Unstable angina: Are we able to recognize high-risk patients?

Chest

Volumn 112, Issue 1, 1997, Pages 244-250

  De Zwaan, Chris ^a   Bär, Frits W H M ^a   Gorgels, Anton G M ^a   Wellens, Hein J J ^a  

^a MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Clinical electrocardiographic angiographic characteristics; High risk; Laboratory findings; Unstable angina

Indexed keywords

ARTICLE; DISEASE SEVERITY; ELECTROCARDIOGRAM; HIGH RISK POPULATION; HUMAN; PRIORITY JOURNAL; RISK ASSESSMENT; UNSTABLE ANGINA PECTORIS;

EID: 0030748844     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.112.1.244     Document Type: Article

References (53)

1. Braunwald E, Jones RH, Mark DB, et al. Diagnosing and managing unstable angina: Agency for Health Care Policy and Research. Circulation 1994; 90:613-22
2. Braunwald E. Unstable angina: a classification. Circulation 1989; 80:410-14
3. Duncan B, Fulton M, Morisson SL, et al. Prognosis of new and worsening angina pectoris. BMJ 1976; 1:981-85
4. Gazes PC, Mobley EM Jr, Faris HM Jr, et al. Prognostic significance of electrocardiographic changes. Circulation 1973; 48:331-37
5. Plotnick GD. Unstable angina: what the symptoms tell you. Cardiovasc Med 1981; 6:499-503
6. Plotnick GD. Definition and correlates of preinfarction states. Pract Cardiol 1982; 8:43-9
7. Edwards WD, Tajik AJ, Seward JB. Standardized nomenclature and anatomic basis for regional tomographic analysis of the heart. Mayo Clin Proc 1981; 56:479-97
8. Califf RM, Tomabechi Y, Lee KL, et al. Outcome in one-vessel coronary artery disease. Circulation 1983; 67:283-90
9. Schuster EH, Griffith LSC, Bulkley BH. Preponderance of acute proximal left anterior descending coronary arterial lesions in fatal myocardial infarction: a clinicopathologic study. Am J Cardiol 1981; 47:1189-96
10. Brooks N, Cattell M, Jennings K, et al. Isolated disease of left anterior descending coronary artery: autographic and clinical study of 218 patients. Br Heart J 1982; 47:71-7
11. Taylor GJ, Humphries JO, Mellits ED, et al. Predictors of clinical course, coronary anatomy and left ventricular function after recovery from acute myocardial infarction. Circulation 1980; 62:960-70
12. de Zwaan C, Bär FW, Janssen JHA, et al. Angiographic and clinical characteristics of patients with unstable angina showing an electrocardiographic pattern pointing to a critical narrowing in the left anterior descending coronary artery. Am Heart J 1989; 117:657-65
13. de Zwaan C, Bär FW, Wellens HJJ. Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Am Heart J 1982; 103:730-35
14. de Zwaan C, Cheriex EC, Braat SHJG, et al. Left ventricular wall motion in patients treated for unstable angina showing an electrocardiographic pattern pointing to critical narrowing in the proximal left anterior descending coronary artery. Am Heart J 1991; 121:789-97
15. Gorgels APM, Vos MA, Mulleneers R, et al. Value of the electrocardiogram in diagnosing the number of severely narrowed coronary arteries in rest angina pectoris. Am J Cardiol 1993; 72:999-1003
16. Basaran Y, Basaran MM, Babacan KF, et al. Serum tumor necrosis factor levels in acute myocardial infarction and unstable angina pectoris. Angiology 1993; 44:332-37
17. Thompson SG, Kienast J, Pyke SD, et al. Hemostatic factors and the risk of myocardial infarction or sudden death in patients with angina pectoris: European Concerted Action on Thrombosis and Disabilities Angina Pectoris Study Group. N Engl J Med 1995; 332:635-41
18. Haverkate F, Thompson SG, Duckert F. Haemostasis factors in angina pectoris; relation to gender, age and acute-phase reaction: results of the ECAT Angina Pectoris Study Group. Thromb Haemost 1995; 73:561-67
19. Mendall MA, Patel P, Ballam L, et al. C-reactive protein and its relation to cardiovascular risk factors: a population based cross sectional study. BMJ 1996; 312:1061-65
20. Liuzzo G, Biasucci LM, Galimore JR, et al. The prognostic value of C-reactive protein and serum amyloid A protein in severe unstable angina. N Engl J Med 1994; 331:417-24
21. Hamm CW, Ravkilde J, Gerhardt W, et al. The prognostic value of serum troponin T in unstable angina. N Engl J Med 1992; 327:146-50
22. Ellis S, Alderman E, Cain K, et al. Prediction of risk of anterior myocardial infarction by lesion severity and measurement method of stenoses in the left anterior descending coronary distribution: a CASS registry study. J Am Coll Cardiol 1988; 11:908-16
23. Ambrose JA, Tannenbaum MA, Alexopoulos D, et al. Angiographic progression of coronary artery disease and the development of myocardial infarction. J Am Coll Cardiol 1988; 12:56-62
24. Brown BG, Gallery CA, Badger RS, et al. Incomplete lysis of thrombus in the moderate underlying atherosclerotic lesion during intracoronary infusion of streptokinase for acute myocardial infarction: quantitative angiographic observations. Circulation 1986; 73:653-61
25. Webster MWI, Cheseboro JH, Smith HC, et al. Myocardial infarction and coronary artery occlusion: a prospective 5-year angiographic study [abstract]. J Am Coll Cardiol 1990; 15: 218A
