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Acute myocardial infarction due to vasospasm in a 13-year-old-boy
- Source :
- Japanese circulation journal. 61(6)
- Publication Year :
- 1997
-
Abstract
- We describe an unusual case of acute myocardial infarction due to vasospasm in a 13-year-old boy. He was admitted to our hospital with severe congestive heart failure and shock. He had experienced a feeling of chest oppression with dyspnea while running, which grew worse. He then lost consciousness and was brought by ambulance to our intensive care unit. He had had similar but milder episodes of chest oppression months earlier. The family history revealed that his father had died suddenly from hypertrophic cardiomyopathy and that his grandmother also had hypertrophic cardiomyopathy. On admission, the patient was bathed in a cold sweat, his pulse was weak, and his blood pressure was too low to measure. Coarse crackling and wheezing were audible in both lung fields. Administration of catecholamine and intra-aortic balloon pumping failed to stabilize the hemodynamic variables, but percutaneous cardiopulmonary support proved to be lifesaving. Coronary arteriography performed during his convalescence showed on evidence of atherosclerosis. The acetylcholine provocation test ultimately revealed a diagnosis of acute myocardial infarction due to vasospasm.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Physiology
media_common.quotation_subject
Cardiomyopathy
Myocardial Infarction
Coronary Vasospasm
Coronary Angiography
Electrocardiography
Internal medicine
medicine
Humans
Myocardial infarction
media_common
Heart Failure
Cardiopulmonary Bypass
business.industry
Convalescence
Cardiogenic shock
Hypertrophic cardiomyopathy
Vasospasm
Cardiomyopathy, Hypertrophic
medicine.disease
Acetylcholine
Echocardiography
Heart failure
Shock (circulatory)
Cardiology
Tachycardia, Ventricular
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00471828
- Volume :
- 61
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Japanese circulation journal
- Accession number :
- edsair.doi.dedup.....8f95fae595ddf6fb78d9b71659088279