Document Detail


Recurrent myocardial infarction with angina and normal coronary arteries.
MedLine Citation:
PMID:  8522399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although it is well recognised that patients with ischemic heart disease can have normal coronary arteries on coronary angiography, most such patients have angina pectoris, whilst a minority have had a previous myocardial infarction. There are few reports of patients with recurrent myocardial infarctions and angina, but with normal coronary arteries on coronary angiography. We describe six patients who had more than one myocardial infarction, confirmed by raised cardiac enzymes and changes on the electrocardiogram. They subsequently developed classical angina and subsequent coronary angiography demonstrated no atherosclerotic coronary artery disease. Coronary artery spasm and diminished coronary reserve may have been contributory factors in these patients.
Authors:
G Y Lip; J Gupta; M M Khan; S P Singh
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of cardiology     Volume:  51     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1996-01-25     Completed Date:  1996-01-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  65-71     Citation Subset:  IM    
Affiliation:
Department of Cardiology, City Hospital, Birmingham, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angina Pectoris / diagnosis*,  radiography
Coronary Angiography
Coronary Circulation
Coronary Vasospasm / physiopathology
Creatine Kinase / blood
Electrocardiography
Female
Follow-Up Studies
Humans
Isoenzymes
Male
Microvascular Angina / diagnosis*,  radiography
Middle Aged
Myocardial Infarction / diagnosis*,  radiography
Recurrence
Chemical
Reg. No./Substance:
0/Isoenzymes; EC 2.7.3.2/Creatine Kinase

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


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