Acute myocardial infarction can occur in patients with severe aortic stenosis and left ventricular hypertrophy even in the absence of coronary artery disease or spasm.
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Alerts clinicians to possible AMI in severe AS/LVH despite normal coronaries; single case leaves open mechanistic and risk-stratification questions.
The incidence of angina pectoris(AP) in patients with severe aortic stenosis(AS) and normal coronary arteries has been reported to be 30 to 40%.The pathophysiologic mechanism suggests marked decrease in coronary reserve with left ventricular hypertrophy secondary AS and mismatched oxygen demand-supply by valvular pressure gradient, but only 1 case of acute myocardial infarction(AMI) was reported in severe AS and normal coronary arteries as far as we are concerned.We report a case of AMI occuring in a patient with severe AS and left ventricular hypertrophy.A coronary angiogram excluded coronary obstruction and spasm as the cause of AMI in this patient. KEY WORDS：Aortic stenosis•Normal coronary artery•Acute myocardial infarction. 서 론협심증은 대동맥판 협착증의 흔한 증상이다.
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Park et al. (1997) studied this question.
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