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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.
Cureus
|July 29, 2024
Summary
Hypovolemia, or low blood volume, can cause coronary vasospasm leading to ST-elevation myocardial infarction (STEMI). This case report highlights fluid resuscitation as a successful treatment for hypovolemia-induced coronary vasospasm.
Area of Science:
- Cardiology
- Internal Medicine
- Physiology
Background:
- Coronary vasospasm is a known cause of ST-elevation myocardial infarction (STEMI).
- Hypovolemia is an uncommon but potential trigger for coronary vasospasm.
Observation:
- A 57-year-old male presented with syncope and EKG findings indicative of inferior ST-elevation myocardial infarction.
- Coronary angiography revealed no thrombotic occlusion but diffuse disease in the coronary arteries.
Findings:
- The patient's coronary vasospasm and ST elevation resolved following aggressive fluid resuscitation.
- This suggests hypovolemia was the underlying cause of the coronary vasospasm.
Implications:
- Hypovolemia should be considered in the differential diagnosis of patients presenting with STEMI and coronary vasospasm.
- Aggressive fluid resuscitation may be a crucial therapeutic intervention in such cases.
Keywords:
coronary artery angiographycoronary artery vasospasmmimicking st elevationsevere hypovolemiast-segment–elevationMore Related Videos
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