Spontaneous Left Main and Right Coronary Artery Spasm in a Patient With Vasospastic Angina
| Autor: | Thomas Paul Vacek, Analkumar Parikh |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Epidemiology calcium channel blocker medicine.medical_treatment Ischemia Case Report interventional 030204 cardiovascular system & hematology Chest pain Angina angina 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery lcsh:Pathology medicine Myocardial infarction cardiovascular diseases Safety Risk Reliability and Quality lcsh:R5-920 Past medical history business.industry Thrombolysis medicine.disease coronary spasm nitroglycerin Right coronary artery cardiology Cardiology 030211 gastroenterology & hepatology medicine.symptom lcsh:Medicine (General) business Safety Research TIMI lcsh:RB1-214 |
| Zdroj: | Journal of Investigative Medicine High Impact Case Reports Journal of Investigative Medicine High Impact Case Reports, Vol 5 (2017) |
| ISSN: | 2324-7096 |
| Popis: | Coronary spasm is a well-documented, though rare, condition that can mimic myocardial infarction and is usually found in only a single vessel during an event. We describe the case of a 43-year-old male with past medical history of hypertension, hyperlipidemia, tobacco abuse, and with no known coronary disease. The patient developed chest pain 3 days postadmission for primary diagnosis of psychiatric disorder. The patient had a positive stress study with moderate reversible ischemia in the anterolateral region. A subsequent coronary angiography was performed that revealed significant left main coronary obstruction with TIMI I (thrombolysis in myocardial infarction) flow. This pattern was also present in the proximal right coronary artery. Both stenoses were relieved with intracoronary nitroglycerin, revealing no significant obstructive disease and TIMI III flow. The patient was started on dihydropyridine calcium channel blocker and counseled against smoking without recurrence of angina. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|