26. Ambrose JA, Winters SL, Stern A, et al. Angiographic morphology and the pathogenesis of unstable angina pectoris. J Am Coll Cardiol 1985; 5:609-16
27. Bresnahan DR, Davis DR, Holmes DR Jr, et al. Angiographic occurrence and clinical correlates of intraluminal coronary artery thrombus: role of unstable angina. J Am Coll Cardiol 1985; 6:285-89
28. Sansa M, Cernigliaro C, Bolognese L, et al. Angiographic morphology and response to therapy in unstable angina. Clin Cardiol 1988; 11:121-26
29. Ellis S, Alderman EL, Cain K, et al. Morphology of left anterior descending coronary territory lesions as a predictor of anterior myocardial infarction: a CASS registry study. J Am Coll Cardiol 1989; 13:1481-91
30. Neill WA, Ritzmann LW, Selden R. The pathophysiologic basis of acute coronary insufficiency: observations favoring the hypothesis of intermittent reversible coronary obstruction. Am Heart J 1977; 94:439-44
31. Levin DC, Fallon JT. Significance of the angiographic morphology of localized coronary stenoses: histopathologic correlations. Circulation 1982; 66:316-20
32. Falk E. Unstable angina with fatal outcome: dynamic coronary thrombosis leading to infarction and/or sudden death; autopsy evidence of recurrent mural thrombosis with peripheral embolization culminating in total vascular occlusion. Circulation 1985; 71:699-708
33. Feldman RL. Coronary thrombosis, coronary spasm and speculation on the link between unstable angina and acute myocardial infarction. Am J Cardiol 1987; 59:1187-90
34. 2 in vasotonic angina pectoris: evidence from direct measurements and inhibition trials. N Engl J Med 1981; 304:998-1003
35. Fitzgerald DJ, Roy L, Catella F, et al. Platelet activation in unstable coronary disease. N Engl J Med 1986; 315:983-89
36. Mizuno K, Satomura K, Miyamoto A, et al. Angioscopic evaluation of coronary artery thrombi in acute coronary syndromes. J Engl J Med 1992; 326:287-91
37. Bär FW, Raynaud P, Renkin JP, et al. Coronary angiographic findings do not predict clinical outcome in patients with unstable angina. J Am Coll Cardiol 1994; 24:1453-59
38. The TIMI IIIA Investigators. Early events of tissue-type plasminogen activator added to conventional therapy on the culprit coronary lesion in patients presenting with ischemic cardiac pain at rest: results of the Thrombolysis in Myocardial Ischemia (TIMI IIIA) trial. Circulation 1993; 87:38-52
39. Scrutinio D, Biasco MG, Rizzon P. Thrombolysis in unstable angina: results of clinical studies. Am J Cardiol 1991; 68:99B-104B
40. Vetrovec GW, Leinbach RC, Gold HK, et al. Intracoronary thrombolysis in syndromes of unstable ischemia: angiographic and clinical results. Am Heart J 1982; 104:946-52
41. Bär FW, Verheugt FW, Col J, et al. Thrombolysis in patients with unstable angina improves the angiographic but not the clinical outcome: results of UNASEM, a multicenter, randomized, placebo-controlled clinical trial with unistreplase. Circulation 1992; 86:131-37
42. Braunwald E, McCabe CH, Cannon CP, et al. Effects of tissue plasminogen activator and a comparison of early invasive and conservative strategies in unstable angina and non-Q-wave myocardial infarction: results of the TIMI IIIB trial. Circulation 1994; 89:1545-56
43. Flugelman MY, Virmani R, Correa R, et al. Smooth muscle cell abundance and fibroblast growth factors in coronary lesions of patients with nonfatal unstable angina. Circulation 1993; 88:2493-2500
44. Sherman CT, Litvack F, Grundfest W, et al. Coronary angioscopy in patients with unstable angina pectoris. N Engl J Med 1986; 315:913-19
45. Fitzgerald DJ. Platelet activation in the pathogenesis of unstable angina: importance in determining the response to plasminogen activators. Am J Cardiol 1991; 68:51B-7B
46. Goldschlager N, Sox HC. The diagnosis and prognostic value of the treadmill exercise test in the evaluation of chest pain, in patients with recent myocardial infarction and in asymptomatic individuals. Am Heart J 1988; 116:523-35
47. Detrano R, Froelicher VF. Exercise testing: uses and limitations considering studies. Prog Cardiovasc Dis 1988; 31:173-204
48. Taniguchi H, Iwasaka T, Sugiura T, et al. Acute pulmonary edema in patients with unstable angina: clinical profile and natural history. Coron Artery Dis 1992; 3:529-32
49. Parisi AF, Khuri S, Deupree RH, et al. Medical compared with surgical management of unstable angina: 5-year mortality and morbidity in the Veterans Administration study. Circulation 1989; 80:1176-89
50. Emond M, Mockj MB, Davis KB, et al. Long-term survival of medically treated patients in the coronary artery surgery study (CASS) registry. Circulation 1994; 90:2645-57
51. Wackers FJ, Lie KI, Liem KL, et al. Thallium-201 scintigraphy in unstable angina pectoris. Circulation 1978; 57:738-42
52. Bilodeau L, Théroux P, Gregoire J, et al. Technetium-99m sestamibi tomography in patients with spontaneous chest pain: correlation with clinical, electrocardiographic, and angiographic findings. J Am Coll Cardiol 1991; 18:1684-91
53. Swahn E, Areskog M, Berglund U, et al. Predictive importance of clinical findings and a predischarge exercise test in patients with suspected unstable coronary artery disease. Am J Cardiol 1987; 59:208-14