Key result
Standard therapy and electroshocks successfully resolve acute myocardial reinfarction in diffuse coronary ectasia.
Why the study?
Coronary ectasia with myocardial reinfarction presents a clinical scenario requiring detailed description due to its rarity and management challenges.
Case Report (n=1)
No
This case report highlights the occurrence of recurrent myocardial infarction in a patient with diffuse coronary ectasia without significant stenoses.
Answers are grounded in this paper and cite their sources.
Coronary ectasia may cause non-obstructive MI; leaves open questions on risk stratification and management.
A 47-year-old male patient was admitted to our Emergency Hospital's coronary unit with an acute myocardial infarction, localized inferolaterally. He had been hospitalized 2 months before this occurrence because of persistent chest pain accompanied by elevation of the ST segment in precordial and inferior leads, for which he received thrombolytic therapy. Selective cardiac catheterization was then also effected, and showed diffuse ectasia of coronary arteries with no significant stenoses. Since streptokinase had been applied recently, the patient was given standard therapy as well as electroshocks because of chamber fibrillation. Two hours after admission, the infarct pain ceased and rapid ECG improvement occurred. Repeated coronarography showed a situation identical to the previous one. The patient was sent home to proceed with drug therapy.
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Mrdović et al. (2004) conducted a case report in Myocardial Reinfarction with Coronary Ectasia (n=1). Standard therapy and electroshocks was evaluated on Clinical recovery (infarct pain ceased, ECG improvement). A 47-year-old male with diffuse coronary ectasia and no significant stenoses successfully recovered from an acute myocardial reinfarction following standard therapy and electroshocks.
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