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Published on: August 18, 2016
Severe Multivessel Coronary Vasospasm From Hypovolemia: A Case Report
Fawaz Mohammed1, Sajjad Haider2,3, Mohammed Kazimuddin2
1Internal Medicine, University of Kentucky College of Medicine, Bowling Green, USA.
Abstract:
Cases of coronary vasospasm leading to ST-elevation myocardial infarction (STEMI) have been described. However, hypovolemia as an etiology of coronary vasospasm has been rarely reported. We report the case of a 57-year-old male who presented to the hospital with syncope, with electrocardiogram (EKG) findings suggestive of ST elevation in the inferior leads. The catheterization lab was activated, and coronary angiography was performed, which showed no evidence of thrombotic occlusion with diffuse disease in the right coronary artery and left anterior descending artery that resolved with aggressive fluid resuscitation.
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