Angina, Unstable

Publication Title: 
Psychosomatic Medicine

OBJECTIVE: Optimism is associated with reduced cardiovascular mortality, but its impact on recovery after acute coronary syndrome (ACS) is poorly understood. We hypothesized that greater optimism would lead to more effective physical and emotional adaptation after ACS and would buffer the impact of persistent depressive symptoms on clinical outcomes. METHODS: This prospective observational clinical study took place in an urban general hospital and involved 369 patients admitted with a documented ACS. Optimism was assessed with a standardized questionnaire.

Author(s): 
Ronaldson, Amy
Molloy, Gerard J.
Wikman, Anna
Poole, Lydia
Kaski, Juan-Carlos
Steptoe, Andrew
Publication Title: 
Cardiology in Review

We studied the relationship between mood and mood shift immediately before percutaneous coronary intervention (PCI) and 3 end points: total ischemic burden during PCI, adverse cardiac end points (ACE) after PCI, and death by 6-month follow up. Patients (n = 119) with unstable angina or myocardial infarction completed a visual analog scale (VAS) twice before PCI; before and after a session of stress relaxation, imagery, or touch; or approximately 30 minutes apart for patients assigned to prayer or to standard care.

Author(s): 
Grunberg, Gregory E.
Crater, Suzanne W.
Green, Cynthia L.
Seskevich, Jon
Lane, James D.
Koenig, Harold G.
Bashore, Thomas M.
Morris, Kenneth G.
Mark, Daniel B.
Krucoff, Mitchell W.
Publication Title: 
Nursing Research

BACKGROUND: Many common medical, surgical, and diagnostic procedures performed for conscious patients can be accompanied by significant anxiety. Mind-body-spirit interventions could serve as useful adjunctive treatments for the reduction of stress.

Author(s): 
Seskevich, Jon E.
Crater, Suzanne W.
Lane, James D.
Krucof, Mitchell W.
Publication Title: 
Cardiology in Review

We studied the relationship between mood and mood shift immediately before percutaneous coronary intervention (PCI) and 3 end points: total ischemic burden during PCI, adverse cardiac end points (ACE) after PCI, and death by 6-month follow up. Patients (n = 119) with unstable angina or myocardial infarction completed a visual analog scale (VAS) twice before PCI; before and after a session of stress relaxation, imagery, or touch; or approximately 30 minutes apart for patients assigned to prayer or to standard care.

Author(s): 
Grunberg, Gregory E.
Crater, Suzanne W.
Green, Cynthia L.
Seskevich, Jon
Lane, James D.
Koenig, Harold G.
Bashore, Thomas M.
Morris, Kenneth G.
Mark, Daniel B.
Krucoff, Mitchell W.
Publication Title: 
Nursing Research

BACKGROUND: Many common medical, surgical, and diagnostic procedures performed for conscious patients can be accompanied by significant anxiety. Mind-body-spirit interventions could serve as useful adjunctive treatments for the reduction of stress.

Author(s): 
Seskevich, Jon E.
Crater, Suzanne W.
Lane, James D.
Krucof, Mitchell W.
Publication Title: 
American Heart Journal

We prospectively evaluated 19 patients with prolonged chest pain not evolving to myocardial infarction and accompanied with reversible ST-T changes and tachycardia (heart rate greater than 100 beats/min) in order to correlate heart rate reduction with ischemic electrocardiographic (ECG) changes. Fourteen patients (74%) received previous long-term combined treatment with nifedipine and nitrates. Continuous ECG monitoring was carried out until heart rate reduction and at least one of the following occurred: (1) relief of pain or (2) resolution of ischemic ECG changes.

Author(s): 
Sclarovsky, S.
Bassevich, R.
Strasberg, null
Klainman, E.
Rechavia, E.
Sagie, A.
Agmon, J.
Publication Title: 
Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology: Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology

We report the case of a 60-year-old male with recurrent pre-syncope, referred with a provisional diagnosis of carotid sinus syndrome on the basis of a 4 s asystolic pause following carotid sinus massage. On repeat Holter monitoring there was ST-segment elevation followed by episodes of polymorphic ventricular tachycardia during a mild episode of pre-syncope. Coronary angiography showed mild right coronary artery irregularity without significant stenosis. An automatic cardioverter defibrillator was implanted and high dose combined vasodilator therapy was commenced.

Author(s): 
Postorino, Claudia
Gallagher, Mark M.
Santini, Luca
Magliano, Giulia
Chiricolo, Gaetano
Bindo, Missiroli
Postorino, Alfredo
Romeo, Francesco
Publication Title: 
BMJ (Clinical research ed.)

OBJECTIVE: To investigate whether dietary supplementation with B vitamins or omega 3 fatty acids, or both, could prevent major cardiovascular events in patients with a history of ischaemic heart disease or stroke. DESIGN: Double blind, randomised, placebo controlled trial; factorial design. SETTING: Recruitment throughout France via a network of 417 cardiologists, neurologists, and other physicians. PARTICIPANTS: 2501 patients with a history of myocardial infarction, unstable angina, or ischaemic stroke.

Author(s): 
Galan, Pilar
Kesse-Guyot, Emmanuelle
Czernichow, Sébastien
Briancon, Serge
Blacher, Jacques
Hercberg, Serge
SU.FOL.OM3 Collaborative Group
Publication Title: 
BMJ (Clinical research ed.)

OBJECTIVE: To investigate whether dietary supplementation with B vitamins or omega 3 fatty acids, or both, could prevent major cardiovascular events in patients with a history of ischaemic heart disease or stroke. DESIGN: Double blind, randomised, placebo controlled trial; factorial design. SETTING: Recruitment throughout France via a network of 417 cardiologists, neurologists, and other physicians. PARTICIPANTS: 2501 patients with a history of myocardial infarction, unstable angina, or ischaemic stroke.

Author(s): 
Galan, Pilar
Kesse-Guyot, Emmanuelle
Czernichow, Sébastien
Briancon, Serge
Blacher, Jacques
Hercberg, Serge
SU.FOL.OM3 Collaborative Group
Publication Title: 
The American Journal of Clinical Nutrition

BACKGROUND: Preinfarction angina, a clinical equivalent of ischemic preconditioning, seems to protect against in-hospital death, cardiogenic shock, and the combined endpoints in adult but not in elderly patients with acute myocardial infarction. Experimental evidence indicates that caloric restriction may restore ischemic preconditioning in aged animals. OBJECTIVE: The objective was to verify whether body mass index (BMI) influences the cardioprotective effect of preinfarction angina in the elderly.

Author(s): 
Abete, Pasquale
Cacciatore, Francesco
Ferrara, Nicola
Calabrese, Claudio
de Santis, Domenico
Testa, Gianluca
Galizia, Gianluigi
Del Vecchio, Stefania
Leosco, Dario
Condorelli, Mario
Napoli, Claudio
Rengo, Franco

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