Diamond T H, Lotzof P, Ziady F
S Afr Med J. 1985 Jun 1;67(22):892-4.
A young man with normal coronary arteries presented with a transmural apical myocardial infarction. This diagnosis was based on elevated serial cardiac enzyme values, ECG changes, exercise scanning with thallium-201, left ventricular angiography and selective coronary arteriography. Some of the pathophysiological mechanisms implicated in myocardial infarction in patients with normal coronary arteries are discussed and the probable diagnosis of a virus-induced myopericarditis together with coronary artery vasospasm is favoured.
一名冠状动脉正常的年轻男性出现透壁性心尖心肌梗死。该诊断基于系列心脏酶值升高、心电图改变、铊-201运动扫描、左心室血管造影和选择性冠状动脉造影。本文讨论了冠状动脉正常患者心肌梗死所涉及的一些病理生理机制，并倾向于病毒感染性心肌心包炎合并冠状动脉血管痉挛的可能诊断。
