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KMID : 1148020140390030179
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조선대학교의대논문집
2014 Volume.39 No. 3 p.179 ~ p.183
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Painless Acute Myocardial Infarction Associated with Urosepsis in Diabetic Chronic Kidney Disease
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Kim Gi-Jun
Chang Kyung-Yoon
Park Hoon-Suk
Jin Dong-Chan
Kim Hyung-Wook
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Abstract
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A 72-year-old woman with diabetic chronic kidney disease visited the authors’ hospital with fever, dysuria, and left flank
pain. She did not complain of typical angina upon her admission, however, given the presence of a new-onset left-bundle
branch block, elevated cardiac enzymes, and documented E. coli septicemia, coronary angiography and percutaneous coro- nary interventions were performed for the mid-left anterior descending artery and the mid-to distal-right coronary artery. We should keep in mind that urosepsis in patients with diabetic chronic kidney disease, who are at high risk of cardiovascular disease, can be associated with painless acute myocardial Infarction.
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KEYWORD
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Urinary tract infection, Sepsis, Left-bundle branch block, Myocardial infarction, Percutaneous coronary intervention
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