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KMID : 0604020090240010033
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Korean Journal of Critical Care Medicine
2009 Volume.24 No. 1 p.33 ~ p.36
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A Case of Accelerated Idioventricular Rhythm Lasted for 5 Days after Reperfusion in a Patient with Spasm-induce Myocardial Infaction
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Kim Kyoung-Chan
Kim Il-Soo
Kang Wook
Kim Jae-Kyoon
Yoo Chang-Hun
Kim Su-Hong
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Abstract
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A 56-year-old man presented with right coronary arterial spasm accompanied by ST segment elevation in the inferior leads. A reperfusion arrhythmia, accelerated idioventricular rhythm (AIVR), developed 1 hour after a nitroglycerin infusion. The AIVR was sustained for 5 days without hemodynamic instability, and resolved spontaneously during hemodynamic monitoring in the coronary intensive care unit.
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KEYWORD
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angina pectoris, variant, accelerated idioventricular rhythm, myocardial infarction
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