Relationship of myocardial infarction to presence of angina pectoris in patients with coronary heart disease: Lack of abolition of angina by infarction

Ezra A Amsterdam, G. Lee, E. A. Mathews, D. T. Mason

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

To evaluate the relationship between myocardial infarction and angina pectoris, history of symptomatic coronary heart disease was analyzed in 146 patients who had had documented myocardial infarction. There were 126 males and 70 females of mean age 55 years (range 32 to 70 years). Infarction had occurred 6 to 63 months prior to the study (mean: 30 months). Angina pectoris occurred at some time during the clinical course of 75 patients (51%), and 71 patients (49%) had not experienced angina. In the majority of the group with angina (n=39; 52%) the symptom had not been present before infarction, appearing initially thereafter. Angina was present both before and after infarction in 31 patients (41%). In only 5 patients (7%) was precedent angina lost after infarction. Angina was, therefore, present in 70 of 146 patients (48%) after, compared to 36 patients (25%) before, infarction and in 86% (31/36) of patients with angina before infarction it persisted following the attack. Prior angina following myocardial infarction was not related to increased activity since in the majority of patients activity level was less after than before infarction. Post-infarction cardiac failure, which developed in 9 patients who had prior angina, was not associated with abolition of angina in any of this group. It is concluded that: 1. angina is frequent after myocardial infarction, 2. when present before infarction it usually persists thereafter, 3. angina commonly appears as a new symptom after infarction when not previously present and 4. disappearance of angina after infarction is distinctly uncommon.

Original languageEnglish (US)
Pages (from-to)31-34
Number of pages4
JournalClinical Cardiology
Volume1
Issue number1
StatePublished - 1978

Fingerprint

Angina Pectoris
Infarction
Coronary Disease
Myocardial Infarction
Heart Failure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Relationship of myocardial infarction to presence of angina pectoris in patients with coronary heart disease : Lack of abolition of angina by infarction. / Amsterdam, Ezra A; Lee, G.; Mathews, E. A.; Mason, D. T.

In: Clinical Cardiology, Vol. 1, No. 1, 1978, p. 31-34.

Research output: Contribution to journalArticle

@article{07c5495a0e664cb1b8db382cb3f7cc9a,
title = "Relationship of myocardial infarction to presence of angina pectoris in patients with coronary heart disease: Lack of abolition of angina by infarction",
abstract = "To evaluate the relationship between myocardial infarction and angina pectoris, history of symptomatic coronary heart disease was analyzed in 146 patients who had had documented myocardial infarction. There were 126 males and 70 females of mean age 55 years (range 32 to 70 years). Infarction had occurred 6 to 63 months prior to the study (mean: 30 months). Angina pectoris occurred at some time during the clinical course of 75 patients (51{\%}), and 71 patients (49{\%}) had not experienced angina. In the majority of the group with angina (n=39; 52{\%}) the symptom had not been present before infarction, appearing initially thereafter. Angina was present both before and after infarction in 31 patients (41{\%}). In only 5 patients (7{\%}) was precedent angina lost after infarction. Angina was, therefore, present in 70 of 146 patients (48{\%}) after, compared to 36 patients (25{\%}) before, infarction and in 86{\%} (31/36) of patients with angina before infarction it persisted following the attack. Prior angina following myocardial infarction was not related to increased activity since in the majority of patients activity level was less after than before infarction. Post-infarction cardiac failure, which developed in 9 patients who had prior angina, was not associated with abolition of angina in any of this group. It is concluded that: 1. angina is frequent after myocardial infarction, 2. when present before infarction it usually persists thereafter, 3. angina commonly appears as a new symptom after infarction when not previously present and 4. disappearance of angina after infarction is distinctly uncommon.",
author = "Amsterdam, {Ezra A} and G. Lee and Mathews, {E. A.} and Mason, {D. T.}",
year = "1978",
language = "English (US)",
volume = "1",
pages = "31--34",
journal = "Clinical Cardiology",
issn = "0160-9289",
publisher = "John Wiley and Sons Inc.",
number = "1",

}

TY - JOUR

T1 - Relationship of myocardial infarction to presence of angina pectoris in patients with coronary heart disease

T2 - Lack of abolition of angina by infarction

AU - Amsterdam, Ezra A

AU - Lee, G.

AU - Mathews, E. A.

AU - Mason, D. T.

PY - 1978

Y1 - 1978

N2 - To evaluate the relationship between myocardial infarction and angina pectoris, history of symptomatic coronary heart disease was analyzed in 146 patients who had had documented myocardial infarction. There were 126 males and 70 females of mean age 55 years (range 32 to 70 years). Infarction had occurred 6 to 63 months prior to the study (mean: 30 months). Angina pectoris occurred at some time during the clinical course of 75 patients (51%), and 71 patients (49%) had not experienced angina. In the majority of the group with angina (n=39; 52%) the symptom had not been present before infarction, appearing initially thereafter. Angina was present both before and after infarction in 31 patients (41%). In only 5 patients (7%) was precedent angina lost after infarction. Angina was, therefore, present in 70 of 146 patients (48%) after, compared to 36 patients (25%) before, infarction and in 86% (31/36) of patients with angina before infarction it persisted following the attack. Prior angina following myocardial infarction was not related to increased activity since in the majority of patients activity level was less after than before infarction. Post-infarction cardiac failure, which developed in 9 patients who had prior angina, was not associated with abolition of angina in any of this group. It is concluded that: 1. angina is frequent after myocardial infarction, 2. when present before infarction it usually persists thereafter, 3. angina commonly appears as a new symptom after infarction when not previously present and 4. disappearance of angina after infarction is distinctly uncommon.

AB - To evaluate the relationship between myocardial infarction and angina pectoris, history of symptomatic coronary heart disease was analyzed in 146 patients who had had documented myocardial infarction. There were 126 males and 70 females of mean age 55 years (range 32 to 70 years). Infarction had occurred 6 to 63 months prior to the study (mean: 30 months). Angina pectoris occurred at some time during the clinical course of 75 patients (51%), and 71 patients (49%) had not experienced angina. In the majority of the group with angina (n=39; 52%) the symptom had not been present before infarction, appearing initially thereafter. Angina was present both before and after infarction in 31 patients (41%). In only 5 patients (7%) was precedent angina lost after infarction. Angina was, therefore, present in 70 of 146 patients (48%) after, compared to 36 patients (25%) before, infarction and in 86% (31/36) of patients with angina before infarction it persisted following the attack. Prior angina following myocardial infarction was not related to increased activity since in the majority of patients activity level was less after than before infarction. Post-infarction cardiac failure, which developed in 9 patients who had prior angina, was not associated with abolition of angina in any of this group. It is concluded that: 1. angina is frequent after myocardial infarction, 2. when present before infarction it usually persists thereafter, 3. angina commonly appears as a new symptom after infarction when not previously present and 4. disappearance of angina after infarction is distinctly uncommon.

UR - http://www.scopus.com/inward/record.url?scp=0018255870&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018255870&partnerID=8YFLogxK

M3 - Article

C2 - 756812

AN - SCOPUS:0018255870

VL - 1

SP - 31

EP - 34

JO - Clinical Cardiology

JF - Clinical Cardiology

SN - 0160-9289

IS - 1

ER -