SPONTANEOUS CORONARY ARTERY DISSECTION AFTER A NATURAL COURSE FOR 10 YEARS : A Case Report
スポンサーリンク
概要
- 論文の詳細を見る
We encountered a patient with spontaneous coronary artery dissection complicated by acute inferior myocardial infarction. A 58-year-old male was admitted to our hospital due to acute inferior myocardial infarction in 1979. Coronary angiography performed 4 weeks after the onset showed a double lumen divided by a linear intimal flap in the right coronary artery, suggesting coronary artery dissection, but no apparent occlusion. Subsequently, he had been medicated with nitrates without any recurrent infarction. In February, 1989, 10 years after the first examination, coronary angiography was again performed and showed that the dissection had remained unchanged. Acetylcholine infusion into the right coronary artery induced coronary spasm. The prognosis of this condition seems to be better than has been generally considered, particularly in patients such as ours in whom the involvement of coronary spasm in the development of coronary artery dissection and myocardial infarction is suggested. When coronary spasm in controlled by treatment with nitrates or calcium antagonists, an uneventful course may be expected.
- 社団法人日本循環器学会の論文
- 1992-09-20
著者
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SHISHIDO Toshiaki
Department of Cardiovascular Dynamics, Research Institute, National Cardiovascular Center
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Hirasawa Kunihiko
Department of Internal Medicine, Asahikawa City Hospital
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Tateda Kunihiko
Department of Internal Medicine, Asahikawa City Hospital
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ONODERA SOKICHI
First Department of Internal Medicine, Asahikawa Medical College, Hokkaido, Japan
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Yamashita Hirohisa
First Department of Internal Medicine, Asahikawa Medical College
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Yamashita Hirohisa
First Department Of Internal Medicine Asahikawa Medical College
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Shishido Toshiaki
Department Of Internal Medicine Asahikawa Municipal Hospital
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Osaki Junzo
Department Of Cardiovascular Medicine Asahikawa Medical College
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Osaki Junzo
Department Of Internal Medicine Asahikawa Municipal Hospital
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SHIBATA JUNICHI
Department of Internal Medicine, Asahikawa Municipal Hospital
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MIYAMOTO NORIYUKI
Department of Internal Medicine, Asahikawa Municipal Hospital
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Onodera Sokichi
First Department Of Internal Medicine Asahikawa Medical College
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Hirasawa Kunihiko
Department Of Internal Medicine Asahikawa City Hospital
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Tateda Kunihiko
Department Of Internal Medicine Asahikawa City Hospital
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Shibata Junichi
Department Of Internal Medicine Asahikawa Municipal Hospital
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Shishido Toshiaki
Department Of Cardiovascular Dynamics National Cerebral And Cardiovascular Center
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Hirasawa Kunihiko
The Division Of Internal Medicine Asahikawa City Hospital
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Miyamoto Noriyuki
Department Of Internal Medicine Asahikawa Municipal Hospital
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Shishido Toshiaki
Department of Cardiovascular Control, Faculty of Medicine, Kochi University
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