. However, recurrent angina with ST segment elevation occurred after the standard medical therapy, which included beta-blockers. Emergency coronary angiography showed diffuse and multiple narrowing of all the three major coronary arteries during the chest pain, which was relieved by intracoronary nitroglycerine injection. Variant angina was suspected, and beta-blocker therapy was replaced with calcium channel blocker treatment. No angina attacks were observed during the clinical follow-up. Although a direct relationship between the type of surgery and variant angina was not established, coronary vasospasm after an RNO should be kept in mind, especially in the differential diagnosis of a patient with recurrent angina and dynamic ST-T changes on electrocardiogram. Although beta-blocker therapy is a first-line treatment for all acute coronary syndromes, it can be harmful in patients with variant angina and should be stopped immediately after verification of diagnosis.
Authors:
Ertan Ural; Teoman Kilic; Göksel Kahraman; Ozdal Dillioglugil; Dilek Ural; Baki Komsuoglu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  24     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-12     Completed Date:  2008-07-03     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e36-7     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Kocaeli University Medical Faculty, Kocaeli, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris, Variant / diagnosis,  etiology*,  physiopathology
Coronary Angiography
Diagnosis, Differential
Electrocardiography
Humans
Kidney Neoplasms / surgery*
Male
Middle Aged
Nephrectomy / adverse effects*
Postoperative Complications
Severity of Illness Index
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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