Global coronary arteries spasm in a young patient
نویسندگان
چکیده
BACKGROUND Coronary artery spasm is a transient narrowing of coronary arteries that slows or stops blood flow through the artery. CASE REPORT We present a 42-year-smoker man without any medical problem who developed syncope. Coronary angiography revealed diffuse significant narrowing of proximal left anterior descending artery (LAD), 90% osteal stenosis of large obtuse marginal (OM), 90% diffuse narrowing of proximal right coronary artery (RCA), which was relieved by intracoronary administration of nitrate. He was discharged on calcium channel blockers and nitrates but one month later developed syncope again and died. CONCLUSION Multivessel coronary artery spasm should be considered in young smoker patients without any other coronary risk factors who present with syncope.
منابع مشابه
Cardiogenic Shock From Global Myocardial Ischemia Induced by Simultaneous Multivessel Coronary Spasm
Coronary artery spasm is an uncommon, but well recognized, etiology for acute myocardial infarction. However, cardiogenic shock with myocardial infarction resulting from simultaneous multiple coronary artery spasm has been rarely reported, and not in Korea. Recently, we experienced such a case in a 50-year-old Korean man without previous diagnosis of variant angina. The patient, hospitalized fo...
متن کاملCoronary Artery Spasm During Dobutamine Stress Echocardiography: A Case Report
Dobutamine stress echocardiography (DSE) has been widely used as a diagnostic and prognostic modality in the management of stress. DSE is associated with limited complications and adverse effects on the health of patients. In this case report, we described a 42-year-old female patient with dobutamine-induced coronary artery spasm with history of exertional dyspnea, which had deteriorated recent...
متن کاملMultivessel coronary spasm in patients with variant angina: a study with intracoronary injection of acetylcholine.
Multivessel coronary spasm has been described but its incidence in patients with variant angina still remains unclear. Thirty-three patients with variant angina were studied during coronary angiographic examination with selective intracoronary injection of acetylcholine (ACh). In all but three patients, the location of ischemia during attack was determined by the electrocardiographic findings, ...
متن کاملCoronary spasm and thrombosis associated with myocardial infarction in a patient with nearly normal coronary arteries.
A 37-year-old man presented with an evolving inferior myocardial infarction. Coronary angiography performed within 3 hours after the onset of the pain showed spasm of the right coronary artery and the presence of intracoronary thrombi. After resolution of spasm and the disappearance of thrombi, angiography revealed nearly normal coronary arteries. An ergonovine test was positive when the patien...
متن کاملRecurrent myocardial infarction in a young man due to coronary arterial spasm demonstrated at autopsy.
A case is presented, believed to be the first reported, describing recurrent myocardial infarction in an athletic 25-year-old man due to coronary arterial spasm, which was demonstrated at autopsy. A previous angiogram performed during life, after the first myocardial infarction, showed normal coronary arteries. The findings in this case are discussed with a review of the current knowledge perta...
متن کامل