Over the past two decades, clinical and pathological studieshave examined the pathophysiology of the acute coronary syndromes,unstable angina, and nonQ-wave and Q-wave myocardialinfarction. In these conditions, rupture of atheroscleroticplaques leads to varying amounts of platelet adhesion and aggregation,vasoconstriction, and the formation of partially or totallyocclusive thrombus. Although the inhibition of platelet aggregationand thrombus formation and the restoration of antegrade flowin occluded coronary arteries improve survival and reduce theincidence of recurrent ischemia and infarction, residual coronary-arterystenosis may cause ischemia, infarction, or even death. As aresult, there has been considerable interest . . . [Full Text of this Article]
References
Related Letters:
Management of NonQ-Wave Myocardial Infarction
Bedell S. E., Graboys T. B., Ravid S., Thompson R. C., Roe M. T., Bowen T. E., Topol E. J., Huitink J. M., Bax J. J., Boden W. E., O'Rourke R. A., Crawford M. H.
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Full Text
N Engl J Med 1998;
339:1395-1398, Nov 5, 1998.
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