CLINICAL CHARACTERISTICS AND POSSIBLE ROLE OF CORONARY ARTERY SPASM IN SYNCOPE AND/OR ABORTED SUDDEN DEATH

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概要

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• We investigated the clinical and pathophysiologic characteristics in patients with vasospastic angina who developed syncope and/or experienced aborted sudden death (SD). Vasospastic angina was diagnosed using the methylergonovine test. Syncope was found in 32 (10.4%) patients among 309 who were admitted to our institute in a one-year period. The most frequent cause of syncope was ventricular tachycardia which was found in 10 (31.2%) of the 32 patients. The next important cause of syncope was vasospastic angina which was found in 7 patients (21.8%). Among the 7 patients with vasospastic angina who experienced one or more syncopal episodes, there were 3 patients with aborted SD, 3 with syncope and one with shock. Cardiovascular collapse was observed in 4. Interior wall ischemia was found in 5 and anterior wall ischemia in 2 during the methylergonovine test. None of the 7 patients had significant coronary stenosis. Two patients had no prodromal symptom such as chest pain. Our results suggest that coronary artery spasm may be one of the most frequent cardiovascular diseases that causes syncope which is not always accompanied by a prodromal symptom. Therefore, coronary spasm should be distinguished in patients with unexplained syncope or aborted SD.

• 社団法人日本循環器学会の論文
• 1990-12-20

著者

• Shibata Akira

  Division Of Cardiology Niigata University Graduate School Of Medical And Dental

• Shibata A

  First Dept Of Internal Medicine

• Shibata A

  Division Of Cardiology Niigata University Graduate School Of Medical & Dental Sciences

• Yamamoto Tomohiko

  Niigata Teishin Hospital

• Chinushi Masaomi

  First Department Of Internal Medicine Niigata University School Of Medicine

• Matsubara Taku

  the First Department of Internal Medicine

• Aizawa Yoshifusa

  the First Department of Internal Medicine

• Yamazoe Masaru

  the First Department of Internal Medicine, Niigata University School of Medicine

• Tamura Yusuke

  the First Department of Internal Medicine, Niigata University School of Medicine

• Igarashi Yutaka

  Tsuruoka City Shonai Hospital

• CHINUSHI Masaomi

  the First Department of Internal Medicine, Niigata University School of Medicine

• Tanabe Yasuhiko

  Saiseikai Niigata Daini Hospital

• Matsubara Taku

  Shinrakuen Hospital

• Matsubara T

  Division Of Cardiology Shinrakuen Hospital

• Matsubara Taku

  新潟大学 医歯学総合研究科循環器学分野

• Yamaura Masayuki

  Department Of Cardiology Niigata City General Hospital

• Murakawa Yuji

  The Second Department Of Internal Medicine. Faculty Of Medicine University Of Tokyo

• Matsubara Taku

  First Department of Internal Medicine

• Shibata Akira

  The First Department of Internal Medicine, Niigata University School of Medicine

• Tanabe Yasuhiko

  Department Of Internal Medicine Niigata Prefectural Shibata Hospital

• Shibata Akira

  The First Department Of Internal Medicine Niigata University School Of Medicine Tachikawa Hospital T

• Saeki Makihiko

  The First Department Of Internal Medicine Niigata University School Of Medicine

• Matsubara T

  First Department Of Internal Medicine Institute Of Nephrology Niigata University School Of Medicine

• Yamazoe Masaru

  Niigata City General Hospital

• Yamazoe Masaru

  First Department Of Internal Medicine

• YAMAGUCHI TOSHIO

  The First Department of Internal Medicine, Niigata University School of Medicine

• IGARASHI YUTAKA

  The First Department of Internal Medicine, Niigata University School of Medicine

• TANABE YASUHIKO

  The First Department of Internal Medicine, Niigata University School of Medicine

• Tanabe Yasuhiko

  The First Department Of Internal Medicine

• Yamamoto Tomohiko

  The First Department of Internal Medicine

• Yamaguchi Toshio

  Niigata Teishin Hospital

• Yamazoe Masaru

  The First Department Of Internal Medicine Niigata University School Of Medicine

• Shibata Akira

  First Department Of Internal Medicine Niigata University Niigata Case Western Reserve University

• Shibata Akira

  The First Department Of Internal Medicine Niigata University School Of Medicine

• Igarashi Yutaka

  First Department Of Internal Medicine Niigata University School Of Medicine

• Yamazoe Masaru

  First Department Of Medicine Niigata University

• Makiyama Yashiro

  Niigata City General Hospital

• Shibata Akira

  The Frist Department Of Internal Medicine Niigata University School Of Medicine

• Igarashi Yutaka

  The First Department Of Internal Medicine Niigata University School Of Medicine

• Yamaguchi Toshio

  The First Department Of Internal Medicine Niigata University School Of Medicine

• Murakami Yuji

  The Second Department Of Internal Medicine. Faculty Of Medicine University Of Tokyo

• Shibata Akira

  The 1st. Depertment Of Internal Medicine Niigata University School Of Medicine.

• Aizawa Yoshifusa

  The First Department Of Internal Madicine Niigata University School Of Medicine

• Chinushi Masaomi

  The First Department of Internal Medicine, Niigata University of Medicine

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