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Spontaneous multivessel coronary artery spasm: a case report
Cheng-Jian Wang1, Qing-Cheng Wang2, Ying Du1
12nd Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China; Heart Center, Department of Cardiovascular Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China.
The Journal of Invasive Cardiology
|February 29, 2024
Summary
A 60-year-old man experienced prolonged chest pain and sweating after an argument. These symptoms, indicative of potential cardiac distress, persisted for over 3 hours, warranting medical evaluation.
Area of Science:
- Cardiology
- Emergency Medicine
Background:
- Chest pain is a common emergency department presentation.
- Identifying the cause of chest pain is crucial for timely intervention.
Observation:
- A 60-year-old male presented with persistent dull lower and middle sternum pain.
- Symptoms included generalized sweating and onset following a heated argument.
- The pain and sweating did not resolve after 3 hours.
Findings:
- The patient's presentation suggests a potential acute coronary syndrome.
- Prolonged symptoms indicate a need for urgent cardiac assessment.
- Emotional stress can be a trigger for cardiovascular events.
Implications:
- Early diagnosis and management of cardiac events are critical.
- Understanding triggers like emotional stress can aid in patient counseling.
- This case highlights the importance of thorough evaluation for chest pain in the emergency setting.
