Auer Johann, Punzengruber Christian, Berent Robert, Weber Thomas, Eber Bernd
Department of Cardiology and Intensive Care, General Hospital Wels, Grieskirchnerstrasse 42, A-4600 Wels, Austria.
Heart Vessels. 2002 Jul;16(5):211-3. doi: 10.1007/s003800200026.
This report describes the case of a patient who developed acute myocardial infarction with ST segment elevation in anterior and inferior leads, simultaneously. After treatment with systemic thrombolysis, and after an initial short-lasting symptomatic improvement, chest pain and ST segment elevation recurred. Coronary angiography revealed severe complex stenotic lesions at both the right coronary artery and the left anterior descending (LAD) coronary artery. Percutaneous coronary angioplasty and stent implantation were successfully performed at both lesions. This case supports the concept that, at least in some patients, acute coronary artery disease reflects a diffuse pathophysiologic process that may lead to multifocal plaque instability associated with clinical instability at multiple sites.
本报告描述了一名患者的病例，该患者同时在前壁和下壁导联出现ST段抬高型急性心肌梗死。经全身溶栓治疗后，最初有短暂的症状改善，但胸痛和ST段抬高再次出现。冠状动脉造影显示右冠状动脉和左前降支冠状动脉均有严重的复杂性狭窄病变。在这两个病变部位均成功进行了经皮冠状动脉腔内血管成形术和支架植入术。该病例支持这样一种观点，即至少在某些患者中，急性冠状动脉疾病反映了一种弥漫性病理生理过程，可能导致多灶性斑块不稳定，并伴有多个部位的临床不稳定。
