NYMC Faculty Publications
Acute Coronary Syndrome Due to Coronary Vasospasm: A Case Report
Author Type(s)
Resident/Fellow, Faculty
DOI
10.1080/14796678.2024.2392995
Journal Title
Future Cardiology
First Page
613
Last Page
618
Document Type
Article
Publication Date
1-1-2024
Department
Medicine
Keywords
acute coronary syndrome, case report, chest pain, coronary vasospasm, ischemia with nonobstructive coronary arteries, myocardial infarction, myocardial perfusion, prinzmetal angina, vasospastic angina, Wenckebach phenomena
Disciplines
Medicine and Health Sciences
Abstract
Coronary vasospasm can lead to decreased cardiac perfusion and result in acute coronary syndrome. Here is a case of a 49-year-old man presented to the emergency department with epigastric pain and nausea with normal initial electrocardiogram. However, 6 h later, the patient experienced severe chest pain prompting a repeat electrocardiogram demonstrating inferior ST-segment elevation with troponin I levels peaked at 1.2 ng/ml (normal range: 0.00–0.02 ng/ml). Coronary angiography revealed angiographic stenosis in the left circumflex territory of a left dominant system which resolved with intracoronary nitroglycerin administration indicating ischemia with nonobstructive coronary arteries secondary to coronary vasospasm. He was discharged on isosorbide mononitrate and amlodipine therapy and had no recurrence of symptoms during follow-up.
Recommended Citation
Wang, A., Meir, J., Malik, A., Fishkin, T., Dey, S., Panza, J., & Haidry, S. (2024). Acute Coronary Syndrome Due to Coronary Vasospasm: A Case Report. Future Cardiology, 20 (11-12), 613-618. https://doi.org/10.1080/14796678.2024.2392995
