By Juan Carlos Kaski (auth.), Juan Carlos Kaski (eds.)

ISBN-10: 1461361117

ISBN-13: 9781461361114

ISBN-10: 1461525969

ISBN-13: 9781461525967

Angina pectoris with basic coronary arteriograms is a standard entity which has questioned cardiologists virtually because the creation of coronary arteriography. regardless of significant advances within the figuring out of the pathophysiology of angina lately and a large number of experiences at the topic, the reason and mechanisms underlying the syndrome of angina with common coronary arteries stay unknown. certainly, result of investigations are arguable and hypothesis nonetheless prevails concerning the nature of the so known as `Syndrome X'.
virtually each vital point of Syndrome X has been tackled within the e-book and the reader is uncovered not just to the cardiologists' opinion, but in addition to the authoritative perspectives of the gastroenterologists, gynaecologists and psychiatrists, tremendous good represented during this monograph. The booklet bargains with `cardiologists' Syndrome X' and never the metabolic entity termed `Syndrome X'. the potential connection among the 2, despite the fact that, is mentioned.
Angina with general Coronary Arteries: Syndrome X contributes to the certainty of Syndrome X and is helping clinicians deal with their Syndrome X-patients larger and investigators to open new avenues for examine.

Show description

Read Online or Download Angina Pectoris with Normal Coronary Arteries: Syndrome X PDF

Similar nonfiction_10 books

Read e-book online Decommissioned Submarines in the Russian Northwest: PDF

Till the past due Nineteen Seventies, such a lot advertisement energy plant operators outdoor the U.S. followed a spent gas administration coverage of quick reprocessing and recycling of recovered items. in line with emerging reprocessing costs, lowering values of re­ coated items, issues over proliferation hazards, and a trust within the favorable eco­ nomics of direct disposal, many utilities have because opted to shop spent gasoline on an in­ terim foundation pending the provision of direct disposal amenities or a transformation within the eco­ nomic and/or political weather for reprocessing and recycling uranium and plutonium.

Download e-book for kindle: A Gift of Life: Observations on Organ Transplantation by Roy Calne

Long ago few years the transplantation of organs in guy has bought exposure extraordinary in clinical historical past. the 1st center grafts have been coated through press, radio, and tv on a scal~ equiva­ lent to the inside track of the outbreak of a massive battle. Unwarranted and indulgent optimism has been via sour feedback.

Download PDF by Alberto Munari (auth.), Valerie L. Shulman, Lillian C. R.: The Future of Piagetian Theory: The Neo-Piagetians

Until eventually lately, such a lot books and articles on Piaget's conception, even if laudatory or severe, have been written through psychologists or, extra hardly, epistemologists, who had had no direct touch with the study that supplied the root for the theoretical constructs, nor with the continuing paintings at the concept itself.

Additional resources for Angina Pectoris with Normal Coronary Arteries: Syndrome X

Example text

Many afferent nerve fibre terminals in the oesophagus, as in other parts of the gut, appear to be in the form of arborising free nerve endings l2 . Such free nerve endings in the skin are polymodal 33 receptors, responding to several different stimuli. PolymodaI receptors are common in the viscera13, although the anatomical substrate of such electrophysiologically characterised receptors has not been directly demonstrated. Some more specific structures have been put forward as potential sensory receptors in the oesophagus, such as the "intra-ganglionic laminar endings" of Rodrigo 14, laminar nerve endings surrounding small submucosal blood vessels 15 and the parafascicular ganglia of Christensen and Robison l6 .

A number of mechanisms are of potential interest in the context of chest pain of undetermined origin. Firstly, sensitisation of polymodal nociceptors by, for instance, noxious heat has long been recognised in the skin 28 -30 . These receptors then respond to lower intensity mechanical stimuli (ie they have been sensitised). Recent evidence has indicated a similar potential among visceral polymodal receptors, specifically in the testicle31 , colon32 and ureter33 . Although neurophysiological studies are lacking, clinical evidence suggests a similar potential in the human oesophagus 34 .

An important reason for performing oesophageal tests in patients with chest pain of undetermined origin is to attempt to reassure them by positively diagnosing a condition other than heart disease 142. Three recent studies have reported a favourable outcome in patients with non-cardiac chest pain in whom an oesophageal abnormality was demonstrated 112,122,143. However, in all three, the benefit was confined to selected groups of patients. Thus, in one study, it was only possible to demonstrate such a beneficial effect in those who recalled being told of an oesophageal source for their pain 143 .

Download PDF sample

Angina Pectoris with Normal Coronary Arteries: Syndrome X by Juan Carlos Kaski (auth.), Juan Carlos Kaski (eds.)

by Kevin

Rated 4.34 of 5 – based on 3 votes