Transient silent ischemia after percutaneous transluminal coronary angioplasty manifested with a bizarre electrocardiogram.
Silent myocardial ischemia is recognized as a common manifestation after percutaneous coronary interventions possibly due to induction of coronary artery spasm. A 54-year-old man was performed primary percutaneous transluminal coronary angioplasty with the diagnosis of acute myocardial infarction. His 18-hour control electrocardiogram showed big-notched inverted T waves in precordial, III, and aVF leads without any chest pain. These bizarre electrocardiographic findings were restored after a brief period indicating silent ischemia that is caused by coronary artery spasm.
Department of Cardiology, Düzce Faculty of Medicine, Abant Izzet Baysal University, Konuralp Düzce, Turkey. ozhanhakan@yahoo.com
Hakan
H
Ozhan
Ramazan
R
Akdemir
Sadik
S
Duran
Mehmet
M
Yazici
Huseyin
H
Arinc
Huseyin
H
Gunduz
Cihangir
C
Uyan
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003329:Coronary Vasospasm / Q000175:diagnosis / Q000209:etiology; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology*