Asymptomatic Coronary Spasm Due to Polytraumatism
نویسندگان
چکیده
DOI: 10.5935/abc.20170093 Introduction Variant angina is a form of angina pectoris caused by vasospasm of an epicardic coronary artery that results in myocardial ischemia that might be manifested by transient ST segment elevation on the electrocardiogram.1 Although it usually presents with chest pain, asymptomatic episodes are not rare.2,3 We report a case of an incidental diagnosis of asymptomatic coronary vasospam in a patient with polytrauma.
منابع مشابه
Variant angina and coronary artery spasm: the clinical spectrum, pathophysiology, and management.
Variant angina is a form of angina pectoris that shows transient ST-segment elevation on electrocardiogram during an attack of chest pain. Ischemic episodes of variant angina show circadian variation and often occur at rest from midnight to early morning. Ischemic episodes also occur during mild exercise in the early morning. However, they are not usually induced by strenuous exercise in the af...
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The coronary artery diseases (CAD) that can lead to the occurrence of a syncopal attack include acute coronary syndrome, vasospastic angina, effort angina, and prior myocardial infarction. The possible mechanisms considered to lead to syncope in patients with CAD are pump failure, tachyarrhythmia, bradycardia, and vagal stimulation. Coronary artery spasm, in particular, is occasionally observed...
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