ROLE OF PERCEPTIVE THRESHOLD IN MYOCARDIAL INFARCTION PATIENTS WITHOUT PREVIOUS ANGINA
スポンサーリンク
概要
- 論文の詳細を見る
The purpose of this study is to clarify the mechanism of sudden onset myocardial infarction (MI) without previous angina and the relationship of MI without previous angina to the mechanism of onset of postinfarction asymptomatic myocardial ischemia. The mean initial time of ischemic pain in the upper arm under the tourniquet test was significantly prolonged in the MI patients without previous angina, compared with that for the MI patients with previous angina and normal control subjects, although there are some overlapping cases (74±37 sec versus 52±20 sec (p<0.01), and versus 56±15 sec (p<0.05), respectively). The to lorance time for ischemic pain also was similarly prolonged. There was no significant difference between the groups of MI patients (with and without previous angina) with respect to age. frequency of complications of diabetes mellitus, severity of coronary artery lesions or site of MI. The incidence of post-infarction myocardial ischemia was 50% for the previous angina group and 39.5% for the group without previous angina, but the frequency of asymptomatic ischemia was significantly higher in patients without previous angina, at 66.7%, than in those with previous angina. 32.3% (p<0.05). These results suggest that there is a close relationship between the mechanism of MI with sudden onset and that of asymptomatic myocardial ischemia during the pre- and post-infarction periods in patients with low sensitivity to pain.
- 社団法人日本循環器学会の論文
- 1991-04-20
著者
-
Kishida Hiroshi
The First Department of Internal Medicine, Nippon Medical School
-
Fukuma Nagaharu
The First Department of Internal Medicine, Nippon Medical School
-
Fukuma Nagaharu
The First Department Of Internal Medicine Nippon Medical School
-
Kishida Hiroshi
The First Department Of Internal Medicine Nippon Medical School
-
OKUMURA HIDEMASA
The First Department of Internal Medicine, Nippon Medical School
-
Okumura Hidemasa
The First Department Of Internal Medicine Nippon Medical School
関連論文
- -0459-CLINICAL SIGNIFICANCE OF ST DEVIATION ON EXERCISE TEST DURING THE CONVALESCENT PHASE OF ACUTE MYOCARDIAL INFARCTION IN THREE-VESSEL DISEASE
- -0079-PROGNOSTIC VALUE OF PRE-DISCHARGE EXERCISE TEST AFTER MYOCARDIAL INFARCTION
- Clinical Significance and Management of Silent Myocardial Ischemia in Patients with Angina Pectoris and Myocardial Infarction : PANEL DISCUSSION ON SILENT MYOCARDIAL ISCHEMIA
- Pharmacological Preconditioning With Bradykinin Affords Myocardial Protection Through NO-dependent Mechanisms
- CARDIAC HYPERTROPHY AND CORONARY INSUFFICIENCY. A STUDY WITH EXERCISE TEST : PROCEEDINGS OF THE 38TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- A SMALL-SIZED ELECTROCARDIOGRAPH PORTABLE WITH PATIENT HIMSELF FOR OBSERVATION OF CARDIAC ATTACKS
- Sympathetic Injury by Excessive Oxidative Stress as a Cause of Impaired Exercise Capacity in Patients with Myocardial Infarction (Exercise Test/Cardiac Rehabilitation 4 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Central Chemosensitivity Associated with Ventilatory and Chronotropic Response to Exercise in Patients with Heart Disease and Preserved Exercise Tolerance
- Attenuated Heart Rate Response to Exercise Correlates with Severity of Heart Failure
- Contribution of Chemoreflex Hypersensitivity and Anaerobic Product to PaCO_2 during Exercise in Patients with Chronic Heart Failure
- Attenuated Heart Rate Response to Exercise Correlates with Severity of Heart Failure
- Effects of a Single Oral Dose of Cilostazol on Epicardial Coronary Arteries and Hemodynamics in Humans
- -510-REDUCTION OF SIZE OF MYOCARDIAL INFARCTION WITH NICORANDIL, AN ANTI-ANGINAL DRUG, AFTER CORONARY ARTERY OCCLUSION IN DOGS : Myocardial Infarction : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATIO
- CLINICAL EVALUATUON OF ENHANCED PATTERN (EP) ON GADOLINIUM ENHANCED CARDIAC MAGNETIC RESONANCE IMAGING (Gd-MRI) IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION(AMI)
- THE REVERSAL EFFECT OF CALCIUM ION ON THE FAST SODIUM CHANNEL DEPRESSION BY MEXILETINE IN GUINEA-PIG VENTRICULAR MUSCLES : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY : Cardiovascular Drugs (II)
- OBSERVATION OF VARIOUS CARDIAC ATTACKS BY POCKET-SIZE TRANSPORTABLE ELECTROCARDIOGRAPH
- ROLE OF PERCEPTIVE THRESHOLD IN MYOCARDIAL INFARCTION PATIENTS WITHOUT PREVIOUS ANGINA
- NEGATIVE U WAVE OBSERVED DURING THE ATTACK OF VARIANT FORM OF ANGINA PECTORIS : PROCEEDINGS OF THE 38TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- IS053 Mechanism of ″Warmup″ Spontaneous Ventricular Fibrillation
- Detection of a Local Slow Potential Preceding the Surface QRS Complex During Non-Preexcited Impulse Propagation : A Phenomenon Reflecting Anterograde Concealed Conduction Through the Accessory Pathway?
- -0929-STRATIFICATION OF ENDOTHELIAL DAMAGE OF CORONARY ARTERY BY INTRACORONARY INJECTION OF LOW-DOSE OF ACETYLCHOLINE : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Is angiotensin converting enzyme inhibitor useful for secondary prevention after acute myocardial infarction? : A final report of JAMP study
- TWO CASES OF VARIANT FORM ANGINA PECTORIS ASSOCIATED WITH MYOCARDIAL BRIDGE : A Possible Relationship Among Coronary Vasospasm, Atherosclerosis and Myocardial Bridge
- Plasma Natriuretic Peptide Levels and Daily Physical Activity in Patients with Pacemaker Implantation
- Medical Treatment of Unstable Angina : Effects of Calcium Antagonists : Unstable Angina
- Unusual Inferior Vena Cava Obstruction Causing Extensive Thrombosis: An Intravascular Endoscopic Observation.
- Electrophysiological effects of flecainide on guinea pig ventricular muscle in high (K+)o, acidosis and hypoxia.