A Case Report of Acute Myocardial Infarction in a Patient with Servere Aortic Stenosis and Normal Coronary Arteries.
10.4070/kcj.1997.27.12.1361
- Author:
Chang Gyu PARK
;
Dong Joo OH
;
Hong Seog SEO
;
Yeong Joo KIM
;
Seong Jin LEE
;
Eun Mi LEE
;
Jung Chun AHN
;
Woo Heuk SONG
;
Do Sun LIM
;
Wan Joo SHIM
;
Young Moo RO
- Publication Type:Case Report
- Keywords:
Aortic stenosis;
Normal coronary artery;
Acute myocardial infarction
- MeSH:
Aortic Valve Stenosis*;
Coronary Vessels*;
Humans;
Hypertrophy, Left Ventricular;
Incidence;
Myocardial Infarction*;
Oxygen;
Spasm
- From:Korean Circulation Journal
1997;27(12):1361-1361
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The incidence of angina pectoris(AP) in patients with severe aortic stenosis(AS) and normal coronary arteries has been reported to be 30 to 40%. The pathophysiologic mechanism suggests marked decrease in coronary rederve with left ventricular hypertrophy secondary AS and mismatched oxygen demand-supply by valvular pressure gradient, but only 1 case of acute myocardial infarction(AMI) was reported in severe AS and normal coronary arteries as far as we are concerned. We report a case of AMI occuring in a patient with severe AS and left ventricular hypertrophy. A coronary angiogram excluded coronary obstruction and spasm as the cause of AMI in this patient.
