title: [Slow flow in the coronary system and ST elevation in the ECG in left atrium catheterization].
abstract: A complication of transseptal left atrial catheterization is a transient ST-elevation in the ECG with unknown cause. In this case simultaneous angiography showed a so-called "slow flow" of dye dilution in the coronary artery. A coronary spasm or an embolic occlusion of the coronary artery could be excluded. The reason for this phenomenon might be a reflex increase of the arteriolar resistance with transient ischemia.
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000209:etiology*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D003326:Coronary Circulation; D003329:Coronary Vasospasm / Q000209:etiology; D004562:Electrocardiography; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006801:Humans; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging; D011859:Radiography; D014655:Vascular Resistance
vernacular_title: "Slow flow" im Koronarysystem und ST-Hebung im EKG bei der Katheterisierung des linken Vorhofs.