coronary vasospasm/obesity

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[Coronary artery spasm during cholecystectomy with pneumoperitoneum--a case report].

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A 59-year-old man without a history of ischemic heart disease underwent elective laparoscopic cholecystectomy under general anesthesia with epidural anesthesia. About 15 min after pneumoperitoneum had been achieved, the patient developed ST elevation and hypotension. Vagal stimulation resulting from

Obesity: a risk factor for acute myocardial infarction with angiographically patent epicardial coronary vessels in an adolescent.

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OBJECTIVE Toreport a causal relationship between myocardial infarction (MI) and obesity in an adolescent in the absence of the well-known risk factors for MI. METHODS A morbidly obese 17-year-old male, a nonsmoker, nondiabetic and normotensive patient, who sustained acute inferior MI with no family

Acute coronary artery vasospasm associated with misoprostol for termination of pregnancy.

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Prostaglandin E(1) analogues, gemeprost and misoprostol, are the most widely used drugs for medical termination of pregnancy within the first two trimesters of pregnancy. Gemeprost has been reported to be associated with acute cardiovascular accidents in a few cases, but no adverse cardiovascular

Hyperventilation as a specific test for diagnosis of coronary artery spasm.

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The hyperventilation test has been used as a clinical tool to induce coronary spasm. However, its diagnostic and prognostic values have not been fully elucidated. This study was designed to establish the sensitivity and specificity of the hyperventilation test and to clarify the characteristics of

[Significance of coronary risk factors and coronary arteriosclerosis for coronary vasospasm].

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The clinical significance of coronary arteriosclerosis and coronary risk factors was investigated in patients with coronary spasm. Coronary spasm induction test with acetylcholine was performed in 140 consecutive patients (85 males and 55 females) with chest pain in our hospital. The patients were

Impaired glucose tolerance with late hypersecretion of insulin during oral glucose tolerance test in patients with vasospastic angina.

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OBJECTIVE This study tested whether patients with vasospastic angina have impaired glucose tolerance or impaired insulin response. BACKGROUND Hyperinsulinemia has been demonstrated in patients with coronary artery disease and syndrome X. METHODS We performed an oral glucose tolerance test (75 g) in

Identification of genetic factors and development of genetic risk diagnosis systems for cardiovascular diseases and stroke.

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BACKGROUND Polymorphisms of GJA4 and CYBA and of PAI1 and MMP3 are associated with myocardial infarction (MI) in men and women, respectively. In addition, several polymorphisms associated with restenosis after percutaneous coronary intervention, coronary artery spasm, or hypertension have been

Falsely elevated cardiac troponin I levels.

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The measurement of cardiac troponins (cTn) is of considerable usefulness in the diagnosis of acute coronary syndrome. Abnormal levels of serum cTn are occasionally found in patients who are not suffering a myocardial infarction. This may be observed in several well-known situations including

Atherosclerotic and Non-Atherosclerotic Coronary Heart Disease in Women.

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Atherosclerotic Coronary heart disease (CHD) and non-atherosclerotic CHD in individuals less than 50 years of age is considered a "men's case". Undoubtedly, premenopausal women develop atherosclerotic/non-atherosclerotic CHD relatively rarely compared with men. This is attributed mostly to the

Age-related changes of clinical features and prevalences of coronary risk factors in Japanese patients with vasospastic angina.

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From among 899 consecutive patients who underwent their first coronary arteriography, we selected 147 pts with vasospastic angina (VA) and 356 pts with classic angina (CA) and divided them into three different age groups: -49 years old, 50 to 59, and 60-. In these 899 pts, incidences of VA showed no

A psychobehavioral factor, alexithymia, is related to coronary spasm.

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The aim of this study was to assess whether the psychobehavioral pattern alexithymia is related to coronary artery spasm. Alexithymia, deficient psychological awareness, was examined using the Minnesota Multiphasic Personality Inventory Alexithymia Scale in 100 patients with angina pectoris in whom

Myocardial bridging causing ischemia and recurrent chest pain: a case report.

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BACKGROUND Myocardial bridging is present when a segment of a major epicardial coronary artery runs intramurally through the myocardium. It usually has a benign prognosis, but in some cases myocardial ischemia, infarction and sudden cardiac death have been reported. We are here reporting a case of

Enhanced insulin response relates to acetylcholine-induced vasoconstriction in vasospastic angina.

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OBJECTIVE This study investigated whether insulin response to an oral glucose load correlates to acetylcholine-induced coronary vasoconstriction in subjects with vasospastic angina. BACKGROUND It has been suggested that coronary vasospasm is caused by augmented vascular responsiveness possibly

Stable ischemic heart disease in women: current perspectives.

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Cardiovascular disease is the leading cause of death in women accounting for 1 in every 4 female deaths. Pathophysiology of ischemic heart disease in women includes epicardial coronary artery, endothelial dysfunction, coronary vasospasm, plaque erosion and spontaneous coronary artery dissection.

Serum IgE levels in coronary artery disease.

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The development and progression of atherosclerosis and its predisposition for unstable angina, myocardial infarction and stroke is associated with traditional risk factors such as family history, cigarette smoking, hypertension, dyslipidemia, diabetes mellitus, obesity, imbalance of the

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