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Abstract
Endoscopic methods such as endoscopic mucosal resection or endoscopic submucosal dissection (ESD) have been increasingly used for the treatment of gastric adenoma and early gastric cancer. Especially, ESD is very useful since it allows en bloc resection of large lesions. Bleeding and perforation are well known as common complications after ESD. However, there is no report of acute myocardial infarction associated with ESD. We report a case of acute myocardial infarction which was detected immediately after ESD.
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 | Fig. 1.Endoscopic findings. (A) About 3×3 cm sized elevated lesion with central depression and vague margin was noted in the posterior side of gastric angle. (B) Iatrogenic ulcer after dissection was noted. |
 | Fig. 2.Chest AP views. (A) Patchy consolidation was noted in the diffuse left lung field after procedure. (B) On the 2 nd admission day, the improvement of patchy consolidation was noted. |
 | Fig. 3.ECG findings. (A) Abnormal Q waves and elevated ST segments were noted in aV L lead, and ST segments depressions in II, III, aV F, and V4-6 leads. (B) On the 4 th admission day, in spite of persistent abnormal Q waves in aV L lead, normalized ST segments were observed in all leads. |
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