Document Detail

Coronary artery spasm immediately after percutaneous transluminal coronary recanalization.
MedLine Citation:
PMID:  3158293     Owner:  NLM     Status:  MEDLINE    
A 55-year-old man developed acute inferior myocardial infarction. A coronary arteriogram performed within two hours later showed complete occlusion of the right coronary artery, which was not resolved by two doses of 300 micrograms of intracoronary nitroglycerin. It was recanalized with 50% luminal diameter narrowing after 600,000 units of urokinase. Immediately after this thrombolytic therapy, the patient experienced chest pain, and the coronary artery became completely obstructed again. The pain was promptly relieved by 300 micrograms of intracoronary nitroglycerin, with disappearance of the obstruction. The observations during the procedure indicate that coronary artery spasm can occur after successful thrombolytic therapy on an occluded artery, inducing postinfarction angina, and might culminate in a second complete occlusion after percutaneous transluminal coronary recanalization.
Y Koiwaya; T Ishikawa; S Nakagawa; H Ochiai; K Tanaka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  145     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1985 May 
Date Detail:
Created Date:  1985-06-06     Completed Date:  1985-06-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  943-5     Citation Subset:  AIM; IM    
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MeSH Terms
Angioplasty, Balloon / adverse effects*
Arterial Occlusive Diseases / drug therapy,  therapy
Coronary Vasospasm / etiology*,  physiopathology
Fibrinolytic Agents / therapeutic use
Middle Aged
Time Factors
Reg. No./Substance:
0/Fibrinolytic Agents

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