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Angiology
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Electrical and Mechanical Alternans During Percutaneous Transluminal Coronary Angioplasty in a Patient with Acute Myocardial Infarction

A Case Report

Tetsuo Konno, MD

Molecular Genetics of Cardiovascular Disorders, Division of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University, kontetsu{at}im2.m.kanazawa-u.ac.jp

Tsutomu Araki, MD

Division of Cardiology, Saiseikai Kanazawa Hospital, Kanazawa, Japan

Ryuichirou Soma, MD

Division of Cardiology, Saiseikai Kanazawa Hospital, Kanazawa, Japan

Hiroaki Takimoto, MD

Division of Cardiology, Saiseikai Kanazawa Hospital, Kanazawa, Japan

Yohei Tofuku, MD

Division of Cardiology, Saiseikai Kanazawa Hospital, Kanazawa, Japan

Masami Shimizu, MD

Molecular Genetics of Cardiovascular Disorders, Division of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University

The authors report a rare type of cardiac alternans during percutaneous transluminal coronary angioplasty (PTCA) in a patient with acute myocardial infarction. Not only ST segment but also QRS alternans were observed on electrocardiogram and were accompanied by mechanical alternans. The mechanism of these unusual findings is briefly discussed.

Angiology, Vol. 55, No. 5, 569-571 (2004)
DOI: 10.1177/000331970405500515
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