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Record 1,  Textual support,  English

Record number: 1, Textual support number: 1 CONT

Coronary atherosclerotic disease is the underlying cause of unstable angina in nearly all patients with acute myocardial ischemia. The most common cause of unstable angina is due to coronary artery narrowing due to a thrombus that develops on a disrupted atherosclerotic plaque and is nonocclusive.  2, record 1, English, - unstable%20angina

Record number: 1, Textual support number: 1 OBS

I20.0: code used in the International Statistical Classification of Diseases and Related Health Problems.  3, record 1, English, - unstable%20angina

Record 1,  Textual support,  French

Record number: 1, Textual support number: 1 CONT

Il existe différents types d'angine de poitrine [...] dans l'angine de poitrine dite stable, les douleurs restent identiques au fil du temps. Leur intensité est à peu près la même et les facteurs déclenchant sont connus (monter un escalier par exemple). Ce type d'angor, qui peut être déclenché par un stress ou des températures froides, est généralement provoqué par une insuffisance coronarienne chronique. À l'inverse, en cas d'angine de poitrine instable, les douleurs apparaissent subitement, sans signe annonciateur. Les douleurs qui se déclarent sont d'intensité variable. Ce type d'angor est provoqué par une insuffisance coronarienne aiguë et n'est soulagé ni par le repos ni par les médicaments pris habituellement [...]  2, record 1, French, - angine%20de%20poitrine%20instable

Record number: 1, Textual support number: 1 OBS

I20.0 : code de la Classification statistique internationale des maladies et des problèmes de santé connexes.  3, record 1, French, - angine%20de%20poitrine%20instable

Record 1,  Textual support,  Spanish

Record number: 1, Textual support number: 1 DEF

Angina de pecho que sucede en reposo, representa un cambio en la forma de presentación de una angina previamente estable, es de reciente aparición en el último mes o surge tras un infarto agudo de miocardio.  2, record 1, Spanish, - angina%20inestable

Record number: 1, Textual support number: 1 OBS

I20.0: código de la Clasificación Estadística Internacional de Enfermedades y Problemas Relacionados con la Salud.  3, record 1, Spanish, - angina%20inestable

Record 2,  Textual support,  English

Record number: 2, Textual support number: 1 DEF

An inadequate supply of blood to the myocardium, usually due to a coronary artery disease.  3, record 2, English, - myocardial%20ischemia

Record number: 2, Textual support number: 1 CONT

The clinal manifestations of myocardial ischemia caused by coronary artery disease include chronic stable angina, unstable angina, prolonged myocardial ischemia without evidence of infarction, acute myocardial infarction, congestive heart failure, ventricular arrhythmias, and sudden death.  4, record 2, English, - myocardial%20ischemia

Record number: 2, Textual support number: 1 OBS

I25.5: code used in the International Statistical Classification of Diseases and Related Health Problems.  5, record 2, English, - myocardial%20ischemia

Record 2,  Textual support,  French

Record number: 2, Textual support number: 1 DEF

État qui survient lorsqu'il existe une discordance entre les besoins en oxygène du myocarde et les apports fournis par les artères coronaires.  3, record 2, French, - isch%C3%A9mie%20myocardique

Record number: 2, Textual support number: 1 OBS

I25.5 : code de la Classification statistique internationale des maladies et des problèmes de santé connexes.  4, record 2, French, - isch%C3%A9mie%20myocardique

Record 2,  Textual support,  Spanish

Record number: 2, Textual support number: 1 DEF

Circulación insuficiente de sangre hacia el miocardio, generalmente por enfermedad coronaria.  1, record 2, Spanish, - isquemia%20del%20miocardio

Record 3,  Textual support,  English

Record number: 3, Textual support number: 1 CONT

Variant angina, originally described by Printzmetal, is characterized by rest pain accompanied by transient ST segment changes(often ST elevation resembling acute myocardial infarction, although ST depression can also occur) and ventricular arrhythmias. Variant angina is a form of unstable angina caused by coronary arterial spasm, usually within a coronary artery narrowed by plaque, but occasionally within an angiographically normal appearing artery.  1, record 3, English, - variant%20angina

Record 3,  Textual support,  French

Record number: 3, Textual support number: 1 CONT

L'angor de repos : [...] l'une de ses formes, l'angor de Prinzmetal, est un angor lié au spasme des artères coronaires; il survient la nuit, souvent à heure fixe, s'accentue progressivement jusqu'à un maximum où apparaissent des palpitations, des lipothymies (sensations d'évanouissement), des syncopes (pertes de connaissance), puis il s'atténue progressivement.  1, record 3, French, - angor%20de%20repos

Record 3,  Textual support,  Spanish

Record 4,  Textual support,  English

Record number: 4, Textual support number: 1 DEF

Angina pectoris whose intensity and frequency remains the same over a long period.  2, record 4, English, - stable%20angina

Record number: 4, Textual support number: 1 OBS

Persons with chronic stable angina usually can be treated as outpatients, whereas those with unstable angina usually require hospitalization and a more aggressive approach, as discussed later.  2, record 4, English, - stable%20angina

Record 4,  Textual support,  French

Record 4,  Textual support,  Spanish

Record 5,  Textual support,  English

Record number: 5, Textual support number: 1 CONT

Selectines facilitate the initial adhesion of leukocytes on the surface of vascular endothelium. This initial adhesion is considered to be the first step in the development of the atherosclerotic plaque. Adhered leukocytes migrate into the subendothelial space and form the so-called "foam" cells at a later stage. Three different selectine molecule have been identified : L-selectine is expressed on the leucocyte membrane, E-selectine is expressed on the "activated" endothelial cell membrane and P-selectine is expressed on both platelet and "activated" endothelial cell surface. P-selectine seems to play a role in the development of acute coronary syndromes. Increased serum levels of P-selectine have been found in both acute myocardial infarction and unstable angina.  1, record 5, English, - P%2Dselectine

Record 5,  Textual support,  French

Record number: 5, Textual support number: 1 CONT

Par ailleurs, une cascade inflammatoire maintenant classique est activée lors de la CEC : neutrophiles, système du complément, IL1, IL6 en particulier. La thrombine est une enzyme multifonctionnelle qui possède une action inflammatoire avec expression de P-sélectine, de PAF [platelet activating factor], et de facteur de chemotactisme. Directement sur les cellules c'est un facteur mitogène sur les plaquettes par le TGF [transforming growth factor] beta et le PDGF [platelet derived growth factor] ainsi que sur l'endothélium.  2, record 5, French, - P%2Ds%C3%A9lectine

Record 5,  Textual support,  Spanish