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Related Experiment Videos

Coronary artery spasm appearing as syncope

P Beltran, E Lichstein, M Sanders

    Archives of Internal Medicine
    |January 1, 1982
    PubMed
    Summary
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    Coronary artery spasm can cause nighttime syncope (fainting). This condition was diagnosed using Holter monitoring and cardiac catheterization, and effectively managed with medications.

    Area of Science:

    • Cardiology
    • Vascular Medicine

    Background:

    • Coronary artery spasm is a transient constriction of coronary arteries.
    • It can lead to myocardial ischemia and serious cardiac events.
    • Syncope, particularly nocturnal syncope, can be an atypical presentation.

    Observation:

    • A 56-year-old male presented with syncope occurring at night.
    • Diagnostic workup revealed evidence of coronary artery spasm.
    • Holter monitoring and cardiac catheterization confirmed the diagnosis.

    Findings:

    • Coronary artery spasm was identified as the cause of the patient's nocturnal syncope.
    • The patient responded well to pharmacological treatment.

    Implications:

    Related Experiment Videos

  • This case highlights the importance of considering coronary artery spasm in patients with unexplained syncope, especially nocturnal episodes.
  • Effective management strategies include nitrates and calcium channel blockers.
  • Early diagnosis and treatment can prevent adverse cardiovascular outcomes.