Unstable Angina

Letters and Corrections1 August 1984Unstable AnginaWAYNE R. ROGERS, M.D., DONALD N. WYSHAM, M.D.WAYNE R. ROGERS, M.D.Search for more papers by this author, DONALD N. WYSHAM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-101-2-281_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Oliva(l), in reviewing the mechanisms of unstable rest angina with ST-segment depressions, concludes that surgery may be reserved for "persistent ischemia despite intensive medical therapy." Such a medical regimen often takes several days and has been associated with a myocardial infarction rate of approximately 10% and a death rate of 3% during the initial hospitalization. Most patients continue to be troubled by angina and many have surgery within a few weeks.Coronary arteriography and bypass surgery are now standard procedures with less risk and consistent relief of symptoms. When clinically appropriate within the first day or two...References1. OLIVA P. Unstable angina with ST-segment depression: pathophysiologic considerations and therapeutic implications. Ann Intern Med. 1984;100:424-40. LinkGoogle Scholar2. ROGERS W and WYSHAM D. Surgery for angina pectoris [Letter]. Ann Intern Med. 1973;79:138. LinkGoogle Scholar3. ROGERS W and WYSHAM D. Coronary bypass for acute rest angina: 10 year follow-up. Br Heart J. 1982;47:365-8. CrossrefMedlineGoogle Scholar1. KRAUSS K, HUTTER A, and DESANCTIS R. Acute coronary insufficiency: course and follow-up. Circulation. 1972;45(suppl I):I-66-71. Google Scholar2. . Unstable angina pectoris: National Cooperative Study Group to compare surgical and medical therapy: II. In-hospital experience and initial follow-up results in patients with one, two, and three-vessel disease. Am J Cardiol. 1978;42:834-48. Google Scholar3. . Unstable angina pectoris: National Cooperative Study Group to compare surgical and medical therapy: IV. Results in patients with left anterior descending coronary artery disease. Am J Cardiol. 1981 ;48:517-24. CrossrefMedlineGoogle Scholar4. KRONENFELD J, CHARLES E, and WAYNE J. Unstable angina pectoris: an examination of modes and costs of therapy. Circulation. 1979; 60(suppl I):I-16-22. Google Scholar5. OLIVA P. Unstable angina with ST-segment depression: pathophysiologic consideration and therapeutic implications. Ann Intern Med. 1984;100:424-40. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: WAYNE R. ROGERS, M.D.; DONALD N. WYSHAM, M.D. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 August 1984Volume 101, Issue 2Page: 281-282KeywordsAnginaAngiographyDeath ratesHospitalizationsIschemiaMyocardial infarctionStable coronary artery diseaseSurgeryUnstable angina ePublished: 1 December 2008 Issue Published: 1 August 1984 PDF downloadLoading ...