R. M. MILLS, M.D.; G. H. MUDGE JR., M.D.; MICHAEL LESCH, M.D., F.A.C.P.
Trepopnea refers to the preference for a particular recumbent position and a dislike of others. In 1937, Wood and Wolferth (1) introduced the term and reported their extensive observations of trepopnea in 52 patients with heart disease, including 3 with positional angina pectoris.
We have studied a patient with coronary artery disease in whom the left lateral decubitus position induced angina. Cardiac catheterization was done using a thermodilution coronary sinus blood flow catheter, thus obtaining measurements of coronary blood flow in various body positions.
A 41-year-old married practical nurse, gravida 6, para 4, was referred for cardiac catheterization and coronary
MILLS RM, MUDGE GH, LESCH M. Coronary Sinus Blood Flow in Trepopneic Angina: Case Report. Ann Intern Med. ;84:295–296. doi: 10.7326/0003-4819-84-3-295
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Published: Ann Intern Med. 1976;84(3):295-296.
Cardiology, Coronary Heart Disease.
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