Prognostic Significance of the Pattern of Multivessel Spasm in Patients With Variant Angina
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概要
- 論文の詳細を見る
Multivessel spasm in variant angina is believed to be a major prognostic factor. Three patterns of multivessel spasm have been detected:(1)spasm at different sites on different occasions(migratory spasm);(2)spasm sequentially affecting 2 different sites(sequential spasm);and(3)simultaneous spasm at more than 1 site(simultaneous spasm). The present study investigated the prognosis based on this factor for variant angina without fixed coronary stenosis and examined the influence of multivessel spasm on cardiac events. Twenty-six patients were diagnosed as having variant angina without fixed coronary stenosis using 12-lead 24-h ECG recording system and coronary cineangiography. These patients were followed up prospectively for 57.1±7.6 months. Of the 26 patients 13 had single-vessel spasm, 6 had migratory multivessel spasm angina, and 7 showed sequential and/or simultaneous multivessel spasm angina. The survival free of serious cardiac events and of all cardiac events was significantly lower for patients with sequential and/or simultaneous multivessel spasm than for those with migratory multivessel spasm(p<0.05, p<0.05), whereas for patients with migratory multivessel spasm the difference comparison with single-vessel spasm did not attain statistical significance(p=ns, p=ns). The results of this study suggest that there seems to be high-risk subgroup(ie, sequential and/or simultaneous multivessel spasm)among patients with variant angina.
- 社団法人日本循環器学会の論文
- 1999-06-20
著者
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Sakai Yasuhiko
The Third Division, Department of Internal Medicine, Osaka Medical College
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Kawamura K
Department Of Internal Medicine (iii) Osaka Medical College
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Kawamura Keishiro
Department Of Cardiology Sakakibara Heart Institute
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Kawamura Keishiro
大阪医科大学 内科学iii
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Kawamura Keishiro
The Third Division Department Of Internal Medicine Osaka Medical College
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Kawamura Keishiro
The Third Division Internal Medicine Osaka College
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Kawamura Keishiro
The Third Divisin Department Of Internal Medicine Osaka Medical College
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Onaka Haruhiko
The Third Division, Department of Internal Medicine, Osaka Medical College
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Hirota Yuzo
The Third Division, Department of Internal Medicine, Osaka Medical College
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Shimada Satoshi
The Third Division, Department of Internal Medicine, Osaka Medical College
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Suzuki Syuji
The Third Division, Department of Internal Medicine, Osaka Medical College
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Kono Tatuji
The Third Division, Department of Internal Medicine, Osaka Medical College
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Suzuki Jyoji
The Third Division, Department of Internal Medicine, Osaka Medical College
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Shimada Satoshi
Third Division, Department of Internal Medicine, Osaka Medical College
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Hirota Yuzo
Department Of Thoracic Surgery Osaka Medical College
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Hirota Yuzo
The Third Division Department Of Internal Medicine Osaka Medical College Takatsuki
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Sakai Yasuhiko
Third Division Department Of Internal Medicine Osaka Medical College
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Suzuki Jyoji
The Third Division Department Of Internal Medicine Osaka Medical College
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Suzuki Shuji
The Third Division Department Of Internal Medicine Osaka Medical College
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Kono Tatuji
The Third Division Department Of Internal Medicine Osaka Medical College
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Kawamura Keishiro
Department Of Internal Medicine (iii) Osaka Medical College
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Onaka Haruhiko
The Third Division Department Of Internal Medicine Osaka Medical College
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Hirota Yuzo
The Third Department Of Internal Medicine Osaka Medical College
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Sakai Yasuhiko
The Third Division Department Of Internal Medicine Osaka Medical College
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Shimada Satoshi
Third Division Department Of Internal Medicine Osaka Medical College
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Kawamura Keishiro
3rd Div. Dept. Intern. Med. Osaka Medical College
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Kawamura Keishiro
3rd Div. Dept. Of Intern. Med. Kyoto Univ. Hosp.
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Kawamura Keishiro
The 3rd Division Depertment Of Internal Medicine Osaka Medical College Takatsuki
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Kawamura Keishiro
The 3rd Div. Dept.of Int.med. Osaka Medical College
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Kawamura Keishiro
The Third Department Of Internal Medicine Osaka Medical College
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Katayama Kazuhiro
2nd Dept. Of Internal Med. Yamaguchi University
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