GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
A CASE OF ACUTE MYOCARDIAL INFARCTION DEVELOPING IMMEDIATELY AFTER GASTROSCOPIC EXAMINATION
Shigetoshi KANAZAWAKunito IWABUCHIKouroku OTOKIDASeizo ORISOMasataka KATOAtsushi KANO
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1984 Volume 26 Issue 11 Pages 1951-1956

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Abstract

A 74-year-old man with hypertension and sequelae due to cerebral infarction was treated in our hospital. An endoscopic examination was performed on September 16, 1981 because he complained of gastric discomfort. There was no chest pain suggesting of angina pectoris or myocardial infarction at the time of effort or resting. The endoscopic examination was completed in ten minutes and no abnormality was found in the stomach and bulb. However, about fifteen minutes later, he developed cardiac and respiratory arrest. Cardiac resuscitation was successful. The patient was diagnosed as having acute myocardial infarction based on changes in the ECG and in serum enzymes, and was discharged from the hospital without further complications. It is suggested that endoscopic examination might cause the acute myocardial infarction in this patient.

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