Open AccessST-Segment Elevation Myocardial Infarction with Normal Coronary Arteries Angiography
Author(s) -
Morteza Motedayen,
Hamid Khederlou
Publication year - 2020
Publication title -
multidisciplinary cardiovascular annals
Language(s) - English
Resource type - Journals
ISSN - 2538-5550
DOI - 10.5812/mca.104397
Subject(s) - medicine , cardiology , myocardial infarction , chest pain , coronary arteries , myocardial bridge , angiography , artery , coronary angiography
: Myocardial infarction (MI) is the most frequent cause of ischemic heart death. MI is generally assumed to be due to arterial thrombosis superimposed on an atherosclerotic plaque in an epicardial coronary artery. Total occlusion of an epicardial coronary artery leads to ST elevation, while non-occlusive lesion leads to ST depression. We hereby have reported a case of ST-segment elevation myocardial infarction with normal coronary arteries angiography. A 35-year-old man presented with typical chest pain, nausea, vomiting and cold sweating. ECG obtained at admission and 30 minutes later revealed sinus tachycardia with ST-segment elevations (> 2 mm) in leads V2-V5. Cardiac biomarkers including creatine phosphokinase (CPK), creatine kinase muscle-brain (CK.MB) and troponin high sensitive were elevated. The standard treatment for MI including pain relief, aspirin, thrombolysis if indicated and beta blockade were begun for the patient. STEMI was confirmed and thus, angiography was performed. Coronary angiography revealed normal coronary arteries without any angiographic evidence of stenosis, coronary artery dissection, embolism, plaque rupture or vasospasm.