A Case of Hypertrophic Cardiomyopathy with Myocardial Infarction and Normal Coronary Arteriogram.
10.4070/kcj.1986.16.2.291
- Author:
Ki Baik HAHM
;
Woong Ku LEE
;
Seung Yun CHO
;
Keum Soo PARK
;
Yang Soo JANG
;
Nam Sik CHUNG
- Publication Type:Case Report
- MeSH:
Atherosclerosis;
Cardiomyopathy, Dilated;
Cardiomyopathy, Hypertrophic*;
Chest Pain;
Coronary Vessels;
Humans;
Ischemia;
Middle Aged;
Myocardial Infarction*
- From:Korean Circulation Journal
1986;16(2):291-298
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Patients with hypertrophic cardiography often complain of chest pain and have electrocardioagrams suggesting myocardial damage or ischemia. Some of three patients have associated coronary arterial atherosclerosis. Transmural myocardial infarction may occur in patients with hypertrophic cardiomyopathy in the absence of significant atherosclerosis of the extramural coronary arteries, about which several pathophysiologic exlpanations were discussed. Presented here, a case of 49-year-old man with hypertrophic cardiomyopathy accompanied with myocardial infarction and angiographically normal coronary arteries is reported. Asymmetric septal hypertrophy, characteristic morphologic abnormality of hypertrophic cardiomyopathy, was progressed to dilated cardiomyopathy after the occurrence myocardial infarction.
