Cor Vasa 2020, 62(5):462-465 | DOI: 10.33678/cor.2020.014
(Coronary vasospasm as the cause of acute coronary syndrome with ST elevation and the third-degree atrioventricular block - case report)
- a Kardiologické oddělení, Kardiocentrum, Nemocnice AGEL Třinec-Podlesí, a.s., Třinec
- b Interní oddělení, Nemocnice ve Frýdku-Místku, p.o.
Coronary vasospasm may be the cause of the acute coronary syndrome (ACS) in patients without obstructive atherosclerosis of coronary arteries. In majority of cases it is not diagnosed, because it is rarely occurring situation to perform coronary angiography at the time of symptoms. We are introducing the case of a female patient with ACS with ST elevation (STEMI) where the vasospasm of the right coronary artery was established during the acute phase of the disease.
Keywords: Angina pectoris, Coronary vasospasm, Provocation testing,
Received: January 7, 2020; Revised: January 7, 2020; Accepted: February 15, 2020; Published: November 1, 2020 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Pasupathy S, Air T, Dreyer RP, et al. Systematic review of patients presenting with suspected myocardial infarction and nonobstructive coronary arteries. Circulation 2015;131:861-870.
Go to original source...
Go to PubMed...
- Ong P, Athanasiadis A, Hill S, et al. Coronary artery spasm as a frequent cause of acute coronary syndrome: The CASPAR (Coronary Artery Spasm in Patients With Acute Coronary Syndrome) Study. J Am Coll Cardiol 2008;52:523-527.
Go to original source...
Go to PubMed...
- Ong P, Athanasiadis A, Borgulya G, et al. Clinical usefulness, angiographic characteristics, and safety evaluation of intracoronary acetylcholine provocation testing among 921 consecutive white patients with unobstructed coronary arteries. Circulation 2014;129:1723-1730.
Go to original source...
Go to PubMed...
- Aziz A, Hansen HS, Sechtem U, et al. Sex-related differences in vasomotor function in patients with angina and unobstructed coronary arteries. J Am Coll Cardiol 2017;70:2349-2358.
Go to original source...
Go to PubMed...
- Ong P, Athanasiadis A, Borgulya G, et al. High prevalence of a pathological response to acetylcholine testing in patients with stable angina pectoris and unobstructed coronary arteries. The ACOVA Study (Abnormal COronary VAsomotion in patients with stable angina and unobstructed coronary arteries). J Am Coll Cardiol 2012;59:655-662.
Go to original source...
Go to PubMed...
- Shin DI, Baek SH, Her SH, et al. The 24-Month Prognosis of Patients With Positive or Intermediate Results in the Intracoronary Ergonovine Provocation Test. JACC Cardiovasc Interv 2015;8:914-923.
Go to original source...
Go to PubMed...
- Beltrame JF, Crea F, Kaski JC, et al. International standardization of diagnostic criteria for vasospastic angina. Eur Heart J 2017;38:2565-2568.
- Ishii M, Kaikita K, Sato K, et al. Acetylcholine-Provoked Coronary Spasm at Site of Significant Organic Stenosis Predicts Poor Prognosis in Patients With Coronary Vasospastic Angina. J Am Coll Cardiol 2015;66:1105-1115.
Go to original source...
Go to PubMed...
- Takagi Y, Yasuda S, Takahashi J, et al. Clinical implications of provocation tests for coronary artery spasm: safety, arrhythmic complications, and prognostic impact: multicentre registry study of the Japanese Coronary Spasm Association. Eur Heart J 2013;34:258-267.
Go to original source...
Go to PubMed...
- Yasue H, Takizawa A, Nagao M, et al. Long-term prognosis for patients with variant angina and influential factors. Circulation 1988;78:1-9.
Go to original source...
Go to PubMed...
- Montalescot G, Sechtem U, Achenbach S, et al. 2013 ESC guidelines on the management of stable coronary artery disease: The Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J 2013;34:2949-3003.
Go to original source...
Go to PubMed...
- Sueda S, Kohno H, Ochi T, et al. Overview of the pharmacological spasm provocation test: Comparisons between acetylcholine and ergonovine. J Cardiol 2017;69:57-65.
Go to original source...
Go to PubMed...
- Sueda S, Saeki H, Otani T, et al. Major complications during spasm provocation tests with an intracoronary injection of acetylcholine. Am J Cardiol 2000;85:391-394, A10.
Go to original source...
Go to PubMed...
- Yasue H, Mizuno Y, Harada E, et al. Effects of a 3-hydroxy-3- -methylglutaryl coenzyme A reductase inhibitor, fluvastatin, on coronary spasm after withdrawal of calcium-channel blockers. J Am Coll Cardiol 2008;51:1742-1748.
Go to original source...
Go to PubMed...
- Gaspardone A, Tomai F, Versaci F, et al. Coronary artery stent placement in patients with variant angina refractory to medical treatment. Am J Cardiol 1999;84:96-98, A8.
Go to original source...
Go to PubMed...
- Abbate A, Hamza M, Cassano AD, et al. Sympathectomy as a treatment for refractory coronary artery spasm. Int J Cardiol 2012;161:e7-e9.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.