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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
17
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pubmed:dateCreated |
1992-1-16
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pubmed:abstractText |
Syndrome X is characterized by an abnormal vasomotility of coronary microvessels. It is unknown whether the presence of an ischemic-like pattern in the electrocardiogram at rest (T-wave inversion) reflects a more severe vasomotion disturbance. Changes in coronary sinus flow (thermodilution) and epicardial vessel diameter (quantitative angiography) during adrenergic activation were measured with a standard cold pressor test in patients with syndrome X whose electrocardiogram at rest was normal (group 1: 17 patients) or showed stable, symmetrically inverted T waves (group 2: 22 patients). Cold pressor test increased mean blood pressure and rate-pressure product to a similar extent in both groups, increased coronary sinus flow in group 1 (88 +/- 29 to 119 +/- 36 ml/min; p less than 0.05) and not in group 2 (109 +/- 37 vs 104 +/- 36 ml/min; p = not significant), and decreased coronary resistance in group 1 (1.38 +/- 0.42 to 1.19 +/- 0.38 mm Hg/ml/min; p less than 0.05) and augmented it in group 2 (1.06 +/- 0.32 to 1.28 +/- 0.43 mm Hg/ml/min; p less than 0.02). During cold stimulus, the proximal and middle segments of epicardial arteries showed negligible changes in their lumen, whereas the distal segment dilated in group 1 (1.81 +/- 0.27 to 2.01 +/- 0.32 mm; p less than 0.05) and constricted in group 2 (1.82 +/- 0.12 to 1.62 +/- 0.20 mm; p less than 0.05). Differences in coronary hemodynamic and angiographic responses between the groups were statistically significant (p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
68
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1698-703
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:1746475-Adrenergic Fibers,
pubmed-meshheading:1746475-Angina Pectoris,
pubmed-meshheading:1746475-Blood Pressure,
pubmed-meshheading:1746475-Cardiac Output,
pubmed-meshheading:1746475-Cold Temperature,
pubmed-meshheading:1746475-Coronary Circulation,
pubmed-meshheading:1746475-Coronary Vessels,
pubmed-meshheading:1746475-Electrocardiography,
pubmed-meshheading:1746475-Female,
pubmed-meshheading:1746475-Heart Rate,
pubmed-meshheading:1746475-Humans,
pubmed-meshheading:1746475-Male,
pubmed-meshheading:1746475-Middle Aged,
pubmed-meshheading:1746475-Propranolol,
pubmed-meshheading:1746475-Syndrome,
pubmed-meshheading:1746475-Vascular Resistance,
pubmed-meshheading:1746475-Vasomotor System
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pubmed:year |
1991
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pubmed:articleTitle |
Coronary adrenergic hyperreactivity in patients with syndrome X and abnormal electrocardiogram at rest.
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pubmed:affiliation |
Instituto di Cardiologia, University of Milan, Italy.
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pubmed:publicationType |
Journal Article,
Comparative Study
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