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KMID : 1141320170320010111
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Kosin Medical Journal
2017 Volume.32 No. 1 p.111 ~ p.117
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A Case of Cardiac Arrest due to Multivessel, Diffuse Coronary Spasm in Moyamoya Disease
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Choi Young-Min
Choi Jung-woo
Kang Dong-Ho
Kwak Choong-Hwan
Hwang Jin-Yong
Koh Jin-Sin
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Abstract
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Moyamoya disease is characterized by progressive stenosis of the distal portion of the internal carotid arteries and fragile collateral vessels in the brain. The precise pathogenesis is still not known. Although extracranial vessel involvement is very rare, coronary arterial involvement has recently been reported. Here, we report a case of diffuse, multivessel coronary spasm leading to cardiac arrest and myocardial infarction in a 47-year-old man with moyamoya disease with no underlying emotional or physical stress.
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KEYWORD
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Moyamoya disease, Stress-induced cardiomyopathy, Sudden cardiac death
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