Document Detail


Very early acute myocardial infarct treated with streptokinase and balloon angioplasty.
MedLine Citation:
PMID:  1531326     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 57-year-old man developed anginalike chest pain for the first time but there was no objective evidence of an infarct (i.e., EKG and serum enzymes were normal). After 12 days the pain increased, but EKG and serum enzymes remained normal ("preinfarct," crescendo, unstable, or accelerated angina). At this time a cardiac catheterization showed 90% occlusion of the left anterior descending (LAD) coronary artery. On the 17th day after the onset of pain, severe pain recurred together with an abnormal EKG and the patient was taken immediately to the laboratory where a total occlusion of the LAD was now found and he was treated with intracoronary streptokinase. The artery remained open for only a short time, and balloon angioplasty was performed. However, the patient died 12 hours after onset of the last episode of severe pain. A very early acute myocardial infarct was diagnosed at autopsy together with severe coronary atherosclerosis especially of the LAD which had disruption of atherosclerotic plaques and microscopic evidence of embolization.
Authors:
D B Hackel; G Wagner
Related Documents :
9171536 - Assessment of the patient with chest pain in the accident and emergency department.
23640586 - Analysis of patient-specific surgical ventricular restoration: importance of an ellipso...
7588186 - Advances in the use of ancillary diagnostic testing in the emergency department evaluat...
21516086 - Gdf-15 is an inhibitor of leukocyte integrin activation required for survival after myo...
1612096 - Correlations of left ventricular diastolic parameters and heart rate: assessment throug...
10550726 - Use of a retractor designed to harvest an internal thoracic artery graft during cardiac...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  15     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-03-17     Completed Date:  1992-03-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  109-13     Citation Subset:  IM    
Affiliation:
Department of Pathology, Duke University Medical Center, Durham, North Carolina 27710.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon*
Coronary Artery Disease / drug therapy,  pathology,  therapy
Humans
Male
Middle Aged
Myocardial Infarction / drug therapy,  pathology,  therapy*
Myocardium / pathology
Streptokinase / therapeutic use*
Time Factors
Chemical
Reg. No./Substance:
EC 3.4.-/Streptokinase

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


Previous Document:  Mechanisms of cell growth inhibition and cell cycle arrest in human colonic adenocarcinoma cells by ...
Next Document:  Aneurysm formation at the site of percutaneous transluminal angioplasty: a report of two cases and a...