PMID: 971375Sep 1, 1976

Coronary artery disease in patients dying from cardiogenic shock or congestive heart failure in the setting of acute myocardial infarction

British Heart Journal
F J WackersH J Wellens

Abstract

Pathological findings in the heart and particularly in the coronary arteries are reported from 70 patients dying from pump failure after acute myocardial infarction. Fifty of the patients had died in cardiogenic shock, the remainder from refractory congestive heart failure. Three-vessel disease (greater than or equal to 75% occlusion) was present in 68 per cent of the group with cardiogenic shock but in only 35 per cent of those with fatal congestive heart failure (P less than 0-02). In both groups there was an almost equal incidence (84% for cardiogenic shock and 80% for congestive heart failure) of severe disease (greater than or equal to 75% occlusion) over a long segment of the left anterior descending artery. However, there were differences between the two groups regarding the involvement of the other coronary arteries. Whereas patients with cardiogenic shock generally showed severe disease over a long segment in all coronary arteries, in 60 per cent of those with congestive heart failure there was only local severe narrowing of the right coronary artery with little or no narrowing of the peripheral part. Similarly, 60 per cent of those with congestive heart failure had less than 75 per cent narrowing in the left circumfle...Continue Reading

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Citations

Mar 22, 1975·Lancet·K I LieH J Wellens
Dec 7, 1974·Lancet·M G MillerM Alexander
Dec 1, 1974·The American Journal of Cardiology·L A Kuhn
Feb 1, 1974·The American Journal of Cardiology·L S Cohen
May 10, 1973·The New England Journal of Medicine·S ScheidtA Kantrowitz
May 1, 1972·Circulation·M J WolkT Killip
Jul 15, 1971·The New England Journal of Medicine·D L PageC A Sanders
Nov 1, 1970·British Heart Journal·C HarnarayanD B Brewer

Related Concepts

Coronary Artery Disease
Myocardium
Entire Right Coronary Artery
Myocardial Infarction
Acute Disease
Coronary Arteriosclerosis
Entire Anterior Descending Branch of Left Coronary Artery
Obstruction
Sinus Node Artery
Coronary Artery

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