| Acute myocardial infarction in a patient with severe unrecognized mitral stenosis. | |
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MedLine Citation:
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PMID: 16501428 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Acute myocardial infarction is a rare complication of mitral stenosis. Acute myocardial infarction in the setting of severe unrecognized mitral stenosis has not been described. CASE REPORT: A 47-year-old-woman was admitted to our department for chest pain typical of myocardial infarction. Electrocardiogram showed ST segment elevation in leads II, III, and aVF and atrial fibrillation. Creatine kinase level was elevated to 268 U/L. The diagnosis of acute myocardial infarction of the inferior wall was established. The patient reported breathlessness after physical exertion over the last 2 years; however, she had not sought medical help and was unaware of her heart disease. Transthoracic echocardiography showed severe mitral stenosis (surface mitral valve area <1 cm2) and inferior wall akinesia. CONCLUSIONS: We present a case of acute myocardial infarction in a patient with unrecognized severe mitral stenosis and atrial fibrillation. Our suggestion is that acute myocardial infarction in this patient with no risk factors for coronary atherosclerosis was of thromboembolic origin, from left atrial thrombi. |
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Authors:
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Gani Bajraktari; Siada Kastrati; Rexhep Manaj; Idriz Berisha; Sherif Thaqi; Arton Beqiri; Shpend Elezi |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't Date: 2006-02-23 |
Journal Detail:
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Title: Medical science monitor : international medical journal of experimental and clinical research Volume: 12 ISSN: 1234-1010 ISO Abbreviation: Med. Sci. Monit. Publication Date: 2006 Mar |
Date Detail:
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Created Date: 2006-03-30 Completed Date: 2006-05-03 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9609063 Medline TA: Med Sci Monit Country: Poland |
Other Details:
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Languages: eng Pagination: CS24-6 Citation Subset: IM |
Affiliation:
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Cardiology Service, Internal Medicine Clinic, University Clinical Center, Prishtina, Kosova. ganibajraktari@yahoo.co.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Analgesics
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therapeutic use Anti-Arrhythmia Agents / therapeutic use Anticholesteremic Agents / therapeutic use Anticoagulants / therapeutic use Aspirin / therapeutic use Atrial Fibrillation / diagnosis Diuretics / therapeutic use Echocardiography, Transesophageal Electrocardiography Female Fibrinolytic Agents / therapeutic use Follow-Up Studies Humans Hydrochlorothiazide / therapeutic use Metoprolol / therapeutic use Middle Aged Mitral Valve Stenosis / complications*, diagnosis*, ultrasonography Myocardial Infarction / complications*, diagnosis* Nadroparin / therapeutic use Simvastatin / therapeutic use Time Factors Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Analgesics; 0/Anti-Arrhythmia Agents; 0/Anticholesteremic Agents; 0/Anticoagulants; 0/Diuretics; 0/Fibrinolytic Agents; 0/Nadroparin; 37350-58-6/Metoprolol; 50-78-2/Aspirin; 58-93-5/Hydrochlorothiazide; 79902-63-9/Simvastatin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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