Unusual Recurrent Multivessel Coronary Artery Spasm: A Case Report and Literature Review

ABSTRACT Coronary artery spasms (CAS) can manifest in various forms, from silent ischemia to severe cardiac events like myocardial infarction and sudden death. This case involves a 56‐year‐old male with recurrent ischemic chest pain and varying ECG signs. Cardiac catheterization revealed multiple co...

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Bibliographic Details
Published in:Annals of noninvasive electrocardiology 2024-11, Vol.29 (6), p.e70019-n/a
Main Authors: Amro, Alhareth M., Yasini, Mohammad, Sharif, Ghayda', Nassr, Mohammed
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Angina pectoris
Atherosclerosis
cardiac anatomy
Cardiac arrhythmia
Cardiac catheterization
Cardiac Catheterization - methods
cardiac fibrillation/defibrillation
Cardiology
Cardiovascular disease
Case Report
Chest Pain - diagnosis
Chest Pain - etiology
Coronary Angiography - methods
Coronary artery
Coronary Vasospasm - complications
Coronary Vasospasm - diagnosis
Coronary Vasospasm - diagnostic imaging
Coronary Vasospasm - physiopathology
Coronary vessels
Diagnostic systems
Electrocardiography
Electrocardiography - methods
electrophysiology‐cardiac arrest/sudden death
Emergency medical care
Enzymes
Heart
Heart attacks
Humans
Intubation
Ischemia
Kinases
Literature reviews
Male
Medical imaging
Middle Aged
Myocardial infarction
Nitroglycerin
Nitroglycerin - therapeutic use
non‐invasive techniques – signal‐averaged ECG
Pain
pharmacology – pharmacokinetics/dynamics
Recurrence
Spasms
Vasodilator Agents - therapeutic use
Citations: Items that this one cites
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Description
Summary:ABSTRACT Coronary artery spasms (CAS) can manifest in various forms, from silent ischemia to severe cardiac events like myocardial infarction and sudden death. This case involves a 56‐year‐old male with recurrent ischemic chest pain and varying ECG signs. Cardiac catheterization revealed multiple coronary spasms that resolved spontaneously or with intracoronary nitroglycerin. The report emphasizes the severe presentations of multiple CAS and the importance of thorough diagnostic evaluation to avoid unnecessary interventions, highlighting the diagnostic challenges in managing such cases. This case report highlights the severe presentations and diagnostic challenges associated with simultaneous spasms in multiple coronary arteries, emphasizing the need for comprehensive evaluation and appropriate management to prevent unnecessary interventions and improve patient outcomes.
ISSN:1082-720X
1542-474X
1542-474X
DOI:10.1111/anec.70019