Document Detail

Coronary plaque instability in severe acute respiratory syndrome.
MedLine Citation:
PMID:  15771932     Owner:  NLM     Status:  MEDLINE    
In his second week of severe acute respiratory syndrome (SARS) illness, a patient developed an unusually complicated course of acute coronary syndrome. One day after initial stabilization of a non-ST-elevated anterior myocardial infarction (MI), he sustained an ST-elevated anterior MI. Eight hours after emergency coronary intervention to the culprit lesion, he developed another ST-elevated MI in the inferior territory. Acute inflammation and cytokine storm in the immunopathological phase of SARS may play a role in coronary plaque instability. Physicians should be alert to this potentially fatal complication and adopt appropriate vigilant and aggressive management strategies.
Kin-Lam Tsui; Tat-Chi Leung; Loretta Yin-Chun Yam; Loletta Kit-Ying So; Edwin Poon; Kwok-Cheung Lung; Shu-Kin Li
Publication Detail:
Type:  Case Reports; Letter    
Journal Detail:
Title:  International journal of cardiology     Volume:  99     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-17     Completed Date:  2005-07-15     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  471-2     Citation Subset:  IM    
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MeSH Terms
Coronary Angiography
Fatal Outcome
Myocardial Infarction / etiology*,  radiography
Severe Acute Respiratory Syndrome / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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