Title of article :
A Rare Case of Cardiogenic Shock following Severe Multivessel Coronary Vasospasm
Author/Authors :
Rahmani, Reza Imam Khomeini Hospital Complex - Tehran University of Medical Sciences, Tehran , Zand Parsa, Amirfarhangh Imam Khomeini Hospital Complex - Tehran University of Medical Sciences, Tehran , Sherafati, Alborz Imam Khomeini Hospital Complex - Tehran University of Medical Sciences, Tehran , Kosari, Rouzbeh Imam Khomeini Hospital Complex - Tehran University of Medical Sciences, Tehran , Mohhamadi, Vahid Imam Khomeini Hospital Complex - Tehran University of Medical Sciences, Tehran , Mohhamadi, Rizan Imam Khomeini Hospital Complex - Tehran University of Medical Sciences, Tehran
Pages :
5
From page :
28
To page :
32
Abstract :
Prinzmetal’s angina occurs following spasms in a single or multiple vascular beds, resulting in a typical chest pain and an ST-segment elevation in electrocardiography (ECG). It can lead to life-threatening arrhythmias and sudden cardiac death. We describe a 37-year-old woman who was admitted with a typical chest pain and hypotension. Her initial ECG showed an ST-segment elevation in the inferior and precordial leads. She was transferred to the catheterization unit, where coronary angiography illustrated multivessel spasms. The spasms were relieved with a nitroglycerin injection. She was discharged with stable hemodynamics 7 days later, and at 1 month’s follow-up, no recurrent attack was detected.
Keywords :
Angina pectoris , variant • Coronary vasospasm • Shock , cardiogenic
Journal title :
The Journal of Tehran University Heart Center (JTHC)
Serial Year :
2019
Record number :
2503986
Link To Document :
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