Document Detail

Transient myocardial ischaemia after acute myocardial infarction.
MedLine Citation:
PMID:  2245108     Owner:  NLM     Status:  MEDLINE    
The prevalence and characteristics of transient myocardial ischaemia were studied in 203 patients with recent acute myocardial infarction by both early (6.4 days) and late (38 days) ambulatory monitoring of the ST segment. Transient ST segment depression was much commoner during late (32% patients) than early (14%) monitoring. Most transient ischaemia (greater than 85% episodes) was silent and 80% of patients had only silent episodes. During late monitoring painful ST depression was accompanied by greater ST depression and tended to occur at a higher heart rate. Late transient ischaemia showed a diurnal distribution, occurred at a higher initial heart rate, and was more often accompanied by a further increase in heart rate than early ischaemia. Thus in the first 2 months after myocardial infarction transient ischaemia became increasingly common and more closely associated with increased myocardial oxygen demand. Because transient ischaemic episodes during early and late ambulatory monitoring have dissimilar characteristics they may also have different pathophysiologies and prognostic implications.
P Currie; S Saltissi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British heart journal     Volume:  64     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1990 Nov 
Date Detail:
Created Date:  1991-01-10     Completed Date:  1991-01-10     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  299-303     Citation Subset:  AIM; IM    
Department of Cardiology, Royal Liverpool Hospital.
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MeSH Terms
Angina Pectoris / drug therapy
Circadian Rhythm / physiology
Coronary Disease / diagnosis,  etiology*,  physiopathology
Electrocardiography, Ambulatory
Heart Rate / physiology
Middle Aged
Myocardial Infarction / complications*
Time Factors

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

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