A Case of Myocardial Infarction in a Patient with Myocardial Bridge and Atrial Fibrillation.
10.4070/kcj.2004.34.3.319
- Author:
Jong Hyo LEE
1
;
Yeul BAE
;
Han Seul LEE
;
Byeung Hun KIM
;
Sang Min YEUM
;
Dong Lyeul CHAE
;
Sang Pil KIM
;
Weon Jeong JUN
;
Jang Hyun CHO
Author Information
1. Department of Internal Medicine, St Carollo Hospital, Suncheon, Korea.
- Publication Type:Case Report
- Keywords:
Myocardial bridge;
Myocardial infarction;
Atrial fibrillation
- MeSH:
Aged;
Amiodarone;
Arrhythmias, Cardiac;
Arteries;
Atrial Fibrillation*;
Chest Pain;
Coronary Angiography;
Death, Sudden;
Electrocardiography;
Follow-Up Studies;
Heparin;
Humans;
Ischemia;
Myocardial Bridging;
Myocardial Infarction*;
Myocardial Ischemia;
Percutaneous Coronary Intervention;
Platelet Aggregation Inhibitors;
Thrombosis
- From:Korean Circulation Journal
2004;34(3):319-322
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
It has been reported that myocardial bridging may be associated with myocardial ischemia, myocardial infarction, vasospasm, cardiac arrhythmia and sudden death. However, the mechanism whereby ischemia occur as a consequence of myocardial bridging remains unclear. Recently we experienced a case of myocardial infarction in a patient with myocardial bridging and atrial fibrillation. A 66-year-old man presented with severe chest pain. His ECG showed ST elevation in V3-V5 and atrial fibrillation with rapid ventricular response. He underwent coronary angiography, which revealed a thrombus in the distal portion of the myocardial LAD bridge. He was treated with antiplatelet agents, heparin, tirofiban and amiodarone and beta-blocker without percutaneous coronary intervention. Five days later, his clinical condition was recovered and follow-up coronary angiography revealed markedly improved blood flow of the left anterior descending artery. The previous thrombus had disappeared.
