Coronary occlusion: cause or consequence of acute myocardial infarction?

  title={Coronary occlusion: cause or consequence of acute myocardial infarction?},
  author={Giorgio Baroldi and Mario Marzilli and Antonio L'Abbate and Eloisa Arbustini},
  journal={Clinical cardiology},
  volume={13 1},
A 45-year-old man with unstable angina developed persistent ECG changes of myocardial ischemia during coronary angiography. Occlusion of the left anterior descending branch (LAD) was documented 20 minutes after these changes. Intracoronary nitrate, Ca antagonist, urokinase, removal by percutaneous transluminal coronary angioplasty (PTCA) of atherosclerotic obstructions, and emergency bypass surgery failed to restore myocardial perfusion. Only short periods of reflow were obtained by urokinase… CONTINUE READING