Prognostic Significance of the Pattern of Multivessel Spasm in Patients With Variant Angina

Onaka, Haruhiko; Hirota, Yuzo; Shimada, Satoshi; Suzuki, S; Kono, Tatsuji; Suzuki, Jyoji; Sakai, Yasuhiko; Kawamura, Keishiro

doi:10.1253/jcj.63.509

Cited by 16 publications

(5 citation statements)

References 22 publications

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“…In particular, simultaneous multivessel spasm is more frequently associated with serious arrhythmias than multivessel spasm that occurs at different sites on different occasions. 12 A previous study reported that the risk of sudden cardiac death during the first 2 years after hospital discharge increases from 6% to 42% for patients with variant angina with documented ventricular fibrillation or tachycardia, high-degree atrioventricular block, or asystole occurring during spontaneous variant angina attacks. 11 The patient described in this case report had documented complete atrioventricular block during his attack, suggesting the need for careful follow-up in the future.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Multivessel Coronary Spasm Causing Acute Myocardial Infarction

Saito

Itoh

et al. 2007

Angiology

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Spontaneous simultaneous multivessel coronary artery spasm in patients with acute myocardial infarction (AMI) is uncommon. A 79-year-old Japanese man was transferred to this hospital because of severe prolonged chest pain and faintness. Left coronary angiography revealed total occlusion of the left anterior descending and the left circumflex coronary arteries. Moreover, right coronary angiography revealed 99% stenosis of the right coronary artery. After intracoronary administration of nicorandil, left coronary artery and right coronary artery angiography revealed no organic stenosis or thrombus. This is the first report in which simultaneous 3-vessel spasm was documented by emergency angiography in AMI.

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Section: Discussionmentioning

confidence: 99%

Simultaneous Multivessel Coronary Spasm Causing Acute Myocardial Infarction

Saito

Itoh

et al. 2007

Angiology

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“…It was reported that the incidence of multivessel spasm was 43% to 73% in patients with vasospastic angina. 9,10 Onaka et al 7 reported the relationship between the patterns of multivessel spasm and subsequent cardiac events. Multivessel spasm in 13 patients was classified into (1) coronary spasm at different sites on different occasions (migratory spasm), (2) coronary spasm sequentially affecting 2 different sites (sequential spasm), and (3) simultaneous spasm at more than 1 site (simultaneous spasm).…”

Section: Discussionmentioning

confidence: 99%

Multivessel Coronary Artery Spasm Refractory to Intensive Medical Treatment

et al. 2007

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“…Coronary artery vasospasm is the most common cause of non-obstructive lesions in acute coronary syndrome, the incidence of which is approximately 40-50% [2]. Different ECG changes can appear during coronary artery spasm.…”

Section: Discussionmentioning

confidence: 99%

Intracoronary Nitroglycerine Uncovering Coronary Spasm in Acute Coronary Syndrome; Should it be Part of the Routine?

Zgheib¹,

Rebeiz²

2019

JCR

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Background: Coronary artery spasm, an intense vasoconstriction of coronary arteries that causes total or sub-total vessel occlusion presenting as acute coronary syndrome (ACS), "which can be an ST segment elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI), or unstable angina (UA). Case Report: We are presenting two different patterns of coronary artery spasm: one focal and one diffuse. The first presenting as STEMI and the second as NSTEMI to raise the possibility of routine intra-coronary injection of nitroglycerine to uncovering coronary spasm in acute coronary syndrome (ASC) and preventing inappropriate stenting, influencing the clinical outcomes associated with inappropriate stenting in the setting of coronary artery spasm. Conclusion: Although the use of intra-coronary nitroglycerin is very frequent during percutaneous intervention (PCI) in vessels sizing, it should be routinely used in acute coronary syndrome (ACS) patient prior to stenting and thus preventing inappropriate stenting, influencing the clinical outcomes associated with inappropriate stenting in the setting of coronary artery spasm.

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Prognostic Significance of the Pattern of Multivessel Spasm in Patients With Variant Angina

Cited by 16 publications

References 22 publications

Simultaneous Multivessel Coronary Spasm Causing Acute Myocardial Infarction

Simultaneous Multivessel Coronary Spasm Causing Acute Myocardial Infarction

Multivessel Coronary Artery Spasm Refractory to Intensive Medical Treatment

Intracoronary Nitroglycerine Uncovering Coronary Spasm in Acute Coronary Syndrome; Should it be Part of the Routine?

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