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Discordance between the Clinical Presentation and Morphology of Myocardial Infarction in a Patient with Acute Post-Hemorrhagic Anemia
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نویسنده
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hoang truong huy ,lazarev pavel v. ,maiskov victor v. ,meray imad ,kobalava zhanna d.
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منبع
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journal of tehran university heart center - 2020 - دوره : 15 - شماره : 3 - صفحه:136 -141
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چکیده
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While atherosclerotic plaque disruption remains the hallmark of type 1 myocardial infarction (t1mi), multiple other mechanisms provoking myocardial supply/demand mismatch (eg, anemia and tachyarrhythmias) are recognized as the potential causes of type 2 myocardial infarction (t2mi). in clinical practice, angiography is underutilized in patients with mi that have typical t2mi triggers, although the presence of these triggers and various forms of atherosclerotic coronary artery disease is not mutually exclusive. we describe a 70-year-old man that developed mi during hospitalization for gastrointestinal bleeding. he was treated conservatively without angiography due to posthemorrhagic anemia, which is a recognized t2mi trigger, and subsequently developed refractory cardiogenic shock. autopsy revealed atherothrombosis, which is characteristic of t1mi.
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کلیدواژه
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Acute coronary syndrome ,Anemia ,Coronary angiography ,Myocardial infarction ,Myocardial ischemia
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آدرس
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rudn university, medical institute, department of internal diseases, Russia, rudn university, medical institute, department of internal diseases, Russia, rudn university, medical institute, department of internal diseases, Russia. vinogradov city clinical hospital, Russia, rudn university, medical institute, department of internal diseases, Russia. vinogradov city clinical hospital, Russia, rudn university, medical institute, department of internal diseases, Russia
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Authors
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