Acute STEMI Due to Severe Triple-Vessel Spasm After IV Adenosine Injection During Cryo-Balloon Isolation

Adenosine IV is commonly used after pulmonary vein isolation to check for dormant electrical conduction. Herein, we present the case of a 60-year-old patient who exhibited marked hypotension, conduction abnormalities, and ST-segment elevation after routine adenosine injection. Coronary angiography r...

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Bibliographic Details
Published in:JACC. Case reports 2022-05, Vol.4 (10), p.617-620
Main Authors: Ahmed, Jamal J., Walborn, Deanna L., Anghel, Traian M., Chohan, Moeed R.
Format: Article
Language:English
Subjects:
adenosine
atrial fibrillation
Case Report
pulmonary vein isolation
ST-segment elevation myocardial infarction
vasospasm
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Summary:Adenosine IV is commonly used after pulmonary vein isolation to check for dormant electrical conduction. Herein, we present the case of a 60-year-old patient who exhibited marked hypotension, conduction abnormalities, and ST-segment elevation after routine adenosine injection. Coronary angiography revealed diffuse coronary spasm that was successfully treated with intracoronary nitroglycerin. (Level of Difficulty: Intermediate.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2022.03.005