A case of clinically diagnosed pure septal infarction
Autor: | Akira Akamatsu, Ryuichi Nomoto, Kouji Kodama, Tadafumi Joh, Junji Doiuchi, Masaharu Suetsugu, Noriko Hamada, Akira Tamura, Hideki Okayama, Toshio Honda |
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Rok vydání: | 1991 |
Předmět: |
Adult
Male congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Cardiac Catheterization Physiology medicine.medical_treatment Myocardial Infarction Infarction Anterior Descending Coronary Artery Coronary Angiography Electrocardiography Internal medicine medicine Heart Septum Humans cardiovascular diseases Myocardial infarction Interventricular septum Radionuclide Imaging Cardiac catheterization medicine.diagnostic_test business.industry Electrocardiography in myocardial infarction Heart medicine.disease medicine.anatomical_structure cardiovascular system Cardiology Radiology Myocardial infarction diagnosis Cardiology and Cardiovascular Medicine business |
Zdroj: | Japanese circulation journal. 55(10) |
ISSN: | 0047-1828 |
Popis: | Interventricular septal involvement in myocardial infarction is usually associated with infarction of the left ventricular anterior free wall, as the obstruction is at the major portion of the left anterior descending coronary artery. Acute myocardial infarction with obstruction only of the first septal branch is rare. We describe here a case of pure septal infarction. The case was diagnosed by emergency coronary arteriogram (CAG). Although the patient had a large first septal branch, his global left ventricular function was preserved. Abnormal findings were localized in only septal region as determined by left ventriculography (LVG), two-dimensional echocardiography (2DE), and 99mtechnetium pyrophosphate (99m Tc-PYP) and 201thallium (201Tl) myocardial scintigraphy. |
Databáze: | OpenAIRE |
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