Document Detail


Electrocardiographic change after recanalization in a patient with recent extensive anterior wall myocardial infarction.
MedLine Citation:
PMID:  19520380     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a 66-year-old male with subacute extensive anterior wall myocardial infarction, we report a change in ST vector orientation from a basal anterior to a mid anterior after coronary artery recanalization of the proximal left anterior descending coronary artery with rotational atherectomy. The ST vector shift on the frontal plane after recanalization was consistent with a change toward more distal location of the ischemia on thallium-201 single photon emission computed tomography images compared to the findings during an exercise test before intervention. These findings may be correlated with local occlusion caused by distal microvascular embolization which was not visualized on coronary angiography following recanalization.
Authors:
Yasushi Akutsu; Hideki Nishimura; Yuji Hamazaki; Kyouichi Kaneko; Yusuke Kodama; Hui-Ling Li; Jyumpei Suyama; Akira Shinozuka; Takehiko Gokan; Youichi Kobayashi
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-06-10
Journal Detail:
Title:  Journal of electrocardiology     Volume:  42     ISSN:  1532-8430     ISO Abbreviation:  -     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-08-21     Completed Date:  2009-11-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  445-8     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Department of Medicine, Showa University School of Medicine, Shinagawaku, Tokyo 142-8666, Japan. hzn01233@s02.itscom.net
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MeSH Terms
Descriptor/Qualifier:
Aged
Electrocardiography / methods*
Humans
Male
Myocardial Infarction / diagnosis*,  surgery*
Myocardial Reperfusion / methods*
Treatment Outcome

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


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