Cardiac Syndrome X

To the Editor: There may be an alternative explanation for the observations made by Panting et al. (June 20 issue) 1 in their elegant study of patients with cardiac syndrome X. Although the heart-rate response to adenosine infusion is not given, the occurrence of “adenosine-induced tachycardia” is m...

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Veröffentlicht in:The New England journal of medicine 2002-10, Vol.347 (17), p.1377-1379
Hauptverfasser: Huang, Ming-He, Ewy, Gordon A, Bassan, Mayer, Collins, Alf, Collins, Peter, Pennell, Dudley J, Panting, Jonathan R, Panza, Julio A
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container_end_page 1379
container_issue 17
container_start_page 1377
container_title The New England journal of medicine
container_volume 347
creator Huang, Ming-He
Ewy, Gordon A
Bassan, Mayer
Collins, Alf
Collins, Peter
Pennell, Dudley J
Panting, Jonathan R
Panza, Julio A
description To the Editor: There may be an alternative explanation for the observations made by Panting et al. (June 20 issue) 1 in their elegant study of patients with cardiac syndrome X. Although the heart-rate response to adenosine infusion is not given, the occurrence of “adenosine-induced tachycardia” is mentioned. Huang et al. 2 , 3 showed that cardiac sensory-nerve endings in the canine heart possess specific adenosine receptors that can be activated by endogenous adenosine released from the heart. Exogenous adenosine administered to ventricular sensory-nerve endings greatly stimulates cardiac sensory neurons in the upper thoracic dorsal-root ganglia that project cardiac nociceptive input to the . . .
doi_str_mv 10.1056/NEJM200210243471717
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine
subjects Adenosine - pharmacology
Angina Pectoris - chemically induced
Coronary Circulation - drug effects
Heart Rate - drug effects
Humans
Microvascular Angina - physiopathology
Myocardial Ischemia - physiopathology
Sympathetic Nervous System - drug effects
Vasoconstriction
Vasodilator Agents - pharmacology
title Cardiac Syndrome X
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