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Titolo:
Coronary vasospasm - Inducing dynamic left ventricular outflow tract obstruction
Autore:
Kuo, LT; Wang, CH; Hung, MJ; Cherng, WJ;
Indirizzi:
Chang Gung Mem Hosp, Chang Gung Med Coll, Dept Med, Cardiol Sect, Chilung,Taiwan Chang Gung Mem Hosp Chilung Taiwan pt Med, Cardiol Sect, Chilung,Taiwan
Titolo Testata:
TEXAS HEART INSTITUTE JOURNAL
fascicolo: 3, volume: 28, anno: 2001,
pagine: 223 - 225
SICI:
0730-2347(2001)28:3<223:CV-IDL>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; ARTERY SPASM; PATHOGENESIS;
Keywords:
myocardial infarction/therapy; angina pectoris; shock, cardiogenic; coronary vasospasm/complications/diagnosis/therapy; left ventricular outflow tract obstruction/diagnosis/therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Kuo, LT Chang Gung Mem Hosp, Chang Gung Med Coll, Dept Med, Cardiol Sect, 222 Mai Chin Rd, Chilung, Taiwan Chang Gung Mem Hosp 222 Mai Chin Rd Chilung Taiwan ilung, Taiwan
Citazione:
L.T. Kuo et al., "Coronary vasospasm - Inducing dynamic left ventricular outflow tract obstruction", TEX HEART I, 28(3), 2001, pp. 223-225

Abstract

An 80-year-old man was admitted to the emergency department of our institution due to acute, anterior-wall myocardial infarction and cardiogenic shock. Two-dimensional echocardiography revealed systolic anterior motion of the mitral leaflets with severe left ventricular outflow tract obstruction, Although coronary angiography showed normal coronary arteries, an ergonovineprovocation test induced diffuse coronary constriction of the left coronary artery, with chest pain, and ST-T changes seen on the electrocardiogram. These clinical signs caused us to suspect coronary spasm. The present case serves as a reminder that coronary vasospasm may be a factor in the development of dynamic left ventricular outflow tract obstruction. Early detection and intensive efforts to relieve vasospasm, including emergency coronary angiography and intracoronary injection of nitroglycerin, are essential.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 07:24:12