Long-Term Prognosis of Vasospastic Angina without Significant Atherosclerotic Coronary Artery Disease

Kcnsuke Egashira, Yutaka Kikuchi, Tomohiko Sagara, Masayoshi Sugihara, Motoomi Nakamura

研究成果: ジャーナルへの寄稿記事

15 引用 (Scopus)

抄録

Long-term prognosis of 90 patients with vasospastic angina without significant coronary artery disease (less than 50% reduction in luminal diameter) was examined for a mean follow-up period of 4 years. All patients had episodes of angina at rest and were treated with calcium antagonists. One patient developed myocardial infarction and 2 died suddenly during the follow-up period. In the patient with myocardial infarction, there was an abrupt worsening of angina prior to the infarction despite therapy with a calcium antagonist. One of the sudden death patients discontinued his calcium antagonist before his death. Of the sudden death patients, one had ventricular tachycardia and the other had a complete atrioventricular block during an anginal attack. The incidence of such serious arrhythmias was higher (p>0.01) in sudden death patients (2/2) than that in survivors (6/88). The treatment with calcium antagonists reduced the severity and frequency of angina in all patients. These results suggest that long-term prognosis of vasospastic angina without significant coronary artery disease is good as characterized by the low incidence of myocardial infarction and death and the favorable response to treatment with calcium antagonists.

元の言語英語
ページ(範囲)841-849
ページ数9
ジャーナルjapanese heart journal
28
発行部数6
DOI
出版物ステータス出版済み - 1 1 1987

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Coronary Artery Disease
Calcium
Sudden Death
Myocardial Infarction
Atrioventricular Block
Incidence
Unstable Angina
Ventricular Tachycardia
Infarction
Survivors
Cardiac Arrhythmias
Therapeutics

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

これを引用

Long-Term Prognosis of Vasospastic Angina without Significant Atherosclerotic Coronary Artery Disease. / Egashira, Kcnsuke; Kikuchi, Yutaka; Sagara, Tomohiko; Sugihara, Masayoshi; Nakamura, Motoomi.

:: japanese heart journal, 巻 28, 番号 6, 01.01.1987, p. 841-849.

研究成果: ジャーナルへの寄稿記事

Egashira, Kcnsuke ; Kikuchi, Yutaka ; Sagara, Tomohiko ; Sugihara, Masayoshi ; Nakamura, Motoomi. / Long-Term Prognosis of Vasospastic Angina without Significant Atherosclerotic Coronary Artery Disease. :: japanese heart journal. 1987 ; 巻 28, 番号 6. pp. 841-849.
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