Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0151744 (myocardial ischemia)
 31,282 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Forty-five hospitalized elderly patients with coronary heart disease who died suddenly within 6 hours after the onset of symptoms were analyzed clinically and pathologically and summarized as following. (1) All the cases showed abnormal ST segments or T waves on ECG. (2) Various degrees of cardiac dysfunction were found clinically in all the patients. (3) Pathological examination of 31 cases revealed serious coronary atherosclerosis. New myocardial necrosis and/or multiple myocardial scars existed in about two-thirds of the patients. Based on these findings and characteristics, it is speculated that sudden coronary death in the elderly patients is caused by imbalance between oxygen supply and demand in the myocardium or deterioration of the cardiac function, which may result in fatal ventricular arrhythmia. Therefore, the prevention of sudden coronary death in the elderly patients should be focusing on reduction of myocardial ischemia, improvement of myocardial metabolism and protection of cardiac function.
Zhonghua Xin Xue Guan Bing Za Zhi 1992 Dec
PMID:[Clinical and pathological analysis of sudden coronary death in hospitalized elderly patients]. 130 72

200 cases with the Qi Stagnation and Blood Stasis type of coronary heart disease were divided into two groups randomly. Group A used Rose Shu-Xin (heart comforting) oral liquid which is mainly made from the local natural resources-Rose compound products. While group B used Salvia miltiorrhiza (co.) tablet. The results showed that in group A, the total effective rate was 98% and the ECG improving rate was 75%, while in group B, it was 50% and 40% respectively. There was significant difference between group A and B (P < 0.01). Experiments have proved that the Rose oral liquid could improve the myocardial ischemia of the experimental rabbit. It could also reduce the size of infarction area, thus protected the heart from infarction. No adverse action was found in animal experiments and clinical practice. It has proved that the oral liquid could dredge the Liver and regulate the flow of Qi, and remove any obstruction to it. It could also promote the circulation of Blood and relieve pain. It gave the Heart disease a cure from the Liver in TCM theory.
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PMID:[Preliminary study of rose shu-xin oral liquid in the treatment of angina pectoris in coronary heart disease]. 139 93

Silent myocardial ischemia was studied in 100 patients with coronary heart disease (CHD), proved by the coronary arteriogram (at least one major coronary artery narrowed by > or = 50%). The study demonstrated that 51 of 100 patients with CHD had episodes of myocardial ischemia by Holter monitoring. In the 51 patients, during daily activities, through 24-hour Holter monitoring, 239 transient episodes of ST depression were detected, 161 of the total were asymptomatic (67.4%). There were no statistically significant differences in the heart rate and the product of heart rate and systolic blood pressure before ST depression between asymptomatic and symptomatic episodes. The heart rate at the time of maximal ST depression during both asymptomatic and symptomatic ischemia increased by 13 and 22 beats/min, respectively, over those before ST depression (P < 0.01); whereas the increase in heart rate during symptomatic ischemia was more significant than during asymptomatic ischemia (P < 0.01). The increase of product of heart rate and systolic blood pressure at the time of maximal ST depression during asymptomatic and symptomatic ischemia were 22.2 and 35.4, respectively, over those before ST depression (P < 0.01). The incidence of silent ischemic episodes in patients with single vessel disease was 81.7% and those with multivessel disease was 61.3% (P < 0.01). The frequency of silent ischemic episodes was maximal (36% of total number of ischemic episodes) between 6 a.m. and 12 a.m. during 24-hour, whereas the incidence of silent ischemic episodes in patients with single vessel disease was similar to that in patients with multivessel disease.(ABSTRACT TRUNCATED AT 250 WORDS)
Zhonghua Xin Xue Guan Bing Za Zhi 1992 Apr
PMID:[Coronary heart disease and silent myocardial ischemia]. 147 87

