An unexpected acute coronary syndrome

Acute coronary syndromes due to coronary artery vasospasm occur rarely and are difficult to diagnose in the acute setting. We present a patient with hypocalcaemia-induced coronary artery vasospasm, which resulted in an acute ST-elevation myocardial infarction. This was reversible upon administering...

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Bibliographic Details
Published inThe Southern African journal of critical care Vol. 35; no. 1; pp. 26 - 27
Main Authors van Hougenhouck-Tulleken, W.G., Ueckermann, V.
Format Journal Article
LanguageEnglish
Published South Africa Health and Medical Publishing Group (HMPG) 01.07.2019
Health & Medical Publishing Group
South African Medical Association
Subjects
Acute coronary syndrome
Amylases
Antiretroviral agents
Bridging myocardium
Cardiac patients
Case Report
CAT scans
Chronic kidney disease
Chronic kidney failure
Coronary heart disease
Cytomegalovirus infections
Diagnostic imaging
Health
Heart attack
Herbal medicine
Highly active antiretroviral therapy
HIV
HIV patients
Hypocalcaemia
Infection
Kidney diseases
Pancreatitis
Public health
Tomography
chronic kidney disease
pancreatitis
hypocalcaemia
Acute coronary syndrome
bridging myocardium
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Summary:Acute coronary syndromes due to coronary artery vasospasm occur rarely and are difficult to diagnose in the acute setting. We present a patient with hypocalcaemia-induced coronary artery vasospasm, which resulted in an acute ST-elevation myocardial infarction. This was reversible upon administering intravenous calcium, with no long-term cardiac consequences for our patient.
Bibliography:Author Contributions: WvH-T was responsible for manuscript preparation, while VU responsible for manuscript revision.
Conflicts of interest: None.
Funding: None.
Declaration: None.
ISSN:1562-8264
2078-676X
DOI:10.7196/SAJCC.2019.v35i1.386