© 1997 by European Society of Cardiology
Copyright © 1997, European Society of Cardiology
The new ischemic syndromes—an old phenomenon disguised with a new glossary?1
University of Brescia, Chair of Cardiology, Spedali Civili, Brescia; Salvatore Maugeri Foundation, IRCCS, Cardiovascular Pathophysiology Research Centre, Gussago, Brescia, Italy
* Correspondence address: Università degli Studi di Brescia, Cattedra di Cardiologia, c/o Spedali Civili, p.le Spedali Civili, 1, 25123 Brescia, Italy. Tel.: +39 (30) 3995-776; fax: +39 (30) 3701-078; e-mail: ferrari@master.cci.unibs.it
Received 9 September 1996;
KEYWORDS Preconditioning; Stunning; Myocardial ischemia; Myocardial infarct
| The first 150 words of the full text of this article appear below. |
The light is flickering in the room next to the hospital hemodynamic lab. Huddled behind the Tagarno monitor are half a dozen surgeons and interventional cardiologists. The group is divided, on one side there is what, nowadays, is a rather rare example of an old-fashioned thinking bedside cardiologist. On the other side of the screen there is a line of elbowing, excited cardioscientists clutching a series of ice-coated tubes containing biopsies from the left ventricle of Mr. X.
Judging from the rather animated discussion about his coronary angiogram, Mr. X is a serious case. He is 58 years old, complains of dyspnea, has a history of several myocardial infarctions and was admitted because of prolonged chest pain. A comparison with his previous ventriculogram suggests that the anterior region of the left ventricle is chronically akinetic. The ejection fraction is severely reduced (being less than 25%), he has 3 severe