Near-normal coronary angiography in a patient, who is entirely asymptomatic 24 years after successful intracoronary thrombolysis for ST elevation myocardial infarction. Follow-up of the historically first Czech intracoronary thrombolysis patient.
Extremely long-term follow-up (24 years) of the historically first Czech myocardial infarction patient, treated by intracoronary thrombolysis, is presented. His current coronary angiography confirmed the finding 24 years ago, that this was a case of smoking-induced thrombosis in otherwise healthy coronary arteries. Experience with 76 similar cases among 4093 consecutive coronary angiograms (including 778 done acutely for STEMI) is briefly described.
Widimsky
Petr
P
Cardiocentre, 3rd Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic. widim@fnkv.cz
Knot
Jiri
J
D000328:Adult; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000209:etiology; D018153:Czech Republic; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D012907:Smoking / Q000009:adverse effects; D013300:Streptokinase / Q000627:therapeutic use; D017741:Survivors; D015912:Thrombolytic Therapy
D005343:Fibrinolytic Agents; D013300:Streptokinase