Lintgen A B
JAMA. 1976 Feb 23;235(8):837-9.
Death from acute myocardial infarction immediately followed a submaximal exercise test with a normal result in a 56-year-old man. Hemorrhage into an intimal atherosclerotic plaque with superimposed, intraluminal clot formation was the cause of coronary artery occlusion. It is probable that the exercise precipitated an intramural capillary rupture and intimal hemorrhage or caused further hemorrhage into a preexisting intimal hematoma. The resulting luminal narrowing and intimal rupture with superimposed clot formation caused coronary artery occlusion.
一名56岁男性在次极量运动试验结果正常后随即死于急性心肌梗死。冠状动脉闭塞的原因是内膜动脉粥样硬化斑块内出血并伴有管腔内血栓形成。运动可能促使了壁内毛细血管破裂和内膜出血，或导致已存在的内膜血肿进一步出血。由此产生的管腔狭窄和内膜破裂并伴有血栓形成导致了冠状动脉闭塞。
