Angina pectoris induced by dumping syndrome in idiopathic hypertrophic subaortic stenosis
作者:
BENJAMIN BEFELER,
MELVIN ROSS,
DAVID WELLS,
AGUSTIN CASTELLANOS,
ROBERT MYERBURG,
期刊:
The American Journal of the Medical Sciences
(OVID Available online 1973)
卷期:
Volume 266,
issue 1
页码: 67-73
ISSN:0002-9629
年代: 1973
出版商: OVID
关键词: Angina pectoris;Idiopathic hypertrophic subaortic stenosis;Dumping syndrome
数据来源: OVID
摘要:
This paper describes a patient who had the unusual association of idiopathic hypertrophic subaortic stenosis with a post-antrectomy dumping syndrome. Angina pectoris occurs when the patient is having dumping only. Hemodynamic correlates and actual objective demonstration of increase of murmur, decrease of stroke volume, and decrease of pulse pressure during a test meal are presented as evidence that the pain is secondary to outflow obstruction. The mechanisms of angina pectoris in outflow tract obstruction are discussed and related to this patient who also demonstrated severe segmental coronary disease on coronary cineangiography but in whom pain did not occur with exertion.
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