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Angiology
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Impending Myocardial Infarction in a Patient with Marked Left Ventricular Hypertrophy and Normal Coronary Arteriogram—A Case Report

Reinaldo B. Bestetti

Department of Pathology, Faculty of Medicine of Ribeirão Preto, São Paulo University, São Paulo, Brazil

Lucimara Z. Pinto

Department of Pathology, Faculty of Medicine of Ribeirão Preto, São Paulo University, São Paulo, Brazil

Luiz A. Finzi

Department of Pathology, Faculty of Medicine of Ribeirão Preto, São Paulo University, São Paulo, Brazil

Antonio L. Secches

Department of Pathology, Faculty of Medicine of Ribeirão Preto, São Paulo University, São Paulo, Brazil

A middle-aged woman with long-term uncontrolled arterial hypertension de veloped a clinical picture of impending myocardial infarction. A normal coro nary arteriogram was obtained. However, left heart catheterization showed a marked increase in left ventricular end-diastolic pressure, while left angiocardi ography revealed marked left ventricular hypertrophy. She was successfully treated with a beta-blocking and calcium-antagonist agent. The present case shows that an impending myocardial infarction may occur in patients having normal coronary arteriogram but with left ventricular hypertrophy secondary to arterial hypertension.

Angiology, Vol. 40, No. 11, 1020-1024 (1989)
DOI: 10.1177/000331978904001113
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