Acute myocardial infarction due to coronary artery embolism in a patient with atrial fibrillation
Acute myocardial infarction due to coronary artery embolism in a patient with atrial fibrillation
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DOI：
10.1007/bf03086271
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发表时间：
2009-08-01
影响因子：
2
通讯作者：
Aengevaeren, W. R. M.
中科院分区：
文献类型：
--
作者：
Camaro, C.;Aengevaeren, W. R. M.
一名66岁女性因急性下壁ST段抬高心肌梗死接受直接冠状动脉介入治疗。心电图也显示房颤。冠状动脉造影显示右冠状动脉远端闭塞。两种不同的导丝未通过闭塞，但将明显的血栓移到了更远端。在血管再通部分的过程中未观察到异常。连续的血管造影图像以及房颤的存在高度提示冠状动脉栓塞是心肌梗死的原因。开始抗凝和心率控制策略。患者出院，情况良好。(Nab Heart J 2009;17：297-9.）
A 66-year-old female was referred for primary coronary intervention because of acute inferior ST-elevation myocardial infarction. Electrocardiography also showed atrial fibrillation. Coronary angiography showed a distal occlusion of the right coronary artery. Two different wires did not pass the occlusion, but dislodged the apparent thrombus more distally. No abnormalities were seen in the course of the recanalised part of the vessel. The sequential angiographic images together with the presence of atrial fibrillation are highly suggestive of coronary embolism as the cause of the myocardial infarction. Anticoagulation and rate control strategy was initiated. The patient was discharged in good condition. (Nab Heart J 2009;17:297-9.)