Document Detail

Ischemic cardiomyopathy without significant coronary stenosis. A case report.
MedLine Citation:
PMID:  7618765     Owner:  NLM     Status:  MEDLINE    
The authors present a rare case of myocardial infarction in a fifty-eight-year-old man without significant coronary artery stenosis apparent on the emergency coronary angiogram. However, a second angiogram two days later revealed a total occlusion of the left anterior descending artery. Intracoronary thrombolytic therapy was performed with a successful outcome. The patient was subsequently readmitted with an acute myocardial infarction, and the coronary angiogram again failed to demonstrate significant stenosis. Thereafter, the patient's left ventricular function deteriorated progressively, with the occurrence of another myocardial infarction and frequent bouts of symptoms related to congestive heart failure. He died of ischemic cardiomyopathy about seven years later. Findings including an autopsy report showed that myocardial ischemia was involved in the pathogenesis of what initially appeared to be primary dilated cardiomyopathy, based on emergency angiograms.
N Ishizaka; T Isshiki; F Saeki; Y Ishizaka; R Takanashi; T Yamaguchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  46     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1995-08-23     Completed Date:  1995-08-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  619-24     Citation Subset:  IM    
Division of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan.
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MeSH Terms
Coronary Angiography
Coronary Disease*
Fatal Outcome
Middle Aged
Myocardial Infarction / diagnosis,  pathology
Myocardial Ischemia / diagnosis*,  pathology
Myocardium / pathology
Time Factors

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