Angina pectoris and acute myocardial infarction due to slow-flow phenomenon in nonatherosclerotic coronary arteries: A case report

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dc.contributor.authorPrzybojewski J.Z.
dc.contributor.authorBecker P.H.
dc.date.accessioned2011-05-15T16:15:29Z
dc.date.available2011-05-15T16:15:29Z
dc.date.issued1986
dc.description.abstractA 51 year-old White woman with angina pectoris and nonatheromatous coronary artery disease is presented. Cardiac catheterization demonstrated a 'slow-flow phenomenon' in the left coronary artery accompanied by severe angina pectoris and anterolateral ST-degment elevation and culminating in an acute nontransmural myocardial infarction. At repeat coronary arteriography, ergonovine maleate provocation proved negative. This patient is unique, since the previously documented 6 cases with this coronary cineangiographic response did not exhibit angina pectoris or ECG evidence of myocardial ischemia during the 'slow-flow phenomenon', and none was complicated by an acute myocardial infarction. Various aspects of the pathophysiology of angina pectoris in this patient, including the recently described 'reduced vasodilator reserve' concept, are briefly outlined.
dc.description.versionArticle
dc.identifier.citationAngiology
dc.identifier.citation37
dc.identifier.citation10
dc.identifier.issn00033197
dc.identifier.urihttp://hdl.handle.net/10019.1/13361
dc.subjectadult
dc.subjectangina pectoris
dc.subjectangiocardiography
dc.subjectcase report
dc.subjectdiagnosis
dc.subjectelectrocardiography
dc.subjectheart
dc.subjectheart catheterization
dc.subjectheart infarction
dc.subjecthuman
dc.subjectleft coronary artery
dc.subjectpathophysiology
dc.subjectpriority journal
dc.subjectAngina Pectoris
dc.subjectCase Report
dc.subjectCineangiography
dc.subjectCoronary Circulation
dc.subjectElectrocardiography
dc.subjectFemale
dc.subjectHeart Catheterization
dc.subjectHuman
dc.subjectMiddle Age
dc.subjectMyocardial Infarction
dc.titleAngina pectoris and acute myocardial infarction due to slow-flow phenomenon in nonatherosclerotic coronary arteries: A case report
dc.typeArticle
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