Document Detail

Systolic total narrowing of left anterior descending coronary artery and flow interruption secondary to myocardial bridge: a rare case report and review of literature.
MedLine Citation:
PMID:  18855349     Owner:  NLM     Status:  MEDLINE    
A 33-y-old man was admitted to the emergency department with sudden onset of severe substernal chest pain radiating to the left arm and neck. No pathological signs were recorded upon physical examination. The admission electrocardiogram (ECG) recorded during chest pain showed a large anterior wall myocardial infarction. Intravenous (IV) infusion of 1.5 million units of streptokinase over 1 h was initiated. Coronary angiography revealed total narrowing and flow interruption in the midsegment of the left anterior descending (LAD) coronary artery secondary to a myocardial bridge during systole and disappearance with diastole. He was discharged on aspirin (300 mg/d), metoprolol (100 mg/d), enalapril (10 mg twice daily), and atorvastatin (40 mg/d) treatment at the follow-up period.
Fehmi Kacmaz; Omer Alyan; Erdogan Ilkay
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  31     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-21     Completed Date:  2009-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  457-60     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2008 Wiley Periodicals, Inc.
Department of Cardiology, Bingol State Hospital, Bingol, Turkey.
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MeSH Terms
Blood Flow Velocity / physiology*
Coronary Angiography
Coronary Circulation / physiology
Coronary Stenosis / complications*,  diagnosis,  physiopathology
Coronary Vessel Anomalies / complications*,  diagnosis,  physiopathology
Coronary Vessels / physiopathology*
Diagnosis, Differential
Follow-Up Studies
Myocardial Infarction / diagnosis,  etiology*,  physiopathology

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