Cardiogenic Shock From Global Myocardial Ischemia Induced by Simultaneous Multivessel Coronary Spasm
Korean Circulation Journal
;
: 427-430, 2012.
Artículo
en Inglés
| WPRIM
| ID: wpr-33162
ABSTRACT
Coronary artery spasm is an uncommon, but well recognized, etiology for acute myocardial infarction. However, cardiogenic shock with myocardial infarction resulting from simultaneous multiple coronary artery spasm has been rarely reported, and not in Korea. Recently, we experienced such a case in a 50-year-old Korean man without previous diagnosis of variant angina. The patient, hospitalized for blood sugar control, developed severe chest pain accompanying ST-segment elevation in multiple leads. The patient immediately received cardiac catheterization because of cardiogenic shock. Coronary angiogram revealed the severe and simultaneous spasm of three major epicardial arteries, which was promptly relieved by an intracoronary administration of isosorbide dinitrate. This case highlights the need to rule out the potential mechanism of coronary spasm even in the most severe episodes of acute coronary syndrome.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Arterias
/
Choque Cardiogénico
/
Espasmo
/
Glucemia
/
Dolor en el Pecho
/
Cateterismo Cardíaco
/
Isquemia Miocárdica
/
Vasoespasmo Coronario
/
Vasos Coronarios
/
Síndrome Coronario Agudo
Límite:
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Korean Circulation Journal
Año:
2012
Tipo del documento:
Artículo
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