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Rev Port Cardiol. 2008 Apr;27(4):503-10.

Acute myocardial infarction with angiographically normal coronary arteries.

[Article in English, Portuguese]

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  • 1Serviço de Cardiologia do Hospital S. Teotónio, Viseu, Portugal.


The authors present the case of a 51-year-old woman, with no known cardiovascular risk factors, admitted with anterior acute myocardial infarction complicated by primary ventricular fibrillation, who underwent reperfusion therapy with tenecteplase. Left heart catheterization on the sixth day showed left ventricular anteroapical akinesia and normal coronary arteries. The causes of acute myocardial infarction with normal coronary arteries and its differential diagnosis are discussed.

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