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Chest, Vol 76, 636-639, Copyright © 1979 by American College of Chest Physicians

ARTICLES

Hypertrophic obstructive cardiomyopathy and coronary artery spasm

RK Mautner, I Thomas, R Dhurandhar and JH Phillips

Three patients had hypertrophic obstructive cardiomyopathy and coronary artery spasm. The clinical diagnosis of hypertrophic obstructive cardiomyopathy, in all patients, was confirmed by echocardiography and angiography. Significant spasm of the right coronary artery was demonstrated in each patient by selective coronary arteriography. One patient had atherosclerotic obstructive three vessel disease, while the other two showed no evidence of any fixed organic narrowing of the coronary arteries. ST segment elevation in the inferior ECG leads was documented in two of the patients in association with coronary spasm.


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K. Kodama, Y. Shigematsu, M. Hamada, K. Hiwada, Y. Kazatani, K. Matsuzaki, and E. Murakami
The Effect of Coronary Vasospasm on the Direction of ST-Segment Deviation in Patients With Both Hypertrophic Cardiomyopathy and Vasospastic Angina
Chest, May 1, 2000; 117(5): 1300 - 1308.
[Abstract] [Full Text] [PDF]


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Copyright © 1979 by the American College of Chest Physicians.