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Query: UMLS:C0002962 (angina)
 21,142 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A 24-hour ECG monitoring was carried out in 130 patients with stable exercise angina pectoris and history of myocardial infarction. A diagnosis of ischemic heart disease was based on anamnesis, positive result of exercise test and dipyridamole test, and the result of coronary angiography in some patients. Patients with unchanged repolarization period in ECG were classified to the study. Electrocardiogram was registered with Holter technique in patients performing their usual activities. Recorded ECG was analysed with visual technique in Medilog 3000 system. Two hundred thirty seven ischemic episodes were shown in the examined patients, including 69% of painless ischemic attacks and 31% of ischemic attacks with anginal pain. Duration of painless ischemic attacks with anginal pain. Duration of painless ischemic attacks was longer, heart rate slower, and ST segment elevation did not differ in both types of myocardial ischemia.
Pol Tyg Lek 1996 Mar
PMID:[Incidence of painless ischemic heart disease]. 892 45

During a 4-year period, 59 patients with the acute myocardial infarction were treated at the ICU of the district hospital. Streptokinase, used for the treatment, was given i.v. after and average period of 3 hours following the onset of stenocardia. Elaborated protocol was observed as to the selection of patients for thrombolytic therapy and its tactics. Basing on the indirect criteria of reperfusion, a recanalization of the occluded artery was noted in 74.6% of the treated patients. Complications occurred most frequently during the first 24 hours of the hospitalisation. None was serious enough to require special therapeutic measures. Complications of the thrombolytic treatment were less frequent after the first day of the hospitalisation. Thrombolytic treatment of the acute myocardial infarction with intravenous streptokinase is safe and effective, and may successfully be carried out also in district hospitals in which cardiac catheterization and cardiosurgery are inaccessible.
Pol Tyg Lek 1996 Mar
PMID:[Thrombolytic therapy for acute myocardial infarction in the general internal medicine ward]. 892 50

Indications to manometric measurements in patients complaining for esophageal disorders are discussed. Such symptoms most frequently include: dysphagia, heartburn, and angina-like pain after exclusion of the coronary artery disease. Radiological and endoscopic examinations should precede esophageal motility measurements to eliminate organic causes of patients' complaints. Initial manometric measurements may be repeated after the application of pharmacologic stimuli or functional tests. Most frequent esophageal motor disorders have been described.
Pol Tyg Lek 1996 Apr
PMID:[Manometric examination in diagnosis of esophageal motility disorders]. 896 71

The activity of adenosine deaminases (EC.3.5.4.4) in granulocytes and lymphocytes of patients with stable angina pectoris was lower by about 27% and 24%, respectively as compared with control group, whereas these values in erythrocytes and blood plasma were at the normal level.
Acta Biochim Pol 1997
PMID:Adenosine deaminase activity in blood of patients with stable angina pectoris. 936 Jul 26

Detection of coronary artery reperfusion in patients after thrombolytic therapy because of acute myocardial infarction includes, except angiography, disappearance of anginal pain, regression of electrocardiographic and echocardiographic myocardial ischaemia symptoms, increased activity of creatine kinase (CPK) and its isoenzyme CK-MB. The aim of the study was to check whether changes in myoglobin serum concentration could be an early marker of coronary artery reperfusion after thrombolysis in patients with acute myocardial infarction. The studies comprised 50 patients treated by thrombolysis due to threatening myocardial infarction, including 29 men and 21 women aged 43-84 years. The patients were divided into 2 groups: the first (i)-patients without symptoms of coronary artery reperfusion and the second (ii)-those with symptoms of coronary artery reperfusion. It was assumed that the basis for successful reperfusion would be the reduction of total elevations of the ST segment 70% or more in electrocardiographic recording performed 3 hours after the start of thrombolytic treatment. Reperfusion was considered completely unsuccessful when reduction of total elevations was less than 30%. In patients with reperfusion after thrombolysis the concentrations of myoglobin were much higher and the activity of CPK and CK-MB significantly more intensive in comparison with patients without reperfusion symptoms in electrocardiographic assay. The evaluation of myoglobin concentration, CPK and CK-MB activity in the 3rd hour after the start of thrombolytic treatment in relation to maximum values is characterised by high sensitivity and specificity in the prediction of reperfusion onset Maximum myoglobin concentration in serum appears significantly earlier than maximum CPK and CK-MB activity and this marker is characterised by higher sensitivity and specificity in the evaluation of coronary artery reperfusion than the activity of CPK and CK-MB.
Pol Merkur Lekarski 1997 Sep
PMID:[Myoglobin concentration in serum as an early marker of reperfusion in patients with acute myocardial infarction after thrombolytic therapy]. 946 4

Myocardial bridge is a congenital anomaly of the coronary artery and appears on an angiogram as a systolic narrowing. Major coronary veins are rarely covered by myocardial bridges. The functional significance of coronary bridging remains controversial. Generally, bridging is not though to result in symptoms, as the coronary narrowing occurs during systole and most coronary flow occurs during diastole. Some authors reported this condition in association with angina pectoris, myocardial infarction, cardiac arrhythmias and sudden cardiac death. The mechanism of ischemia, connection with atherosclerosis are not clear. The symptomatic compressive myocardial bridge is in itself an indication for operation by simple section of the bridge. But if there exist associated atheromatous lesions, the surgeon should combine aortocoronary bypass with section or coronary angioplasty.
Pol Merkur Lekarski 1997 Aug
PMID:[Myocardial bridge of the coronary arteries and its clinical significance]. 948 Jan 85

