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The Journal of Tehran University Heart Center، جلد ۱۵، شماره ۳، صفحات ۱۳۶-۱۴۱
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عنوان انگلیسی Discordance between the Clinical Presentation and Morphology of Myocardial Infarction in a Patient with Acute post-Hemorrhagic Anemia
چکیده انگلیسی مقاله While atherosclerotic plaque disruption remains the hallmark of type 1 myocardial infarction (T1MI), multiple other mechanisms provoking myocardial supply/demand mismatch (eg, anemia and tachyarrhythmias) are recognized as the potential causes of type 2 myocardial infarction (T2MI). In clinical practice, angiography is underutilized in patients with MI that have typical T2MI triggers, although the presence of these triggers and various forms of atherosclerotic coronary artery disease is not mutually exclusive. We describe a 70-year-old man that developed MI during hospitalization for gastrointestinal bleeding. He was treated conservatively without angiography due to posthemorrhagic anemia, which is a recognized T2MI trigger, and subsequently developed refractory cardiogenic shock. Autopsy revealed atherothrombosis, which is characteristic of T1MI.
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نویسندگان مقاله | Truong Hoang
Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia.


| Pavel Lazarev
Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia.


| Victor Maiskov
Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia. AND Vinogradov City Clinical Hospital, Moscow, Russia.


| Meray Imad
Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia. AND Vinogradov City Clinical Hospital, Moscow, Russia.


| Zhanna Kobalava
Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia.
نشانی اینترنتی https://jthc.tums.ac.ir/index.php/jthc/article/view/1196
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