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Intracoronary thrombus in nontransmural myocardial infarction and in unstable angina pectoris

Although intracoronary thrombus formation plays a major role in acute transmural myocardial infarction (MI), its occurrence in unstable angina (UA) and nontransmural MI has not clearly been established. To determine whether intracoronary thrombus does occur in these syndromes, coronary arteriography... Full description

Journal Title: The American journal of cardiology 1983, Vol.52 (1), p.1-6
Main Author: Mandelkorn, Jay B
Other Authors: Wolf, Nelson M , Singh, Surender , Shechter, Jay A , Kersh, Robert I , Rodgers, David M , Workman, Mark B , Bentivoglio, Lamberto G , LaPorte, Steven M , Meister, Steven G
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9149
Link: https://www.ncbi.nlm.nih.gov/pubmed/6407296
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title: Intracoronary thrombus in nontransmural myocardial infarction and in unstable angina pectoris
format: Article
creator:
  • Mandelkorn, Jay B
  • Wolf, Nelson M
  • Singh, Surender
  • Shechter, Jay A
  • Kersh, Robert I
  • Rodgers, David M
  • Workman, Mark B
  • Bentivoglio, Lamberto G
  • LaPorte, Steven M
  • Meister, Steven G
subjects:
  • Abridged Index Medicus
  • Adult
  • Aged
  • Angina Pectoris - etiology
  • Coronary Angiography
  • Coronary Disease - complications
  • Coronary Disease - drug therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction - etiology
  • Nitroglycerin - therapeutic use
  • Streptokinase - therapeutic use
ispartof: The American journal of cardiology, 1983, Vol.52 (1), p.1-6
description: Although intracoronary thrombus formation plays a major role in acute transmural myocardial infarction (MI), its occurrence in unstable angina (UA) and nontransmural MI has not clearly been established. To determine whether intracoronary thrombus does occur in these syndromes, coronary arteriography was performed before, during, and after intracoronary nitroglycerin and streptokinase infusion in 17 patients. None of the 8 patients with nontransmural MI and 1 of the 9 patients with UA responded to intracoronary nitroglycerin. Seven of 8 patients with nontransmural MI and 4 of 9 patients with UA responded to streptokinase infusion with opening of an occluded vessel, an increase in stenotic diameter, dissolution of an intracoronary filling defect, or a combination of these. Serial opening and closing of ischemia-related vessels occurred spontaneously and in response to streptokinase in some patients in whom thrombolysis was demonstrated. Evidence of thrombolysis was not seen in any patient studied longer than 1 week from the onset of the rest pain syndrome. The finding of thrombolysis in several patients with nontransmural MI and UA suggests that intracoronary thrombus formation plays a pathogenetic role in some patients with these ischemic syndromes.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9149
fulltext: fulltext
issn:
  • 0002-9149
  • 1879-1913
url: Link


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titleIntracoronary thrombus in nontransmural myocardial infarction and in unstable angina pectoris
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creatorMandelkorn, Jay B ; Wolf, Nelson M ; Singh, Surender ; Shechter, Jay A ; Kersh, Robert I ; Rodgers, David M ; Workman, Mark B ; Bentivoglio, Lamberto G ; LaPorte, Steven M ; Meister, Steven G
creatorcontribMandelkorn, Jay B ; Wolf, Nelson M ; Singh, Surender ; Shechter, Jay A ; Kersh, Robert I ; Rodgers, David M ; Workman, Mark B ; Bentivoglio, Lamberto G ; LaPorte, Steven M ; Meister, Steven G
descriptionAlthough intracoronary thrombus formation plays a major role in acute transmural myocardial infarction (MI), its occurrence in unstable angina (UA) and nontransmural MI has not clearly been established. To determine whether intracoronary thrombus does occur in these syndromes, coronary arteriography was performed before, during, and after intracoronary nitroglycerin and streptokinase infusion in 17 patients. None of the 8 patients with nontransmural MI and 1 of the 9 patients with UA responded to intracoronary nitroglycerin. Seven of 8 patients with nontransmural MI and 4 of 9 patients with UA responded to streptokinase infusion with opening of an occluded vessel, an increase in stenotic diameter, dissolution of an intracoronary filling defect, or a combination of these. Serial opening and closing of ischemia-related vessels occurred spontaneously and in response to streptokinase in some patients in whom thrombolysis was demonstrated. Evidence of thrombolysis was not seen in any patient studied longer than 1 week from the onset of the rest pain syndrome. The finding of thrombolysis in several patients with nontransmural MI and UA suggests that intracoronary thrombus formation plays a pathogenetic role in some patients with these ischemic syndromes.
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languageeng
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subjectAbridged Index Medicus ; Adult ; Aged ; Angina Pectoris - etiology ; Coronary Angiography ; Coronary Disease - complications ; Coronary Disease - drug therapy ; Female ; Humans ; Male ; Middle Aged ; Myocardial Infarction - etiology ; Nitroglycerin - therapeutic use ; Streptokinase - therapeutic use
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descriptionAlthough intracoronary thrombus formation plays a major role in acute transmural myocardial infarction (MI), its occurrence in unstable angina (UA) and nontransmural MI has not clearly been established. To determine whether intracoronary thrombus does occur in these syndromes, coronary arteriography was performed before, during, and after intracoronary nitroglycerin and streptokinase infusion in 17 patients. None of the 8 patients with nontransmural MI and 1 of the 9 patients with UA responded to intracoronary nitroglycerin. Seven of 8 patients with nontransmural MI and 4 of 9 patients with UA responded to streptokinase infusion with opening of an occluded vessel, an increase in stenotic diameter, dissolution of an intracoronary filling defect, or a combination of these. Serial opening and closing of ischemia-related vessels occurred spontaneously and in response to streptokinase in some patients in whom thrombolysis was demonstrated. Evidence of thrombolysis was not seen in any patient studied longer than 1 week from the onset of the rest pain syndrome. The finding of thrombolysis in several patients with nontransmural MI and UA suggests that intracoronary thrombus formation plays a pathogenetic role in some patients with these ischemic syndromes.
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authorMandelkorn, Jay B ; Wolf, Nelson M ; Singh, Surender ; Shechter, Jay A ; Kersh, Robert I ; Rodgers, David M ; Workman, Mark B ; Bentivoglio, Lamberto G ; LaPorte, Steven M ; Meister, Steven G
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abstractAlthough intracoronary thrombus formation plays a major role in acute transmural myocardial infarction (MI), its occurrence in unstable angina (UA) and nontransmural MI has not clearly been established. To determine whether intracoronary thrombus does occur in these syndromes, coronary arteriography was performed before, during, and after intracoronary nitroglycerin and streptokinase infusion in 17 patients. None of the 8 patients with nontransmural MI and 1 of the 9 patients with UA responded to intracoronary nitroglycerin. Seven of 8 patients with nontransmural MI and 4 of 9 patients with UA responded to streptokinase infusion with opening of an occluded vessel, an increase in stenotic diameter, dissolution of an intracoronary filling defect, or a combination of these. Serial opening and closing of ischemia-related vessels occurred spontaneously and in response to streptokinase in some patients in whom thrombolysis was demonstrated. Evidence of thrombolysis was not seen in any patient studied longer than 1 week from the onset of the rest pain syndrome. The finding of thrombolysis in several patients with nontransmural MI and UA suggests that intracoronary thrombus formation plays a pathogenetic role in some patients with these ischemic syndromes.
copUnited States
pubElsevier Inc
pmid6407296
doi10.1016/0002-9149(83)90059-0