Frequent accelerated idioventricular rhythm in a young male of Buerger's disease with acute myocardial infarction

被引：3
|
作者：
Hsu, Po-Chao [1 ]
Lin, Tsung-Hsien [1 ,2 ]
Su, Ho-Ming [1 ]
Voon, Wen-Chol [1 ,2 ]
Lai, Wen-Ter [1 ,2 ]
Sheu, Sheng-Hsiung [1 ,2 ]
机构：
[1] Kaohsiung Med Univ Hosp, Div Cardiol, Dept Internal Med, Kaohsiung, Taiwan
[2] Kaohsiung Med Univ, Dept Internal Med, Fac Med, Coll Med, Kaohsiung, Taiwan
来源：
INTERNATIONAL JOURNAL OF CARDIOLOGY | 2008年 / 127卷 / 02期
关键词：
Buerger's disease; accelerated idioventricular rhythm; acute myocardial infarction;
D O I：
10.1016/j.ijcard.2007.04.037
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Buerger's disease is a small and medium vessel vasculitis that predominantly involves the distal extremities. Coronary involvement is rarely reported. We reported a 32 year-old man with Buerger's disease (thromboangiitis obliterans) suffering from acute anterior chest pain and V(1) (6) ST-segment elevation. Frequent episodes of accelerated idioventricular rhythm (AIVR) were found during initial admission. Emergent coronary angiography revealed thrombus inside the proximal left anterior descending coronary artery and primary percutaneous trasluminal coronary angioplasty and stenting was successfully done after thrombus aspiration. No more AIVR occurred after the procedure. Doctor should be alerted to AIVR as a sign of reperfusion in the acute coronary syndrome even in a young subject. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
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页码：E64 / E66
页数：3
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