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Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
Published on: August 18, 2016
Severe coronary spasm in a COVID-19 patient
Fernando Rivero1, Paula Antuña1, Javier Cuesta1
1Department of Cardiology, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria, IIS-IP, CIBER-CV, Madrid, Spain.
Abstract:
Myocardial injury is frequently detected in coronavirus disease 2019 (COVID-19) patients. However, up to one-third of COVID-19 patients showing ST-segment elevation on the electrocardiogram have angiographically normal coronary arteries. We present a case of an acute coronary syndrome due to a coronary spasm in a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patient. This pathophysiological mechanism was clearly demonstrated by intracoronary imaging techniques (optical coherence tomography) and invasive vasospasm test.
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