Multifocal Severe Coronary Artery Vasospasm Mistaken for Diffuse Atherosclerosis: A Case Report

Spontaneous severe multivessel coronary artery vasospasm is a rare but important cause of morbidity. One-third of patients have normal coronary vasculature, and these pose a significant therapeutic dilemma as lack of clinical suspicion might potentially lead to unnecessary revascularization therapie...

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Bibliographic Details
Published inCase Reports in Medicine Vol. 2010; no. 2010; pp. 110 - 113-026
Main Authors Ilsley, Charles, Kumar, Sanjay, Nazir, Sheraz, Nazir, Sarfraz Ahmed
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Limiteds 01.01.2010
Hindawi Puplishing Corporation
Hindawi Publishing Corporation
Wiley
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Case Report
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Summary:Spontaneous severe multivessel coronary artery vasospasm is a rare but important cause of morbidity. One-third of patients have normal coronary vasculature, and these pose a significant therapeutic dilemma as lack of clinical suspicion might potentially lead to unnecessary revascularization therapies. A patient with resting chest pain and ischaemic electrocardiography demonstrated severe coronary obstruction at catheter angiography. Preangioplasty further information highlighted spasm as the likely cause and the angiographic abnormalities resolved post intracoronary nitrate. This paper emphasises thorough history-taking and judicious use of nitrates during diagnostic coronary angiography in such patients. This may negate the need for more complex cardiac interventions.
Bibliography:Academic Editor: Hisao Ogawa
ISSN:1687-9627
1687-9635
DOI:10.1155/2010/202156