A case of normal coronary infarction after intracoronary thrombolysis with urokinase
| Autor: | Junichi Osugi, Shiro Izumi, Fumimaro Takatsu, Atsushi Tsunekawa, Shinji Watabe, Masashi Uwatoko, Hiroyasu Ishikawa, Teruo Nagaya |
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| Rok vydání: | 1983 |
| Předmět: |
Male
medicine.medical_specialty Myocardial Infarction Infarction Coronary Disease Coronary Angiography Electrocardiography Coronary thrombosis medicine.artery Internal medicine Humans Medicine cardiovascular diseases Myocardial infarction Thrombus Urokinase medicine.diagnostic_test business.industry Middle Aged medicine.disease Coronary Vessels Urokinase-Type Plasminogen Activator medicine.anatomical_structure Right coronary artery Angiography cardiovascular system Cardiology Radiology Cardiology and Cardiovascular Medicine business Artery medicine.drug |
| Zdroj: | Catheterization and Cardiovascular Diagnosis. 9:501-505 |
| ISSN: | 1097-0304 0098-6569 |
| DOI: | 10.1002/ccd.1810090510 |
| Popis: | We report the case of a 50-year-old male who had classical ECG signs of inferior wall myocardial infarction. Intracoronary thrombolysis resulted in fragmentation of a thrombus in the lumen of the right coronary artery. Angiography 1 month later showed no abnormalities at the site of previous thrombus. Ergonovine stress did not produce spasm. We conclude that (1) a mild cardial infarction can occur with an occlusive thrombus arising in angiographically normal coronary arteries; (2) transient change in minimal atheromata or spasm may induce such thrombi; and (3) thrombolytic therapy may be able to expedite recanalization of the occluded artery and salvage the myocardium. |
| Databáze: | OpenAIRE |
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