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Original Article
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Korean J Med. 2007;73(3):961-965.
- 증례 : 정상 관상동맥을 가진 비후성 심근증 환자에서 발생한 심근경색
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윤연이&#;최의근&#;최상일&#;장혁재&#;정우영&#;최동주, , , , ,
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- Myocardial necrosis in hypertrophic cardiomyopathy with normal coronary artery evaluation with comprehensive cardiac magnetic resonance imaging
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Yeonyee Yoon, Eue-Keun Choi, Sang-Il Choi, Hyuk-Jae Chang, Woo-Young Chung, Dong-Ju Choi
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성균관대학교 의과대학 삼성서울병원 심장혈관센터 순환기내과
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- Abstract
- The end stage of hypertrophic cardiomyopathy is generally considered to be systolic ventricular dysfunction. The
majority of patients with hypertrophic cardiomyopathy showed cavity dilatation, wall thinning, and symptoms of heart
failure. Repetitive myocardial necrosis may be responsible for the gradual deterioration due to congestive heart failure
over the course of several years. Myocardial necrosis in patients with hypertrophic cardiomyopathy is not uncommon,
even in the absence of significant coronary artery disease. Here, we describe two cases of hypertrophic cardiomyopathy
complicated with myocardial necrosis in the absence of significant coronary artery disease. With comprehensive cardiac
MR imaging, we can demonstrate the potential pathophysiologic mechanism of myocardial necrosis in hypertrophic
cardiomyopathy.(Korean J Med 73:S961-S965, 2007)
Keywords :Hypertrophic cardiomyopathy, Myocardial necrosis, Normal coronary artery
