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KMID : 0390620100180030101
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Journal of Cardiovascular Ultrasound
2010 Volume.18 No. 3 p.101 ~ p.103
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A Case of Acute ST-Segment Elevation Myocardial Infarction Mimicking Stress Induced Cardiomyopathy; Demonstration of Typical Echocardiographic Finding Correlated with Unusual Distribution of Left Anterior Descending Coronary Artery
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Shin Sung-Kyun
Jin Seon-Ah
Park Yong-Kyu
Park Jae-Hyeong
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Abstract
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Stress-induced cardiomyopathy (SCMP) is diagnosed in 1-2% of patients presenting with symptoms suggestive of acute coronary syndrome. Because of sharing many common clinical features with SCMP, acute ST-segment elevation myocardial infarction (STEMI) can be misdiagnosed as SCMP. However, it can be associated with fatal outcome of the patient. Also, diagnosis of SCMP seems to be always challenging to clinicians, especially in the decision of taking coronary angiography which is still invasive and even risky. Here, we present a case with acute STEMI mimicking SCMP as a result of anatomical variation of coronary circulation. In this patient, prompt and early coronary angiography and stent implantation was very helpful.
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KEYWORD
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Stress-induced cardiomyopathy, Acute ST-segment elevation, myocardial infarction, Coronary angiography
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