The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report
The Coronary Slow Flow Phenomenon doesn’t achieve as much attention as its counterpart Coronary Arterial Disease because it is considered a rather benign entity. But now it is proven that coronary slow flow phenomenon can also manifest as an acute coronary syndrome, myocardial ischemia, malignant ar...
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| Language: | English |
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Interna Publishing
2023-01-01
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| Series: | Acta Medica Indonesiana |
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| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/1865 |
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| author | Yudhie Tanta Ali Ghanie Taufik Indrajaya Erwin Sukandi Imran Saleh Ziske Maritska |
| author_facet | Yudhie Tanta Ali Ghanie Taufik Indrajaya Erwin Sukandi Imran Saleh Ziske Maritska |
| author_sort | Yudhie Tanta |
| collection | DOAJ |
| description | The Coronary Slow Flow Phenomenon doesn’t achieve as much attention as its counterpart Coronary Arterial Disease because it is considered a rather benign entity. But now it is proven that coronary slow flow phenomenon can also manifest as an acute coronary syndrome, myocardial ischemia, malignant arrhythmia, and even sudden cardiac death.
This entity is usually diagnosed from coronary angiography study when a delayed coronary contrast filling time is found without the presence of significant epicardial narrowing of the related arteries. But, in our center’s years of experience, we frequently found cases in which myocardial ischemia or infarction was suggested or proven clinically, on the other hand, angiography study showed no significant epicardial coronary artery narrowing neither delayed coronary contrast filling time. Furthermore, we observed that this group of patients exhibited a rather prolonged coronary contrast emptying time instead.
In this serial case report, we presented some of our cases where microvascular disorders were suspected. We demonstrated that not all coronary contrast filling times in ischemic or infarction-related arteries were prolonged, on the other hand, prolongation of coronary contrast emptying time showed a more consistent result. |
| format | Article |
| id | doaj-art-1d0b1dfd1c0d4bac904fca060ef0c429 |
| institution | DOAJ |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-1d0b1dfd1c0d4bac904fca060ef0c4292025-08-20T03:17:58ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322023-01-01544The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case ReportYudhie Tanta0Ali Ghanie1Taufik Indrajaya2Erwin Sukandi3Imran Saleh4Ziske Maritska5Division of Cardiovascular, Department of Internal Medicine, Faculty of Medicine Universitas Sriwijaya - Dr. Mohammad Hoesin Hospital, Palembang, Indonesia.Division of Cardiovascular, Department of Internal Medicine, Faculty of Medicine Universitas Sriwijaya - Dr. Mohammad Hoesin Hospital, Palembang, Indonesia.Division of Cardiovascular, Department of Internal Medicine, Faculty of Medicine Universitas Sriwijaya - Dr. Mohammad Hoesin Hospital, Palembang, Indonesia.Division of Cardiovascular, Department of Internal Medicine, Faculty of Medicine Universitas Sriwijaya - Dr. Mohammad Hoesin Hospital, Palembang, Indonesia.Division of Cardiovascular, Department of Internal Medicine, Faculty of Medicine Universitas Sriwijaya - Dr. Mohammad Hoesin Hospital, Palembang, Indonesia.Department of Biology Medicine, Faculty of Medicine Universitas Sriwijaya, Palembang, Indonesia.The Coronary Slow Flow Phenomenon doesn’t achieve as much attention as its counterpart Coronary Arterial Disease because it is considered a rather benign entity. But now it is proven that coronary slow flow phenomenon can also manifest as an acute coronary syndrome, myocardial ischemia, malignant arrhythmia, and even sudden cardiac death. This entity is usually diagnosed from coronary angiography study when a delayed coronary contrast filling time is found without the presence of significant epicardial narrowing of the related arteries. But, in our center’s years of experience, we frequently found cases in which myocardial ischemia or infarction was suggested or proven clinically, on the other hand, angiography study showed no significant epicardial coronary artery narrowing neither delayed coronary contrast filling time. Furthermore, we observed that this group of patients exhibited a rather prolonged coronary contrast emptying time instead. In this serial case report, we presented some of our cases where microvascular disorders were suspected. We demonstrated that not all coronary contrast filling times in ischemic or infarction-related arteries were prolonged, on the other hand, prolongation of coronary contrast emptying time showed a more consistent result.http://www.actamedindones.org/index.php/ijim/article/view/1865Coronary Slow Flow PhenomenonMicrovascular disordermyocardial ischemiamyocardial infarction |
| spellingShingle | Yudhie Tanta Ali Ghanie Taufik Indrajaya Erwin Sukandi Imran Saleh Ziske Maritska The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report Acta Medica Indonesiana Coronary Slow Flow Phenomenon Microvascular disorder myocardial ischemia myocardial infarction |
| title | The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report |
| title_full | The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report |
| title_fullStr | The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report |
| title_full_unstemmed | The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report |
| title_short | The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report |
| title_sort | application of coronary contrast emptying time in diagnosing coronary slow flow phenomenon a serial case report |
| topic | Coronary Slow Flow Phenomenon Microvascular disorder myocardial ischemia myocardial infarction |
| url | http://www.actamedindones.org/index.php/ijim/article/view/1865 |
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