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Consecutive Multivessel Myocardial Infarction during Primary Percutaneous Coronary Intervention
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Abstract
°¡½¿ ÅëÁõÀ» È£¼ÒÇÑ È¯ÀÚ°¡ Àüº® STºÐÀý »ó½Â ½É±Ù°æ»öÀ¸·Î ÁÂÀüÇÏÇàÁöÀÇ ÀÏÂ÷ °ü»óµ¿¸Æ Àç°³Åë¼ú ½ÃÇàÇÏ¿´°í Á÷ÈÄ ÇϺ® STºÐÀý »ó½Â ½É±Ù°æ»öÀÌ ¿¬¼ÓÀûÀ¸·Î ¹ß»ýÇÏ¿© ¿ì°ü»óµ¿¸Æ Àç°³Åë¼úÀ» ¼º°øÀûÀ¸·Î ½ÃÇàÇÑ 1¿¹¸¦ °æÇèÇÏ¿´±â¿¡ ¹®Çå°íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù. ÀÌ´Â STºÐÀý »ó½Â ½É±Ù°æ»ö ȯÀÚ¿¡¼ ºñ¿øÀÎ °ü»óµ¿¸Æ º´º¯À» Ä¡·áÇÏ´Â °Íµµ ¼¼½ÉÇÑ ÁÖÀÇ°¡ ÇÊ¿äÇÔÀ» ¸»ÇØÁÖ°í ÀÖ´Ù.
ST-elevation myocardial infarction (STEMI) involving multivessel coronary arteries is extremely rare. Consecutive STEMI in a nonculprit vessel during primary percutaneous coronary intervention (PCI) of the culprit vessel has not been reported. A 53-year-old male presented to the emergency department with anterior wall STEMI. Just after successful primary PCI of the left anterior descending artery, inferior wall STEMI developed. PCI of the right coronary arteries was performed successfully. Five days later, the patient was discharged without symptoms of heart failure. This case underlines the high thrombogenicity along the coronary arteries in patients with STEMI.
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´ÙÇ÷°ü, STºÐÀý »ó½Â ½É±Ù°æ»ö, °æÇÇÀû °ü»óµ¿¸Æ ÁßÀç¼ú, Glycoprotein IIb-IIIa
Multivessel, ST-elevation myocardial infarction, Percutaneous coronary intervention, Glycoprotein IIb-IIIa
KMID :
0882420140870030334
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