By Y. Nakamura, H. Miyashita, O. Iimura, K. Ueda, T. Sugimoto, Y. Toyama (auth.), Prof.Dr. David T. Kelly (eds.)
These are the lawsuits of the 3rd Asian Pacific Adalat Symposium. the 1st used to be held in Tokyo in 1982 and the second one in Sydney in 1985. We have been honoured that the overdue Dr. Sukaman and his colleagues have been in a position to host this 3rd symposium in Jakarta. This assembly used to be designed to give a contribution to and to advertise overseas collaboration in cardiovascular study, and to assist advertise additional wisdom and realizing concerning the therapy of vascular affliction within the Asian Pacific zone. Nifedipine was once initially investigated within the mid-1960s through Prof. Fleckenstein. His first effects confirmed this drug was once a strong calcium antagonist which altered excitation contraction. at the present, there has been a swift improvement of data in regards to the pathophysiology of ischaemic center ailment, and hence the real pharmacological paintings on calcium antagonists comparable to nifedipine paralleled and complimented the more moderen figuring out of coronary body structure in guy. very quickly such a lot remedy was once designed to minimize myocardial oxygen intake and demand.
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Arch Intern Med 141 :716 70. Maseri A, Pesola A, Marzilli M et al. (1977) Coronary vasospasm in angina pectoris. Lancet i:713 Newest Information on Unstable Angina Pectoris P. G. Hugenholtz 1 Introduction The clinical syndrome of unstable angina continues to excite and confuse the clinician. This is largely because of the difficulties in marking the exact "watershed" between angina (a potentially reversible form of ischemia) and myocardial infarction (after 30 min an irreversible process; Table 1).
Left ventricular dysfunction/E-C coupling Fall in creatine phosphate ECG changes, T-wave, ST-segment Chest pain (cave "silent" episodes) Release of vasoactive substances Increased sympathetic activity Fall in ATP levels Irreversible damage in core Ultrastructural changes Malfunction of mitochondria Malfunction of sarcoplasmic reticulum (Ca2+ transport) 0-10 s 20 s 20 s 30 s 60 s 60 s 0-60 s 2 min 15 min 20 min 40 min 40 min Other clinical observations from our laboratory  have shown that even when successful thrombolysis is achieved within 30 min after the onset of symptoms, some degree of irreversible myocardial damage has already occurred in the core of the ischemic area.
N Engl J Med 301:341 43. Weiner DA, McCabe C, Lein MD, Ryan TJ (1978) ST-segment change post infarction: predictive value for multivessel coronary disease and left ventricular aneurysm. Circulation 58:887 44. Castellanet MJ, Greenberg PS, Ellestad MH (1978) Comparison of ST-segment changes on exercise testing with angiographic findings in patients with prior myocardial infarction. Am J Cardiol 42:29 45. Chaitman BR, Waters DD, Corgara F, Bourassa MG (1978) Prediction of multivessel disease after inferior myocardial infarction.