DOI QR코드

DOI QR Code

A Case of Three Consecutive Events of Acute Myocardial Infarctions in Three Different Vessels

  • Yang, Hyun (Division of Cardiology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Her, Sung-Ho (Division of Cardiology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Mahn Won (Division of Cardiology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Cho, Jung Sun (Division of Cardiology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Chan Joon (Division of Cardiology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kwon, Jong-Bum (Division of Thoracic and Cardiovascular Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Ro, Sang Mi (Division of Cardiology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Yun Kyung (Division of Cardiology, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Published : 2013.10.31

Abstract

A 51-year-old man was being admitted to the emergency department with chest pains. He had a history of acute myocardial infarction (MI) on two prior occasions and was successfully treated with drug eluting stents. He was diagnosed with 3 consecutive events of acute MI in 3 different vessels. The consecutive events of acute MI in different vessels are a very rare case. He did not have risk factors, such as coagulation abnormality, clopidogrel resistance, patient's compliance and vessel abnormality, except for his cigarette smoking. We reported the first case with 3 consecutive events of acute MI in each 3 vessels during a long-term interval.

Keywords

References

  1. Godino C, Mendolicchio L, Figini F, et al. Comparison of VerifyNow-P2Y12 test and Flow Cytometry for monitoring individual platelet response to clopidogrel. What is the cut-off value for identifying patients who are low responders to clopidogrel therapy? Thromb J 2009;7:4.
  2. Virmani R, Kolodgie FD, Burke AP, Farb A, Schwartz SM. Lessons from sudden coronary death: a comprehensive morphological classification scheme for atherosclerotic lesions. Arterioscler Thromb Vasc Biol 2000;20:1262-75. https://doi.org/10.1161/01.ATV.20.5.1262
  3. Burke AP, Farb A, Malcom GT, Liang Y, Smialek JE, Virmani R. Plaque rupture and sudden death related to exertion in men with coronary artery disease. JAMA 1999;281:921-6. https://doi.org/10.1001/jama.281.10.921
  4. Holmes DR Jr, Kereiakes DJ, Garg S, et al. Stent thrombosis. J Am Coll Cardiol 2010;56:1357-65. https://doi.org/10.1016/j.jacc.2010.07.016
  5. Wang TH, Bhatt DL, Topol EJ. Aspirin and clopidogrel resistance: an emerging clinical entity. Eur Heart J 2006;27:647-54. https://doi.org/10.1093/eurheartj/ehi684
  6. Michos ED, Ardehali R, Blumenthal RS, Lange RA, Ardehali H. Aspirin and clopidogrel resistance. Mayo Clin Proc 2006;81:518-26. https://doi.org/10.4065/81.4.518
  7. Sweeny JM, Gorog DA, Fuster V. Antiplatelet drug 'resistance'. Part 1: mechanisms and clinical measurements. Nat Rev Cardiol 2009;6:273-82. https://doi.org/10.1038/nrcardio.2009.10
  8. Kanei Y, Janardhanan R, Fox JT, Gowda RM. Multivessel coronary artery thrombosis. J Invasive Cardiol 2009;21:66-8.
  9. Falk E. Multiple culprits in acute coronary syndromes: systemic disease calling for systemic treatment. Ital Heart J 2000;1:835-8.
  10. Gan F, Hu D, Dai T. Acute multivessel coronary artery occlusion: a case report. BMC Res Notes 2012;5:523. https://doi.org/10.1186/1756-0500-5-523
  11. Kim SS, Jeong MH, Kim HK, et al. Acute and subacute stent thrombosis in a patient with clopidogrel resistance: a case report. Korean Circ J 2009;39:434-8. https://doi.org/10.4070/kcj.2009.39.10.434
  12. Brito JD, Almeida MS, Ribeiras R, Melo JQ, Almeida RH, Silva JA. Recurrent myocardial infarction in a patient with papillary fibroelastoma. Arq Bras Cardiol 2012;98:e7-10. https://doi.org/10.1590/S0066-782X2012000100018
  13. Peovska I, Maksimovic J, Kalpak O, Pejkov H, Bosevski M. Recurrent myocardial infarction in a young football player with antithrombin III deficiency. Cardiol J 2008;15:463-6.
  14. Chang MH, Bang SY, Kim TH, et al. Recurrent acute myocardial infarctions and Budd-Chiari syndrome in young woman with Behcet's disease. J Korean Rheum Assoc 2007;14:96-100. https://doi.org/10.4078/jkra.2007.14.1.96