Thirteen patients with totally silent myocardial ischemia (group 1) and 15 patients with effort angina (group 2) were studied. The coronary angiography of both groups indicated coronary artery stenosis > or = 50%. In group 1, the beta-endorphin plasma level (beta-EPL) during rest was significantly higher than those in group 2 (15.639 +/- 1.258 pg/ml and 8.920 +/- 1.478 pg/ml, respectively, P < 0.01). There were significant increases in beta-EPL in both groups after exercise as compared with that before exercise (beta-EPL is 33.801 +/- 6.243 pg ml/in group 1, P < 0.01; 18.169 +/- 3.540 pg/ml in group 2, P < 0.01). The difference between two groups after exercise was also significant (P < 0.05). The plasma level of noradrenaline (NE) during rest was 0.267 +/- 0.035 ng/ml, adrenaline (E) was 0.112 +/- 0.018 ng/ml in group 1, and NE was 0.218 +/- 0.032 ng/ml and E was 0.110 +/- 0.015 ng/ml in group 2. After exercise, NE was 1.017 +/- 0.160 ng/ml (P < 0.001), E 0.276 +/- 0.076 ng/ml (P < 0.001), E 0.260 +/- 0.043 ng/ml (P < 0.01) in group 2. There was no difference between two groups both in rest and after exercise (P > 0.05). This study indicates that the high plasma beta-endorphin level might play a major role in the occurrence of totally silent myocardial ischemia.
Zhonghua Xin Xue Guan Bing Za Zhi 1992 Apr
PMID:[Assessment of plasma catecholamine and beta-endorphin contents in patients with silent myocardial ischemia and angina pectoris]. 147 88

Seventeen patients with positive maximal or submaximal bicycle-exercise test accompanied by painlessness and 14 patients with susceptible coronary heart disease with negative exercise test were studied and traced for 36 months. The patients underwent repeated bicycle-exercise test of the same stress and compared with those before 36 months. The results showed that 7/17 patients (41.2%) had an increase in the depressed level of ischemic type ST segment induced by exercise test. 3 of them developed effort angina pectoris: 1 suffered from myocardial infarction, 1 had recurrent atrial flutter and left heart failure, and 1 suddenly died from cardiac disease. The cardiac event rate was 3/17 (17.6%) in this group. While 14 patients with negative exercise test had no cardiac events. It seems to mean that silent myocardial ischemia detected by exercise test might have potential danger of cardiac events.
Zhonghua Xin Xue Guan Bing Za Zhi 1992 Apr
PMID:[Clinical outcome of silent myocardial ischemia detected by bicycle ergometry study]. 147 90

To evaluate the influence of isometric exercise on left ventricular (LV) diastolic function, transmittal flow velocity was measured by pulsed Doppler echocardiography before and after handgrip in 15 normal subjects and the patients with hypertension as well as 18 patients with coronary heart disease (CHD). Statistically significant differences in peak velocity of early rapid filling (Ev), the ratios of peak early to late diastolic velocity (Ev/Av) and early to late velocity-time integral (Ei/Ai) between normal subjects and both the patients with hypertension and CHD were noted at rest. After isometric exercise, significant increase in Av (0.70 +/- 0.13 vs 0.76 +/- 0.14, P less than 0.01) and Ai/total VTi (0.35 +/- 0.07 vs 0.42 +/- 0.08, P less than 0.05) were showed in the hypertension group. In CHD, multiple Doppler parameters changed after isometric exercise with increase in Av (0.70 +/- 0.16 vs 0.85 +/- 0.18, P less than 0.01) and Ai/total VTi (0.36 +/- 0.08 vs 0.42 +/- 0.08, P less than 0.01) as well as decrease in Ev/Av (0.95 +/- 0.22 vs 0.82 +/- 0.15, P less than 0.05) and Ei/Ai (1.64 +/- 0.51 vs 1.35 +/- 0.34, P less than 0.05). However, there was no significant difference in any Doppler indices of LV diastolic function in the present normal subjects after isometric exercise. Thus, isometric exercise further enhanced late LV diastolic filling in the patients with impaired LV diastolic function in resting states greater than normal subjects, and myocardial ischemia induced by handgrip may play partial role in more changes in Doppler indices of LV diastolic function in CHD than the patients with hypertension.
Zhonghua Xin Xue Guan Bing Za Zhi 1991 Oct
PMID:[Influence of isometric exercise on left ventricular diastolic function in the normal subjects and in patients with hypertension and coronary heart disease]. 181 17

