PMID: 869973Apr 1, 1977

Acute coronary insufficiency. Review of 46 patients

British Heart Journal
L J DayE Sowton

Abstract

Forty-six patients admitted with acute coronary insufficiency are reviewed. All were investigated by coronary angiography; 4 had normal coronary arteries and are included in this study; the remainder had a distribution of coronary artery disease similar to other angina patients. The clinical and angiographic findings, management, and subsequent course of the other 42 patients are presented. Fourteen patients (33%) in whom rest pain persisted after 48 hours underwent emergency coronary angiography, with 3 deaths; of the surviving 11 who had acute saphenous vein bypass grafting, 2 died at operation and 3 had perioperative myocardial infarctions. Seventeen patients (41%) who initially improved required surgery within 6 months because of symptoms. Eleven patients (26%) were not operated on. It is concluded that acute coronary insufficiency is best managed initially by intensive medical therapy but a high proportion will require surgery later because of disabling angina. Early investigation and surgery are associated with a high mortality and incidence of myocardial infarction. Survivors of surgery are symptomatically improved and there is a low incidence of late infarction and death.

References

Jul 1, 1975·The American Journal of Cardiology·H F Mizgala
Dec 1, 1975·British Heart Journal·R A Chahine
Apr 22, 1972·Lancet·M FultonM F Oliver
May 13, 1972·Lancet·G G Rowe
Jun 7, 1973·The New England Journal of Medicine·S J FischlR Gorlin
Feb 12, 1973·JAMA : the Journal of the American Medical Association·B L SegalJ W Linhart
Dec 1, 1973·The American Journal of Cardiology·C CheanvechaiF M Sones
May 1, 1972·Circulation·K R KraussR W DeSanctis
Jun 1, 1967·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·W J WilsonK Amplatz
Jun 1, 1956·Annals of Internal Medicine·H LEVY
Oct 1, 1956·Annals of Internal Medicine·E DONOSOA M MASTER
Jun 24, 1961·British Medical Journal·P WOOD
Jul 1, 1964·The American Journal of Cardiology·R J VAKIL
May 1, 1955·American Heart Journal·L R KRASNO, A GRAYBIEL
Apr 1, 1960·British Heart Journal·C PAPP, K S SMITH
Sep 11, 1948·Journal of the American Medical Association·A S FREEDBERG, H L BLUMGART

Citations

Oct 1, 1982·The Annals of Thoracic Surgery·E L JonesT Thompkins
Jan 1, 1979·Scandinavian Journal of Thoracic and Cardiovascular Surgery·R Nordlander, O Nyquist
Oct 1, 1979·American Heart Journal·P J de FeyterJ P Roos
Mar 1, 1981·Progress in Cardiovascular Diseases·P J Scanlon
Apr 1, 1985·American Heart Journal·R MulcahyR Contoy
Apr 1, 1980·The American Journal of Cardiology·M PrevitaliP Bobba
Oct 1, 1978·The American Journal of Cardiology·G N OlingerF E Tristani
Sep 1, 1981·The American Journal of Cardiology·R MulcahyG Tobin

Related Concepts

Acute Disease
Angiocardiography
Coronary Heart Disease
Retrospective Studies
Coronary Angiography

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