A case of isolated septal myocardial infarction : myocardial perfusion-metabolism mismatch as a tool for diagnosis
Joint Authors
Harimoto, Kuniyasu
Kawasaki, Tatsuya
Honda, Sakiko
Kinoshita, Shota
Kamitani, Tadaaki
Sugihara, Hiroki
Source
Issue
Vol. 34, Issue 3 (31 May. 2019), pp.257-261, 5 p.
Publisher
Publication Date
2019-05-31
Country of Publication
Oman
No. of Pages
5
Main Subjects
Topics
Abstract EN
Isolated septal myocardial infarction is an uncommon condition with diagnostic difficulty due to small infarction size and anatomical variations.
We report a case of isolated septal myocardial infarction, in which the diagnosis was confirmed not by electrocardiographic, echocardiographic, or angiographic findings, but by nuclear imaging.
A 46-year-old man with chest discomfort exhibited ST-segment elevations in leads V1 and V2, and borderline abnormalities of the septal wall motion on echocardiography.
Emergency coronary angiography demonstrated delayed flow in the second septal branch of the left anterior descending coronary artery.
Intravascular ultrasound showed plaque in the proximal portion of the septal branch without evidence of plaque rupture.
No balloon angioplasty or stent implantation was required because the flow delay in the septal branch disappeared after the intravascular ultrasound procedure.
Myocardial perfusionmetabolism mismatch, as assessed by resting thallium-201 and iodine-123-beta-methylp- iodophenyl-pentadecanoic acid, was seen in the mid-septal region.
American Psychological Association (APA)
Harimoto, Kuniyasu& Kawasaki, Tatsuya& Honda, Sakiko& Kinoshita, Shota& Kamitani, Tadaaki& Sugihara, Hiroki. 2019. A case of isolated septal myocardial infarction : myocardial perfusion-metabolism mismatch as a tool for diagnosis. Oman Medical Journal،Vol. 34, no. 3, pp.257-261.
https://search.emarefa.net/detail/BIM-890734
Modern Language Association (MLA)
Harimoto, Kuniyasu…[et al.]. A case of isolated septal myocardial infarction : myocardial perfusion-metabolism mismatch as a tool for diagnosis. Oman Medical Journal Vol. 34, no. 3 (May. 2019), pp.257-261.
https://search.emarefa.net/detail/BIM-890734
American Medical Association (AMA)
Harimoto, Kuniyasu& Kawasaki, Tatsuya& Honda, Sakiko& Kinoshita, Shota& Kamitani, Tadaaki& Sugihara, Hiroki. A case of isolated septal myocardial infarction : myocardial perfusion-metabolism mismatch as a tool for diagnosis. Oman Medical Journal. 2019. Vol. 34, no. 3, pp.257-261.
https://search.emarefa.net/detail/BIM-890734
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 261
Record ID
BIM-890734