Coronary Angiographic Findings in Various Types of Unstable Angina : Study on the Pathophysiology of Unstable Angina : Unstable Angina
スポンサーリンク
概要
- 論文の詳細を見る
Coronary angiographic findings were studied in 129 patients with various types of unstable angina in order to clarify the pathophysiology of unstable angina. The subjects were divided into 3 types : effort angina (E), rest angina (R), and effort and rest angina (E+R), and each of these 3 types was subdivided into group I (new onset), II (recurrent) and III (changing pattern). 1) R had less severe coronary lesions than E or E+R. 2) Severity and distribution of coronary atherosclerotic lesions in unstable angina were similar to those in stable angina. 3) Incidence of coronary spasm is higher in unstable R and E+R than in stable R and E+R, respectively. 4) Unstable R and E+R with frequent attacks were associated with a higher frequency of coronary spasm and severe proximal coronary stenosis than those without frequent attacks, respectively. 5) Among unstable E+R-III (changing pattern), the patients who developed E+R from E showed significantly higher incidence of multiple vessel disease than those who developed E+R from R and significantly lower incidence of spontaneous spasm than those with E+R, who remained with the same pattern but in whom the frequency and/or the intensity of the attack increased, without any significant difference in the severity of coronary stenosis from other 2 subgroups. It is concluded that coronary spasm as well as severe coronary atherosclerotic lesions may be responsible for the unstable state of angina. Especially in R and E+R, coronary spasm is the most important factor responsible for the unstabilization of angina.
- 社団法人日本循環器学会の論文
- 1983-04-20
著者
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Fujii Junichi
The Cardiovascular Institute
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Ogasawara Ken
The Cardiovascular Institute
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Okabe Akifumi
The Cardiovascular Institute
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Koyama Shintaro
The Cardiovascular Institute
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Asanoi Hidetsugu
The Cardiovascular Institute
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OHTA AKIO
The Cardiovascular Institute
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Ogasawara Ken
Cardiology, The Cardiovascular Institute
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Sawada Hitoshi
Cardiology, The Cardiovascular Institute
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Aizawa Tadanori
Cardiology, The Cardiovascular Institute
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Watanabe Hiroshi
Cardiovascular Institute Hospital
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Ota Akio
The Cardiovascular Instutite Hospital
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Koyama Shintaro
The Cardiovascular Institute.
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Ono Shoichi
Cardiovascular Institute
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OHTA Akio
Cardiovascular Institute
-
Ohta Akio
The Cardiov. Institute
-
Fujii Junichi
Cardiovascular Institute Institute of Industrial Science, University of Tokyo
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Kuboki Masao
Cardiovascular Institute Institute of Industrial Science, University of Tokyo
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ONO SHOUICHI
Cardiovascular Institute
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OKABE AKIFUMI
Cardiovascular Institute
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ASANOI HIDETSUGU
Cardiovascular Institute
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KOYAMA SHINTAROU
Cardiovascular Institute
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KATO KAZUO
Cardiovascular Institute
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Fuiii Junichi
The Cardiovascular Institute
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Kato Kazuzo
The Cardiovascular Instutite
-
Watanabe Hirosi
The Cardiovascular Institute Hospital
-
Kuboki Masao
The Cardiovascular Institute
-
Kuboki Masao
Cardiovascular Institute
-
Fujii Junichi
Cardiovascular Institute
-
Watanabe Hiroshi
Cardiovaseular Institute
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