Unleashing an Underlying Serious Cardiac Arrhythmia: A Case of Coronary Vasospasm With Atypical Presentation.
| Autor: | Baig MA; Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA., Elmogy A; Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA., Hegazy Y; Infectious Disease, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA., Ghallab M; Internal Medicine, Icahn School of Medicine at Mount Sinai, NYC Health and Hospitals/Queens, New York, USA., Ahmed MS; Cardiology, Westchester Medical Center, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Feb 26; Vol. 16 (2), pp. e54971. Date of Electronic Publication: 2024 Feb 26 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.54971 |
| Abstrakt: | This case report highlights the atypical presentation of coronary artery vasospasm in a 59-year-old patient presenting with syncope due to ventricular arrhythmia. Despite initially elevated troponin levels and non-significant lesions observed during left heart catheterization, the patient experienced recurrent chest pain and dizziness, prompting further evaluation. Ultimately, coronary vasospasm was identified as the likely differential diagnosis, supported by various diagnostic modalities including electrocardiogram, Zio patch monitoring, transthoracic echocardiogram, cardiac MRI, and CT angiography. Management involved the initiation of calcium channel blocker therapy, leading to a non-eventful follow-up in the cardiology clinic. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Baig et al.) |
| Databáze: | MEDLINE |
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