ACUTE MYOCARDIAL-INFARCTION WITHOUT WARNING - CLINICAL CHARACTERISTICS AND SIGNIFICANCE OF PREINFARCTION ANGINA

被引：14
|
作者：
YOSHIKAWA, T
INOUE, S
ABE, S
AKAISHI, M
MITAMURA, H
OGAWA, S
HANDA, S
机构：
[1] Cardiopulmonary Division, Department of Medicine, Keio University School of Medicine, Tokyo
来源：
CARDIOLOGY | 1993年 / 82卷 / 01期
关键词：
PREINFARCTION ANGINA; PUMP FAILURE; CARDIAC RUPTURE; COLLATERAL CHANNEL; ISCHEMIC PRECONDITIONING;
D O I：
10.1159/000175852
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We investigated the clinical characteristics of acute myocardial infarction (AMI) not preceded by angina in 256 patients with first AMIs. Complications, including sustained ventricular tachycardia or ventricular fibrillation. pump failure and cardiac rupture, were more frequent in patients with AMI not preceded by angina (group 1, n = 92) than those preceded by angina (group 2, n = 164). The in-hospital mortality rate was higher in group 1 than in group 2. Poor preexisting collateral channels or lack of ischemic preconditioning may be responsible for the poorer outcome in group 1 patients.
引用
收藏
页码：42 / 47
页数：6
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