Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia

SEZGİN, Alpay Turan; ESEN, Ali Metin; BARUTÇU, İrfan; Güllü, Hakan

Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia

İrfan BARUTÇU, (Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, İstanbul, Türkiye)

Alpay Turan SEZGİN, (Başkent Üniversitesi, Adana Uygulama ve Araştırma Hastanesi, Kardiyoloji Kliniği, Adana, Türkiye)

Hakan GÜLLÜ, (Başkent Üniversitesi, Adana Uygulama ve Araştırma Hastanesi, Kardiyoloji Kliniği, Adana, Türkiye)

Ali Metin ESEN (Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, İstanbul, Türkiye)

Türk Göğüs Kalp Damar Cerrahisi Dergisi

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Yıl: 2005 Cilt: 13 Sayı: 3 Sayfa Aralığı: 295 - 297 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia

Öz:

Epikardiyal koroner arterlerin normal olup, koroner akımın yavaş olması sıklıkla asemptomatik bir seyre sahiptir; ancak, bazı raporlar bu durumun patolojik potansiyeli olduğunu göstermektedir. Otuz beş yaşında bir erkek hasta bir yıldır var olan egzersiz anginası (Kanada sınıf II) nedeniyle yatırıldı. Treadmil egzersiz testi sırasında hastada tipik angina pektoris gelişti ve 2 mm'lik ST segment çökmesi görüldü. Koroner anjiyografide sağ koroner arterde yavaş akım dışında bir soruna rastlanmadı. Aspirin, nitrogliserin ve beta-blokerle medikal tedaviye başlanmasının ardından hastanın semptomları geriledi ve bir yıllık takip süresi boyunca şikayetlerin bir daha tekrarlamadığı görüldü.

Anahtar Kelime: Koroner anjiyografi Kan akım hızı Damar direnci Anjina pektoris Egzersiz testi Koroner hastalık Göğüs ağrısı Koroner dolaşım

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Egzersize bağlı miyokard iskemisine yol açan koroner yavaş akım fenomeni

Öz:

Slow coronary flow in the presence of normal epicardial coronary arteries frequently has an asymptomatic course; however, some reports have showed its pathologic potential. A 35-year-old male patient was admitted with a history of exertional angina (Canadian class II) of a year duration. During treadmill exercise stress testing, he experienced typical angina pectoris and a 2-mm ST-segment depression. Coronary angiography revealed slow flow in the right coronary artery without any other coronary pathology. Medications with aspirin, nitroglycerin, and a beta-blocker were instituted, after which relief of symptoms was observed. His complaints did not recur during a follow-up period of a year.

Anahtar Kelime: Angina Pectoris Exercise Test Coronary Disease Chest Pain Coronary Circulation Coronary Angiography Blood Flow Velocity Vascular Resistance

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	BARUTÇU İ, SEZGİN A, Güllü H, ESEN A (2005). Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. , 295 - 297.
Chicago	BARUTÇU İrfan,SEZGİN Alpay Turan,Güllü Hakan,ESEN Ali Metin Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. (2005): 295 - 297.
MLA	BARUTÇU İrfan,SEZGİN Alpay Turan,Güllü Hakan,ESEN Ali Metin Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. , 2005, ss.295 - 297.
AMA	BARUTÇU İ,SEZGİN A,Güllü H,ESEN A Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. . 2005; 295 - 297.
Vancouver	BARUTÇU İ,SEZGİN A,Güllü H,ESEN A Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. . 2005; 295 - 297.
IEEE	BARUTÇU İ,SEZGİN A,Güllü H,ESEN A "Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia." , ss.295 - 297, 2005.
ISNAD	BARUTÇU, İrfan vd. "Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia". (2005), 295-297.

APA	BARUTÇU İ, SEZGİN A, Güllü H, ESEN A (2005). Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 13(3), 295 - 297.
Chicago	BARUTÇU İrfan,SEZGİN Alpay Turan,Güllü Hakan,ESEN Ali Metin Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. Türk Göğüs Kalp Damar Cerrahisi Dergisi 13, no.3 (2005): 295 - 297.
MLA	BARUTÇU İrfan,SEZGİN Alpay Turan,Güllü Hakan,ESEN Ali Metin Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.13, no.3, 2005, ss.295 - 297.
AMA	BARUTÇU İ,SEZGİN A,Güllü H,ESEN A Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2005; 13(3): 295 - 297.
Vancouver	BARUTÇU İ,SEZGİN A,Güllü H,ESEN A Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2005; 13(3): 295 - 297.
IEEE	BARUTÇU İ,SEZGİN A,Güllü H,ESEN A "Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 13, ss.295 - 297, 2005.
ISNAD	BARUTÇU, İrfan vd. "Slow coronary flow phenomenon associated with exercise-induced myocardial ischemia". Türk Göğüs Kalp Damar Cerrahisi Dergisi 13/3 (2005), 295-297.