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Original Article
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Korean J Med. 2008;75(5):586-591.
- 증례: 동시에 두 관상동맥에 발생한 급성심근경색증 2예
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김태경.이한철.김 준.김준홍.전국진.홍택종.신영우, , , , , ,
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- Simultaneous acute myocardial infarction in two coronary arteries
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Tae Kyung Kim, Han Cheol Lee, Jun Kim, June Hong Kim, Kook Jin Chun, Taek Jong Hong, Yung Woo Shin
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경희대학교 의과대학 순환기내과학교실
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- Abstract
- The simultaneous presentation of acute myocardial infarction (AMI) in the right and left coronary arteriesis rare. Diabetes mellitus (DM), thrombus due to multivessel spasm, AMI with hypercoagulation,and hypoperfusion of other coronary arteries after an AMI may cause the simultaneous occurrence of right and left coronary artery infarctions. If emergency coronary revascularization (percutaneous coronary intervention, thrombolysis, and coronary artery bypass surgery) is not performed immediately, the mortality rate is very high due to the development of cardiogenic shock and ventricular arrhythmia. Here, we report a number of cases involving the simultaneous development of AMIin two coronary arteries and discuss the importance of rapid revascularization. (Korean J Med 75:586-591, 2008)
Keywords :AMI, Primary percutaneous coronary intervention, Simultaneous coronary artery occlusion, Intra-coronary thrombus
