Myocardial Infarction in Young Women with Normal Coronary Arteriograms

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Myocardial infarction in young women with normal coronary arteriograms.

Two women, ages 34 and 36 years, suffered an acute transmural anterior myocardial infarction accompanied by typical ECG and serum enzyme changes. At the time of selective cinecoronary arteriography 29 and 57 months later, however, neither had demonstrable narrowing of any coronary artery. Both have persistent ECG changes of an anterior infarct and markedly diminished contractions of a large seg...

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Myocardial infarction in young people with normal coronary arteries.

Myocardial infarction occurring in young people with angiographically normal coronary arteries is well described but the pathophysiology of this condition remains unknown. Coronary artery spasm in association with thrombus formation and minimal atheromatous disease or spontaneous coronary artery dissection are possible causes. Two young men presented with severe chest pain after acute alcohol i...

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Acute coronary insufficiency with normal coronary arteriograms.

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Acute Myocardial Infarction with Normal Coronary Arteries

IN THE DIAGNOSIS of myocardial infarction, selective coronary arteriography almost invariably demonstrates evidence of occlusive atherosclerosis. There have, however, been reports of cases where technically excellent coronary arteriograms have shown normal vessels and a variety of causes other than atherosclerosis have been incriminated.1-4 This problem has not been resolved but some evidence n...

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ژورنال

عنوان ژورنال: Circulation

سال: 1971

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.44.4.495