A Case of Paradoxical Embolic ST-Segment Elevation Myocardial Infarction Triggered by Sleep Apnea

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概要

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• This report describes an obese 39-year-old man who experienced ST-segment elevation myocardial infarction with total thrombotic occlusion of the right coronary artery. Culprit vessel flow was improved by aspiration. Data suggested that myocardial infarction had resulted from paradoxical embolus via a patent foramen ovale triggered by the Mueller maneuver, which had induced negative intrathoracic pressure following an acute increase of right-heart volume in the context of obesity and sleep-disordered breathing (SDB). Obesity is increasing among younger populations and it represents a risk for SDB and thrombosis. Thus, this mechanism should be included within the differential diagnosis for myocardial infarction in young patients.

著者

• YOSHIKAWA Hisao

  Division of Cardiovascular Medicine, Toho University Ohashi Medical Center

• Sugi Kaoru

  Division Of Cardiology Toho University

• Hara Hidehiko

  Division Of Cardiovascular Medicine Toho University Ohashi Medical Center

• Itaya Hideki

  Division of Cardiovascular Medicine, Toho University Ohashi Medical Center

• Suzuki Makoto

  Division Of Cardiology Department Of Integrated Medicine And Informatics Ehime University Graduate S

• Kujime Shingo

  Division Of Cardiovascular Medicine Toho University Ohashi Medica Center

• Noro Mahito

  Division Of Cardiovascular Medicine Department Of Internal Medicine Toho University Ohashi Medical C

• ENOMOTO Yoshinari

  Division of Cardiovascular Medicine, Toho University Ohashi Medical Center

• Nakamura Masato

  Division Of Cardiology Third Department Of Medicine Toho University School Of Medicine

• Kujime Shingo

  Division of Cardiovascular Medicine

• Enomoto Yoshinari

  Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Japan

• Enomoto Yoshinari

  Division of Cardiovascular Medicine

• Itaya Hideki

  Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Japan

• Suzuki Makoto

  Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Japan

• Noro Mahito

  Division of Cardiovascular Medicine

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