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Unusual Recurrent Multivessel Coronary Artery Spasm: A Case Report and Literature Review

Alhareth M Amro1, Mohammad Yasini1, Ghayda' Sharif1

  • 1Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.

Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
|October 12, 2024
PubMed

Insights

Coronary artery spasms (CAS) present serious risks, including heart attack. This case highlights the diagnostic challenges and severe outcomes of multiple CAS, emphasizing thorough evaluation.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Coronary artery spasms (CAS) are a significant cause of ischemic heart disease.
  • CAS can range from asymptomatic episodes to life-threatening events such as myocardial infarction and sudden cardiac death.

Observation:

  • A 56-year-old male presented with recurrent ischemic chest pain and variable electrocardiogram (ECG) findings.
  • Cardiac catheterization identified multiple instances of coronary artery spasms.

Findings:

  • The observed coronary artery spasms resolved spontaneously or responded to intracoronary nitroglycerin administration.
  • The case underscores the potential for severe manifestations of multiple coronary artery spasms.

Implications:

  • Accurate diagnosis of CAS is crucial to prevent misdiagnosis and unnecessary invasive procedures.
  • Managing patients with suspected CAS requires a comprehensive diagnostic approach to address potential severe cardiac events.

Keywords:
cardiac anatomycardiac fibrillation/defibrillationelectrophysiology‐cardiac arrest/sudden deathnon‐invasive techniques – signal‐averaged ECGpharmacology – pharmacokinetics/dynamics

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