Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ciraulo, D.
Right arrow Articles by Chesne, R.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Ciraulo, D.
Right arrow Articles by Chesne, R.

Chest, Vol 83, 196-202, Copyright © 1983 by American College of Chest Physicians

ARTICLES

Transmural myocardial infarction with normal coronary angiograms and with single vessel coronary obstruction. Clinical-angiographic features and five-year follow-up

DA Ciraulo, GF Bresnahan, PS Frankel, PE Isely, WR Zimmerman and RB Chesne

Angiographic, clinical, and five-year follow-up study of 20 cases of myocardial infarction with normal coronary angiograms (MI-NCA) and 20 cases of myocardial infarction with single vessel obstruction (MI-SVO) are presented. MI-SVO patients differed from MI-NCA in being older (53.7 vs 44.5 years, p = 0.025), predominantly male (90 percent vs 40 percent, p = 0.001), frequently having large left ventricular akinetic segments (50 percent vs 15 percent, p = 0.01), and frequently having antecedent typical angina (55 percent). MI-NCA was more frequently associated with definite mitral valve prolapse (25 percent vs 10 percent, NS); migraine, or Raynaud's phenomenon (45 percent vs 5 percent, p = 0.001); birth control pill ingestion in women (33 percent vs 0 percent, p = 0.05); paroxysmal atrial flutter (25 percent vs 0 percent, p = 0.01); and antecedent atypical angina (25 percent). Frequency of cigarette smoking and hypertension and the mean serum cholesterol levels were similar in both groups. On follow-up, MI-NCA patients more commonly had neurologic events (25 percent vs 5 percent, p = 0.05) and second myocardial infarction (15 percent vs 0 percent, p = 0.02), but deaths occurred infrequently in both groups. These data suggest a variety of pathophysiologic causes for MI-NCA.


This article has been cited by other articles:


Home page
 Arch Intern MedHome page
H. Romo, A. C. K.-B. Amaral, and J.-L. Vincent
Effect of Patient Sex on Intensive Care Unit Survival
Arch Intern Med, January 12, 2004; 164(1): 61 - 65.
[Abstract] [Full Text] [PDF]

Home page
 Arch Intern MedHome page
V. Vaccarino, R. I. Horwitz, T. P. Meehan, M. K. Petrillo, M. J. Radford, and H. M. Krumholz
Sex Differences in Mortality After Myocardial Infarction: Evidence for a Sex-Age Interaction
Arch Intern Med, October 12, 1998; 158(18): 2054 - 2062.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
M J A Williams, N J Restieaux, and C J S Low
Myocardial infarction in young people with normal coronary arteries
Heart, February 1, 1998; 79(2): 191 - 194.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1983 by the American College of Chest Physicians.