Clinical significance of reverse redistribution on resting thallium-301 imaging in patients with vasospastic angina

2001 ◽  
Vol 15 (1) ◽  
pp. 65-68 ◽  
Author(s):  
Akira Narang ◽  
Jong-Dae Lee ◽  
Hiromasa Shimiru ◽  
Aklyoshi Tsubokawa ◽  
Hiroyasu Uzui ◽  
...  
2014 ◽  
Vol 26 (2) ◽  
pp. 159-168 ◽  
Author(s):  
Jumpei SUYAMA ◽  
Akira SHINOZUKA ◽  
Hiroto SASAMORI ◽  
Norifumi HOSAKA ◽  
Osamu MIYAGAMI ◽  
...  

2020 ◽  
Vol 12 (9) ◽  
pp. 450-459
Author(s):  
Hiroki Teragawa ◽  
Chikage Oshita ◽  
Yuichi Orita

1995 ◽  
Vol 59 (6) ◽  
pp. 1528-1533 ◽  
Author(s):  
Shoji Watarida ◽  
Masahiko Onoe ◽  
Takaaki Sugita ◽  
Ryoko Tabata ◽  
Kazuhiko Katsuyama ◽  
...  

1987 ◽  
Vol 13 (3) ◽  
pp. 139-142 ◽  
Author(s):  
Tsunehiko Nishimura ◽  
Tashiisa Uehara ◽  
Kohei Hayashida ◽  
Takahira Kozuka

Circulation ◽  
2015 ◽  
Vol 131 (suppl_2) ◽  
Author(s):  
Yoshiyuki Kudo ◽  
Kenji Suda ◽  
Shintaro Kishimoto ◽  
Hironaga Yoshimoto ◽  
Toyojiro Matsuishi ◽  
...  

Though it has been already reported that the endothelial function was impaired in patients with a history of Kawasaki disease (KD) and coronary artery aneurysms, vasospastic angina has been rarely reported, especially in school child. A 13-year-old school child referred to us because of repeated chest pain on exercise and reverse redistribution in myocardial perfusion scan. His past history included KD at 2 years of age that was complicated by resistance to initial immunoglobulin treatment and he was left with coronary aneurysms; left main trunk (LMT) of 6.1mm, left anterior descending artery (LAD) of 6.0mm, and right coronary artery (RCA) of 6.0mm. He received oral warfarin treatment in addition to aspirin for 2 years and since then aspirin alone. Coronary angiogram at 7 years old showed LMT aneurysm of 6.1mm starting from orifice extending to bifurcation and regression of RCA aneurysm. He joined baseball club since 8 years old and has been doing well without any symptoms. In this summer, he started complain chest pain after 10 minutes of running 2-3 times a week that lasts for about 30 minutes. Though exercise stress test using treadmill did not show any abnormal electrocardiographic finding, stress myocardial perfusion scan using Thallous chloride-201Tl showed an area of reverse redistribution in the LAD territory. Baseline coronary angiogram at this time showed basically the same finding as that in the last study, intact RCA without stenosis and LMT aneurysm without any stenosis. However, provocative study using intra-coronary administration of 100 ug of acetylcholine, showed diffuse coronary artery spasm in all LCA branches and he indeed complained the same chest pain as that felt in exercise. In addition, intra-coronary administration of nitroglycerine completely reversed coronary spasm and chest pain. Conclusion: Vasospastic angina with chest pain can occurred in the school child with coronary artery aneurysms without coronary stenosis long after KD.


2000 ◽  
Vol 15 (11) ◽  
pp. 1333-1338 ◽  
Author(s):  
Koji Uno ◽  
Takeshi Azuma ◽  
Masatsugu Nakajima ◽  
Kenjiro Yasuda ◽  
Takanobu Hayakumo ◽  
...  

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