title: [Acute myocardial infarction in a patient with normal coronary arteries--a case report].
abstract: A case of a 72-year-old female who was admitted for elective dual-chamber pacemaker implantation, is presented. A few hours after the procedure the patient developed chest pain with ST-segment elevation in ECG and a significant increase in the troponin I level. An acute myocardial infarction was diagnosed. Urgent coronary angiography revealed normal coronary arteries without spasm. Possible causes of acute myocardial infarction following pacemaker implantation are discussed.
authors.affiliation: Katedra i Klinika Kardiologii i Chorób Wewnetrznych, Akademia Medyczna, Bydgoszcz, Poland.
authors.forename: Zofia
authors.initials: Z
authors.lastname: Grabczewska
authors.forename: Jacek
authors.initials: J
authors.lastname: Dybowski
authors.forename: Adam
authors.initials: A
authors.lastname: Sukiennik
authors.forename: Jacek
authors.initials: J
authors.lastname: Kubica
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Wrabec
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003331:Coronary Vessels; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D010138:Pacemaker, Artificial / Q000009:adverse effects*