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KMID : 0368119950250061241
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Korean Circulation Journal
1995 Volume.25 No. 6 p.1241 ~ p.1246
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4 Cases of Spontaneous Coronary Dissection in Ischemic Heart Disease
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이원식
유병수/안승찬/서병기/윤정한/박금수/최경훈
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Abstract
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Spontaneous coronary artery dissection is a rarely identified entity whose exact incidence, etiology, pathogenesis, medium-term evolution and optimal treatment have not yet been firmly estabilished. The cause of spontaneous disection remains
unclear but
theories of etiology include a medial eosinophilic angiitis, pregnancy induced degeneration of collagen and rupture of the vasovasorum. Most paients die suddenly, but a clinical spectrum is seen including and unstable angina, myocardial
infarction
and
cardiogenic shock. We experienced 4 cases with spontaneous coronary artery dissection found angiographically which caused myocardial infarction and unstable angina. Our patients were treated medically.
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KEYWORD
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