Spontaneous Multivessel Coronary Spasm During Diagnostic Coronary Angiography.
| Autor: | Damera RR; College of Medicine, University of Central Florida; Orlando, Florida.; Department of Internal Medicine, HCA Healthcare Greater Orlando; Orlando, Florida., Ijlal Khan M; College of Medicine, University of Central Florida; Orlando, Florida.; Department of Internal Medicine, HCA Healthcare Greater Orlando; Orlando, Florida., Oliynyk V; College of Medicine, University of Central Florida; Orlando, Florida.; Department of Internal Medicine, HCA Healthcare Greater Orlando; Orlando, Florida., Javaid A; Department of Cardiovascular Medicine, Osceola Regional Medical Center, Kissimmee, Florida. |
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| Jazyk: | angličtina |
| Zdroj: | Texas Heart Institute journal [Tex Heart Inst J] 2022 Mar 01; Vol. 49 (2). |
| DOI: | 10.14503/THIJ-20-7357 |
| Abstrakt: | Acute vasospastic angina, formerly known as Prinzmetal angina, is characterized by transient electrocardiographic changes that are not related to exertion. Its atypical presentation makes it difficult to establish the diagnosis, so it is probably underrecognized and therefore mismanaged. We treated a 49-year-old woman who presented with a 2-day history of chest pain associated with palpitations. Abnormal radionuclide stress test results prompted diagnostic coronary angiography, during which the patient reported chest pain and became hemodynamically unstable. Active coronary vasospasm at multiple sites was treated with intracoronary nitroglycerin and nicardipine, leading to immediate recovery. Our case highlights the importance of accurate, timely diagnosis of vasospastic angina, and of early recognition and management of spontaneous coronary spasm during angiography. (© 2022 by the Texas Heart® Institute, Houston.) |
| Databáze: | MEDLINE |
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