Cardiogenic shock resulting from global myocardial ischemia induced by simultaneous mutivessel coronary spasm
분야
의약학 > 내과학
저자
( Ji Hye Ahn ) , ( Kyung Il Park ) , ( Young Dae Kim )
발행기관
대한내과학회
간행물정보
대한내과학회 추계학술발표논문집 2011년, 제2011권 제1호, 140(총1쪽)
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42846431.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Coronary artery spasm is an uncommon, but well recognized etiology for acute myocardial infarction. However, cardiogenic shock with myocardial infarction resulting from simultaneous multiple coronary artery spasm has been rarely reported, and not in Korea. We experienced recently such a case in a 50-year-old Korean man without previous diagnosis of variant angina. The patients developed severe chest pain accompanying ST-segment elevation in multiple leads, was immediately brought to cardiac catheterization because of cardiogenic shock. Coronary angiogram revealed a severe spasm of three major epicardial arteries simultaneously, which was promptly relieved by intracoronary administration of isosorbide dinitrate. This case calls for attention to rule out the potential mechanism of coronary spasm even in the most severe episodes of acute coronary syndrome.
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