[Myocardial infarction after a stress test. A case report].
The authors report a case of first myocardial infarction occuring after an asymptomatic stress test in a patient presenting several cardiovascular risk factors. Coronary angiography, performed before the 4th hour after onset of the symptoms in this patient, identified the mechanism of myocardial infarction to be occlusion of the left anterior descending artery by thrombus, very probably complicating rupture of an atherosclerotic plaque. The initial failure of thrombolytic therapy led to a mechanical revascularization procedure with primary success. The pathophysiological mechanisms possibly contributing to this type of accident are discussed.
Boubrit
K
K
Service d'Endocrinologie, Unité de'Exploration Métabolique pour la Prévention des Maladies Cardio-vasculaires, Groupe Hospitalier Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75651 Paris.
Bruckert
E
E
Drobinski
G
G
Chikr
H
H
Philippe
F
F
Thomas
D
D
Turpin
G
G
D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications; D003328:Coronary Thrombosis / Q000150:complications; D004562:Electrocardiography; D005080:Exercise Test / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D009204:Myocardial Revascularization; D012307:Risk Factors; D015912:Thrombolytic Therapy; D013997:Time Factors