Document Detail


Rare survival in a patient with severe complications of acute myocardial infarction: a case report.
MedLine Citation:
PMID:  17552292     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 50-year-old man presented with acute myocardial infarction. Coronary angiography showed the left anterior descending artery (segment 6) was totally occluded. Direct percutaneous transluminal coronary angioplasty was performed, but a distal embolism occurred by the procedure. Consequently, he suffered cardiogenic shock and sustained ventricular tachycardia/fibrillation which exacerbated his condition. Finally, the patient was successfully treated with catheter ablation and cryosurgery to control the incessant ventricular arrhythmias, and partial left ventricular volume reduction and coronary artery bypass grafting to improve contractile performance. His left ventricular contractility did not improve, but the incessant ventricular arrhythmias could be controlled. His condition remarkably improved and he was discharged on foot. This patient with severe complications of acute myocardial infarction showed unusually good response and recovery.
Authors:
Noriaki Takama; Hiroshi Hoshizaki; Shigeto Naito; Shigeru Oshima; Koichi Taniguchi; Masahiko Kurabayashi
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiology     Volume:  49     ISSN:  0914-5087     ISO Abbreviation:  J Cardiol     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-06-07     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804703     Medline TA:  J Cardiol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  267-71     Citation Subset:  IM    
Affiliation:
Medicine & Biological Science, Gunma University Graduate School of Medicine, Maebashi, Gunma. goritakama@db3.so-net.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Catheter Ablation*
Coronary Angiography
Coronary Artery Bypass*
Coronary Disease / complications*,  surgery
Cryosurgery*
Electrocardiography
Humans
Male
Middle Aged
Myocardial Infarction / complications*
Shock, Cardiogenic / etiology*
Stroke Volume
Tachycardia, Ventricular / etiology,  surgery
Ventricular Fibrillation / etiology,  surgery

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


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