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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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| Published in: | Annals of noninvasive electrocardiology 2024-11, Vol.29 (6), p.e70019-n/a |
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| container_issue | 6 |
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| container_title | Annals of noninvasive electrocardiology |
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| creator | Amro, Alhareth M. Yasini, Mohammad Sharif, Ghayda' Nassr, Mohammed |
| description | 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. |
| doi_str_mv | 10.1111/anec.70019 |
| format | article |
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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.</description><identifier>ISSN: 1082-720X</identifier><identifier>ISSN: 1542-474X</identifier><identifier>EISSN: 1542-474X</identifier><identifier>DOI: 10.1111/anec.70019</identifier><identifier>PMID: 39394774</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>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</subject><ispartof>Annals of noninvasive electrocardiology, 2024-11, Vol.29 (6), p.e70019-n/a</ispartof><rights>2024 The Author(s). published by Wiley Periodicals LLC.</rights><rights>2024 The Author(s). Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4049-e5d5b348cf27bf1ea29099e44601854acd030c3eedf994d57d29d0b19be5d5da3</cites><orcidid>0009-0007-8655-9890 ; 0009-0007-5694-4851 ; 0009-0004-7453-0319 ; 0009-0009-0344-9253</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3133224775/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3133224775?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,44590,46052,46476,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39394774$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amro, Alhareth M.</creatorcontrib><creatorcontrib>Yasini, Mohammad</creatorcontrib><creatorcontrib>Sharif, Ghayda'</creatorcontrib><creatorcontrib>Nassr, Mohammed</creatorcontrib><title>Unusual Recurrent Multivessel Coronary Artery Spasm: A Case Report and Literature Review</title><title>Annals of noninvasive electrocardiology</title><addtitle>Ann Noninvasive Electrocardiol</addtitle><description>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.</description><subject>Acute coronary syndromes</subject><subject>Angina pectoris</subject><subject>Atherosclerosis</subject><subject>cardiac anatomy</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac catheterization</subject><subject>Cardiac Catheterization - methods</subject><subject>cardiac fibrillation/defibrillation</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Case Report</subject><subject>Chest Pain - diagnosis</subject><subject>Chest Pain - etiology</subject><subject>Coronary Angiography - methods</subject><subject>Coronary artery</subject><subject>Coronary Vasospasm - complications</subject><subject>Coronary Vasospasm - diagnosis</subject><subject>Coronary Vasospasm - diagnostic imaging</subject><subject>Coronary Vasospasm - physiopathology</subject><subject>Coronary vessels</subject><subject>Diagnostic systems</subject><subject>Electrocardiography</subject><subject>Electrocardiography - methods</subject><subject>electrophysiology‐cardiac arrest/sudden death</subject><subject>Emergency medical care</subject><subject>Enzymes</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Intubation</subject><subject>Ischemia</subject><subject>Kinases</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Myocardial infarction</subject><subject>Nitroglycerin</subject><subject>Nitroglycerin - therapeutic use</subject><subject>non‐invasive techniques – signal‐averaged ECG</subject><subject>Pain</subject><subject>pharmacology – pharmacokinetics/dynamics</subject><subject>Recurrence</subject><subject>Spasms</subject><subject>Vasodilator Agents - 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methods</topic><topic>cardiac fibrillation/defibrillation</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Case Report</topic><topic>Chest Pain - diagnosis</topic><topic>Chest Pain - etiology</topic><topic>Coronary Angiography - methods</topic><topic>Coronary artery</topic><topic>Coronary Vasospasm - complications</topic><topic>Coronary Vasospasm - diagnosis</topic><topic>Coronary Vasospasm - diagnostic imaging</topic><topic>Coronary Vasospasm - physiopathology</topic><topic>Coronary vessels</topic><topic>Diagnostic systems</topic><topic>Electrocardiography</topic><topic>Electrocardiography - methods</topic><topic>electrophysiology‐cardiac arrest/sudden death</topic><topic>Emergency medical care</topic><topic>Enzymes</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Intubation</topic><topic>Ischemia</topic><topic>Kinases</topic><topic>Literature reviews</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Myocardial infarction</topic><topic>Nitroglycerin</topic><topic>Nitroglycerin - therapeutic use</topic><topic>non‐invasive techniques – signal‐averaged ECG</topic><topic>Pain</topic><topic>pharmacology – pharmacokinetics/dynamics</topic><topic>Recurrence</topic><topic>Spasms</topic><topic>Vasodilator Agents - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amro, Alhareth M.</creatorcontrib><creatorcontrib>Yasini, Mohammad</creatorcontrib><creatorcontrib>Sharif, Ghayda'</creatorcontrib><creatorcontrib>Nassr, Mohammed</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley-Blackwell Backfiles (Open access)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Biological Science Journals</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>Annals of noninvasive electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amro, Alhareth M.</au><au>Yasini, Mohammad</au><au>Sharif, Ghayda'</au><au>Nassr, Mohammed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unusual Recurrent Multivessel Coronary Artery Spasm: A Case Report and Literature Review</atitle><jtitle>Annals of noninvasive electrocardiology</jtitle><addtitle>Ann Noninvasive Electrocardiol</addtitle><date>2024-11</date><risdate>2024</risdate><volume>29</volume><issue>6</issue><spage>e70019</spage><epage>n/a</epage><pages>e70019-n/a</pages><issn>1082-720X</issn><issn>1542-474X</issn><eissn>1542-474X</eissn><abstract>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.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>39394774</pmid><doi>10.1111/anec.70019</doi><tpages>6</tpages><orcidid>https://orcid.org/0009-0007-8655-9890</orcidid><orcidid>https://orcid.org/0009-0007-5694-4851</orcidid><orcidid>https://orcid.org/0009-0004-7453-0319</orcidid><orcidid>https://orcid.org/0009-0009-0344-9253</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of noninvasive electrocardiology, 2024-11, Vol.29 (6), p.e70019-n/a |
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| source | Open Access: PubMed Central; Wiley Online Library Open Access; Publicly Available Content (ProQuest) |
| 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 |
| title | Unusual Recurrent Multivessel Coronary Artery Spasm: A Case Report and Literature Review |
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