Recurrence of myocardial infarction related to different vessels in a patient with diffuse coronary artery spasm without underlying severe organic stenosis.
A 59-year-old man had a first myocardial infarction in the right coronary artery, followed by an another infarction in the left anterior descending coronary artery. Coronary thrombolysis for both occasions of acute myocardial infarction was successfully performed without severe residual stenosis. In the chronic phase after the second myocardial infarction, ergonovine test showed diffuse coronary artery spasm. The etiology of myocardial infarction is briefly discussed.
Takashiba
K
K
Department of Cardiology, Saiseikai Shimonoseki General Hospital, Yamaguchi, Japan.
Matsuda
Y
Y
Hamada
Y
Y
Ohno
H
H
Hyakuna
E
E
Fujii
M
M
Ebihara
H
H
D003329:Coronary Vasospasm / Q000150:complications*; D004874:Ergonovine; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D012008:Recurrence
D004874:Ergonovine