Intravascular Ultrasound-Guided Coronary Artery Stenting for Spontaneous Coronary Artery Dissection in a Case of Acute Myocardial Infarction Associated with Vasospasm in a Non-Culprit Coronary Artery during the Hospitalization
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概要
- 論文の詳細を見る
We report a case of spontaneous coronary artery dissection (SCAD) causing acute myocardial infarction, which was complicated by vasospastic angina (VA). The patient received intravenous administration of t-PA. Emergency coronary angiography demonstrated narrowing of the left anterior descending artery (LAD) due to SCAD. During hospitalization, the patient suffered chest pain, and ECG showed ST elevation in the inferior leads. Sublingual administration of nitroglycerin provided temporary remission. Coronary stent implantation was performed electively using intravascular ultrasound imaging. This is the first reported case of SCAD associated with vasospasm in a non-culprit coronary artery during the hospitalization.
- 社団法人 日本内科学会の論文
著者
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Tadehara Futoshi
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical Science
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Yamakido Michio
呉共済病院 内科
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Ueda Yuko
Department of Internal Medicine, Kure Kyosai Hospital
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Hinoi Toshihide
Department of Internal Medicine, Kure Kyosai Hospital
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Matsuo Shusuke
Department of Internal Medicine, Kure Kyosai Hospital
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Tsujiyama Shuji
Department of Internal Medicine, Kure Kyosai Hospital
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Ono Tetsuya
Department of Internal Medicine, Kure Kyosai Hospital
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Yamakido Michio
Department of Internal Medicine, Kure Kyosai Hospital
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Tsujiyama Shuji
広島県厚生農業協同組合連合会廣島総合病院 循環器科
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Ueda Yuko
呉共済病院 内科
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