Register for email alerts and news feeds:
This journal | BMJ Group
rss
Heart 1998;79:3-4; doi:10.1136/hrt.79.1.3
Copyright © 1998 BMJ Publishing Group Ltd & British Cardiovascular Society

Heart 1998;79:3-4 ( January )

Editorial

The risk of coronary occlusion is not proportional to the prior severity of coronary stenoses

The first 150 words of the full text of this article appear below.

As clinicians, we treat symptomatic patients with coronary artery disease manifesting as either angina, anginal-like discomfort, or exertional dyspnoea. In some of these patients, symptoms progress rapidly either to rest pain and unstable angina or myocardial infarction, or to sudden death from malignant arrhythmias. However, not all patients who present with these acute coronary syndromes necessarily have a history of symptoms. In fact, in some studies the majority of such patients was asymptomatic before the acute syndrome. The acute progression of a "silent" atherosclerotic plaque to complete or nearly complete occlusion is a common substrate for an acute presentation of coronary artery disease in patients with and without prior symptoms. This editorial discusses the fact that progression to the acute presentation of coronary disease is not proportionately related to the prior severity of the coronary stenosis.

Acute coronary syndromes as secondary or primary presentations of coronary artery disease

SYMPTOMATIC PATIENTS
. . . [Full text of this article]
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

This article has been cited by other articles:

  • Lucas, F.L., Siewers, A.E., Malenka, D.J., Wennberg, D.E. (2008). Diagnostic-Therapeutic Cascade Revisited: Coronary Angiography, Coronary Artery Bypass Graft Surgery, and Percutaneous Coronary Intervention in the Modern Era. Circulation 118: 2797-2802 [Abstract] [Full Text]  
  • Aziz, K., Berger, K., Claycombe, K., Huang, R., Patel, R., Abela, G. S. (2008). Noninvasive Detection and Localization of Vulnerable Plaque and Arterial Thrombosis With Computed Tomography Angiography/Positron Emission Tomography. Circulation 117: 2061-2070 [Abstract] [Full Text]  
  • Pitt, B. (2007). Percutaneous coronary intervention plus optimal medical therapy was not more effective than medical therapy alone in stable CAD. Evid. Based Med. 12: 107-107 [Full Text]  
  • Hochman, J. S., Steg, P. G. (2007). Does Preventive PCI Work?. NEJM 356: 1572-1574 [Full Text]  
  • Douglas, H, Davies, G J, Michaelides, K, Gorog, D A, Timlin, H, Ahmed, N, Tuddenham, E G D (2006). Detection of functional differences between different platelet membrane glycoprotein Ibalpha variable number tandem repeat and Kozak genotypes as shown by the PFA-100 system.. Heart 92: 676-678 [Full Text]  
  • Moshage, W., Achenbach, S., Daniel, W. G. (2001). Novel approaches to the non-invasive diagnosis of coronary-artery disease. Nephrol Dial Transplant 16: 21-28 [Full Text]  
  • Mann, J, Davies, M J (1999). Mechanisms of progression in native coronary artery disease: role of healed plaque disruption. Heart 82: 265-268 [Abstract] [Full Text]  
  • Elliott, P. M., Sharma, S., Varnava, A., Poloniecki, J., Rowland, E., McKenna, W. J. (1999). Survival after cardiac arrest or sustained ventricular tachycardia in patients with hypertrophic cardiomyopathy. J Am Coll Cardiol 33: 1596-1601 [Abstract] [Full Text]  

This Article

Services
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Show me all >>