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Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
06:39

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders

Published on: August 18, 2016

[Severe coronary vasospasm]

Jorge Humberto Guardado1, Hugo Vinhas, Cristina Martins

  • 1Serviço de Cardiologia, Hospital Garcia de Orta, EPE Almada, Portugal. jobeguardado@gmail.com

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|July 25, 2012
PubMed

Insights

A patient on dialysis experienced a sudden drop in blood pressure and cardiogenic shock after coronary angioplasty. Intracoronary verapamil reversed these acute coronary syndrome symptoms, restoring blood flow and stabilizing the patient.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Nephrology

Background:

  • A 50-year-old male patient with end-stage renal disease on dialysis presented with acute coronary syndrome.
  • Coronary angiography identified focal lesions in the left anterior descending and circumflex arteries, necessitating ad-hoc angioplasty with direct stenting.

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