Logo-jcvtr
Submitted: 23 Jun 2016
Revision: 31 Aug 2016
Accepted: 07 Sep 2016
ePublished: 25 Sep 2016
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)

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

Abstract

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
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 1067

Your browser does not support the canvas element.


PDF Download: 714

Your browser does not support the canvas element.