Currently cine left ventriculography and coronary arteriography are still one of the most important methods in the diagnosis of coronary heart disease and other coronary arterial diseases. An image processing system, called "IA-87 Medical Image Processing System", for quantitative analysis of cine-coronary and left ventricular angiograms has been developed using IBM-PC/AT computer. The major functions of this system are: (1) left ventricular volume determination, i.e. left ventricular contour can be drawn automatically or semi-automatically, the systolic and diastolic volume of the left ventricle are calculated by Simpson's, length-area and chord-length methods. (2) left ventricular segmental wall motion analysis, using rectilinear and polar method, the segmental ejection fraction and normalized segmental contraction are determined. (3) dynamic display of the cardiac cycle. (4) coronary arterial lesion, such as stenosis, can be quantitatively analysed. In a series of cases free from cardiac disease the normal coronary artery (40 cases) and left ventricle (30 cases) were quantitatively analysed using "IA-87 Medical Image Processing System", and the normal value of coronary artery diameter and left ventricular function among Chinese obtained. At the same time, in a series of 45 cases with coronary heart disease (including anterior, posterior wall infarction, and left ventricular aneurysm in 15 respectively), quantitative analysis of the left ventricle was made. The results showed that the system is of significant value for quantitative diagnosis of ischemic heart disease as well as evaluation of therapeutic effect and prediction of prognosis.
Zhonghua Xin Xue Guan Bing Za Zhi 1991 Apr
PMID:[Clinical application of image processing system and quantitative analysis of left ventriculogram and coronary arteriogram]. 187 18

Plasma beta-endorphin (beta-END) levels were measured before, after exercise tests and at the onset of spontaneous angina in 23 anginal patients (group 1), 23 patients with silent myocardial ischemia (group 2) and 15 healthy volunteers (group 3). The pain perception in three groups was also measured. Before and after exercise, the concentration of beta-END in group 1 was significantly lower than that in group 2 and group 3. The concentration of beta-END during onset of spontaneous angina was also lower than that of angina-free period in group 1. There was no significant difference of beta-END between group 2 and 3. The values of the pain threshold and tolerance in group 1 were lower than those of group 2 and 3. These data suggested that plasma levels of beta-END may be related to occurrence of angina. The anginal patients had a hypersensitivity and hypotolerance for pain. A positive correlation was found between plasma beta-END and pain threshold, the levels of beta-END might affect the pain perception during the onset of myocardial ischemia.
Zhonghua Xin Xue Guan Bing Za Zhi 1991 Feb
PMID:[The role of beta-endorphin and pain perception in silent myocardial ischemia]. 206 Apr 63

Sixty patients of CAD were studied with 24 and 48 hours ambulatory electrocardiogram monitoring. The day-to-day natural variances of transient myocardial ischemia in this group were analysed. The ranges of variation of myocardial ischemia based on a 95% confidence interval were confirmed. The results showed that the day-to-day variances of ischemia between the different days were: (1) 43% in number of ischemia episodes, (2) 76% in duration, (3) 53% in integration, and (4) 48% in maximal degree of ST depression.
Zhonghua Xin Xue Guan Bing Za Zhi 1990 Dec
PMID:[The natural variance of transient myocardial ischemia in coronary artery patients]. 209 53

There is a growing evidence for the role of oxygen free radicals (OFR) in mediating myocardial tissue injury during myocardial ischemia and particularly during reperfusion. But almost all of the evidence was indirect, using electron spin resonance (ESR) spectroscopy, we have directly measured OFR generated in ischemic and reperfused isolated rabbit hearts. 17 hearts were rapidly frozen in liquid nitrogen after their arrest by cardioplegic solution and sampled after 150 min of sustained hypothermic global ischemia or after reperfusion. The ESR spectra obtained from experiment have directly demonstrated that OFR is produced in significant amounts in the isolated rabbit hearts during early stage of reperfusion but only small amount during ischemia. The mitochondrial electron transport chain appeared to be the main source of OFR. We found that superoxide dismutase scavenged OFR generated during reperfusion efficiently, but catalase did not. We believe that superoxide anion, not hydroxyl radical, is the main OFR which is responsible for myocardial reperfusion injury. We also found that Salvia, a traditional Chinese medicine, a very efficient OFR scavenger, had the similar effect as superoxide dismutase.
Zhonghua Xin Xue Guan Bing Za Zhi 1989 Jun
PMID:[Direct detection of oxygen free radicals produced by myocardial reperfusion using electron spin resonance spectroscopy]. 255 94


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