title: Impending myocardial infarction in a patient with marked left ventricular hypertrophy and normal coronary arteriogram--a case report.
abstract: A middle-aged woman with long-term uncontrolled arterial hypertension developed a clinical picture of impending myocardial infarction. A normal coronary arteriogram was obtained. However, left heart catheterization showed a marked increase in left ventricular end-diastolic pressure, while left angiocardiography revealed marked left ventricular hypertrophy. She was successfully treated with a beta-blocking and calcium-antagonist agent. The present case shows that an impending myocardial infarction may occur in patients having normal coronary arteriogram but with left ventricular hypertrophy secondary to arterial hypertension.
authors.affiliation: Department of Pathology, Faculty of Medicine of Ribeirão Preto, São Paulo University, Brazil.
authors.forename: R B
authors.initials: RB
authors.lastname: Bestetti
authors.forename: L Z
authors.initials: LZ
authors.lastname: Pinto
authors.forename: L A
authors.initials: LA
authors.lastname: Finzi
authors.forename: A L
authors.initials: AL
authors.lastname: Secches
mesh_terms: D000790:Angiocardiography; D000792:Angiography; D006332:Cardiomegaly / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008790:Metoprolol / Q000627:therapeutic use; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D009543:Nifedipine / Q000627:therapeutic use; D012016:Reference Values; D013318:Stroke Volume
chemical_list: D008790:Metoprolol; D009543:Nifedipine