Tableau clinique et classification de l'angor instable. [Clinical aspects and classification of unstable angina]

Détails

ID Serval
serval:BIB_86CD8C470489
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Tableau clinique et classification de l'angor instable. [Clinical aspects and classification of unstable angina]
Périodique
Schweizerische Rundschau fur Medizin Praxis
Auteur(s)
Nicod  P.
ISSN
1013-2058 (Print)
Statut éditorial
Publié
Date de publication
02/1995
Volume
84
Numéro
6
Pages
167-72
Notes
English Abstract
Journal Article --- Old month value: Feb 7
Résumé
Unstable angina pectoris is a clinical syndrome with multiple underlying pathophysiologic mechanisms. This presentation is concerned with primary angina pectoris exclusively. In the majority of cases a rupture of an atherosclerotic plaque and an intracoronary thrombus are responsible for instable angina. The practitioner's role is to identify those patients who will develop complications with the aid of clinical parameters. Prinzmetal's angina is also instable, occurs at rest and leads to ST-segment elevation. It is most likely due to coronary spasm, developing in disease-free and atherosclerotic coronary segments alike. This variant of unstable angina is treated most successfully with calcium antagonists. The recognition of the responsible pathophysiologic mechanism permits adjustment of treatment of every patient taking into consideration the seriousness of his prognosis.
Mots-clé
Angina Pectoris, Variant/drug therapy/physiopathology Angina, Unstable/classification/drug therapy/*physiopathology Calcium Channel Blockers/therapeutic use Coronary Angiography Coronary Arteriosclerosis/physiopathology Coronary Vasospasm/physiopathology Electrocardiography Humans
Pubmed
Création de la notice
25/01/2008 14:59
Dernière modification de la notice
03/03/2018 19:00
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