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[Coronary spasm following myocardial revascularization. Clinico-therapeutic considerations in a successfully treated
Giornale Italiano Di Cardiologia
|January 1, 1983
Insights
Coronary artery spasm causing cardiac arrest was successfully treated with intracoronary nitrates and verapamil. The patient remained asymptomatic four months post-surgery, highlighting effective management of this critical condition.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Coronary artery spasm can lead to severe cardiac events, including cardiac arrest.
- Surgical intervention like bypass grafting may be necessary for refractory cases.
Observation:
- A 30-year-old male presented with anterior descending coronary artery spasm.
- The patient experienced multiple cardiac arrests due to the spasm.
Findings:
- Intracoronary injection of nitrates and verapamil effectively relieved the coronary artery spasm.
- The patient received nitrates and calcium antagonists post-surgery.
- The patient remained asymptomatic at four months follow-up.
Implications:
- This case demonstrates the efficacy of intracoronary vasodilators in managing acute coronary artery spasm.
- Pharmacological management combined with surgical intervention offers a viable treatment strategy.
- Long-term outcomes can be favorable with appropriate medical management post-procedure.
Abstract:
A 30-year-old man had a spasm of the anterior descending coronary artery and received a bypass graft. The spasm which caused several cardiac arrests was relieved by intracoronary injection of nitrates and verapamil. The patient was discharged 13 days after surgery, receiving nitrates and calcium antagonists. Four months after operation he remains asymptomatic.