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(Chest. 1973;63:963-969.)
© 1973 American College of Chest Physicians

Myocardial Infarction in a 14-Year-Old Boy with Normal Coronary Arteriograms

Studies of Blood Oxygen Release Rates

Irwin J. Schatz M.D., F.C.C.P.1; Hiroshi Mizukami Ph.D.1; James Gallagher M.D.1; and Frank S. Greenslit M.D.1

1 Department of Medicine and Biology, Wayne State University, and the Departments of Medicine, Harper Hospital, Detroit; and Oakwood Hospital, Dearborn, Michigan

A 14-year-old boy sustained a transmural myocardial infarction, with subsequent angina. Coronary angiograms were considered normal, and no risk factors were apparent. Studies immediately after an episode of angina revealed markedly slowed blood oxvgen release rates as determined by measuring oxygen dissociation rate constants with a stopped-flow apparatus. These results were significantly different from those found on two separate occasions when the patient was asymptomatic, and from a group of apparently healthy control individuals.






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Copyright © 1973 by the American College of Chest Physicians.