Title |
Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction
|
---|---|
Published in |
American Heart Journal, April 1982
|
DOI | 10.1016/0002-8703(82)90480-x |
Pubmed ID | |
Authors |
Chris de Zwaan, Frits W.H.M Bär, Hein J.J Wellens |
Abstract |
In patients admitted to the hospital because of unstable angina, a subgroup can be recognized that is at high risk for the development of an extensive anterior wall myocardial infarction. These patients, who show characteristic ST-T segment changes in the precordial leads on or shortly after admission, have a critical stenosis high in the left anterior descending coronary artery. Of 145 patients consecutively admitted because of unstable angina, 26 (18%) showing this ECG pattern, suggesting that this finding is not rare. In spite of symptom control by nitroglycerin and beta blockade, 12 of 16 patients (75%) who were not operated on developed a usually extensive anterior wall infarction within a few weeks after admission. In view of these observations, urgent coronary angiography and, when possible, coronary revascularization should be done in patients with unstable angina who show this ECG pattern. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 6 | 40% |
United Kingdom | 1 | 7% |
France | 1 | 7% |
Turkey | 1 | 7% |
Colombia | 1 | 7% |
Egypt | 1 | 7% |
Spain | 1 | 7% |
Unknown | 3 | 20% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 60% |
Scientists | 4 | 27% |
Science communicators (journalists, bloggers, editors) | 1 | 7% |
Practitioners (doctors, other healthcare professionals) | 1 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | <1% |
Serbia | 1 | <1% |
Unknown | 111 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 17 | 15% |
Other | 15 | 13% |
Student > Bachelor | 13 | 12% |
Researcher | 11 | 10% |
Student > Doctoral Student | 7 | 6% |
Other | 15 | 13% |
Unknown | 35 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 64 | 57% |
Nursing and Health Professions | 4 | 4% |
Agricultural and Biological Sciences | 2 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | <1% |
Business, Management and Accounting | 1 | <1% |
Other | 3 | 3% |
Unknown | 38 | 34% |