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KMID : 0377220010260010100
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Medical Journal of Chosun Univercity
2001 Volume.26 No. 1 p.100 ~ p.104
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A case of myocardial infarction due to coronary artery spasm in patient with acute subarachnoid hemorthrrhage
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Boo Gwi-Beom
Park Keun-Ho
Yang Jong-Tae
Lee Dong-Min
Chang Sung-Jong
Kim Geon-Young
Chang Kyoung-Sig
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Abstract
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In many cases, acute cerebrovascular disease is accompanied by abnormal electocardiograms. Also, though rather uncommon, acute myocardial infraction is also seen. The mechanism of its occurance is uncertain but it is thought to be related to coronary artery spasms, an abnormal autonomic nervous system, and a catecholamine increase. A female patient of 34 years of age came to the hospital because of sudden headache accompanied by substernal chest pain. A subarachnoid hemorrhage due to a cerebral aneurysm rupture had occured, and there was ST segment elevation in lead II, III, and aVF of the electrocardiogram. A cardiac enzyme test, an echocardiography, and a coronary angiography were performed, and she was diagnosed to have acute myocardial infarction due to coronary artery spasm. Clipping of the aneurysm was performed. With the use of nitrate and an angiotension converting enzyme inhibitor, the condition of the patient improved.
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KEYWORD
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Subarachnoid hemorrhage, Acute Myocardial infarction, Coronary artery spasm
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