Abstract
A 60-year-old man with an acute inferior-wall myocardial infarction was noted, on arteriography, to have an occluded distal right coronary artery. The vessel was reopened with intravenous tissue plasminogen activator; during resolution of the clot, spasm was observed arteriographically but was successfully treated with intracoronary nitroglycerin. Follow-up arteriography showed a normal right coronary artery. The significance of this case lies in the fact that we were able to document the occurrence of spasm during coronary thrombolysis; such documentation supports the hypothesis that spasm may be a factor in the initiation of coronary thrombosis.
Original language | English (US) |
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Pages (from-to) | 52-54 |
Number of pages | 3 |
Journal | Texas Heart Institute Journal |
Volume | 15 |
Issue number | 1 |
State | Published - Jan 1 1988 |
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine