Case report: Polyarteritis nodosa as a substrate for a massive myocardial infarction

This report describes a rare case of a global myocardial infarction caused by severe vasospasm of the coronary arteries secondary to the administration of pyridostigmine in a patient with polyarteritis nodosa (PAN). Details about the clinical presentation, the typical electrocardiographic pattern of...

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Bibliographic Details
Published in:Frontiers in cardiovascular medicine 2023-01, Vol.9, p.1070378
Main Authors: Solis-Jimenez, Fabio, Gonzalez-Ortiz, Araceli, Larios-Lara, Juan H, Castro-Garcia, Carlos A, Arteaga-Chan, Eduardo I, Velazquez-Sanchez, Fernando, Vargas-Estrada, Jorge L, Ramirez-Marcano, Erika Y, Garaygordobil, Diego Araiza, Briseño De La Cruz, Jose L, Gopar-Nieto, Rodrigo, Martinez, Daniel Sierra-Lara, Arias-Mendoza, Alexandra
Format: Article
Language:English
Subjects:
Cardiovascular Medicine
myocardial infarction
polyarteritis nodosa
STEMI
vasculitis
vasospasm (VS)
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Summary:This report describes a rare case of a global myocardial infarction caused by severe vasospasm of the coronary arteries secondary to the administration of pyridostigmine in a patient with polyarteritis nodosa (PAN). Details about the clinical presentation, the typical electrocardiographic pattern of multivessel disease, the differential diagnoses suspected in the multi-imaging approach, and the treatment of cardiogenic shock are described. The definitive diagnosis of infarction and the histopathological findings compatible with polyarteritis nodosa were made by autopsy.
ISSN:2297-055X
2297-055X
DOI:10.3389/fcvm.2022.1070378