Submitted: 23 Jun 2016
Revision: 31 Aug 2016
Accepted: 07 Sep 2016
ePublished: 25 Sep 2016
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J Cardiovasc Thorac Res. 2016;8(3): 137-139.
doi: 10.15171/jcvtr.2016.28
PMID: 27777700
PMCID: PMC5075363
  Abstract View: 1067
  PDF Download: 714

Case Report

Spontaneous multi-focal coronary artery spasm: a case report

Mohammad Ali Ostovan 1,2, Mahdi Sajedi Khanian 1,2, Sahand Hamidi 1,2, Mostafa Fattahi 1,2, Pooyan Dehghani 1,2 *

1 Cardiology Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
2 Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran


Spontaneous coronary artery vasospasm is one of the important causes of acute chest pain syndromes. The diagnosis of diffuse multifocal spasm can be quite challenging and it could be easily mistaken for diffuse coronary artery disease. The use of intracoronary nitroglycerin can relieve spasm and reveal the real extent of coronary artery disease. Herein we present a case presenting with acute myocardial infarction due to severe coronary artery spasm that had even received fibrinolytic therapy. Multiple narrowing was shown during coronary angiography and the patient was scheduled for percutaneous coronary intervention (PCI). But after intracoronary (IC) injection of nitroglycerin, all of lesions disappeared completely and the diagnosis of coronary spasm was confirmed.
Keywords: Coronary Spasm, Intracoronary Nitroglycerin, Myocardial infarction
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