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Myocardial Infarction Without Atherosclerosis
COL Melvin D. Cheitlin, MC;
LTC Hugh A. McAllister, MC;
COL Carlos M. de Castro, MC
JAMA. 1975;231(9):951-959.
Abstract
By far the most frequent pathologic condition preceding myocardial infarction is coronary atherosclerosis. Because the great majority of patients who are first seen with acute myocardial infarction have atherosclerotic coronary artery disease, there is usually little thought given to other causes, except in children where congenital coronary anomalies are considered. However, there are multiple other conditions, albeit far rarer than atherosclerosis, that can result in clinical acute myocardial infarction, and a classification of these other conditions, an anatomic-pathophysiologic one, was developed from illustrative material from the files of the Armed Forces Institute of Pathology. This classification is an inclusive listing of all conditions, however unusual, that can result in acute myocardial infarction.
(JAMA 231:951-959, 1975)
Author Affiliations
USA; USA; USA
From the Cardiology Service, Walter Reed Army Medical Center, and the Cardiovascular Branch, Armed Forces Institute of Pathology, Washington, DC. Dr. Cheitlin is now with the Cardiology Service, San Francisco General Hospital, San Francisco.
Footnotes
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.
Reprint requests to Cardiopulmonary Unit, San Francisco General Hospital, San Francisco, CA 94110 (Dr. Cheitlin).
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