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Coronary artery spasm: Is ST-elevation key for diagnosis?

Pedro A Villablanca1, David F Briceno1, Anand D Jagannath1

  • 1a Montefiore Medical Center, Albert Einstein College of Medicine , New York , USA.

Acute Cardiac Care
|October 19, 2016
PubMed

Coronary vasospasm is uncommon during pregnancy and the postpartum period. We present a very rare case of an acute coronary vasospasm in a 36-year-old woman who was two weeks postpartum. The coronary arteriograms showed a coronary vasospasm in the distal left anterior descending and circumflex coronary arteries. Electrocardiogram (ECG) presentation was atypical, with T-wave inversions in leads I, aVL, and V2 to V6. To our knowledge, this is the first case with a well-documented coronary artery vasospasm in a postpartum woman without the classic ST elevation on ECG. Management should follow the usual principles of care for acute coronary vasospasm.

Keywords:
Coronary vasospasmST elevationpostpartum

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