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Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
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Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders

Published on: August 18, 2016

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Severe multivessel coronary vasospasm in a patient with coronavirus disease 2019

Mai Azuma1, Shingo Kato1,2, Kota Murohashi3

  • 1Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.

Journal of Cardiology Cases
|June 26, 2023
PubMed

Insights

This case study highlights multivessel coronary spasm in a 65-year-old male, potentially linked to coronavirus disease (COVID-19). Multimodality imaging, including cardiac MRI, aids in diagnosing COVID-19 related myocardial injury.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Diagnostic Imaging

Background:

  • Myocardial involvement in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection presents with diverse pathologies.
  • Understanding the exact pathophysiology of COVID-19-induced myocardial injury is crucial for effective patient management.

Observation:

  • A 65-year-old male presented with multivessel coronary spasm.
  • The coronary spasm was presumed to be associated with coronavirus disease 2019 (COVID-19).

Findings:

  • Acetylcholine coronary angiography and cardiac magnetic resonance imaging were instrumental in diagnosing the condition.
  • Multimodality imaging approaches are valuable for accurate diagnosis of myocardial injury in the context of COVID-19.

Implications:

  • This case underscores the importance of considering coronary spasm as a manifestation of COVID-19.
  • Utilizing multimodality imaging, particularly cardiac MRI, can enhance the diagnostic accuracy for cardiac complications of SARS-CoV-2 infection.
  • Further research into the precise mechanisms of COVID-19 related myocardial injury is warranted.

Keywords:
AcetylcholineCoronary angiogramCoronary spasmCoronavirus disease 2019Magnetic resonance imaging

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