Koronaarispasmi??

Seuraa 
Viestejä45973
Liittynyt3.9.2015

Mitä tarkoittaa koronaarispasmi elikkä Printzmetallin(????)angiina.

Koetin hakea kaikenmaailman kuukeleista, mutta enkö ole oikein osannut kirjoittaa vai mikä, kun ei oota vaan tarjotaan. Sydänjuttuihin liittyy.

Mummo

Kommentit (5)

Vierailija

Prinzmetal's angina

"A clinical syndrome characterized by the development of CHEST PAIN at rest with concomitant transient ST segment elevation in the electrocardiogram, but with preserved exercise capacity."

Kiistelty teoria, onko sellaista olemassa. Sepelvaltimoiden spasmi ja siitä aiheutuva rintakipu ilman koronaaritautia.

Hakusana: prinzmetal angina

Suomeksi ei kirjoituksia juurikaan löydy. Meillä teoria on lähes unohdettu ja hylätty.

Vierailija

The New England Journal of medicine NEJM

Prinzmetal's Angina

A 39-year-old man with a history of smoking, alcohol abuse, and cocaine use but no other medical problems presented to the emergency department with frequent episodes of chest pain, shortness of breath, and diaphoresis while at rest. The episodes of chest pain usually awakened him early in the morning and lasted a few minutes. Toxicologic screening on admission to the hospital was negative for alcohol and for controlled substances. During an episode of angina, transient ST-segment elevation (in lead II) was noted on continuous telemetry (Panel A). Video A is a continuous telemetric recording demonstrating dynamic ST-segment elevation over a period of 6 minutes and 30 seconds (but accelerated to play in 37 seconds). The base-line artifact was generated by the patient's rubbing of his chest because of chest pain.
Subsequent cardiac catheterization revealed hyperventilation-induced total occlusion of the proximal left circumflex artery (visible on angiography from the right anterior oblique caudal view, Panel B) that resolved with the administration of intracoronary nitroglycerine and diltiazem (Panel C). Video B shows this process during real-time coronary angiography. The diagnosis of Prinzmetal's angina was made. The patient's symptoms have been controlled with oral nitrates and calcium-channel blockade during a follow-up of two years.

http://content.nejm.org/cgi/content/full/349/1/e1

Vierailija

Suurkiitos MD

Juuri eilen pätkäistiin tuommoinen dgn sisätautien ppkl:lla (!).

Eipä ihme, ettei löytynyt viitteitä

Mummo
still going strong

Vierailija

No nyt löytyija selkis, MD
American College of Cardiology Annual Scientific Session 2005
Date(s): March 6 - 9, 2005

"........What can the practitioner offer women with chest pain but no obstructive disease? “One thing not to do is pat these women on the back and tell them there is nothing wrong with their heart,” said Dr. Bairey Merz. “Step one is to follow the guidelines and do aggressive risk factor management for anyone with risk factors.” Unfortunately, too often these women have hypertension, dyslipidemia, and even diabetes, but their risk factors are not treated because they have “open” coronary arteries. “An ‘open’ coronary angiogram should not dissuade us from treating these patients,” she said.

In summary, Dr. Bairey Merz said that cardiologists must start paying more attention to this large group of patients. “To our detriment, not only do some of these women die suddenly and unexpectedly, a good number of them will have heart attacks and acute coronary syndrome, leaving us to scratch our heads because we can’t understand how this happened.”
Data confirm that this problem exists, is far more prevalent than previously imagined, and associated with greatly increased risk of adverse outcomes.do something to help.”

.... The data from WISE are really important because these women with nonobstructive coronary disease get labeled as nutty and told it’s a psychological problem – but, that’s not very helpful to them. The work being done by the WISE investigators is a worthy cause and a very interesting subject. I look forward to the ongoing trials that will hand cardiologists some better tools in the future, including more sex-specific treatment.

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