Vasopressor-Induced Generalized Coronary Vasospasm Presenting as Inferior ST-Segment Elevation in Post-Cardiopulmonary Resuscitation

Autor: Paramdeep Baweja, Mohammed Qintar, Anas Noman, Dushyant Ramakrishnan, Islam Abdelkarim, Ahmed Elkaryoni
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_specialty
endocrine system
medicine.medical_treatment
CC
cardiac catheterization
cardiac arrest
vasopressor
Return of spontaneous circulation
Mini-Focus Issue: Interventional Complications and Their Management
LVEF - Left ventricular ejection fraction
Internal medicine
LVEF
left ventricular ejection fraction
coronary vasospasm
Medicine
return of spontaneous circulation
Diseases of the circulatory (Cardiovascular) system
Inferior ST segment elevation
Cardiopulmonary resuscitation
ROSC
return of spontaneous circulation
MI - Myocardial infarction
business.industry
medicine.disease
ST-segment elevation myocardial infarction
Coronary vasospasm
CA
cardiac arrest
RC666-701
Cardiology
MI
myocardial infarction
ECG
electrocardiogram
Case Report: Clinical Case
Cardiology and Cardiovascular Medicine
business
hormones
hormone substitutes
and hormone antagonists
Zdroj: JACC: Case Reports, Vol 1, Iss 2, Pp 94-98 (2019)
JACC Case Reports
ISSN: 2666-0849
Popis: This case describes a 47-year-old man with a history of malignant hypertension and end-stage renal disease who had an in-hospital cardiac arrest…
ST-segment elevation in post-return of spontaneous circulation after cardiac arrest is a major concern for underlying acute coronary syndrome. This case report presents a rare case of vasopressor-induced coronary vasospasm as an underlying cause for this ST-segment elevation with complete reversal of EKG changes after reducing the vasopressor dose. (Level of Difficulty: Beginner.)
Graphical abstract
Databáze: OpenAIRE
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