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The Application of Coronary Contrast Emptying Time in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report

ACTA MEDICA INDONESIANA · Vol. 54 No. 4 (2023)

ISSN
2338-2732, 0125-9326
Terbit
2023-01-10
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

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.

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  • Institut Agama Islam Negeri Bone
  • University of Indonesia
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Rekan penulisOrganisasiArtikel bersama
Kuntjoro HarimurtiAfiliasi tidak diketahui3
Idrus AlwiAfiliasi tidak diketahui3
Aida LydiaAfiliasi tidak diketahui2
Birry KarimAfiliasi tidak diketahui2
Muhammad YaminInstitut Agama Islam Negeri Bone1
Suzanna ImmanuelAfiliasi tidak diketahui1
Eka GinanjarAfiliasi tidak diketahui1
Rivaldo RivaldoAfiliasi tidak diketahui1
Nafrialdi NafrialdiAfiliasi tidak diketahui1
Mohammad YaminAfiliasi tidak diketahui1
Merci Monica PasaribuAfiliasi tidak diketahui1
Em YunirUniversity of Indonesia1
Arif MansjoerAfiliasi tidak diketahui1
Suhendro SuwartoAfiliasi tidak diketahui1
Dita AditianingsihAfiliasi tidak diketahui1
Alida Roswita HarahapAfiliasi tidak diketahui1
Dudy Arman HanafyAfiliasi tidak diketahui1
Zulkhair AliAfiliasi tidak diketahui1
Pringgodigdo NugrohoAfiliasi tidak diketahui1
Haerani Abdul RasyidAfiliasi tidak diketahui1
PranawaAfiliasi tidak diketahui1
Nyoman Paramita AyuAfiliasi tidak diketahui1
Siti Elkana NauliAfiliasi tidak diketahui1
Hary Sakti MuliawanAfiliasi tidak diketahui1
Edrian ZulkarnainAfiliasi tidak diketahui1

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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc)
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	<dc:title xml:lang="en-US">The Application of Coronary Contrast Emptying Time  in Diagnosing Coronary Slow Flow Phenomenon: A Serial Case Report</dc:title>
	<dc:creator>Tanta, Yudhie</dc:creator>
	<dc:creator>Ghanie, Ali</dc:creator>
	<dc:creator>Indrajaya, Taufik</dc:creator>
	<dc:creator>Sukandi, Erwin</dc:creator>
	<dc:creator>Saleh, Imran</dc:creator>
	<dc:creator>Maritska, Ziske</dc:creator>
	<dc:subject xml:lang="en-US">Coronary Slow Flow Phenomenon</dc:subject>
	<dc:subject xml:lang="en-US">Microvascular disorder</dc:subject>
	<dc:subject xml:lang="en-US">myocardial ischemia</dc:subject>
	<dc:subject xml:lang="en-US">myocardial infarction</dc:subject>
	<dc:description xml:lang="en-US">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.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2023-01-10</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/1865</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 54 No. 4 (2022): Acta Medica Indonesiana; 621</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/1865/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2023 Yudhie Tanta</dc:rights>
</oai_dc:dc>