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Coronary spasm associated myocardial infarction without organic stenosis at acute stage Yoshiaki Mikuriya*, Yoichi Tatsukawa*, Fumie Yufu*, Hirofumi Zaizen*, Katsuhiro Wakayama*, Yuuki Matsumoto*, Shoji Yano*, Hajime Kataoka*, Masaru Nasu*, Masatomi Kadota**, Akira Tamura**, Koreyasu Kanzaki**. *The Second Department of Internal Medicine, Medical College of Oita. **Department of Cardiovascular Division, Almeida Memorial Hnsnital Key words acute myocardial infarction coronary spasm normal coronary angiogram

1) Erlebacher, J,A. : Transmural myocardial infarction with "normal" coronary arteries. Am. Heart J., 98 : 421, 1979. 3) Hamada, Y., Matsuda, Y., Takashiba, K., Ebihara, H., Ohno, H. and Hyakuna, E.: Multivessel coronary artery spasm causing myocardial infarction and postinfarction angina. Am. Heart J., 113 : 1024, 1987. 4) Hackworthy, R.A., Richmond, D.R. and Kelly, D.T. : Acute myocardial infarction with angiographically normal coronary arteries. Am. J. Cardiol., 54 : 1135, 1984. 5) Oliva, Breckiridge, J.C. : Acute myocardial infarction with normal and near normal coronary arteries. Documentation with coronary arteriography within 12 2/1 hours of the symptoms in two cases (three episodes). Am. J. Cardiol., 40 : 1000, 1977. 10) Ross, R., Kay, R., Ambrose, J. and Herman, M. V.: Coronary thrombosis in the absence of angiographically evident obstructive coronary disease. Chest, 84 : 768, 1983. 11) Watabe, S., Uwamoto, M., Tsunekawa, A., Izumi, S., Osugi, J., Takatsu, F., Ishikawa, H. and Nagaya, T.: A case of normal coronary infarction after intracoronary thrombolysis with Urokinase. Cathet Cardiovasc. Diagn., 9 501, 1983. 12) Vincent, G.M., Anderson, J.L. and Marshall, H. W.: Coronary spasm producing thrombosis and myocardial infarction. N. Engl. J. Med., 309 : 220, 1983. 13) Smith, III H.W.B., Liberman, H.A., Brody, S.L., Battey, L.L., Donohue, B.C. and Morris, D.C. : Acute myocardial infarction temporally related to cocaine use. Ann. Intern. Med., 107 : 13, 1987. 14) Ong, L., Reiser, P., Coromilias, J., Scherr, L. and Morrison, J.: Left ventricular function and rapid release of creatine kinase MB in acute myocardial infarction : Evidence for spontaneous reperfusion. N. Engl. J. Med., 309 : 1, 1983. 15) Steele, P., Rainwater, J. and Vogel, R.: Abnor- mal platelet survival time in men with myocardial infarction and normal coronary arteriogram. Am. J. Cardiol., 41 : 60, 1978. 16) Kozeny, G.A., Ragona, B.P., Bansal, V.K., Hurley, R.M., Dixon, D.W., Vertuno, L.L. and Hano, J.E. : Myocardial infarction with normal results of coronary angiography following Diltiazem withdrawal. Am. J. Med., 80 : 1184,

1986. 17) Ferry, D.R., Henry, R.L. and Kern, MT. Epinephrine-induced myocardial infarction in a patient with angiographically normal coronary arteries. Am. Heart J., 111 : 1193, 1986. 18) Therrien, MI., Morend, B., Korr, K.S. and Heller, G.V. : Acute myocardial infarction associated with prolonged sneezing. Am. J. Cardiol., 59 : 364, 1987. 19) Rogers, W.J., Hood, W.P., Mantle, J.A., Baxley, W.A., Kirklin, J.K., Zorn, G.L. and Nath, H.P. : Return of left ventricular function after reperfusion in patients with myocardial infarction : importance of subtotal stenosis or intact collaterals. Circulation, 69 : 338, 1984. 20) Ascher, E.K., Stauffer, J.E. and Gaasch, W.H. : Coronary artery spasm, cardiac arrest. transient electrocardiographic Q waves and stunned myocardium in cocaine associated acute myocardial infarction. Am. J. Cardiol., 61 : 939, 1988.