Acute myocardial infarction due to simultaneous spasm of 3 coronary arteries that worsened over time

Shimizu, Takuya; Umetani, Ken; Murata, Yu; Harama, Tomoko; Yano, Toshiaki; Makino, Aritaka; Sano, Keita; Nakamura, Masahiko

doi:10.1016/j.ajem.2017.12.028

Cited by 3 publications

(2 citation statements)

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“…Given that focal CAS is caused by local hyperreactivity to a generalized constrictor stimulus in mild atherosclerosis, the researchers thought that the pathophysiology of diffuse CAS is limited to atherosclerotic lesions (Kitano et al, 2018). Occasionally, diffuse CAS can cause serious complications, such as cardiogenic shock, malignant arrhythmia (i.e., ventricular arrhythmias), and even death (Shimizu et al, 2018;Zhang et al, 2016). Nitroglycerin should be taken sublingually during each attack to reduce the duration of symptoms and ischemia.…”

Section: Discussionmentioning

confidence: 99%

Widespread ST‐segment elevation due to diffuse coronary artery spasm: A case report

Bai

Chen

Peng

2021

Noninvasive Electrocardiol

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Coronary artery spasm (CAS) is considered an important mechanism of acute coronary syndrome but not very common in the clinical setting. We report a case of a 42‐year‐old woman with chest pain lasting for 4 h due to diffuse CAS, which led to widespread ST‐segment elevation in multiple leads of the electrocardiogram and elevated cardiac troponin T. Emergency coronary angiography at admission showed significantly different morphological results from the second angiography during hospitalization, indicating the patient's discomfort was due to CAS rather than stenosis. Our case illustrates that diffuse CAS can cause widespread ST‐segment elevation and severe ACS.

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Section: Discussionmentioning

confidence: 99%