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KMID : 0882420080750050586
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Korean Journal of Medicine
2008 Volume.75 No. 5 p.586 ~ p.591
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Simultaneous acute myocardial infarction in two coronary arteries
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Kim Tae-Kyung
Lee Han-Cheol
Kim Jun
Kim June-Hong
Chun Kook-Jin
Hong Taek-Jong
Shin Yung-Woo
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Abstract
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The simultaneous presentation of acute myocardial infarction (AMI) in the right and left coronary arteriesis rare. Diabetes mellitus (DM), thrombus due to multivessel spasm, AMI with hypercoagulation,and hypoperfusion of other coronary arteries after an AMI may cause the simultaneous occurrence of right and left coronary artery infarctions. If emergency coronary revascularization (percutaneous coronary intervention, thrombolysis, and coronary artery bypass surgery) is not performed immediately, the mortality rate is very high due to the development of cardiogenic shock and ventricular arrhythmia. Here, we report a number of cases involving the simultaneous development of AMIin two coronary arteries and discuss the importance of rapid revascularization.
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KEYWORD
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AMI, Primary percutaneous coronary intervention, Simultaneous coronary artery occlusion, Intra-coronary thrombus
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