Document Detail

Spontaneous and simultaneous multivessel coronary spasm causing multisite myocardial infarction, cardiogenic shock, atrioventricular block, and ventricular fibrillation.
MedLine Citation:
PMID:  19179777     Owner:  NLM     Status:  MEDLINE    
A 57-year-old Taiwanese man with a past history of variant angina developed simultaneous anterior and inferior myocardial infarction, atrioventricular block, cardiogenic shock, and eventually ventricular fibrillation. Left coronary angiography revealed simultaneous occlusion of the left anterior descending and the left circumflex coronary arteries, which was relieved by intracoronary administration of isosorbide dinitrate. This is the first report of such a case in the English-language medical literature.
Yao-Tsung Chuang; Kwo-Chang Ueng
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-01-27
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  73     ISSN:  1347-4820     ISO Abbreviation:  Circ. J.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-25     Completed Date:  2009-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1961-4     Citation Subset:  IM    
Cardiovascular Study Group, Institute of Medicine, Division of Cardiology, Chung Shan Medical University Hospital, Taichung, Taiwan.
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MeSH Terms
Atrioventricular Block / etiology*,  radiography,  therapy
Coronary Angiography
Coronary Vasospasm / complications*,  radiography,  therapy
Defibrillators, Implantable
Electric Countershock / instrumentation
Isosorbide Dinitrate / administration & dosage
Middle Aged
Myocardial Infarction / etiology*,  radiography,  therapy
Pulmonary Edema / etiology
Shock, Cardiogenic / etiology*,  radiography,  therapy
Treatment Outcome
Vasodilator Agents / administration & dosage
Ventricular Fibrillation / etiology*,  radiography,  therapy
Reg. No./Substance:
0/Vasodilator Agents; 87-33-2/Isosorbide Dinitrate

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

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