Document Detail


Percutaneous transluminal coronary angioplasty in patients with spasm superimposed on atherosclerotic narrowing.
MedLine Citation:
PMID:  2960366     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of 552 patients undergoing percutaneous transluminal coronary angioplasty 102 had coronary artery spasm superimposed on atherosclerotic narrowing. Coronary angioplasty was successful in 97 (95%). The patients were discharged on a regimen of nifedipine (40-60 mg/day). Seventy six patients were symptom free 6-8 months after the procedure. Restenosis was detected in 35% of patients. Coronary artery spasm was provoked in 38 (44%) of the 87 patients who underwent an ergometrine maleate test. Twenty seven of the 34 patients with restenosis had a provocation test and coronary artery spasm was superimposed on restenosis in 22 (81.5%). Coronary angioplasty is feasible in patients with coronary artery spasm superimposed on atherosclerotic narrowing but the rate of restenosis is high and coronary artery spasm could have a role in the pathogenesis of restenosis.
Authors:
M E Bertrand; J M Lablanche; J L Fourrier; G Traisnel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  58     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1988-01-07     Completed Date:  1988-01-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  469-72     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiology, University Hospital of Lille, France.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon*
Combined Modality Therapy
Coronary Artery Disease / complications,  therapy*
Coronary Vasospasm / complications,  therapy*
Dipyridamole / therapeutic use
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nifedipine / therapeutic use
Chemical
Reg. No./Substance:
21829-25-4/Nifedipine; 58-32-2/Dipyridamole
Comments/Corrections

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