Patient with acute myocardial infarction secondary to coronary disease by ectasy and slow flows Paciente con infarto agudo de miocardio secundario a enfermedad coronaria por ectasia y flujos lentos

Abstract

Slow coronary flow phenomenon was initially reported in 1972. It is a coronary microvascular disorder characterized by a delayed opacification in absence of coronary obstructive epicardial disease(1); now it is featured a case report of a 49-year-old patient with an acute miocardyal infarct, who, after a coronary angiography, showed coronary ectasy by slow flow phenomenon; anticoagulation and antiplatelet drugs were administered orally in therapeutic range; 9 days after discharge, the patient is readmitted showing cardiogenic syncope with typical chest pain. An EKG and cardiac enzymes were performed with a positive report for a new acute myocardial infarct.