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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1979-5-23
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pubmed:abstractText |
The data of 6 patients in whom a left anterior hemiblock appeared in the course of angina pectoris attacks were reviewed. All 6 patients were found to fulfill the criteria for unstable angina. 1 patient who presented the features of Prinzmetal variant angina was included in this group. Coronary arteriography showed significant coronary artery disease in all 6 patients involving 3 vessels in 2 patients, 2 vessels in 1 and 1 vessel in 3. A severe lesion (70--100%) of the left anterior descending artery in the vicinity of the first perforator was demonstrated in every case. The 2 patients with 3-vessel disease were not operable and died 4 and 5 days after the hemodynamic study. These deaths were caused by myocardial infarction with cardiogenic shock in one case and intractable ventricular arrhythmias in the other case. 4 patients were operable and underwent aortocoronary saphenous bypass surgery. There were 2 operative deaths. The 2 survivors are asymptomatic 7 and 16 mth after surgery. This study suggest that transient left anterior hemiblock during an attack of angina pectoris may be a feature of impending myocardial infarction and may be indicative of a severe obstruction of the left anterior descending coronary artery.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0301-4711
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
215-25
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:311290-Adult,
pubmed-meshheading:311290-Aged,
pubmed-meshheading:311290-Angina Pectoris,
pubmed-meshheading:311290-Angina Pectoris, Variant,
pubmed-meshheading:311290-Coronary Angiography,
pubmed-meshheading:311290-Coronary Artery Bypass,
pubmed-meshheading:311290-Electrocardiography,
pubmed-meshheading:311290-Heart Block,
pubmed-meshheading:311290-Hemodynamics,
pubmed-meshheading:311290-Humans,
pubmed-meshheading:311290-Male,
pubmed-meshheading:311290-Middle Aged,
pubmed-meshheading:311290-Myocardial Infarction,
pubmed-meshheading:311290-Prospective Studies
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pubmed:year |
1979
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pubmed:articleTitle |
Transient left anterior hemiblock during angina pectoris: coronarographic aspects and clinical significance.
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pubmed:publicationType |
Journal Article
|