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Myocardial infarction with normal coronary arteries: a case report and review of the literature
INTRODUCTION: Although acute myocardial infarction is generally associated with obstructive coronary artery disease, myocardial infarction associated with normal coronary arteries is a well-known condition. The overall prevalence rate of myocardial infarction with normal coronary arteries is conside...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2637291/ https://www.ncbi.nlm.nih.gov/pubmed/19166602 http://dx.doi.org/10.1186/1752-1947-3-24 |
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author | Iuliano, Luigi Micheletta , Fausta Napoli, Alessandro Catalano, Carlo |
author_facet | Iuliano, Luigi Micheletta , Fausta Napoli, Alessandro Catalano, Carlo |
author_sort | Iuliano, Luigi |
collection | PubMed |
description | INTRODUCTION: Although acute myocardial infarction is generally associated with obstructive coronary artery disease, myocardial infarction associated with normal coronary arteries is a well-known condition. The overall prevalence rate of myocardial infarction with normal coronary arteries is considered to be low, varying from 1% to12% depending on the definition of "normal" coronary arteries. CASE PRESENTATION: We describe here a case of a 49-year-old woman with a history of prior myocardial infarction who continued to be asymptomatic after a 10-year follow-up, in the absence of a high-risk profile for adverse outcomes. She was studied with multi-slice coronary computed tomography and whole-body angiography, which showed normal coronary and extra-coronary arteries. CONCLUSION: This case report raises two important issues. First, the possible role of multi-slice computed tomography/coronary angiography in the risk- and prognosis assessment of patients with known or suspected coronary artery disease. Second, the important role played by long-term pharmacological therapy in patients with prior myocardial infarction and normal coronary arteries. |
format | Text |
id | pubmed-2637291 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-26372912009-02-07 Myocardial infarction with normal coronary arteries: a case report and review of the literature Iuliano, Luigi Micheletta , Fausta Napoli, Alessandro Catalano, Carlo J Med Case Reports Case report INTRODUCTION: Although acute myocardial infarction is generally associated with obstructive coronary artery disease, myocardial infarction associated with normal coronary arteries is a well-known condition. The overall prevalence rate of myocardial infarction with normal coronary arteries is considered to be low, varying from 1% to12% depending on the definition of "normal" coronary arteries. CASE PRESENTATION: We describe here a case of a 49-year-old woman with a history of prior myocardial infarction who continued to be asymptomatic after a 10-year follow-up, in the absence of a high-risk profile for adverse outcomes. She was studied with multi-slice coronary computed tomography and whole-body angiography, which showed normal coronary and extra-coronary arteries. CONCLUSION: This case report raises two important issues. First, the possible role of multi-slice computed tomography/coronary angiography in the risk- and prognosis assessment of patients with known or suspected coronary artery disease. Second, the important role played by long-term pharmacological therapy in patients with prior myocardial infarction and normal coronary arteries. BioMed Central 2009-01-23 /pmc/articles/PMC2637291/ /pubmed/19166602 http://dx.doi.org/10.1186/1752-1947-3-24 Text en Copyright ©2009 Iuliano et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case report Iuliano, Luigi Micheletta , Fausta Napoli, Alessandro Catalano, Carlo Myocardial infarction with normal coronary arteries: a case report and review of the literature |
title | Myocardial infarction with normal coronary arteries: a case report and review of the literature |
title_full | Myocardial infarction with normal coronary arteries: a case report and review of the literature |
title_fullStr | Myocardial infarction with normal coronary arteries: a case report and review of the literature |
title_full_unstemmed | Myocardial infarction with normal coronary arteries: a case report and review of the literature |
title_short | Myocardial infarction with normal coronary arteries: a case report and review of the literature |
title_sort | myocardial infarction with normal coronary arteries: a case report and review of the literature |
topic | Case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2637291/ https://www.ncbi.nlm.nih.gov/pubmed/19166602 http://dx.doi.org/10.1186/1752-1947-3-24 |
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