PMID- 17689751
OWN - NLM
STAT- MEDLINE
DCOM- 20080904
LR  - 20220408
IS  - 1874-1754 (Electronic)
IS  - 0167-5273 (Linking)
VI  - 128
IP  - 1
DP  - 2008 Aug 1
TI  - Acute ST elevation myocardial infarction with angiographically normal coronary 
      arteries: causes and outcomes.
PG  - 131-3
AB  - A minority of patients presenting with ST elevation myocardial infarction (STEMI) 
      have angiographically normal coronary arteries. We aimed to assess its incidence, 
      identify possible aetiologies and determine long-term prognosis. We 
      retrospectively analysed 714 consecutive patients presenting with STEMI over a 
      10-year period (1995 to 2005), and identified 41 patients with angiographically 
      normal coronary arteries. Mean age was 44+/-15 years; the majority were male. 
      Specific diagnoses were made in 13/41 (32%) patients, including peri-myocarditis 
      (11/41) and Takotsubo cardiomyopathy (2/41). No specific diagnosis was made in 
      the remainder and these were considered cryptogenic AMI's. At a mean follow-up of 
      44+/-30 months, 1 patient with cryptogenic AMI had a non-cardiovascular death and 
      1 patient required pacing. In conclusion, there is a small but definite incidence 
      of angiographically normal coronary arteries in patients presenting with STEMI. 
      While the eventual aetiology remains uncertain in most patients, long-term 
      outcomes appear favourable.
FAU - Ahmar, Walid
AU  - Ahmar W
FAU - Lefkovits, Jeffrey
AU  - Lefkovits J
LA  - eng
PT  - Letter
DEP - 20070808
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Coronary Angiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*diagnostic imaging/etiology/therapy
MH  - Prognosis
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Thrombolytic Therapy
EDAT- 2007/08/11 09:00
MHDA- 2008/09/05 09:00
CRDT- 2007/08/11 09:00
PHST- 2007/03/19 00:00 [received]
PHST- 2007/05/26 00:00 [accepted]
PHST- 2007/08/11 09:00 [pubmed]
PHST- 2008/09/05 09:00 [medline]
PHST- 2007/08/11 09:00 [entrez]
AID - S0167-5273(07)01179-5 [pii]
AID - 10.1016/j.ijcard.2007.05.053 [doi]
PST - ppublish
SO  - Int J Cardiol. 2008 Aug 1;128(1):131-3. doi: 10.1016/j.ijcard.2007.05.053. Epub 
      2007 Aug 8.