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Case Reports
. 1977 Oct;94(4):486-90.
doi: 10.1016/s0002-8703(77)80044-6.

Myocardial infarction association with the Riley-Day syndrome

R Reshef, D Aderka, H Suprun, G Manelis, J Manelis
Case Reports

Myocardial infarction association with the Riley-Day syndrome

R Reshef et al. Am Heart J. 1977 Oct.

Abstract

The "sudden death" of a 23-year-old Ashkenazy Jew, suffering from "familial dysautonomia" was probably caused by an arrhythmia accompanying a myocardial infarction. Such a report is unique. Diffuse coronary atherosclerosis and direct myocardial "catecholamine cardiomyopathy" seem responsible for the myocardial damage. However, diversion of the endocardial blood flow toward dpicardium and a "coronary steal" phenomenon, both the result of a sudden catecholamine discharge, could aggravate the ischemic injury.

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