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KMID : 0368119940240040687
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Korean Circulation Journal
1994 Volume.24 No. 4 p.687 ~ p.695
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Ventricular Septal Defect After Acute Myocardial Infarction
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김용주
승기배/강동헌/김석찬/윤호중/백상홍/장욱성/박준철/김재형
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Abstract
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From May 1989 to March 1994, 6 patients(2 men and 4 women, mean age 63.5 years[range 57 to 69]) with ventricular septal defect after acute myocardial infarction(MI) were seen at Catholic Medical Center. The clinical features were as follows : 1)
Neck
vein engorgement, hepatomegaly and rale on lung auscultation were noted in 5 patients. 2) The acute MI was anterior in 5 patients and posterior in 1 patient. 3) The sites of rupture were apex in 4 patients, among 5 anterior wall MI patients. 4)
Pansystolic murmur was heard on left lower precordial area in all patients. 5) Only 1 patient had a history of typical angina. 6) All VSDs occurred during patient's first heart attack. 7) All patients developed VSDs within 7 days after the onset
of
chest pain. 8) Among 4 patients who underwent coronary angiogram. 3 patiients had multivessel coronary artery disease. 9) 2 patients who underwent operation survived but 4 patients who received only medical treatment expired. 10) The time
interval
from
chest pain to death was 14.7 days(range 6 to 27).
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KEYWORD
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