Coronary embolism

Garvin, Curtis F.; Work, John L.

doi:10.1016/s0002-8703(39)90853-7

Cited by 14 publications

(1 citation statement)

References 2 publications

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“…Following Virchow's (1856) original post-mortem description, the view persisted for almost a century that coronary embolism was a rare, almost invariably fatal event (Garvin & Work 1939, Schrader et al 1956), usually associated with infective endocarditis or intracardiac mural thrombi (Wenger & Bauer 1958). After the initial cases reported during life (Ivanov 1941, Mussafia 1948, evidence accumulated that non-fatal coronary embolism may be underdiagnosed rather than rare, and in a recent study (Prizel et al 1978) 13% of a consecutive autopsy series of patients with myocardial infarction were shown to have suffered embolic infarcts.…”

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confidence: 99%

Diagnosis of Coronary Embolism: A Review¹

Charles

Epstein

1983

J R Soc Med

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Coronary embolism is an uncommon but distinct clinical entity. It can be diagnosed clinically, and should be suspected when acute myocardial infarction occurs in association with an underlying condition which predisposes to embolism. The most common are valvular heart disease, a prosthetic heart valve, infective endocarditis, cardiomyopathy with mural thrombus and arrhythmia. The diagnosis may be obscured by atypical symptoms and transient ECG changes. The diagnosis is supported by the demonstration of normal coronary arteries by selective coronary arteriography. Treatment with long-term anticoagulants may prevent further emboli. Additional antiplatelet drugs are also necessary in patients with prosthetic heart valves.

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confidence: 99%