Transient silent ischemia after percutaneous transluminal coronary angioplasty manifested with a bizarre
Hakan Ozhan1, Ramazan Akdemir, Sadik Duran
1Department of Cardiology, Düzce Faculty of Medicine, Abant Izzet Baysal University, Konuralp Düzce, Turkey. ozhanhakan@yahoo.com
Abstract:
Silent myocardial ischemia is recognized as a common manifestation after percutaneous coronary interventions possibly due to induction of coronary artery spasm. A 54-year-old man was performed primary percutaneous transluminal coronary angioplasty with the diagnosis of acute myocardial infarction. His 18-hour control electrocardiogram showed big-notched inverted T waves in precordial, III, and aVF leads without any chest pain. These bizarre electrocardiographic findings were restored after a brief period indicating silent ischemia that is caused by coronary artery spasm.
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