Acute ST segment elevaton MI with Normal Coronaries
Journal Title: Nepalese Heart Journal - Year 2011, Vol 8, Issue 1
Abstract
A 45 year-old man with no history of cardiac disease presented to the emergency department with typical angina chest pain of >24 hours duraton. He was not thormbolyzed due to late presentaton. Having elevated troponin and CK-MB levels and an electrocardiogram demonstratng anterolateral ST segment elevaton and persistent of angina pain prompted coronary angiography which could be done only afer 3 weeks of symptom onset due to fnancial constraint; which revealed coronary vessels free of signifcant disease. An echocardiogram showed dilataton of all cardiac chambers with hypokinesia of anterior wall and mid-septum and akinesia of apex. There was moderate mitral regurgitaton and moderate tricuspid regurgitaton and moderate systolic dysfuncton. A number of conditons can lead to ST segment elevaton MI with normal epicardial coronary anatomy. We report a case possibly due to autothrombolysis. Treatment to such cases would be symptomatc drug therapy with reassurance and risk factor reducton.
Authors and Affiliations
Barakot M, Jha SC, Acharya SM, Paudel CM
Keywords
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- EP ID EP15700
- DOI http://dx.doi.org/10.3126/njh.v8i1.8335
- Views 396
- Downloads 17
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