+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Acute myocardial infarction with normal coronary arteries in a case of polyarteritis nodosa: possible role of coronary artery spasm



Acute myocardial infarction with normal coronary arteries in a case of polyarteritis nodosa: possible role of coronary artery spasm



Postgraduate Medical Journal 67(783): 78-80



A 20 year old man with no previous history of heart disease presented with acute left ventricular failure following extensive anterior wall myocardial infarction. Selective angiography revealed multiple aneurysms in the renal, mesenteric and hepatic arteries with an infarct in the lower pole of the right kidney. These findings, along with the presence of circulating hepatitis B surface antigen favoured the diagnosis of polyarteritis nodosa. In view of normal coronary angiogram and absence of myocardial vasculitis, coronary vasospasm was implicated as the cause of myocardial infarction. Such an occurrence, which could have different therapeutic and diagnostic implications, has not, to our knowledge, been previously described in polyarteritis nodosa.

(PDF emailed within 0-6 h: $19.90)

Accession: 029892396

Download citation: RISBibTeXText

PMID: 1676159

DOI: 10.1136/pgmj.67.783.78


Related references

Acute myocardial infarction with normal coronary arteries as initial manifestation of polyarteritis nodosa. A case report. Archivos del Instituto de Cardiologia de Mexico 67(5): 411-413, 1998

Acute myocardial infarction with normal coronary arteries: role of coronary artery spasm and arrhythmic complications. International Journal of Cardiology 117(1): 3-5, 2006

Role of coronary artery spasm in progression of organic coronary stenosis and acute myocardial infarction in a swine model. Importance of mode of onset and duration of coronary artery spasm. Circulation 87(2): 573-582, 1993

Coronary artery bypass grafting in a patient with polyarteritis nodosa presenting with acute myocardial infarction and multiple coronary aneurysms. Annals of Thoracic and Cardiovascular Surgery 20 Suppl: 769-772, 2015

Formation of new coronary arteries within a previously obstructed epicardial coronary artery (intraarterial arteries): a mechanism for occurrence of angiographically normal coronary arteries after healing of acute myocardial infarction. American Journal of Cardiology 54(10): 1361-1362, 1984

Coronary artery spasm and myocardial infarction in a patient with normal coronary arteries: temporal relationship to pseudoephedrine ingestion. Catheterization and Cardiovascular Diagnosis 20(1): 51-53, 1990

Acute myocardial infarction caused by simultaneous occlusion of the right coronary artery and the left anterior descending coronary artery probably due to coronary spasm: a case report. Journal of Cardiology 45(5): 213-217, 2005

Recurrent myocardial infarction associated with cocaine abuse in a young man with normal coronary arteries: evidence for coronary artery spasm culminating in thrombosis. Journal of the American College of Cardiology 9(4): 964-968, 1987

Cocaine-induced transmural myocardial infarction in a Yorkshire swine with normal coronary arteries: Evidence for microvascular and/or epicardial coronary artery spasm. Cardiovascular Pathology 3(2): 93-97, 1994

Methamphetamine-associated acute myocardial infarction and cardiogenic shock with normal coronary arteries: refractory global coronary microvascular spasm. Journal of Invasive Cardiology 19(4): E89-E92, 2007

Aneurysms of the coronary arteries due to poly-arteritis nodosa occurring in an infant; report of a case with coronary artery thrombosis and myocardial infarction. Proceedings of the Annual Meeting. Central Society for Clinical Research 20: 50, 2018

Myocardial infarction and normal coronary arteries: possible role of spasm. Indian Heart Journal 38(2): 85-87, 1986

Coronary artery spasm demonstrated by coronary angiography in a patient with acute myocarditis resembling acute myocardial infarction; a case report. Japanese Journal of Medicine 30(6): 573-577, 1991

Acute myocardial infarction with arteriographically normal coronary arteries: report of a case with postmortem findings of intimal fibroplasia of the coronary arteries. Cardiovascular Clinics 12(2): 59-68, 1981

Acute myocardial infarction, normal coronary arteries and catheter-induced spasm. American Journal of Cardiology 58(3): 360-362, 1986