Clinical Significance and Management of Silent Myocardial Ischemia in Patients with Angina Pectoris and Myocardial Infarction : PANEL DISCUSSION ON SILENT MYOCARDIAL ISCHEMIA
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概要
- 論文の詳細を見る
The present study was canued out to clarify the relationship between silent myocardial ischemia in patients with angina pectoris and onset of myocardial infarction, and the former's prognostic significance. The peak incidences of onset of myocardial infarction in patients were at 2 a.m., 9 a.m., 2 p.m., 8 p.m., and 9 p.m., and the peak onsets of transient silent myocardial ischemia in angina pectoris patients were at 9 a.m., 2 p.m., 8 p.m., and 9 p.m. Thus the most likely onset times were almost the same with both events. Of 169 patients with coronary artery disease admitted for treatment, 128 patients had no anginal attacks during follow-up and the remaining 41 had persistent angina despite adequate medical treatment. Holter monitoring electro-cardiography was performed twice with the non-angina patients, during admission. Of these 128 patients, 54 showed no silent myocardial ischemia on either of the electrocardiographic recordings, 34 showed silent ischemia with the first Holter monitoring but not with the second one, and the remaining 41 showed silent myocardial ischemia on both tests. The subsequent incidences of " cardiac events" were 9.4%, 14.7% and 36.6%, respectively for these three groups. Therefore, it is concluded that the presence of silent myocardial ischemia is closely related to onset of myocardial infarction and is an important prognostic factor in patients with coronary artery disease.
- 社団法人日本循環器学会の論文
- 1989-11-20
著者
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Saitoh Tsutomu
First Department Of Internal Medicine Nippon Medical School
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Hata Noritake
The First Department of Internal Medicine, Nippon Medical School
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Kishida Hiroshi
The First Department of Internal Medicine, Nippon Medical School
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Fukuma Nagaharu
The First Department of Internal Medicine, Nippon Medical School
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SUZUKI TAKESHI
The First Department of Internal Medicine, Nippon Medical School
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SAITO TSUTOMU
The First Department of Internal Medicine, Nippon Medical School
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KIUCHI KANAME
The First Department of Internal Medicine, Nippon Medical School
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YASUTAKE HIROKO
The First Department of Internal Medicine, Nippon Medical School
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TANAKA KEIJI
The First Department of Internal Medicine, Nippon Medical School
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Hata Noritake
Department Of Intensive Care Unit Chiba-hokusoh Hospital Nippon Medical School
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Hata Noritake
日本医科大学千葉北総病院 循環器内科
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Hata Noritake
Intensive Care Unit Chiba Hokusoh Hospital Nippon Medical School
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Fukuma Nagaharu
日本医科大学 内科学循環器
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Fukuma Nagaharu
The First Department Of Internal Medicine Nippon Medical School
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Kishida H
Department Of Internal Medicine Division Of Cardiology Nippon Medical School
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Kishida Hiroshi
日本医科大学 循環器内科
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Saito Tsutomu
The First Department Of Internal Medicine Nippon Medical School
-
Kishida Hiroshi
The First Department Of Internal Medicine Nippon Medical School
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Kiuchi Kaname
The First Department Of Internal Medicine Nippon Medical School
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Kishida Hiroshi
Department Of Cardiology Nippon Medical School Tama-nagayama Hospital
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Yasutake Hiroko
The First Department Of Internal Medicine Nippon Medical School
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Saito Tsutomu
Department Of Internal Medicine Nippon Medical School
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Tanaka Keiji
Division Of Ccu Nippon Medical School
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Tanaka Keiji
The First Department Of Internal Medicine Nippon Medical School
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Suzuki Takeshi
The First Department Of Internal Medicine Nippon Medical School
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Katoh Takao
Intensive And Coronary Care Unit Nippon Medical School
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