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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1994-1-24
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pubmed:abstractText |
Non q wave myocardial infarction has been attributed to occlusion of a vessel with no ECG representation, early reperfusion of the occluded artery or occlusion of a vessel with generous collateral flow. The coronary arteriography of 84 patients with non Q wave myocardial infarction performed at 16 + 17 (SD) days after infarction was analyzed. Main left lesion was found in 6 (17%), single vessel disease in 30 (36%), two vessel disease in 18 (24%) and 3 vessel disease in 16 (19%). The "culprit" vessel had a critical residual lesion in 38 patients (45%): 22 affected the left anterior descending artery, 10 the circumflex, and 5 the right coronary artery. No residual lesion was found in 10 patients (12%). An occluded artery was found in 32 patients (38%): circumflex in 20, right coronary artery in 9 and left anterior descending in 3 (p < 0.01). Significant collateral flow to the occluded vessel was present in 41% of cases. The ST segment was analyzed in 82 patients. Depression of ST was found in 29 (35%), elevation in 22 (27%), negative T waves in 17 (21%) and minimal alterations in 17%. There was no correlation between ST levels and coronary occlusion of the culprit artery. Depression of ST was more commonly (p < 0.01) associated with severe coronary artery disease (main left or 3 vessel disease), which may be related to the poorer prognosis in these cases.
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pubmed:language |
spa
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0034-9887
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
120
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
644-50
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1341794-Adult,
pubmed-meshheading:1341794-Aged,
pubmed-meshheading:1341794-Aged, 80 and over,
pubmed-meshheading:1341794-Coronary Angiography,
pubmed-meshheading:1341794-Electrocardiography,
pubmed-meshheading:1341794-Female,
pubmed-meshheading:1341794-Humans,
pubmed-meshheading:1341794-Male,
pubmed-meshheading:1341794-Middle Aged,
pubmed-meshheading:1341794-Myocardial Infarction
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pubmed:year |
1992
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pubmed:articleTitle |
[Angiographic findings in non-Q wave infarction and their relation to ST-T changes].
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pubmed:affiliation |
Centro Cardiovascular, Hospital Clínico Universidad de Chile, Santiago.
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pubmed:publicationType |
Journal Article,
English Abstract
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