Ischemia at a Distance After Acute Myocardial Infarction: A Cause of Early Postinfarction Angina

  title={Ischemia at a Distance After Acute Myocardial Infarction: A Cause of Early Postinfarction Angina},
  author={Edgar Howard Schuster and Bernadine H. Bulkley},
Whether an acute myocardial infarction due to occlusion of one major coronary artery can cause ischemia in the distribution of a second narrowed coronary artery by the mechanism of collateral interruption (i.e., ischemia at a distance) is not known. To study this, we reviewed 128 consecutively autopsied patients with acute fatal myocardial infarcts and identified 20 patients in whom angina, associated with transient ischemic ECG changes, developed early after infarction. All 20 patients had… 

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