Myocardial reinfarction in a patient with coronary ectasia.
A 47-year-old male patient was admitted to our Emergency Hospital's coronary unit with an acute myocardial infarction, localized inferolaterally. He had been hospitalized 2 months before this occurrence because of persistent chest pain accompanied by elevation of the ST segment in precordial and inferior leads, for which he received thrombolytic therapy. Selective cardiac catheterization was then also effected, and showed diffuse ectasia of coronary arteries with no significant stenoses. Since streptokinase had been applied recently, the patient was given standard therapy as well as electroshocks because of chamber fibrillation. Two hours after admission, the infarct pain ceased and rapid ECG improvement occurred. Repeated coronarography showed a situation identical to the previous one. The patient was sent home to proceed with drug therapy.
University Institute for Cardiovascular Diseases, Emergency Hospital, Clinical Center of Serbia, Belgrade, Serbia and Montenegro. igormr@eunet.yu
Igor
I
Mrdović
Tanja
T
Jozić
Milika
M
Asanin
Jovan
J
Perunicić
Miodrag
M
Ostojić
D001281:Atrial Fibrillation / Q000628:therapy; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology*; D004108:Dilatation, Pathologic / Q000150:complications; D004554:Electric Countershock; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D012008:Recurrence