Acute myocardial infarction shortly after negative exercise test and reperfusion by intracoronary thrombolysis

Jpn Circ J. 1989 Nov;53(11):1382-8. doi: 10.1253/jcj.53.1382.


A 67-year-old man developed an acute myocardial infarction shortly after normal exercise testing. His clinical history and findings from emergency coronary arteriography suggested that coronary artery spasm followed by intraluminal thrombosis might have been responsible for the myocardial infarction. Although intracoronary thrombolysis two hours after the onset of chest pain provided continued patency of an occluded vessel, serial myocardial perfusion scintigraphies documented myocardial injury, which was probably induced by reperfusion, rather than myocardial salvage.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Coronary Angiography
  • Coronary Vasospasm / complications
  • Exercise Test / adverse effects*
  • Heart / diagnostic imaging
  • Heart Diseases / complications
  • Humans
  • Infusions, Intra-Arterial
  • Male
  • Myocardial Infarction / diagnostic imaging
  • Myocardial Infarction / drug therapy
  • Myocardial Infarction / etiology*
  • Myocardial Reperfusion Injury / diagnostic imaging
  • Radionuclide Imaging
  • Thrombolytic Therapy* / methods
  • Thrombosis / complications
  • Urokinase-Type Plasminogen Activator / administration & dosage*
  • Urokinase-Type Plasminogen Activator / therapeutic use


  • Urokinase-Type Plasminogen Activator