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Related Experiment Video

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Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders

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Multivessel coronary artery spasm.

J D Richardson¹, A J Nelson, S G Worthley

¹Cardiovascular Research Centre, Royal Adelaide Hospital, Australia.

Heart, Lung & Circulation

|August 20, 2011

Summary

Severe coronary artery spasm affecting all three major arteries is rare and life-threatening. This case highlights emergency management challenges and the prognostic value of cardiac MRI for identifying high-risk patients.

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Area of Science:

Cardiology
Cardiovascular Medicine
Clinical Case Study

Background:

Coronary spasm is a recognized cause of myocardial ischemia.
ST-segment elevation myocardial infarction can occasionally result from coronary spasm, typically in a single artery.

Observation:

This report details a rare, life-threatening case of severe multivessel coronary spasm affecting all three major epicardial arteries simultaneously.
The case presented significant emergency management and ongoing treatment challenges.

Findings:

Multivessel coronary spasm poses a malignant prognosis.
Cardiac magnetic resonance imaging may offer insights into identifying patients at higher risk post-event.

Implications:

This case underscores the critical need for prompt recognition and management of severe coronary spasm.
Further research into cardiac MRI's role in risk stratification for multivessel coronary spasm is warranted.