TY - JOUR
T1 - Variant angina pectoris
T2 - a clinical and coronary arteriographic spectrum
AU - Donsky, Michael S.
AU - Harris, M. Dean
AU - Curry, George C.
AU - Blomqvist, C. Gunnar
AU - Willerson, James T.
AU - Mullins, Charles B.
N1 - Funding Information:
From the Pauline and Adolph Weinberger Laboratory for Cardiopulmonary Research of the Department of Internal Medicine and the Department of Radiology, University of Texas Southwestern Medical School at Dallas, Dallas, Texas. This work was performed during the tenures Drs. Donsky and Harris as Postdoctoral Research Fellows supported by National Heart and Lung Institute Training Grant HL 05812, during the tenure of Dr. Blomqvist as an Established Investigator of the American Heart Association, and during the tenure of Dr. Mullins as a Teaching Scholar of the American Heart Association. Dr. Willerson is an Established Investigator of the American Heart Association. for publication June 12, 1974. Reprint requests: Dr. Michael S. Donsky, Cardiopulmonary 5323 Harry Hines Blvd., Dallas, Texas 75235.
PY - 1975/5
Y1 - 1975/5
N2 - The clinical course and coronary arteriographic findings in eight patients with Prinzmetal's variant angina pectoris are reviewed and contrasted to previously reported cases. In six patients with S-T-elevation inferiorly, three had normal coronary arteriograms, one had complete right coronary artery occlusion, one had diffuse triple-vessel disease, and one did not undergo coronary arteriography. In two patients with S-T-elevation anteriorly, severe stenosis of the anterior descending coronary artery was present. Medical treatment in four patients and surgical revascularization of the anterior descending coronary artery in two patients were both accompanied by marked symptomatic improvement. Spontaneous loss of angina occurred in two patients. During 17 months' mean follow-up, seven patients have remained free of angina and one died suddenly. Variant angina pectoris may be accompanied by a variety of coronary arteriographic findings and the prognosis appears more favorable than previously reported.
AB - The clinical course and coronary arteriographic findings in eight patients with Prinzmetal's variant angina pectoris are reviewed and contrasted to previously reported cases. In six patients with S-T-elevation inferiorly, three had normal coronary arteriograms, one had complete right coronary artery occlusion, one had diffuse triple-vessel disease, and one did not undergo coronary arteriography. In two patients with S-T-elevation anteriorly, severe stenosis of the anterior descending coronary artery was present. Medical treatment in four patients and surgical revascularization of the anterior descending coronary artery in two patients were both accompanied by marked symptomatic improvement. Spontaneous loss of angina occurred in two patients. During 17 months' mean follow-up, seven patients have remained free of angina and one died suddenly. Variant angina pectoris may be accompanied by a variety of coronary arteriographic findings and the prognosis appears more favorable than previously reported.
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U2 - 10.1016/0002-8703(75)90501-3
DO - 10.1016/0002-8703(75)90501-3
M3 - Article
C2 - 1078930
AN - SCOPUS:0016744967
SN - 0002-8703
VL - 89
SP - 571
EP - 578
JO - American heart journal
JF - American heart journal
IS - 5
ER -