This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Chesler, E. Articles by Barlow, J. B. Search for Related Content PubMed PubMed Citation Articles by Chesler, E. Articles by Barlow, J. B. Pubmed/NCBI databases Medline Plus Health Information Heart Attack

Circulation, Vol 54, 203-209, Copyright © 1976 by American Heart Association

ARTICLES

Acute myocardial infarction with normal coronary arteries: a possible manifestation of the billowing mitral leaflet syndrome

E Chesler, RE Matisonn, JB Lakier, WA Pocock, IW Obel and JB Barlow

The findings in four young patients with the billowing mitral leaflet syndrome who presented with evidence of acute myocardial infarction are reported. Because technically adequate coronary arteriograms demonstrated patent vessels and the electrocardiograms initially showed pronounced elevation of the ST segments as occurs in Prinzmetal's angina, it is postulated that spasm of normal coronary arteries was the operative factor. Scrutiny of those cases of clinically apparent ischemic heart disease with normal coronary angiograms is suggested to establish whether there is in fact a causal relationship with the billowing mitral leaflet syndrome.

This article has been cited by other articles:

				J. S. Alpert Myocardial Infarction With Angiographically Normal Coronary Arteries Arch Intern Med, February 14, 1994; 154(3): 265 - 269. [Abstract] [PDF]

				A. Hamsten Myocardial infarction at a young age: mechanisms and management Vascular Medicine, March 1, 1991; 2(1): 45 - 60. [PDF]

				J. M. Rippe, J. B. Singh, N. Jarvais, E. Adams, and K. Erkkila Mitral Valve Prolapse and Spasm of Normal Coronary Arteries: Report of Four Cases and Review of the Literature Angiology, May 1, 1984; 35(5): 300 - 307. [Abstract] [PDF]

				S. Kumar, C. Tommaso, S. B. Dianzumba, and J. Gardin Myocardial Infarction and Coronary Ectasia in Idiopathic Mitral Valve Prolapse Syndrome Arch Intern Med, October 1, 1980; 140(10): 1384 - 1386. [Abstract] [PDF]

				T. Imaizumi, P. A. N. Chandraratna, T. F. Whayne Jr, E. Schechter, and S. K. Bhatia Transmural Myocardial Infarction: With the Prolapsing Mitral-Leaflet Syndrome and Normal Coronary Arteries Arch Intern Med, September 1, 1978; 138(9): 1354 - 1355. [Abstract] [PDF]