Angiotensin-converting enzyme (ACE) inhibitors are now established drugs in the treatment of hypertension and heart failure. The renin-angiotensin-aldosterone system is complex and acts as a circulating hormonal system, a local endogenous tissue system and neuromodular. Current experimental evidence suggests that ACE inhibitors reduce the risk associated with atherosclerotic cardiovascular disease. The antiatherogenic action of ACE inhibitors is related to complex effects mediated by these agent, including an antiproliferative and antimitotic action, beneficial effects on endothelial function, plaque-stabilizing effects and the action of these agents on the sympathetic nervous system. The role of ACE inhibitors in preventing the clinical sequale of atherosclerotic cardiac disease has been evaluated in various patient populations. Several small trial assess the effects of ACE inhibitors in severity of angina pectoris have reported conflicting results, with benefit is some patients and no benefit or even exacerbation of angina in others, indicating that ACE inhibitors do not have consistent antianginal effects in short-term study. ACE inhibitors have the theoretical potential to prevent restenosis after PTCA but they do not prevent restenosis and has no effect on overall clinical outcome. New data suggest that ACE inhibitors may be effective therapy fir patients following acute myocardial infarction. The renin-angiotensin system, is activated during new myocardial infarction and has an impact on the process of remodeling of the left ventricle which causes ist dysfunction and heart failure. In most of the large mortality trials the rationale for early treatment with ACE inhibitors after myocardial infarction was stated. ACE inhibitors have a positive effect in preventing the ventricular dilatation and they reduce the rate of reinfarctions and the mortality rate.
Pol Merkur Lekarski 1998 Jan
PMID:[The significance of converting enzyme inhibitor angiotensin I to angiotensin II in treatment of patients with coronary disease]. 955 7

The aim of this work was to investigate the cardiologic risk factors for stroke. 232 patients were studied. All of them had a stroke. There were 133 males and 99 females. The most often observed cardiologic risk factor for stroke was ischaemic heart disease, which was present in 48.2% of all the cases. Usually ischaemic heart disease was observed as stable angina pectoris (34.4%) and past cardiac infarction (9.9%). Dysrrhythmia and conduction abnormalities were present in 46.1% of cases, mostly as premature ventricular beats (13.4%) and atrial fibrillation and atrial flutter (12.5%). Congenital and acquired heart diseases (11.6%) and chronic circulatory failure (15.9%) were recognized in lower per cent of the cases. The assessments of other authors and our observations evidence the relevance of cardiologic risk factors in stroke.
Neurol Neurochir Pol
PMID:[Cardiologic risk factors for stroke]. 963 76

A cohort of 297 patients with ischaemic stroke were followed for one year. Doppler ultrasonography, done in 219 patients (109 women and 110 men), aged 68.0 +/- 12.6, revealed a concomitant carotid artery occlusive disease (CAD) in 76 patients (34.7%), 34 women and 42 men, aged 66.5 +/- 11.1, 45 of them had high grade stenosis (> 75%) or occlusion. Claudication, myocardial infarction and hypercholesterolaemia diagnosed before the onset of stroke was found more often in patients with CAD, 11.1%, 22.2% and 4.4% was versus 2.8%, 12.3% and 1.4% in patients without CAD. Prevalence of other stroke risk factors, hypertension, diabetes, angina in both groups of patients was similar. Severe stenosis or occlusion was diagnosed more often among men (58%) and among smokers (55%), in the group of patients without CAD than 48% and 42% respectively. The onset of stroke was preceded more often by TIA--24% in group with CAD, versus 17% in patients without CAD. Neurological state on admission, test by Stroke Severity Scale and Weakness Score according to SDB, was similar in both groups of patients but prognosis was worst among patients with CAD, 13.5% of them developed recurrent stroke versus 7% in group without CAD. In Kaplan-Meier analysis one year cumulative survival rates were lower in the group of the patients with severe stenosis or occlusion.
Neurol Neurochir Pol
PMID:[Carotid artery disease in patients with ischemic stroke. Results of year-long observation conducted within the framework of prospective epidemiological studies, Warsaw, 1991-1992]. 976 May 45

A case of 51-year old female with large inferior left ventricular aneurysm developed 3 months after myocardial infarction is presented. The patient demonstrated advanced congestive heart failure and angina. Coronarography revealed amputation of the distal part of 3 coronary vessels without possibility of revascularisation. In ventriculography large inferior wall aneurysm was found. Echocardiography strongly suggest the presence of pseudoaneurysm. During the operation very large real aneurysm arising from inferior wall and apex was found. Postoperative period was complicated by many cardiac and non cardiac events. Authors discuss the problems of proper diagnostic and its influence on decision about surgical management.
Pol Arch Med Wewn 1998 Mar
PMID:[Difficulties in distinguishing left ventricular aneurysm from pseudoaneurysm. Case report]. 976 Aug 10


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