Symptomatic Acute Myocardial Infarction in a Cardiac Transplant Recipient Successfully Treated With Primary Coronary Angioplasty: Evidence of Prognostic Importance of Chest Pain After Cardiac Transpla

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• 作者：Andrea Di Cori ; Anna Sonia Petronio ; Cristina Gemignani ; Giulio Zucchelli ; Vitantonio Di Bello and Mario Mariani
• 刊名：The Journal of Heart and Lung Transplantation
• 出版年：2005
• 出版时间：2005
• 年：2005
• 卷：24
• 期：8
• 页码：1146-1149
• 全文大小：416 K

文摘

Accelerated coronary artery disease remains the limiting factor in the long-term survival of heart transplant (HT) recipients and occurs in approximately 50 % of patients by 5 years after transplantation. Sequelae of graft arteriosclerosis include congestive heart failure (due to acute or chronic ischemia), graft loss, and death. Unfortunately, as a consequence of cardiac denervation, symptoms are often atypical or completely absent, and thus presentation with an acute coronary syndrome is extremely uncommon.¹ We describe the case of an HT recipient with a typical clinical picture of an acute myocardial infarction (MI), who presented to our hospital 2 hours after the onset of symptoms and was successfully treated with primary percutaneous transluminal coronary angioplasty (PTCA).