Complete heart block and acute inferior myocardial infarction due to generalized vasospasm
Year 2018,
Volume: 5 Issue: 1, 103 - 105, 31.01.2018
Yahya Kemal İcen
,
Mevlut Koc
Abstract
Sixtyone years old
female patient had applied to emergency department with chest pain. Her ECG
taken was compliant with acute inferior myocardial infarction and complete
heart block. In her coronary angiography (CAG), there was generalized vasospasm
from osteal in left anterior descending coronary artery (LAD) and circumflex
artery (CX). 10 mcg/kg/mn nitrate was infused in the coronary and vasospasm is
disappeared. After CAG, her ECG was normal and she discharged with medical
treatment recommendations
References
- 1. Hirofumi Yasue, Hitoshi Nakagawa, Teruhiko Itoh, Eisaku Harada, Yuji Mizuno. Coronary artery spasm—–Clinical features, diagnosis, pathogenesis, and treatment. Journal of Cardiology 2008;51: 2–17.
- 2. JCS Joint Working Group. Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013). Circ J. 2014;78:2779-801.
- 3. Kusama Y, Kodani E, Nakagomi A, et al. Variant angina and coronary artery spasm: a the clinical spectrum, pathophysiology, and management. J Nippon Med Sch 2011;78:4–12
- 4. Ledakowicz-Polak A, Ptaszynski P, Polak L, et al. Prinzmetal’s variant angina associated with severe heart rhythm disturbances and syncope: a therapeutic dilemma. Cardiol J. 2009;16:269-72.
- 5. Filipa Ferreira, Lorette Cardona, Bruno Valente, João Abreu, Eduardo Antunes, Lurdes Ferreira, José Alberto Oliveira, Rui Ferreira. High-degree atrioventricular block induced by Prinzmetal angına. Rev Port Cardiol. 2012;31:233-235
- 6. Viji S. Thomson, Osama Tariq, and Hafidh Al Hadhi. Malignant Multivessel Coronary Spasm Complicated by Myocardial Infarction, Transient Complete Heart Block, Ventricular Fibrillation, Cardiogenic Shock and Ischemic Stroke. Oman Medical Journal 2014; 4:296-298
- 7. Seniuk W, Mularek-Kubzdela T, Grygier M, Grajek S, Cieśliński A. Cardiac arrest related to coronary spasm in patients with variant angina: a three-case study. J Intern Med. 2002;252:368-76.
- 8. Siliste RN, Savulescu-Fiedler I, Siliste C. Bradyarrhythmic syncope in a patient with Prinzmetal's variant angina: a case report. American Journal of Emergency Medicine 2013; 996.e1–996.e4
Year 2018,
Volume: 5 Issue: 1, 103 - 105, 31.01.2018
Yahya Kemal İcen
,
Mevlut Koc
References
- 1. Hirofumi Yasue, Hitoshi Nakagawa, Teruhiko Itoh, Eisaku Harada, Yuji Mizuno. Coronary artery spasm—–Clinical features, diagnosis, pathogenesis, and treatment. Journal of Cardiology 2008;51: 2–17.
- 2. JCS Joint Working Group. Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013). Circ J. 2014;78:2779-801.
- 3. Kusama Y, Kodani E, Nakagomi A, et al. Variant angina and coronary artery spasm: a the clinical spectrum, pathophysiology, and management. J Nippon Med Sch 2011;78:4–12
- 4. Ledakowicz-Polak A, Ptaszynski P, Polak L, et al. Prinzmetal’s variant angina associated with severe heart rhythm disturbances and syncope: a therapeutic dilemma. Cardiol J. 2009;16:269-72.
- 5. Filipa Ferreira, Lorette Cardona, Bruno Valente, João Abreu, Eduardo Antunes, Lurdes Ferreira, José Alberto Oliveira, Rui Ferreira. High-degree atrioventricular block induced by Prinzmetal angına. Rev Port Cardiol. 2012;31:233-235
- 6. Viji S. Thomson, Osama Tariq, and Hafidh Al Hadhi. Malignant Multivessel Coronary Spasm Complicated by Myocardial Infarction, Transient Complete Heart Block, Ventricular Fibrillation, Cardiogenic Shock and Ischemic Stroke. Oman Medical Journal 2014; 4:296-298
- 7. Seniuk W, Mularek-Kubzdela T, Grygier M, Grajek S, Cieśliński A. Cardiac arrest related to coronary spasm in patients with variant angina: a three-case study. J Intern Med. 2002;252:368-76.
- 8. Siliste RN, Savulescu-Fiedler I, Siliste C. Bradyarrhythmic syncope in a patient with Prinzmetal's variant angina: a case report. American Journal of Emergency Medicine 2013; 996.e1–996.e4