A Case of Hypertrophic Cardiomyopathy Complicated by Acute Myocardial Infarction and Ventricular Tachycardia: Slow Coronary Artery Flow
Korean Circulation Journal
; : 291-294, 2008.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-150066
Responsible library:
WPRO
ABSTRACT
Many patients with hypertrophic cardiomyopathy experience chest pain, and some of these patients are diagnosed with acute myocardial infarction. Acute myocardial infarction in the setting of hypertrophic cardiomyopathy can occur without coronary atherosclerosis. Although the exact pathophysiologic mechanism of this remains unclear, some pathologic studies have suggested that small vessel coronary artery disease in patients with hypertrophic cardiomyopathy may play a major role in producing myocardial ischemia. Small vessel disease can be suspected when the coronary angiogram shows patent epicardial coronary arteries with slow flow of the angiographic contrast medium. We report here on a case of hypertrophic cardiomyopathy that was complicated with acute myocardial infarction, and this induced catastrophic refractory ventricular tachycardia.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Cardiomyopathy, Hypertrophic
/
Chest Pain
/
Coronary Artery Disease
/
Tachycardia, Ventricular
/
Myocardial Ischemia
/
Constriction, Pathologic
/
Coronary Vessels
/
Glycosaminoglycans
/
Myocardial Infarction
Limits:
Humans
Language:
English
Journal:
Korean Circulation Journal
Year:
2008
Document type:
Article