Microfistulas Causing Diverse Regional Ischemia: Consecutive Inferior and Lateral ST-Elevation Myocardial Infarction (Case Report)

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cinar Tufan; Karabag avuz; Rencuzogullari Ibrahim; Cagdas Metin

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Journal Paper

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2020 | Volume:23 | Issue:10 Page(s): 704-706

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Information Journal Paper

Title

Microfistulas Causing Diverse Regional Ischemia: Consecutive Inferior and Lateral ST-Elevation Myocardial Infarction (Case Report)

Author(s)

cinar Tufan | Karabag avuz | Rencuzogullari Ibrahim | Cagdas Metin | Issue Writer Certificate

Keywords

Coronary artery fistula

Diverse ischemia

ST elevation myocardial infarction

Abstract

Coronary artery fistulas (CAFs) are described as abnormal communications between a coronary artery and cardiac chambers, or other vascular structures. The two types of CAFs are defined as type I (singular fistula) and type II (microfistulas). Even though various electrocardiographic changes have been previously described in CAF patients, coronary-artery microfistulas causing STsegment elevation in diverse locations have not been reported. We describe a case report of an adult patient who presented with acute inferior myocardial infarction due to coronary-artery microfistulas. During the hospital stay, the patient re-experienced chest pain, and control electrocardiography revealed ST-segment elevation in the I and AVL leads along with reciprocal ST-segment depression in the inferior precordial leads. Although CAFs are clinically rare, they can have important clinical consequences. Microfistulas should be kept in mind as a cause of ST elevation myocardial infarction in some patients.

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APA: Copy

cinar, Tufan, Karabag, avuz, Rencuzogullari, Ibrahim, & Cagdas, Metin. (2020). Microfistulas Causing Diverse Regional Ischemia: Consecutive Inferior and Lateral ST-Elevation Myocardial Infarction (Case Report). ARCHIVES OF IRANIAN MEDICINE, 23(10), 704-706. SID. https://sid.ir/paper/750957/en

Vancouver: Copy

cinar Tufan, Karabag avuz, Rencuzogullari Ibrahim, Cagdas Metin. Microfistulas Causing Diverse Regional Ischemia: Consecutive Inferior and Lateral ST-Elevation Myocardial Infarction (Case Report). ARCHIVES OF IRANIAN MEDICINE[Internet]. 2020;23(10):704-706. Available from: https://sid.ir/paper/750957/en

IEEE: Copy

Tufan cinar, avuz Karabag, Ibrahim Rencuzogullari, and Metin Cagdas, “Microfistulas Causing Diverse Regional Ischemia: Consecutive Inferior and Lateral ST-Elevation Myocardial Infarction (Case Report),” ARCHIVES OF IRANIAN MEDICINE, vol. 23, no. 10, pp. 704–706, 2020, [Online]. Available: https://sid.ir/paper/750957/en

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