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A Case of Apical Hypertrophic Cardiomyopathy Combined Acute Myocardial Infarction with Multiple Coronary Thrombosis

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초록

We report a case of apical hypertrophic cardiomyopathy combined with acute myocardial infarction and multiple coronary thrombosis. The patient presented with signs and symptoms of acute myocardial infarction, showing ST elevation in the lateral leads and ST depression in anterior chest leads on initial electrocardiogram. The coronary angiogram on admission, multiple thrombosis of distal left anterior descending artery, left circumflex, diagonal and obtuse marginal arteries were found. The present case shows that apical hypertrophic cardiomyopathy can be combined with acute myocardial infarction and multiple coronary thrombosis.

Abstract

We report a case of apical hypertrophic cardiomyopathy combined with acute myocardial infarction and multiple coronary thrombosis. The patient presented with signs and symptoms of acute myocardial infarction, showing ST elevation in the lateral leads and ST depression in anterior chest leads on initial electrocardiogram. The coronary angiogram on admission, multiple thrombosis of distal left anterior descending artery, left circumflex, diagonal and obtuse marginal arteries were found. The present case shows that apical hypertrophic cardiomyopathy can be combined with acute myocardial infarction and multiple coronary thrombosis.

참고문헌 (10)

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  3. Arad M, "Gene mutations in apical hypertrophic cardiomyopathy", Circulation, 112, pp.2805~2811 (2005)
  4. Maron BJ, "Hypertrophic cardiomyopathy: a systematic review", JAMA, 287, pp.1308~ (2002)
  5. 김주한, "급성 관상동맥 증후군 환자에서 저분자량 헤파린과혈소판 당단백 Ⅱb", Ⅲa 억제제의 병합요법의 장기 임상효과, 2003, pp.33(7), 559~567[DOI]
  6. Lazzeroni E, "Clinical significance of coronary artery disease in hypertrophic cardiomyopathy", Am J Cardiol, 70, pp.499~501 (1992)
  7. Aksakal E, "Apical hypertrophic cardiomyopathy: a case of slow flow in lad and malign ventricular arrhythmia", Int J of Cardiovas Imaging, 21, pp.185~188 (2005)
  8. Lee JA, "A case of hypertrophic cardiomyopathy complicated by acute myocardial infarction and ventricular tachycardia: slow coronary artery flow", Korean Circ J, 38, pp.291~294 (2008)
  9. Hahm KB, "case of hypertrophic cardiomyopathy with myocardial infarction and normal coronary arteriogram", Korean Circ J, 16, pp.291~298 (1986)
  10. Maron BJ, "Hypertrophic cardiomyopathy and transmural myocardial infarction without significant atherosclerosis of the extramural coronary arteries", Am J Cardiol, 43, pp.1086~1102 (1979)

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