Myocardial infarction with normal results of coronary angiography following diltiazem withdrawal
| Autor: | R. M. Hurley, J. E. Hano, B.P. Ragona, Donald W. Dixon, G.A. Kozeny, Vinod Bansal, L.L. Vertuno |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
Adult
medicine.medical_specialty Myocardial Infarction chemistry.chemical_element Calcium Contractility Diltiazem Internal medicine Humans Medicine cardiovascular diseases Myocardial infarction Uremia Hypocalcemia medicine.diagnostic_test business.industry Calcium channel Angiography Electrocardiography in myocardial infarction General Medicine Benzazepines medicine.disease Substance Withdrawal Syndrome chemistry Cardiology Female Hyperparathyroidism Secondary business medicine.drug |
| Zdroj: | The American Journal of Medicine. 80:1184-1186 |
| ISSN: | 0002-9343 |
| DOI: | 10.1016/0002-9343(86)90682-0 |
| Popis: | Abrupt withdrawal of calcium channel blocking agents has been associated with symptoms of ischemic heart disease, but acute myocardial infarction has not been noted. Herein is described a severely uremic patient who had an acute myocardial infarction shortly after discontinuance of diltiazem, although results of subsequent coronary arteriography were normal. It is postulated that myocardial damage occurred because of increased intracellular calcium flux, augmented myocardial contractility, and/or drug withdrawal-related coronary spasm. |
| Databáze: | OpenAIRE |
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