급성 관동맥증후군이 동반된 두개내출혈 ( intracranial hemorrhage ) 1 예

Inha University Medical College, Inchon, Korea A 44 years old woman was admitted to Inha University hospital in semicomatose state. An electrocardiogram (ECG), taken in the emergency room, showed ST segment elevation in the precordial leads. She underwent a urgent echocardiography. It showed that th...

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Veröffentlicht in:The Korean journal of medicine 1998-11, Vol.55 (5), p.951
Hauptverfasser: 권은상, Eun Sang Kuwon, 심미란, Sim Mi Lan, 신현주, Hyun Joo Shin, 홍의수, Eyi Soo Hong, 서정기, Jeong Kee Seo, 조성욱, Seong Wook Jo, 권준, June Kwan, 박금수, Keum Soo Park, 이우형, Woo Hyung Lee
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container_issue 5
container_start_page 951
container_title The Korean journal of medicine
container_volume 55
creator 권은상
Eun Sang Kuwon
심미란
Sim Mi Lan
신현주
Hyun Joo Shin
홍의수
Eyi Soo Hong
서정기
Jeong Kee Seo
조성욱
Seong Wook Jo
권준
June Kwan
박금수
Keum Soo Park
이우형
Woo Hyung Lee
description Inha University Medical College, Inchon, Korea A 44 years old woman was admitted to Inha University hospital in semicomatose state. An electrocardiogram (ECG), taken in the emergency room, showed ST segment elevation in the precordial leads. She underwent a urgent echocardiography. It showed that there was akinesia of anteroseptal segment from the mid left ventricle to the apex and inferior segment from the mid left ventrile to the lower mid left ventricle. With the impression of acute myocardial infarction (AMI), she underwent a urgent coronary angiography. There was no significant luminal narrowing of the right or the left coronary arteries but the left ventriculography revealed akinesia of an ata4 and diaphramatic segments of the left ventricle. Computerized tomography(CT) of the brain, taken shortly after coronary angiography, showed subarachnoid hemorrhage. The abnormal ECG and echocardiography findings, simulating acute myocardial infarction, were assumed to be caused by coronary vasospasm derived from subarachnoid hemorrhage accompanied by massive adrenergic discharge.
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source KoreaMed Open Access
subjects Acute myocardiac infarction
intracranial hemorrhage
title 급성 관동맥증후군이 동반된 두개내출혈 ( intracranial hemorrhage ) 1 예
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