Document Detail

Acute, reversible myocardial ischemia in a patient with an asthmatic attack.
MedLine Citation:
PMID:  8913909     Owner:  NLM     Status:  MEDLINE    
A 61-year-old woman with chronic asthma sustained an episode of dyspnea and chest heaviness and was brought to the emergency department. Her examination revealed tachypnea, tachycardia, hypotension, and diffuse prolonged respiratory wheezing. Arterial blood gas analysis showed severe hypoxemia and hypercapnia. A 12-lead electrocardiogram showed marked, downsloping ST-segment depression, with deep, negative T waves in leads I, II, III, and aVF and precordial leads V3-V6. After 15 minutes of therapy with oxygen, beta-agonists, and corticosteroids, the electrocardiographic abnormalities subsided and 2 hours later they had disappeared. Subsequent coronary angiography and ventriculography revealed normal coronary arteries and good left ventricular ejection fraction. It is concluded that an acute asthmatic paroxysm may produce transient myocardial ischemia even with angiographically documented normal coronary arteries.
M M Myrianthefs; C M Zambartas
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  29     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-02-13     Completed Date:  1997-02-13     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  337-9     Citation Subset:  IM    
Department of Cardiology, Nicosia General Hospital, Cyprus.
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MeSH Terms
Acute Disease
Asthma / complications*,  diagnosis
Coronary Angiography
Dyspnea / diagnosis,  etiology
Middle Aged
Myocardial Ischemia / diagnosis,  etiology*
Time Factors

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