Fatal Multi-Vessel Coronary Vasospasm: A Case Report

Abstract

We report a case of a 59-year-old female who experienced a history of an acute ST myocardial infarction. Percutaneous intervention and isosorbide dinitrate perfusion were successful in reversing the severe vasospasm on the left anterior descending, the first diagonal, and posterior interventricular arteries. The patient received calcium channel blockers and nitrates with a good in-hospital clinical evolution. One month later, the patient presented to the ED with chest pain leading to cardiac arrest despite cardiopulmonary resuscitation. This case highlights the fatal outcome of coronary artery vasospasm.

Unilateral Limb Ischemia in a COVID-19 Patient: A Case Report

“…It is usually caused by a decrease or sudden interruption of limb tissue perfusion, which, if left untreated, leads to tissue necrosis [ 2 ]. Arterial vasospasm is a well-known entity, especially in the coronary arteries and the brain [ 1 , 3 , 4 ]. However, this phenomenon is underappreciated in other vascular systems.…”

“…COVID-19 is mainly linked to respiratory illnesses, including acute respiratory distress syndrome (ARDS). However, the infection may also result in an intense inflammatory and pro-thrombotic state, leading to venous and arterial thromboembolism [ 1 ], arterial vasospasm, multiple organ failure, and death. Because of the disease's complex pathophysiology, clinicians frequently face difficulties in recognizing the disease's complications and, as a result, delay initiating the proper treatment.…”