Preponderance of acute proximal left anterior descending coronary arterial lesions in fatal myocardial infarction: a clinicopathologic study.

@article{Schuster1981PreponderanceOA,
  title={Preponderance of acute proximal left anterior descending coronary arterial lesions in fatal myocardial infarction: a clinicopathologic study.},
  author={Edgar Howard Schuster and LAWRENCE S.C. Griffith and Bernadine H. Bulkley},
  journal={The American journal of cardiology},
  year={1981},
  volume={47 6},
  pages={
          1189-96
        }
}
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Outcome in One‐vessel Coronary Artery Disease
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The survival rate of patients with one-vessel coronary disease is excellent, and the risk of nonfatal infarction is low, and clinical strategies for the care of these patients must consider the long-term clinical course of one- Vessels coronary disease.
Cardiac catheterization for patients with postinfarction angina
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Clinical characteristics of the patients with postinfarction angina did not predict who would ultimately require revascularization, and cardiac catheterization is necessary for management of patients withPostinfarctions angina, because a majority of them will requireRevascularization.
Prediction of sudden cardiac arrest: risk stratification by anatomic substrate.
Angioplasty of the proximal left anterior descending coronary artery: initial success and long-term follow-up.
Acute myocardial infarction associated with single vessel coronary artery disease: An analysis of clinical outcome and the prognostic importance of vessel patency and residual ischemie myocardium
Complete revascularization of the left anterior descending coronary artery.
  • Y. Nakayama, R. Sakata, M. Ura, Y. Arai
  • Medicine
    The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi
  • 2000
TLDR
Complete revascularization of the left anterior descending coronary artery using these techniques improved the anterior wall motion in the left ventricle and cardiac performance at low risk, and provided excellent long-term results.
...
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References

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Natural history of severe proximal coronary artery disease as documented by coronary cineangiography.
Surgical versus medical treatment of occlusive disease confined to the left anterior descending coronary artery.
Clinical, hemodynamic and angiographic aspects of inferior and anterior myocardial infarctions in patients with angina pectoris.
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Expansion of acute myocardial infarction is a previously unappreciated variable that appears to be predictive of rupture, suggesting that regional dilatation and thinning of newly infarcted myocardium may be of pathogenetic importance in the development of rupture.
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It is shown that cardiogenic shock is associated with extensive loss of left ventricular myocardium due to new and frequently old infarcts as well, and a sharp reduction in coronary perfusion pressure could explain this combination of findings.
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TLDR
A retrospective analysis of the fate of 266 patients with arteriographically documented significant stenosis followed from one to ten years found a history of angina pectoris or myocardial infarction prior to angiography did not affect survival, but hypertension, congestive heart failure, abnormal hemodynamics or left ventricular asynergy were associated with a diminished five year survival.
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The progression occurring in patients with lipid abnormalities was more severe and more widespread than in other patients, and apparent interval reduction in lipid values did not influence the ultimate course of the atheromatous process.
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TLDR
The clinical progress was studied in a series of 590 patients documented to have significant obstructive disease by coronary arteriography, finding that combining the results of coronary and left ventricular angiography yielded a better prediction than either method separately.
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TLDR
Multivariate analysis showed four factors remaining significant--age, tachycardia, hypotension, and pulmonary crepitations; as a result of treatment of cardiac arrest, hospital mortality, which would otherwise have been 20 percent, was 17 percent and preceding unstable angina did not worsen the immediate prognosis.
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