title: Characteristics of symptomatic and asymptomatic myocardial ischemia during ambulatory electrocardiographic monitoring in patients with angina pectoris.
abstract: The purpose of the present study was to clarify the characteristics of myocardial ischemic attacks in patients with exertional angina (EA, 56 cases), exertional and rest angina (ERA, 28 cases), rest angina (RA, 4 cases), and variant angina (VA, 39 cases). The Holter electrocardiographic findings were compared among the four types of angina pectoris. The frequency of symptomatic ischemic attacks in descending order was 46.0% in EA, 29.0% in ERA, 28.1% in RA, and 21.6% in VA, while the frequency of asymptomatic ischemic attacks was in the reverse order. The maximal heart rates during symptomatic ischemic attacks were in descending order, EA, ERA, RA, and VA. The maximal heart rate during ischemic attacks was significantly lower in patients with spontaneous angina than in those with exercise-induced ischemia for all types of angina (p less than 0.05, respectively). Further, the difference in maximal heart rate during ischemic attacks between the ambulatory electrocardiogram and exercise test was greater in patients with RA and VA than in those with EA. Therefore, this suggests that increased coronary vascular tone is a cause of spontaneous ischemic attacks in each type of angina pectoris.
authors.affiliation: First Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Kishida
authors.forename: T
authors.initials: T
authors.lastname: Suzuki
authors.forename: T
authors.initials: T
authors.lastname: Saito
authors.forename: F
authors.initials: F
authors.lastname: Otsu
authors.forename: N
authors.initials: N
authors.lastname: Hata
authors.forename: J
authors.initials: J
authors.lastname: Nejima
authors.forename: Y
authors.initials: Y
authors.lastname: Kusama
authors.forename: H
authors.initials: H
authors.lastname: Yasutake
authors.forename: N
authors.initials: N
authors.lastname: Inokuchi
mesh_terms: D000368:Aged; D000553:Ambulatory Care; D000787:Angina Pectoris / Q000209:etiology / Q000503:physiopathology*; D000788:Angina Pectoris, Variant / Q000503:physiopathology; D002940:Circadian Rhythm; D003327:Coronary Disease / Q000503:physiopathology*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods*; D005082:Physical Exertion