Acute myocardial infarction with normal coronary arteries--viral myopericarditis and possible coronary vasospasm. A case report

A young man with normal coronary arteries presented with a transmural apical myocardial infarction. This diagnosis was based on elevated serial cardiac enzyme values, ECG changes, exercise scanning with thallium-201, left ventricular angiography and selective coronary arteriography. Some of the path...

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Veröffentlicht in:	South African medical journal 1985-06, Vol.67 (22), p.892-894
Hauptverfasser:	Diamond, T H, Lotzof, P, Ziady, F
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Coronary Vasospasm - complications Coronary Vessels Electrocardiography Humans Male Myocardial Infarction - diagnosis Myocardial Infarction - etiology Myocarditis - complications Pericarditis - complications Virus Diseases - complications
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Zusammenfassung:	A young man with normal coronary arteries presented with a transmural apical myocardial infarction. This diagnosis was based on elevated serial cardiac enzyme values, ECG changes, exercise scanning with thallium-201, left ventricular angiography and selective coronary arteriography. Some of the pathophysiological mechanisms implicated in myocardial infarction in patients with normal coronary arteries are discussed and the probable diagnosis of a virus-induced myopericarditis together with coronary artery vasospasm is favoured.
ISSN:	0256-9574