HYPOTHESIS - ISCHEMIC PLAQUE NECROSIS AS THE INITIATOR OF UNSTABLE ANGINA ACUTE MYOCARDIAL-INFARCTION

被引:8
作者
BOYD, GW
机构
[1] Department of Medicine, University of Tasmania, Hobart, Tasmania
关键词
atherosclerotic plaque; coronary thrombosis; coronary vasospasm; haem‐orrhage; myocardial infarction; necrosis; unstable angina; vasa vasorum;
D O I
10.1111/j.1440-1681.1990.tb01309.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
1. Coronary atherosclerotic plaque complications are important in precipitating acute coronary events such as unstable angina and myocardial infarction. 2. The hypothesis is put forward that plaque complications are initiated by increases in local coronary artery tone sufficient to cut off the vasa vasorum blood supply to the plaque and result in its ischaemic necrosis. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:215 / 218
页数:4
相关论文
共 24 条
[1]   HYPOTHESIS - VASA VASORUM AND NEOVASCULARIZATION OF HUMAN CORONARY-ARTERIES - A POSSIBLE ROLE IN THE PATHO-PHYSIOLOGY OF ATHEROSCLEROSIS [J].
BARGER, AC ;
BEEUWKES, R ;
LAINEY, LL ;
SILVERMAN, KJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1984, 310 (03) :175-177
[3]  
BOYD GW, 1989, STRESS DISEASE EVOLU, P46
[4]   PLAQUE FISSURES IN HUMAN CORONARY THROMBOSIS [J].
CONSTANT.P .
JOURNAL OF ATHEROSCLEROSIS RESEARCH, 1966, 6 (01) :1-&
[5]   CORONARY-ARTERY SPASM - PREVALENCE, CLINICAL-SIGNIFICANCE, AND PROVOCATIVE TESTING [J].
CONTI, CR ;
FELDMAN, RL ;
PEPINE, CJ .
AMERICAN HEART JOURNAL, 1982, 103 (04) :584-588
[6]  
DAVIES MJ, 1985, BRIT HEART J, V53, P363
[7]   PREVALENCE OF TOTAL CORONARY-OCCLUSION DURING THE EARLY HOURS OF TRANSMURAL MYOCARDIAL-INFARCTION [J].
DEWOOD, MA ;
SPORES, J ;
NOTSKE, R ;
MOUSER, LT ;
BURROUGHS, R ;
GOLDEN, MS ;
LANG, HT .
NEW ENGLAND JOURNAL OF MEDICINE, 1980, 303 (16) :897-902
[8]  
FALK E, 1983, BRIT HEART J, V50, P127
[9]   UNSTABLE ANGINA WITH FATAL OUTCOME - DYNAMIC CORONARY THROMBOSIS LEADING TO INFARCTION AND OR SUDDEN-DEATH - AUTOPSY EVIDENCE OF RECURRENT MURAL THROMBOSIS WITH PERIPHERAL EMBOLIZATION CULMINATING IN TOTAL VASCULAR OCCLUSION [J].
FALK, E .
CIRCULATION, 1985, 71 (04) :699-708
[10]   A PERSPECTIVE OF CORONARY-DISEASE SEEN THROUGH THE ARTERIES OF LIVING MAN [J].
FORRESTER, JS ;
LITVACK, F ;
GRUNDFEST, W ;
HICKEY, A .
CIRCULATION, 1987, 75 (03) :505-513